ERIC D. HERMAN, M.D.

I was born and raised in the city of Brotherly Love. I moved to the Northwest almost ten years ago. Despite the lack of good cheese steaks and soft pretzels, this program was my first choice and for good reason. It offers outstanding full-spectrum training. Enough said.

Outside of medicine, music is one of my passions and I play guitar and drums whenever I can. I’m a total nerd when it comes to computers and PDA’s but don’t let that scare you. Nerds are, afterall, lovable creatures. I’m a big sports fan and I also enjoy traveling, star gazing and going out with my friends.

In my past life (before medical school) I served 2 years in the Peace Corps and this experience will most likely influence my future career. I believe Medicine will always be a noble profession and I am proud to be at TFM.

CHAD B. KRILICH, M.D.

My life has come full circle at this point. I was born in Tacoma, raised in Federal Way, and spent my years as an undergraduate at the University of Washington. My wife, Julie, and I decided to spread our wings after graduation. We spent four spectacular and fulfilling years in Boston at Tufts University School of Medicine. Training in a highly specialized medical environment, I realized I could not narrow my focus when a patient walked in the room. Instead, I wanted the challenge of trying to incorporate every part of my patient’s life into their visit. Family medicine was a natural fit. Knowing that the west coast held my interest, I researched the programs and discovered to my surprise and horror, that Tacoma Family Medicine had everything. Diverse and talented faculty and residents; strengths in obstetrics, pediatrics, and rural medicine; and, of course, access to a wealth of outdoor activities. As for the horror, returning to our family’s homes has been a pleasant surprise. At some point, we may even choose to raise a family here too.

MICHAEL J. ORLICH, M.D.

One of the few Hoosiers in this area, I was born and raised in Indiana. Except for a year in Spain studying the Spanish language and culture, I spent the last 8 years studying in Michigan, most recently at the University of Michigan Medical School. I have special interests in international medicine and medical missions as well as preventive medicine and public health. Personal interests include my famous orange cat “Pumpkin”, playing guitar and singing, church activities, and taking walks outside. As an intern, I have most appreciated the supportive atmosphere and the strong emphasis on education at TFM.

PAUL W. SCHMIDT, D.O.

I grew up in Gig Harbor, WA and after 8 years away I am glad to be back in the land of good salmon, microbrews and lots of rain. After college at Central Washington University, I married my high school sweetheart. We were then off to Kansas City and the University of Health Sciences — College of Osteopathic Medicine. I am thrilled to be part of Tacoma Family Medicine. The people are great and the training is superb. My wife and two little boys are very happy to be back home and surrounded with family and friends.

LOUIS J. (“JED”) SHARPE, M.D.

I was born in Cuyahoga Falls, OH and received my undergraduate education at Miami University. I attended Wright State University School of Medicine after spending time doing a variety of jobs including ecology genetics lab tech, cook/purse seiner off the Aleutian Chain, emergency medical technician and research SCUBA diver. During medical school I was involved with PRIME (Promoting, Reinforcing & Improving Medical Eduation) where we created a course for up and coming medical students that would expose them to medicine which involved service to the underserved population of the inner city. I hope to be a rural physician. I am an avid outdoorsman and often go to the woods and mountains to find peace. Fishing, backpacking, and cooking are my passions. I am married to a fantastic woman named Val.

BRYAN D. WHITEMARSH, M.D.

Since I grew up in Puyallup and my wife was raised in nearby Spanaway, it was a no-brainer for us to apply for residency at TFM. When we further looked into the program, we were pleasantly surprised to find that not only is it geographically perfect, but the program itself is very strong without being overly brutal. Since matching with this program, I have found the residency here to be even better than expected. The friendly, approachable, and knowledgeable faculty made the transition into residency much smoother than I anticipated. In addition, the procedurally oriented experiences available while working with both rural and underserved urban populations will be invaluable when I eventually establish my practice in this area. I enjoy mountain biking (Victor Falls RULES!), Mariners baseball (Go M’s!), and spending time with my wife, Shannon and our three children: Allen, 12; Jordan, 8; and Cody, 6.

KATHERINE S. (“KATE”) ZOPF LANDY, M.D.

I was a bit of a wanderer in my life before Tacoma. I grew up in the other Washington (the one on the East coast), headed to New York City for college at Columbia. For a change of scene, I drove a bread bakery delivery truck in Seattle for a year, which successfully whetted my appetite for the Northwest. Even my subsequent moves to New Orleans to get my MPH, and to rural Morocco for a two-year stint as a Peace Corps volunteer, couldn’t make me forget Puget Sound. After my four years at University of Rochester Medical School, I finally made my way back to the Northwest, and couldn’t be happier about it. I came to Tacoma because I feel that the comprehensive training we get here will allow me to go wherever I want to go next….although something tells me I’ll be sticking around here for a while.

ALISSA CAMDEN, M.D.

CORDELIA DICKINSON, M.D.

JEANETTE FLAMMANG, M.D.

I was born in Livermore, California to Indian immigrants. I have always been a science geek. My true passions while I was growing up were music (piano and percussion) and biology. I spent most of my childhood discovering the wonders of nature. So naturally, I chose Animal Physiology and Neuroscience as my major at UCSD where I learned, among other things, to be a sun-worshiper. Bench work and clinical trials bored me after college, so I packed up and joined Americorps VISTA in Bend, Oregon. There I fell in love with my husband and found my calling working with the underserved.

I went to medical school in Wisconsin but I longed for mountains, the ocean and the laid back way of life I had in Oregon. Plus, I wanted a residency I could really sink my teeth into - one that would prepare me for anything! So here I am in Tacoma and happy to be here. I tell my friends how lucky I am to be working so long and hard, and that I am still able to say I truly enjoy every minute.

DAVID HANSEN, M.D.

CHRISTINA KELLY, M.D.

I am originally from Ohio where I completed my undergraduate education at John Carroll University in Cleveland and my medical school education at the Ohio State University College of Medicine and Public health in Columbus. I was excited to come to the Pacific Northwest where I would be surrounded by beautiful mountains and evergreens and receive an excellent education in family medicine for my residency.

I chose family medicine because I want to be part of the long tradition of care for the whole patient and the whole family that is at the core of this specialty. I also wanted to be involved in community-based health care, particularly for the underserved population who would otherwise not be able to receive care. I love all aspects of family medicine, but I have a particular interest in women’s health, maternity care and pediatrics.

