Our "Clinic First" curriculum represents the forefront of family medicine education. It offers seamless educational experiences and ensures consistent interaction with each resident's patient panel. The model includes full-day clinics for residents, emphasizing the preparation of family medicine physicians for contemporary practice and providing balance for those pursuing full scope medicine. Each year is distinct, offering progressive preparation for residents' autonomous practice. The rotations are primarily in two-week blocks, which have received high satisfaction from residents.
The first year of residency focus more on the inpatient rotations. We separate outpatient and inpatient responsibilities allowing residents to focus learning on one aspect of training at a time. This means if a resident starts the morning in the hospital, then they will continue with inpatient duties throughout the day rather than needing to switch mid-day. If residents start the day in an outpatient setting, they will continue their day in an outpatient setting.
The second year further increases clinic presence to establish continuity with each resident's own patients while still providing community and inpatient experiences.
The third year takes the clinic first approach to its ultimate conclusion. Residents will complete 52 individual weeks, which mimics a practicing family physician. Some weeks will include inpatient coverage with minimal clinic - similar to a rural family practice that sees its own Inpatient/Peds/OB. In your 3rd year we offer 12 weeks of electives which is time for each resident to focus on areas of greatest interest. Most weeks (32) will be in the outpatient continuity practice and specialty clinics seeing the panel that you have come to know well over the preceding 2 years.
Our residency clinic hosts a variety of sub-specialty and procedural clinics. Typically, each clinic is staffed with one resident and one attending physician, ensuring focused and personalized care. Some of our specialty clinics include:
Providence St. Peter Family Medicine is committed to teaching obstetrical
care. Residents will learn from full scope family medicine faculty as
well as OB/GYN hospitalists and community specialists. Our residency program
is unopposed which allows residents to learn low to high-risk obstetrical
care from a variety of attendings. Some residents have completed Obstetric
Fellowships after graduating from our program.
Our program also provides obstetric care to adolescent pregnant patients
with a multidisciplinary team of providers, including residents, faculty,
behavioral health providers, and nutritionist.
Residents rotate with the Seattle Children's Hospitalists Inpatient team at St. Peter Hospital and also round with the family medicine faculty on the SPFM service. Additionally, we partner with South Sound Pediatrics for the ambulatory pediatric rotation, providing a comprehensive primary care experience in pediatrics. R2s participate in a 4-week rotation at the Mary Bridge Children's Hospital Emergency Department, a level-II pediatric trauma center in Tacoma, Washington.
SPFM views addiction medicine as a core competency of primary care and is important in its mission to serve marginalized populations. All residents receive their buprenorphine training in their R-1 year and see patients for MAT in the course of their continuity clinic panel. To supplement training, residents can rotate at the community low-barrier buprenorphine clinic (the Olympia Bupe Clinic).
Our clinic uses EPIC which is connected with not only the hospital, emergency department, and L&D but with other institutions. Residents receive EPIC training during orientation prior to starting residency as well as additional training in the beginning weeks of R1 year to further customize and assist with efficiency.
St Peter Family Medicine - Block Rotation Schedule |
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Year I |
Year II |
Year III |
|
Ambulatory Pediatrics - 4 weeks |
Ambulatory Pediatrics - 4 weeks |
Continuity Clinic/Rapid Access Clinic- 30 weeks |
| Elective- 4 weeks | Continuity Clinic - 12 weeks | GYN - 2 weeks |
| Community Medicine - 2 weeks | Health Systems Management- 4 weeks | Local Electives - 8 weeks |
| Emergency Medicine - 4 weeks | Emergency Pediatrics, Mary Bridge, Tacoma - 4 weeks | Away Electives - 4 weeks |
| Family Medicine Orientation - 4 weeks | Adult Inpatient Medicine - 6-8 weeks | Adolescent OB clinic - longitudinal for 6 months |
| GYN - 2 weeks |
Night Inpatient Adult Medicine- 6-8 weeks |
Inpatient Medicine Service - 6-7 weeks |
| Inpatient Pediatrics - 8 weeks | Specialty Clinics (listed above)- longitudinal | Geriatrics - 2 weeks |
| Orthopedics- 4 weeks | Local Elective - 4 weeks | Specialty Clinics (listed above) - longitudinal |
| Inpatient Adult Medicine - 8 weeks | Away Elective - 4 weeks | Dermatology - longitudinal |
| Night OB/Pediatrics- 4 weeks | Surgery - 2 weeks |
Tribal OB clinic- longitudinal |
|
Obstetrics - 8 weeks |
Geriatrics - 2 weeks | |
