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Washington
Wyoming
Alaska
Montana

Idaho

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Ob/Gyn Clerkship
Forms*

Breast Examination form (completed by student prior to end of rotation)

LCME Patient Encounter Report (completed by student)

Pelvic Examination Form (completed by student prior to end of rotation)

Student Performance Evaluation Form (completed by Attending or Resident)

Student Competency Assessment (completed by reviewing Faculty/Resident)

Site-specific Paperwork

Note: All sites other than Swedish, UWMC and Sacred Heart-Spokane have required forms which must be completed 3-4 weeks prior to the start of the clerkship.

Washington   Alaska
Seattle area      Providence Medical Center (Anchorage)
   Group Health, Central (Seattle)      Tanana Valley Clinic (Fairbanks)
   Group Health, Eastside (Kirkland)    
   Swedish Medical Center (Seattle)  

   University of Washington Medical Center

 
Montana
   Madigan Army Medical Center (Tacoma)      Billings Clinic (Billings)
   Tacoma Women's Specialist (Tacoma)      Bozeman Ob/Gyn Associates (Bozeman)
   Valley Women's Clinic (Renton)      Northern Montana Clinic (Havre)
Spokane      Western Montana Clinic (Missoula)
   Sacred Heart Medical Center      
Yakima  
   Yakima Valley Memorial Hospital  
Idaho
Wyoming      OB/GYN Associates, PA
   (Caldwell/Meridian)
   Cheyenne Obstetrics (Cheyenne)      Sandpoint Women's Health (Sandpoint)
   College Hill Women's Health Center (Rock Springs)      St Luke's Regional Medical Center (Boise)
     

 

 

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