Group Health Cooperative

GROUP HEALTH
FAMILY MEDICINE RESIDENCY
Seattle, Washington

Established in 1969, the Group Health Family Medicine Residency is a community-based program with six residents in each year. We are located in central Seattle, Capitol Hill, a neighborhood with a rich history and diverse population. The patients seen at the residency clinic range from recent African and Southeast Asian immigrants to university professors with a variety of religious backgrounds and sexual orientation.
Our program emphasizes a team approach to health care, based on mutual respect and shared responsibility, both among healthcare providers and between providers and patients. We take full advantage of Group Health’s nationally recognized approach to proactive population-based prevention to supplement the traditional illness-based approach to teaching.

The Setting
Group Health, established in 1947, is a nonprofit, consumer-governed, staff model HMO. We are the only residency in our organization, and our residents benefit from experience with a wide range of specialists and generalists, with an emphasis on 1:1 teaching and direct “hands-on” learning. Group Health sets the benchmark for provision of care in a medical home model.  We have the highest level of accreditation by the National Committee for Quality Assurance and consistently ranks among the top few managed care programs nationally. Group Health’s approach to quality includes state-of-the-art clinical information systems organizing clinical data to facilitate population-based and evidence-based care.

The Faculty
Our core residency faculty includes nine family physicians, two social workers and a pharmacist, supported by a full range of affiliated specialists. The faculty family physicians maintain their own clinical practices at least half-time to ensure continued excellence of skills. Several of our faculty members have added qualifications in adolescent, sports, and geriatric medicine.

The Residency Clinic
Opened in a new facility in May, 2000, the family medicine residency clinic is a central part of the learning experience throughout the three years of residency. It is a model medical home practice and training environment.  Patient-centered continuous team-based care, a robust electronic medical record, point-of-care evidence-based medicine tools, prospective panel management, and advanced patient access are all components of our model care provision and training environment. The average number of visits seen by residents increases from about 200 in the first year to 1400-1500 over the next two years. Residents follow a diverse group of patients throughout their three years with two exceptions: a “month away” in the second year which can be used for experiences only available out of town, and a “try your wings” month in the third year spent in full-time practice away from the residency clinic. The clinic includes two minor operating rooms, a counseling room, a library, and plentiful opportunities for faculty and residents to interact.

Unique aspects of the curriculum include:
Teen Pregnancy and Parenting Clinic: A unique team approach to healthcare for the prenatal, delivery, and child-rearing needs of adolescents and their children. The same team provides all levels of care. The team includes family practice faculty and residents, a nurse clinician, social worker, nutritionist, WIC certifier and childbirth educator.
HIV Clinic: A multidisciplinary clinic, which is family-practice based and includes a pharmacist and social worker. Patients representing the full spectrum of HIV care needs come to this clinic for evaluation and treatment.

Community Medicine: This is a two-month experience designed to give exposure to resources in both the community outside of the Group Health organization. Experiences include spending time in one of Seattle’s nearby community clinics which provides care to the uninsured, the health department at the county jail, the TB clinic, needle exchange program, the sexual assault center, restaurant inspection and more.

Art of Family Medicine: This is a special time created for the last four-week block of the first year of residency. The purpose of the block is to create a time for reflection on the experiences of becoming a family physician. There is a focus on bonding with fellow first year residents, honing skills needed in a busy outpatient clinic setting, and establishing a balanced approach to a career in medicine. A connection between literature and medicine is emphasized - residents read and discuss three books during the block.
Women’s Health: Early abortion training is integrated into the curriculum with options counseling for unintended pregnancies and training in medical and surgical abortions. An opt out curriculum is offered for those who request it. The obstetrics rotation includes work with obstetricians, family physicians and nurse midwives, fostering a busy and rich learning experience.

Please note: There will be no subinternship opportunities available at the Group Health Cooperative during the 2010-2011 academic year.

Further requests for information about the residency, the community, and the application process should be directed to:

GROUP HEALTH
FAMILY MEDICINE RESIDENCY

125- 16th Ave E, CSB 160
Seattle, WA 98112
Phone: (206) 326-3585
e-mail: GHCFPR@ghc.org
web: http://www.ghc.org/fpr/