I am also very passionate about organized medicine and am involved in the American Academy and Washington Academy of Family Physicians. As a medical student, seeing family physicians advocate for their patients and the issues facing family medicine at AAFP and Ohio AFP meetings was inspirational to me. It was a large part of why I wanted to be a family physician. Through my residency and the rest of my career, I hope to contribute to the movement that is making a difference for family physicians, for the specialty of family medicine and most importantly, for our patients.

I am married to a wonderful man, Kevin, who is also a family medicine resident at Madigan Army Medical Center at Ft. Lewis. We have two cats, Sonya and Isabel, who have taken over our home while we are at the hospital. I enjoy running, Pilates, yoga and tennis as well as cross-stitch and other forms of sewing. I also enjoy gardening. In our free time, we like to go to movies, nice restaurants and listen to live music. We are also trying to become wine connoisseurs — on a budget of course!

JONATHAN McBRIDE, M.D.

A native Washingtonian, I was born in Seattle and raised in the small town of Doty, near Chehalis. I attended the University of Washington and earned a Bachelor’s degree in Zoology. After two years of medical research in cardiovascular pathology at the UW, I moved East with my wife and began medical school at New York Medical College. I trained at several hospitals in the northeast, including some in New York City, upstate New York and Connecticut, but my heart remained in the Northwest. It’s nice to be able to greet a strange without being met with skepticism. The climate is especially soothing, even if it is gray most of the year. The real beacon calling us home was Mr. Rainier and the awe inspiring outdoors here in Washington.

I enjoy all aspects of medicine, but have particular interest in obstetrics and pediatrics. Tacoma Family Medicine allows me to develop my interests in these areas with excellent training in obstetrics as we work directly with obstetricians as well as our Family Medicine faculty. TFM is also one of a handful of family medicine residencies where residents train in a children’s hospital unopposed by other residents. Working directly under pediatricians at Mary Bridge Children’s Hospital is one of the highlights of our residency.

SCOTT RENNIE, D.O.

I was born and raised in Washington and finished my undergraduate degree at Western Washington University in Bellingham, however, I also spent some time as an undergraduate studying in Kingston-Upon-Hull, England. I completed medical school at Des Moines University — College of Osteopathic Medicine and Surgery in Iowa and was awarded a National Health Service Corps Scholarship.

I have a passion for rural medicine and plan to provide comprehensive care including OB and endoscopy. I became interested in Tacoma Family Medicine because of the strengths in pediatrics and internal medicine. The staff and faculty at our clinic are great to work with and are exceptional teachers.

My professional interests include preventative medicine, full spectrum family practice with obstetrics, and Osteopathic Manipulative Medicine (OMM). Outside of medicine, I enjoy biking, kayaking, salmon fishing and of course, traveling.

KEVIN F. MURRAY, M.D., PROGRAM DIRECTOR

Dr. Murray joined Tacoma Family Medicine as our new Program Director on November 1, 2000. He comes to us with a wealth of experience in rural practice and administration as a previous residency faculty member in two of the UW Network programs. Dr. Murray received his medical degree from the University of Washington School of Medicine, completed his family practice residency training with our program in 1981, and has now returned to Tacoma Family Medicine. He has a sincere commitment to caring for the underserved in our community and to providing the best training possible for our residents.

ALAN GILL, M.D. RURAL FAMILY MEDICINE FELLOWSHIP PROGRAM DIRECTOR ASSOCIATE DIRECTOR, FAMILY PRACTICE RESIDENCY

I joined the TFM faculty in September, 2000. I was drawn by our mission of preparing family physicians to care for rural and urban underserved patients. I spent the previous six years as faculty at a rural training site for the University of Missouri-Columbia. Prior to that, I was on the Blackfoot Reservation in northern Montana for four years with the Indian Health Service. I attended medical school at the University of Michigan and residency at the University of Missouri-Columbia. I have a strong interest in rural health care and in the role of family physicians in meeting the unique demands of small towns. I enjoy full spectrum family practice with special interest in obstetrics, geriatrics, and disability issues. My family and I love the outdoors, which we enjoy through camping and backpacking..

REBECCA BENKO, M.D.

I grew up in a small rural community in eastern Michigan where my physician role model was a general practitioner who did everything from delivering babies to taking care of the elderly to setting broken bones. Out of this experience I developed a deep respect for family medicine and the need for physicians in rural areas. I subsequently went to medical school at Michigan State University and completed my training in Family Practice at Tacoma Family Medicine in 1996. I recently joined Tacoma Family Medicine after 6 years of practice in Newport, WA, a small rural city on the Idaho border where I practice “full spectrum” family medicine with a total of 5 docs in town and 6 physician assistants. My interests include rural medicine, women’s health care, and procedural skills (including C-sections). During my free time I enjoy biking, swimming, running and spending time with my family.

PAULA A. CONSTANCE, ARNP

I grew up in rural Iowa and settled in the Pacific Northwest in 1984 where I have been part of MultiCare Health System ever since. My graduate work was done at the University of Nebraska (Go Big Red!) in the area of adult and continuing education. I’m very interested in areas of community and patient education as well as medical education. I have two children, Ben and Katie. We enjoy SCUBA diving, photography, music, and anything outdoors. My academic areas of interest include dermatology, women’s health care, orthopedics and acute care.

THOMAS R. EGNEW, Ed.D.

I have been with TFM as the Behavioral Scientist since 1979, after holding a similar position at Madigan Army Medical Center. I hold a Master’s degree in social work from the University of Chicago and have practice experience in individual and marital counseling, grief counseling, parent education, family violence education, hypnotherapy and guided imagery. My doctoral dissertation at Seattle University involved a qualitative study of the definition and mechanisms of healing and the preparation of allopathic physicians to be healers. I have been involved in published research regarding the training for and implementation of end-of-life care. I believe that physicians are healers, but that medical education does little to prepare trainees to assume this mantle. This is an oversight that can lead to cynicism and burnout in practitioners. My hope is to help trainees learn a practice of medicine that is not only exceedingly technically competent, but also feeds the soul of both patient and physician. My wife Joan is a family physician and our daughter, Halley, and son, Hieu, are the lights of our lives.

DAVID B. KILGORE, M.D.

