Curriculum Highlights

Our innovative "Clinic First" curriculum is on the cutting edge of family medicine training. The curriculum presents uninterrupted educational experiences and maximizes continuity with each individual resident's panel of patients. Our clinic first model features residents in full day clinic. Our focus is to train family medicine physicians for modern practice while balancing the opportunities for those choosing full scope medicine. Each year is unique and progressively looks more and more like family medicine practice after residency.

Program Year One

• The first year of residency separates 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. This approach differs significantly from traditional training methods. The outcome is greater continuity, which develops stronger personal relationships with patients.

Program Year Two

• The second year further increases clinic availability for continuity with each resident's own patients. Second year residents spend two weeks in rotations with minimal outpatient clinic. This is followed by two weeks of outpatient continuity clinic. This 2+2 format enables patient follow-up within a two-week timeframe.

Program Year Three

• 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 - analogous to a rural family practice that sees its own Inpatient/Peds/OB. Some weeks will be electives - comparable to CME weeks. This time is for each resident to hone the skills needed for their future practice type. 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.

Specialty Clinics

We offer a number of "sub-specialty and procedural clinics" that are held in the residency clinic building. Many of these clinics have one resident and one attending physician. Some of our specialty clinics include:

• Colposcopy
• Osteopathic manipulation
• Pediatric Consultation
• Procedure Clinic
• Mobile Clinic/ Street Medicine Clinic
• Nursing Home Visits
• Rapid Access (Walk-In) Clinic
• Vasectomy Clinic
• Adolescent OB Clinic
• Gender Affirming Care (T-Med) Clinic

Obstetrics

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 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 nutritionists.

Pediatrics

Residents rotate with Seattle Children's Hospitalists Inpatient team at St. Peter Hospital in addition to rounding with family medicine faculty on the SPFM service. We also have pediatric faculty that residents work and learn from in the outpatient setting. R2s have a 4 week rotation at Mary Bridge Children's Hospital Emergency Department which is a level-II pediatric trauma hospital located in Tacoma, Washington.

Global Health Experiences

Elective time in the second and third years can provide opportunity for residents to complete an international away elective. Over the years we have had many residents travel all over the world and can help you select a site. We currently have strong relationships to hospitals in Malawi, Haiti, and Guatemala just to name a few.

Medication Assisted Treatment (MAT)

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).

Electronic Health Record

Our clinic uses EPIC which is connected with not only the hospital, ER, and L&D but with other institutions in the region. Residents receive EPIC training during orientation prior to starting residency as well as additional training in September of R1 year to further customize and assist with efficiency.

Orientation & Health Systems Management

• In block 3 of intern year, after getting their feet wet in various rotations and clinic, all interns have a 4 week orientation block combined with the Chehalis Family Medicine & Providence- Summit rural training program interns.
• At the end of the 2nd year, residents get together again with the residents from Chehalis Family Medicine & Providence- Summit rural training programs in a rotation called Health Systems Management to get ready for the last year of residency. There are various community medicine, practice management experiences interspersed as well as time to work on scholarly activity and quality improvement during this rotation.

St Peter Family Medicine - Block Rotation Schedule
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