Swedish First Hill Family Residency

Seattle, Washington

Ballard Community Health Geriatric Medicine Track
Downtown Family Medicine Geriatric Medicine Fellowship
Swedish Family Medicine-FH Obstetrics Fellowship

The Swedish Family Medicine Residency - First Hill program is dedicated to creating an environment where residents can reach their full potential as family medicine physicians. Our core values are outstanding resident education, quality patient care, teamwork, and intellectual and professional growth.

From its origins as a pioneer program in 1970, the residency has remained dedicated to the objectives of its training mission. Our goal is to provide the best educational environment to maximize the residents’ opportunity to achieve their full potential as family physicians. Our mission is to prepare physicians to be leaders in the practice of comprehensive, compassionate family medicine of the highest quality. Our vision is to be recognized nationally as a program noted for its leadership training, its innovative and humane approaches to resident education and patient care, and its commitment to patient-centered, evidence-based, community-oriented family medicine.

The objectives of the program are to:

  • Promote family medicine as a unique specialty providing broad primary care skills focusing on the family as a social unit.
  • Prepare physicians for practice in rural, urban, or suburban communities.
  • Offer experience in obstetrics and emergency care to meet the special needs of practice in isolated communities.
  • Provide a training track in community family medicine for residents interested in serving the medically underserved through an affiliation with the Seattle-King County Department of Public Health.
  • Train physicians to work in the context of a collaborative team of consultants and allied health workers.
  • Provide a system of practice evaluation and continuing education, which will serve the changing requirements of family medicine.
  • Demonstrate a model of practice providing optimal care to the patients of the family medicine clinics.

Swedish Family Medicine - First Hill campus, serves as the continuity clinic for 18 residents (6 residents per year), our geriatric medicine fellows, and ten faculty physicians. Patients of all races, ages and demographic characteristics are cared for in the clinic. The office has more than 20,000 patient visits per year. The full spectrum of family medicine is provided, including prenatal, newborn through geriatric care and common office procedures (colposcopy, LEEP, vasectomy, dermatologic and orthopedic procedures). The clinic has a full time social worker and part time pharmacist. The clinic has its own medical records and appointment desk, billing office, clinical lab, procedure clinic, ultrasound capabilities and staff of registered nurses experienced in ambulatory care and residency teaching. The program’s clinical psychologist provides teaching, patient care and physician consultation. Teaching consultations from specialists in orthopedics, pediatrics, podiatry, psychiatry and gynecology are scheduled on a regular basis in the family medicine clinic.

Swedish Family Medicine – Ballard, serves at the continuity clinic for 6 residents (2 residents per year) and three faculty physicians. This site utilizes the Patient-Centered Medical Home (PC-MH) Model. This model consists of a patient-centered, evidence-based, team-directed model of care that comprehensively addresses the needs of the patient with quality at its core. One unique feature of this clinic is the focus on the “medical homeless”. We are engaged with Medicaid, Medicare, private payors and donors to develop a sustainable financial model to care for underserved patients. With the broad diversity of patients within our region, the clinic serves a wide variety of cultural and ethnic communities. We see this site as being at the forefront of the coming revolution in family medicine. The clinic has a nurse practitioner, registered nurse, and medical assistant to support the residents and faculty in their patient care. The clinic also has its own medical records and appointment desk and is equipped for common office procedures. The residency program’s clinical psychologist and psychiatrist are also available on a weekly basis to provide teaching and physician consultation.

Downtown Family Medicine (DFM), is another training track available to Swedish residents. Two residents per year (6 residents total), our obstetric fellows, and two faculty physicians see continuity patients at this clinic located within the Downtown Public Health Service Center. Residents who match at Downtown Family Medicine have their continuity clinics in a unique setting designed to provide care to Seattle’s medically indigent. Within the scope of the Health Department's multiple services, a comprehensive approach to patient care is offered. Nurse practitioners, public health nurses, nutritionists, social workers, medical interpreters, dentists, travel nurses, refugee screening nurses, pharmacists and WIC clinic staff all work with residents to build a multi-disciplinary collaborative model of patient care. The patient population at DFM is a diverse group of people including refugees from Southeast Asia, Central and South America, Africa and Eastern Europe, as well as the greater Seattle area’s homeless population, unemployed persons, and working poor individuals.

Geriatric Medicine Fellowship: This accredited one year post-graduate fellowship in geriatrics culminates in the certificate of added qualifications in geriatrics sponsored by the American Board of Family Medicine. The mission of this fellowship is to provide clinical training across the continuum of care in geriatric medicine and to foster leadership skills for academic careers teaching family medicine and geriatrics.

Obstetrics Fellowship: This one year post-graduate fellowship is a collaborative effort between the residency program and the perinatologists on the Swedish Medical Center First Hill campus. Training emphasizes care of the high-risk mother and child, including operative OB and newborn resuscitation. The prime goal of the fellowship is to prepare family physicians for practice in underserved areas where operative and high-risk OB skills are necessary.

Family medicine is constantly evolving. The need to incorporate new knowledge, techniques and practice into the professional performance of its graduates is addressed through curricular modifications. Residents and faculty together participate in the identification of learning needs and the implementation of strategies to accomplish the program objectives. This joint responsibility reaffirms the principle that post-graduate education is a fluid process where the educator and the learner establish the priorities and set the course. The more than 285 graduates of the residency are the products of this joint effort and are evidence that the residency has been true to its mission. Swedish is proud of the ongoing personal and professional achievements of its graduates.

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


1401 Madison St., Ste. 100
Seattle, WA 98104-1338
Phone: (206) 386-6054
e-mail: info@sfm.fammed.washington.edu
web: www.swedishfamilymedicine.org

Medical Students interested in a fourth year sub-internship with our residency program should contact the residency administrative assistant, Valerie Dillard, to start the application process and review current openings. Ms. Dillard can be reached at valerie.dillard@swedish.org or by phone at (206) 215-1789.

Download Information Sheet for Swedish - First Hill