I’m another one of those transplanted Californians. I grew up in Sequoia National Park, as well as the San Francisco Bay area, attended U.C. Berkeley, then did some research in genetics there before completing medical school and residency in Southern California. My practice experience includes a year of private practice followed by five years in a busy semi-rural community clinic. Areas of interest in family medicine include orthopedics and sports medicine, internal medicine, especially diabetes and exercise treadmill testing, and urban family medicine. I’m married with two sons, and my precious time away from medicine is often spent trying to keep up with them on skis or mountain bike, improving my Spanish, or playing guitar with my sons.

LYNN M. QUANRUD, RESIDENCY COORDINATOR

It was my very good fortune to witness the birth of Tacoma Family Medicine in 1978, having worked with Dr. Roy H. Virak, our first director, in his private practice for 14 years before the residency program became a reality. My roots are in Tacoma, having been raised here and attended school not far from where I presently live. It has been my delight to have a part in the training of 129 outstanding graduates. It has been a rewarding experience getting to know each of them. My responsibilities include resident recruitment, developing schedules, coordinating resident functions, and providing all around support and assistance to the residency program as a whole. You will be working closely with me during the application and interview process.

SUSAN ROWE, Ph.D, CLINICAL PHARMACIST

I have been with Tacoma Family Medicine for five years. Prior to Family Medicine, I worked eight years as the pharmacist in the Critical Care Units at MultiCare Medical Center. I graduated from the University of Washington in 1980 and completed a general residency in hospital pharmacy at Harris Hospital Methodist in Fort Worth, Texas. I graduated again in 2001 with my Pharm.D. degree. I teach practical pharmacology during resident precepting and run an anti-coagulation clinic. Anti-coagulation, congestive heart failure, and smoking cessation are areas of interest and expertise for me. My interests outside of work include my husband, two daughters, community volunteer work, basketball and all sports, walking, hiking, and gourmet cooking.

MITCH SAGERS, PA-C

Originally from Iowa, I was transplanted here at age 2 and have lived in Tacoma all my life. I have been interested in the medical field all of my life and intended to go to medical school after graduating from Pacific Lutheran University in 1981. A detour in the road led me into the fire service and I have been a firefighter-paramedic for 19 years, all with the University Place Fire Department. In 1994 I entered Physician Assistant school at the University of Washington School of Medicine and graduated in 1997. Part of my training included a 5 month rotation here at TFM and I instantly knew this was a place where I could grow as a clinician and give back to the very unique population of patients here. I have been here at TFM since January 1998, and enjoy so much the staff and patients here. I enjoy spending time with my wife, son and daughter. In my spare time I love to run, bike, play golf and enjoy boating.

JOE SHERMAN, M.D.

Dr. Sherman is a pediatric physician who joined Tacoma Family Medicine in June, 2000 as a part-time faculty with responsibility for the pediatric training of our residents. He brings over 11 years of practice experience to Tacoma Family Medicine. He graduated from the Medical College of Virginia in 1985, and completed his residency in pediatrics there in 1988. Following private practice in Washington, DC, he spent nearly two years in Uganda as a Research Fellow in Perinatal HIV Prevention with Johns Hopkins University.

LINDA TARBELL, ARNP

I’m another delighted transplant from Southern California, having called it home for 20+ years. I shuffled about the country doing graduate studies in nurse midwifery in rural Kentucky, Cleveland, OH and El Paso, TX. My minor was as a family nurse practitioner. After paying off school loans, I traveled to West Africa and spent one year working there (very interesting and very hot). I then returned to the States and worked in eastern Washington for a couple of years before coming to Tacoma. I enjoy trying to keep up with my daughter and am passionate about adoption issues.

JOHN R. Van BUSKIRK, D.O.

I came to TFM as a second year resident in 1987, after practicing for four years at the Puyallup Tribal Health Clinic. My experiences there reinforced my interest in providing care for the underserved in our society. After completing residency in 1989, I was pleased to join the TFM faculty. I then completed the Faculty Development Fellowship at the University of Washington. I enjoy working with residents to find effective ways to care for disenfranchised people in our community.

KERRY G. WATRIN, M.D.

This is my third tour of duty at TFM, one residency and two faculty stints, the latest beginning in 1990. Terrie, my wife, and I had served in Tanzania from 1986 to 1990. Since returning to the States we have settled into a 60+ year old log cabin, cultivated a garden, and adopted a beautiful curly-haired girl named Lauren and a smiley boy named Nathan. It is paradise to sit with Terrie and the kids and listen to the evening wind blow through the evergreens. I feel called to be a teacher of family medicine, and invite your feedback on how to improve. My special interests include adult learning styles, transition cycles, obstetrics and international health. If I can walk with you in anything, it will be to slow down the moment to a point where you live content in the healing interaction, energized by its special magic, and truly feel a gratitude for the opportunity to be a healer.

Why did we choose TFM?

• supportive group of fellow residents
• comprehensive training that prepares you to practice in any setting upon graduation
• some of the best OB & peds training available among FP programs - unopposed residency program in a busy adult general hospital and a pediatric hospital
• fit with the mission of training to work with underserved populations
• dedicated faculty who are always available for questions (faculty includes IM,ObGyn, and Peds attendings)

What are some of the perks of our program?

• free meals while on service at hospital
• free parking
• full health insurance
• allocations for palm pilots
• night float
• personal desk space
• rose gardens in front of the hospital
• $ and time away for CME and medical books
• annual residency retreats
• one month away for rural/urban underserved electives each year

What are the benefits of living in Tacoma vs. Seattle?

• smaller, community feel
• housing costs significantly cheaper
• almost no traffic or parking hassles
• great neighborhoods within walking distance of the hospital
• still has benefits of living in a city (museum, nightlife, shopping, zoo)
• close to Mt Rainier and the Olympic Peninsula
• nice waterfront that is not blocked by a major highway

Who are our significant others and what do they do?

• certified nurse midwife
• co-resident
• nursing student
• accountant
• social worker at Harborview Medical Center in Seattle
• mother to 4 kids and photographer
• hostess at gourmet vegetarian restaurant and entering graduate school in Asian languages

Where have we gone for our rural/urban clerkships?

• Darrington, Washington: Real “cowboy” solo FP with full-scope practice including ER, clinic, hospital, OB, minor trauma, and nursing home.
• Kauai, Hawaii: For the month of December
• need I say more?!
• Wells River, Vermont: Beautiful, quaint area w/ rural FPs doing obstetrics
• Petersburg, Alaska: Isolated, rugged area w/ broad scope of rural family practice
• Tacoma, Washington: Eastside Community Health Clinic serving large Hispanic, underserved population.
• Buckley, Washington: Small, private practice near to Mt. Rainier.
• Friday Harbor, Washington: San Juan Island setting w/ lots of emergency medicine opportunities.
• Lynden, Washington: Small town w/ large migrant worker population.

Tacoma Family Medicine is a university affiliated, community hospital sponsored family practice residency program.

We provide high quality education in family medicine with specific preparation for care of rural or underserved patients.

Our training environment uses multiple primary care disciplines and is rich in patient diversity, dedicated staff and experienced faculty who serve as excellent community role models.

As the only civilian residency program in Tacoma, we benefit from a locale in which the full spectrum of family medicine is needed and practiced. We seek to exemplifty the compatibility of service and quality education with a humane residency experience.

Our goal is to provide excellent quality patient care in an environment of goodwill and companionship.

The primary goal of our residency program is to train Family Physicians who are highly skilled, both personally and professionally balanced and fundamentally sound in the principles of their profession. To accomplish this goal, Tacoma Family Medicine strives to:

Provide a high quality educational experience in Family Medicine which balances the educational and the service aspects that traditionally comprise postgraduate medical education.

Provide a model of family practice which serves as an effective educational system in which residents can gain the knowledge, skills, and personal attitudes required to provide high quality care of acute and chronic disease; to conduct skilled rehabilitation as necessary and to administer compassionate care of terminal illness.

Teach responsible provision of longitudinal comprehensive health care for all members of the family. Incorporated in this responsibility is the ability to be sensitive to the special individual needs of the patients and to provide leadership and coordination of the health care team. This includes the proper and timely use of consultants from other specialties. Also included is an emphasis on care in the home and extended care facility,as well as the more traditional sites of clinic and hospital.

To fulfill the needs of medically underserved communities for well trained family physicians in the state of Washington and in the Northwest. We strive to facilitate the transition of the trainee from practice in residency to practice in a community, both through a structured teaching program in practice management and through career programs individually designed to meet unique and personal needs. This is done in part with many special programs on both rural medicine and the community clinic system.

Provide a training environment which fosters the development of personal responsibility toward one’s own health and that of one’s family. We strive to promote self understanding and insight into the relationships between personal and professional life that are important for a satisfying life path and long career in family medicine. Just as it is important to balance education and service in a training program, it is important to balance medicine with the other aspects of one’s personal life.

Create a curriculum which will provide the individual with the cognitive and procedural skills in family medicine necessary to practice in any practice environment. Because Tacoma Family Medicine is the only civilian postgraduate medical program in the area, we are in a particularly advantageous position to accomplish this task.

LENORA HIRSCHLER, M.D.

While most of my life has been spent trudging through the Indiana educational system, there have been a few experiences that have opened my eyes to the rest of the world and its opportunities. I was born in Zaire, Africa, to medical missionary parents. We went back and forth between Indiana and overseas assignments in Zaire and Taiwan during my childhood. During college I spent a summer working with my father in a hospital in Zambia. My international experiences and interest in health care helped me to decide that medicine was my true calling. I became interested in international medicine and spent two months in Tanzania during medical school.

Family Practice appealed to me because of its broad scope and diversity of patients. I chose Tacoma Family Medicine because it offered strong clinical training for doctors who want to work in both rural and underserved areas. I also appreciated the diversity of residents and their interest in international medicine. I lived in Oregon for one year after high school and fell in love with the Northwest, “God’s country,” so I am excited to return there! My favorite leisure activities include spending time with friends, playing volleyball, singing, and exploring our world.

CARMEN LIANG, D.O

It all started from the time my mom told me I fell asleep while she was in labor with me. As for my tendency to fall asleep in dark and warm places, things have not changed since then, but this is not to say that I am sleeping on the job at TFM. I have been so fortunate to land a position at this institution, which is filled with such amazing colleagues and preceptors. The Seattle-Tacoma area is my most recent of many regions I have absorbed. Growing up in metro-Detroit, I am the product of a family-owned Chinese restaurant. From this, I have developed both an intense appreciation for food as well as the nasty ability to criticize it. Within the past eight years, my goal has been to live only in areas known for their delectable cuisines. So, I have spent my time conveniently tailoring my education with key culinary locations: San Francisco, New York, Chicago, and now, here. However, my obsession for great food has not dictated my choice in career! Choosing to be a physician rather than a professional chef, I have always aspired to help others help themselves and have maintained strong loyalties to community medicine, public health, and prevention. As a “cup half-full” individual, I still believe I can make the world a better place.

BILL KRIEGSMAN, M.D.

In a previous life, I was a paramedic running an EMS system in Southeast Alaska. I had a good income, owned a house, set my own schedule, and had enough time off to travel. With all that stability, the only choice was to cast it off. I attended the University of Washington School of Medicine and as third year progressed, I was a cardiologist, a pediatrician, an OB/GYN, and a surgeon (each for about 3 months). Fourth year brought the realization that I would actually have to choose a career and settle back into a routine. The Tacoma Family Medicine program was the closest fit to all of my interests — family, clinical, academic, and research. Although residency usually means time away from family, the three years at TFM will actually give me more time at home (since I won’t be commuting from our farm to UW in Seattle).

JULES MARSH, M.D.

I grew up in a rural area of Tennessee, and attended medical school at the University of Tennessee. My career goals focus on underserved areas, specifically indigenous communities and international health. I believe the breadth of the training at TFM as well as the excellent OB experience will be extremely important in my future practice in those areas. My interests outside of medicine include backpacking, gardening, and homeless activism.

KATHRYN MCKENZIE, M.D.

After growing up in Portland, I was eager to escape to college in San Diego. I enjoyed over a decade of sunny weather while completing college, spending time in tissue engineering research and pursuing medical school; but my heart was eager to return to the green trees, running rivers and majestic mountains of the Northwest. I am so glad to be back home!! I am energetic and stay active with hiking, biking and running. I am best described as a lifetime learner. The world has so many fascinating cultures and viewpoints and I am always humbled by the lessons I learn from everyone I meet. I enjoy time with my friends and am so appreciative to be near my family again. My medical interests are diverse and include palliatiave care, hospice care, women’s health, sports medicine and pediatrics.

JOHN PENDLETON, M.D.

I grew up and went to college in big cities in California, but it was often during medical school in rural New Hampshire at Dartmouth, and during trips to Guatemala that I have felt most at home. These experiences have led me to the goal of practicing full spectrum rural family medicine in an underserved setting. I also plan to become gradually more involved in public health both here and in Central America. Tacoma was especially appealing to me for its full spectrum training, especially strong pediatrics, underserved mission and ideal access to the outdoors. With my free time I am excited to spend time with my wife Nurit (a family physician fresh out of residency), and to hike, mountain bike, kayak, and play frisbee in Washington. I also like to play drums and guitar and am looking forward to heading up to Seattle for some good jazz and indie rock shows

JONATHAN PLOUDRE, M.D.

I’m originally from Kirkland, Washington. But I’ve been a lot of places before coming back to the northwest for residency. I went to college at Stanford, spent 2 years as a Peace Corps Volunteer in Samoa and attended East Tennessee State University for medical school. Back in high school, I met my wife but was too dumb to know it at the time. We were friends for 10 years before we were close enough geographically to restart dating and eventually get married. Besides spending time with my wife, I am an avid technophile — I enjoy leveraging technology to let me do things that would be impossible otherwise. I hope to practice in an under-served area and that was part of what drew me to Tacoma. I also liked the collegial atmosphere and the well-rounded training. I can’t say exactly what I’ll be doing in the future so I want to be prepared for anything.

ALLENE WHITNEY, M.D.

Growing up in Montana gave me a strong sense of home, though along the way I picked up a penchant for adventure, as well. The latter took me as far afield as a marshland in western Russia, where I found myself raising Siberian cranes. By that time, however, I had decided upon medical school. I eventually headed for the University of New Mexico, with thoughts of returning to Montana to practice. As an intern, I now anticipate that Tacoma Family Medicine will nurture both a love of home and an enthusiasm for international work. My academic interests include rural medicine and palliative care. Forays outside academia include backpacking, running, piano, and time with my husband Jeremy.

Tacoma is an ideal location for family practice education. The primary reason for this is that it is a relatively large city with a very complete medical community, high quality tertiary care hospitals, and no other residency programs are based in the community (except those at Madigan Army Medical Center — which have little or no impact on the civilian facilities).

Tacoma is the second largest city in the State of Washington. It is located on a peninsula that extends into South Puget Sound. The first settlement in the Tacoma area was in 1852. The city has grown as an industrial, trade, and military center since then. Today, Tacoma boasts the sixth busiest port in the United States, the military communities of Fort Lewis Army Post and McChord Air Force Base, and a center for high technology industry.

Satellite View of Tacoma & Point Defiance

The Olympic Rain Forest

Tacoma is located in an area of great natural beauty. Its strategic location in Southern Puget Sound with Olympic National Park to the west, Mount Rainier National Park to the east, the Nisqually National Wild Life Refuge to the south, and Mt. Baker-Snoqualmie National Forest, the San Juan Islands, & Canada to the North, makes it a center for outdoor activity. Residents will enjoy quick access to backpacking, hiking, kayaking (river and sea), river rafting, mountain climbing, snow camping, downhill and cross-country skiing, snowboarding, scuba diving, and whatever stimulates your imagination.

Mount Rainier National Park

Union Station

Tacoma is engaged in a major renovation project - “a renaissance” - which includes the development of a new “Museum District”. The Museum District encompasses the innovative Washington State History Museum and historic Union Station with two new museums - the Museum of Glass (opening July 2002) and the new home of the Tacoma Art Museum (debuts in early 2003.) Linking the Museum of Glass and the Washington State History Museum will be a visually striking Chihuly Bridge of Glass, created by world renowned artist and Tacoma native, Dale Chihuly.

The Glass Museum

The Pantages

Theatre on the Square

At the Broadway Center for the Performing Arts, symphonies, ballets and live theater are performed at the historic 1918 Pantages and Rialto Theaters and modern Theatre on the Square. Fine-dining restaurants, art galleries and intriguing boutiques nearby add to downtown’s renaissance. Nearby, Antique Row beckons with an entire block of stores selling antiques and collectibles.

The Rialto Theater

One of Tacoma’s most popular features is its 698-acre Point Defiance Park which encompasses four major attractions, seven specialty gardens, scenic Five-Mile Drive, hiking/cycling trails, beaches, boat marina and the Washington State ferry dock for Vashon Island.

Other special interest museums include the Children’s Museum of Tacoma with hands-on exhibits for younger children, the Pacific Northwest’s only African American Museum, the Working Waterfront Museum , the Karpeles Manuscript Library Museum and the Shanaman Sports Museum at the Tacoma Dome.

You will find more information in the Tacoma-Pierce County Directory online. Another excellent website is the Tacoma Regional Convention & Visitor Bureau. These will supplement the “Guide to Tacoma/Pierce County” booklet which you obtained during your interview day. Further information about the area may be obtained through the Tacoma-Pierce County Chamber of Commerce , or write them at: PO Box 1933, Tacoma, WA 98401-1933; Telephone: (253) 627-2175.

Related Links: City of Ruston - www.ci.ruston.wa.us

City of Tacoma - www.cityoftacoma.org

Pierce County - www.co.pierce.wa.us

Tacoma Business Districts - www.tacomabusinessdistricts.com

Pierce County Library System - www.pcl.lib.wa.us Port of Tacoma - www.portoftacoma.com

Tacoma-Pierce County Chamber of Commerce - www.tacomachamber.org

Tacoma-Pierce County Economic Development Board - www.gopierce.org Tacoma Public Library - www.tpl.lib.wa.us Tacoma Public Utilities - www.ci.tacoma.wa.us/tpu

Tacoma Sports Commission - www.tacomasports.com

World Trade Center Tacoma - www.wtcta.org

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The curriculum is designed as a progressive, continuing experience over a three year period. Using a general pattern of observation, assistance, performance with supervision, and autonomous performance with periodic evaluation, in both ambulatory and hospital experiences, the resident is expected to accept increasing responsibility in a graduated fashion. Each resident works with practicing physicians from a wide variety of specialties within the community, facilitating exposure to multiple role models. Based on these experiences, the resident is encouraged and assisted in developing a style of practice most suited to his/her personal needs and one that achieves realization of professional goals.

Initially, hospital rotations take the majority of the residents’ time. However, as the resident enters the R2 and R3 years, progressively more time is spent in the Family Practice Centers, and on ambulatory rotations. The hospital services at Tacoma Family Medicine (TFM) represent a high quality educational experience that is significantly different from that found in many community hospital based family practice residencies. At TFM we have developed unique inpatient services in medicine, pediatrics and obstetrics that are truly resident panels. These groups of patients are cared for by the residents, who function as their primary physicians, with members of our faculty who function as teachers. This unique “educational hybrid” creates a high quality and “university like” training experience while maintaining the flexibility and lack of competition characteristic of a community based program.

The majority of a family physician’s job is ambulatory care, so this is “where it’s at”, both educationally and vocationally. Throughout the program, residents work in their continuity clinics for an increasing amount of time, caring for an assigned panel of patients, the real “glue” that holds the rest of the experiences together. Each resident develops his/her personal practice and style under the guidance of faculty family physicians. Faculty members in both family medicine and other specialties are always available for consultation.

Each week a half-day didactic conference is held that is protected time for most residents,

in addition to several noontime meetings and classes and occasional morning conferences. Furthermore, many optional conferences are available within MultiCare Health Systems and the Tacoma medical community.

Our program is fully accredited by the Accreditation Council on Graduate Medical Education (ACGME). Tacoma Family Medicine received its most recent accreditation from the Residency Review Committee in 2000 for 5 years.

AMBULATORY SKILLS

The clinic patient populations in the Tacoma area provides a diversity of age, ethnic background and medical/psychosocial problems, and are the core elements of excellent training for our residents

Individual faculty are strongly interested in office procedures, including dermatologic procedures, casting and orthopedic care, EKG’s, treadmill testing, PFT’s, GYN procedures, colposcopy, cryotherapy and LEEP, OB ultrasound, in-clinic NST/AFI testing, flexible sigmoidoscopy, and vasectomy

A behavioral scientist and clinical pharmacist work actively with the residents on a regular basis to provide feedback and resources on clinical care

OBSTETRICS

Residents have primary responsibility for a large number of patients in a busy OB department, with no competition with other learners

All residents graduate fully competent in low-risk obstetrics

Residents who desire advanced skills in obstetrics and in some gynecologic procedures such as tubal ligation, have the opportunity for obtaining high-risk and operative experience

All of the family physician faculty actively practice obstetrics, in a full range from low-risk to high-risk

Obstetrician faculty members are dedicated to training family physicians to practice obstetrics as a core skill PEDIATRICS

TFM is the only residency program based in a children’s hospital, which includes a full time pediatric emergency department and pediatric critical care unit

Our curriculum emphasizes pediatric training, both inpatient and outpatient

INTERNAL MEDICINE

Training experiences offer extensive exposure with primary management responsibility for a wide variety of patients and problems on the inpatient services

Outpatient geriatrics, nursing home and home care experiences are structured parts of our curriculum

Six hospitalists/internists have joined our faculty, in part to help supervise the inpatient internal medicine teaching services COMPUTERS IN MEDICINE

The Tacoma clinic has implemented a full electronic medical record system. We believe this system is the future of medicine in all clinics and an invaluable tool for which to gain skills in training.

All residents have access to two extensive computer-based library systems, one within MultiCare Health System itself, and the other through our affiliation with the University of Washington

All residents are provided with a Palm Pilot at the start of residency, which are used extensively for learning, notes, sign-outs, and documentation of experiences

Many of our curriculum are being placed on web sites, with plans to eventually have all curricula web-accessible AVAILABILITY OF ELECTIVE TRAINING

Flexibility and willingness of the private practice community to support educational experiences needed for residents planning underserved practice

HOW MANY INTERVIEWS DO YOU OFFER?

Tacoma Family Medicine will interview approximately 70-75 applicants for its eight available Tacoma based first year positions.

WHEN DOES TACOMA FAMILY MEDICINE OFFER INTERVIEWS?

The interviews take place on Thursdays from November 2004 through January 2005.

The University of Washington’s Network of Family Practice Resideny Programs have worked together to develop an interview schedule which can hopefully allow you to see as many programs as possible in one trip to the area. You will find a listing of the dates on which Tacoma Family Medicine will be conducting interviews this year by

clicking here.

As the season progresses and available interview appointments become filled, it is not always possible to accommodate requests to “coordinate” the interview trip and assure that applicants will be able to see all of their desired programs. It is therefore to your advantage to complete your ERAS application in a timely manner and submit it as early as possible.

WHAT SHOULD I EXPECT ON THE INTERVIEW DAY?

The interview day normally begins at 8:00 AM and concludes by 1:15 PM. The interview day itself will consist of the following:

A discussion of the program with the Residency Director and the Associate Directors

A one-on-one interview with a faculty member

A one-on-one interview with 1-2 residents

An opportunity to talk with the residents (both individually and as a group)

A tour of our clinic and the hospital. At Tacoma Family Medicine an attempt is made to provide you with as much exposure to the residents, faculty, and program as possible during the interview day format. To facilitate this some of our residents will be relieved of their regular hospital responsibilities for a period of time and faculty members will suspend their regular administrative and clinical duties. Thus, it is not possible to grant requests for personal interviews on days other than the assigned dates — please do not make such a request.

WHO SHOULD I CONTACT IF I STILL HAVE QUESTIONS?

Please direct questions concerning the interview process to Lynn Quanrud, Residency Coordinator at (253) 403-2938. It is not uncommon to reach voice mail during this busy time of year. Please leave a detailed message along with your telephone number, and your call will be returned as soon as possible. You may also reach her via email at: lynn.quanrud@multicare.org

MICHAL R. BRENNAN, D.O., ASSOCIATE DIRECTOR

As Associate Director of the Residency at the Puyallup site, it was a pleasure to welcome our ninth class of R1’s this July. I was born and raised in “Colorful Colorado”. I received my osteopathic medical degree from the University of Osteopathic Medicine and Surgery in Iowa after completing a Master’s Degree in Colorado. I completed eight years in the U.S. Army, stationed in Washington. The first three years were spent in residency training, the remainder on the faculty of a large family medicine residency as the Chief of the Family Practice Clinic. My military experience was varied and included a Tropical Medicine course in Panama, a six month stretch in Honduras doing tropical medicine, and a trip to the former Soviet Union in support of the Intermediate Nuclear Range Missile Treaty (INF) among others. I completed the Faculty Development Fellowship at the University of Washington. My interests lie in community family practice with an emphasis on procedural training and musculo-skeletal medicine to include Osteopathic manipulative procedures. My wife Nancy is in education and continues to “educate” me. We have a teenage daughter and a twenty year old son who is in the U.S. Navy.

MARJORIE E. KRABBE, M.D.

I joined the faculty at Puyallup Valley Family Practice Center in June, 2000. Having graduated from the Puyallup satellite of Tacoma Family Medicine in 1997, I’ve been so pleased to return to the program. I completed my undergraduate and medical studies at the University of California, Davis. After my residency, I worked as an employed physician in a busy family practice clinic in Puyallup, doing full spectrum family medicine. Practice management issues took on new meaning to me. I now try to focus on these issues for residents to help them prepare for the real world. I currently coordinate the gynecology and dermatology curricula for the residency. My areas of interest include sports medicine and gay and lesbian health care. I hope to expand y skills in mind-body medicine, exploring ways we can create wellness through intentional practices such as meditation, yoga and spirituality.

ANDREW MARK THOMPSON, M.D.

I joined the faculty of the Puyallup Valley Family Practice Clinic in September, 1996 following many years of practice with the military, most recently as Staff Family Physician at Madigan Army Medical Center in Tacoma, WA. I am ABFP certified and graduated from the University of Arkansas School of Medicine. I completed my Family Practice Residency training at Tripler Army Medical Center in Honolulu, HI and a Faculty Development Fellowship at Madigan Army Medical Center. I was Residency Training Director in the Department of Family Practice at Madigan from 1986-1991. My wife Susan and I have two children.

Most of the on-call responsibilities noted above are coverage for the inpatient services, except for OB, which has a separate call system described below. The resident team on-call in the hospital does admissions for pediatrics, family medicine, and internal medicine. This call model duplicates closely the actual practice of family medicine and allows one to maintain one’s skills and knowledge in a particular area while rotating in other areas.

Additionally, Tacoma Family Medicine’s “night float” call system is designed to minimize resident fatigue and to allow residents to be well rested and able to participate in learning experiences. The night float call system preserves the learning portion of “call” by allowing the resident to care for evolving patient problems that occur during the time on call, with direct faculty support as needed. The system replaces the resident team on call from 2:30 - 9:00 PM Sunday through Thursday with the relief “night float” covering from 8:30 PM to 7:00 AM. One of the members of the resident team remains in the hospital to provide emergency back-up, in case the night float is over-busy.

Our OB call system places the residents on the OB rotation into an every 4th. night call covering only obstetrics during the months they are on the rotation. Faculty family practice and obstetrician supervision is available at all times.

Residents are still highly encouraged to maintain continuity coverage for their obstetric patients, rather than signing out to the resident teams, whenever they are available. Medicine and pediatric patients are generally placed on the Family Medicine Service, but primary practice residents are expected to make “social” continuity visits to their patients on the panel when possible.

ADRIENNE BOSSIO, M.D.

DAVID CHEN, M.D.

I completed medical school at Loma Linda University in 1990, then did my Internal Medicine residency at Kettering Medicical Center in Ohio. Following a 4th year Chief residency I entered private practice for a few years before joining the Faculty at Kettering where I trained. I have been teaching there since 1997. Both my wife and I are from the Northwest, and most of our family is here, so our desire was to return home to raise our 3 children in the NW. My interest in inpatient medicine led me to join the MIS team at Multicare. I have enjoyed the interaction with the TFM residency and have found it to be very enjoyable. I also found the work environment to be both collegial and satisfying.

MATT DAVIS, M.D.

CHRISTEN EIDAL, M.D.

JAMES D. FITZ, M.D., CO-DIRECTOR MULTICARE INPATIENT SERVICE

Were I to have been in a medical school which had a Family Practice Department, I would probably have chosen this pathway (or so I like to tell myself). Since such was not the case, I chose Internal Medicine and served seven years each in the U.S. Army and Group Health Cooperative after which we began our TFM associated practice of Internal Medicine in 1991. I am currently a hospitalist/internal medicine physician with the MultiCare Inpatient Service, following eight years of private practice in conjunction with TFM. I think I’ve finally found my niche combining primary care with the education of young family physicians whom I greatly admire. I believe in delivering quality medical care and in balancing the demands implied by this belief with the need to continue to restore and minister to oneself and one’s family in these demanding times.

POLLY HABERLIN, M.D.

I joined the TFM faculty in September, 1997 following completion of my Internal Medicine internship at the V.A. Medical Center in Boise, Idaho and residency in Spokane, WA. Following nearly four years of private practice in conjunction with TFM, I have now joined the MultiCare Inpatient Service. I am originally from Western Washington. My husband John and our two children enjoy living in the Pacific Northwest.

KHOA NGUYEN, M.D.

I joined the faculty of TFM in September, 1999 as a full-time hospitalist/internal medicine physician for the MultiCare Inpatient Service with direct involvement in resident teaching. I graduated from Albert Einstein College of Medicine in 1996 and completed my Internal Medicine Residency training at the University of Connecticut.

KEN ONYALI, M.D.

I joined the TFM faculty in February 2002 as a hospitalist/internal medicine physician with the Multicare inpatient service. I graduated from the University of Nigeria Medical school and initially completed a surgical residency in Britain. I emigrated to the United States in 1998, and found that I had to retrain in a US residency program. I decided to retrain in Internal Medicine in Chicago because of the more satisfying patient interaction, greater intellectual stimulation and more predictable lifestyle that it offerred. I continued my westward movement by joining Multicare after completing my residency training. My wife Ada and our three children are enjoying the beauties of the Pacific Northwest.

KEITH C. PASTERNAK, M.D.

I joined the faculty of TFM in June, 1999 as a full time hospitalist/internal medicine physician for the MultiCare Inpatient Service with direct involvement in resident teaching. I graduated from the University of South Florida College of Medicine in 1995 and completed my Internal Medicine Residency at St. Joseph Mercy Hospital in Ann Arbor, MI in 1998, followed by private practice in Lakewood,WA.

DAVID M. TATE, M.D.,CO-DIRECTOR MULTICARE INPATIENT SERVICE

I was born and raised in Idaho. My undergraduate studies were completed at the College of Idaho. I received my medical degree from the University of Washington School of Medicine and completed my Internal Medicine Residency in Spokane, WA. Following completion of residency I was in solo practice in Union, OR for four years. I joined the Internal Medicine practice of J.D. Fitz, M.D. in September, 1991 and have been serving as a faculty member of TFM since that time. I am most recently practicing as a hospitalist/internal medicine physician with the MultiCare Inpatient Service with direct involvement in resident teaching. My wife Cheryl and I have three children.

The community based faculty represents a wide spectrum of specialties. Tacoma Family Medicine enjoys a broad level of support from approximately 100 physicians who teach both cognitive and procedural skills. A number of practicing family physicians augment the residency-based faculty, functioning as clinical preceptors in both inpatient work and in our family practice clinics.

DAVID S. SCHUMER, M.D. Specialty: Family Practice Practice location: Northshore MultiCare Clinic, NE Tacoma, WA

I joined the faculty of Tacoma Family Medicine in 1992. My medical education was obtained at Michigan State University College of Human Medicine, followed by a residency in Family Practice at St. Joseph Hospital in Flint, MI. Prior to joining TFM I practiced with the Auburn Community Clinic in Auburn, WA. My wife Mary Ellen Maccio, who is also a residency trained family physician, and I have four children.

Dr. Schumer teaches residents on the inpatient Family Practice Service.

PAUL BARNETT, M.D. Specialty: Family Practice Practice location: Puyallup Tribal Health Authority Clinic, Tacoma, WA

BETSY FINE, M.D. Specialty: Family Practice Practice location: Puyallup Tribal Health Authority Clinic, Tacoma, WA

GAIL FULTON, M.D. Specialty: Family Practice Practice location: Puyallup Tribal Health Authority Clinic, Tacoma, WA

MARK KOZAKOWSKI, M.D. Specialty: Internal Medicine Practice location: Puyallup Tribal Health Authority Clinic, Tacoma, WA

GERRY RIES, M.D. Specialty: Family Practice Practice location: Puyallup Tribal Health Authority Clinic, Tacoma, WA

ALAN SHELTON, M.D., MEDICAL DIRECTOR Specialty: Family Practice Practice location: Puyallup Tribal Health Authority Clinic, Tacoma, WA

RICHARD L. SCHROEDER, M.D. MOGA MEDICAL DIRECTOR

I joined the faculty of TFM in May,1996 following 19 years of practice in Willmar, MN with the OB/Gyn Department of the Affiliated Community Health Network. Our group provided gynecologic and high-risk obstetrical consultation for 100+ family practice and other primary care physicians in west central and southwest Minnesota. I am ACOG certified, graduated from Baylor College of Medicine, and completed my OB/Gyn residency at Baylor College of Medicine. I was involved with resident teaching while at the Naval Regional Medical Center in Oakland, CA and worked daily with primary care/family practice doctors in Willmar, MN. My wife Kristen and I are enjoying the beauties of the Northwest.

CHRISTINA HITCHCOCK, M.D. MEDICAL DIRECTOR OBSTETRICAL ACCESS CLINIC

I am originally from Los Angeles, CA. I did my undergraduate work at University of California Riverside, and received B.S. in Biochemistry. I then continued on at UC Riverside and received my Masters in Biochemistry. I attended medical school at Chicago Medical school, and completed by OB/Gyn residency at Kern Medical Center, Bakersfield, CA. I have one child, Brandon, who is 18 months. I enjoy camping, fishing, RVing, outdoor sports, and little “fix-it” projects at the home front.

TIMOTHY W. NEFF, M.D.

I joined the faculty of TFM in 1995 following one and a half years of private practice with the Women’s Health Center in Kansas City, MO, one year at Fort Dodge Medical Center in Fort Dodge, IA, and three years with Siouxland Obstetrics and Gynecology in Sioux City, IA. I am ACOG certified, graduated from the University of Kansas School of Medicine, and completed my OB/GYN residency at Wesley Medical Center in Wichita, KS. My wife Bernadette and I have three children.

ESTHER PARK-HWANG, M.D.

I graduated from Loma Linda University School of Medicine in 1993 and completed OB/GYN training at the University of Illinois at Chicago. I served on the faculty at Chicago prior to joining TFM in 1998.I have been involved in both the OB/GYN and Family Medicine Residency programs at Chicago in general gynecology and obstetrics. My special interests include menopause and osteoporosis.

MARY ANN LEE, M.D.

I am a board-certified physician specializing in obstetrics and gynecology. A graduate of the University of Texas Health Science Center in San Antonio, I completed my internship and residency at the University of Texas Medical Branch in Galveston. IN 1987, after twenty-five years in Texas, I relocated to Tacoma with my family. On my arrival in Tacoma, I opened and grew a thriving private medical practice in obstetrics and gynecology. In July of 2002 I closed my private practice to join MOGA. Not only has this transition allowed me to work closely with fellow professionals I admire and respect, it has also allowed me to assist in the training of today’s residents, a long time goal of mine. I thoroughly enjoy gynecological surgery and have a profound love of providing obstetrical care. Delivering a baby always brings a smile to my face - even at three in the morning!

A mother myself, during my free hours I cherish spending time with my family including the cold nose members, my dogs. Some of my favorite activities are bicycling, skiing, playing games, attending a good movie or live theatrical performance, and simply relaxing with a book during quiet moments. In addition, I am always looking for new and exciting recipes for one of my other passions - cooking.

Leslie Ballard, M.D.

MultiCare Health Systems is a non-profit health system of hospitals, physicians, clinics, and urgent care centers serving the southwest region of Washington State. It has been our sponsoring institution since 19__. It continues to foster a supportive relationship and has provided the program with a highly trained team and facilities to care for our patient population.

Our main training facility is located one block from Tacoma General Hospital where the residents hospitalize the majority of their patients.

Tacoma Family Medicine Family Practice Center is housed on the 3rd floor, the OB Access Clinic is on the 2nd floor, and our Specialty & Procedure Clinics are on the 4th floor. Northwest Laboratories and MultiCare Clinic Pharmacy are also located within the same building complimenting the full scope of care that we can provide for our patient’s convenience.

TACOMA FAMILY MEDICINE

TACOMA GENERAL HOSPITAL and MARY BRIDGE CHILDREN’s HOSPITAL

Tacoma General Hospital and Mary Bridge Children’s Hospital serve as an excellent training facilities for our residency program. They are immediately adjacent to each other, and are located one block from the Family Practice Center.

Tacoma General Hospital includes 391 beds, 11 operating rooms (including open heart surgery and neurosurgery), 22 bed Adult ICU, ER, Level II Trauma Center, and Level III NICU.

Mary Bridge Children’s Hospital includes 72 beds, Pediatric Level II Trauma Center and Emergency Services, and a Pediatric ICU staffed by 7 pediatric intensivists. Mary Bridge Children’s Health Center provides outpatient pediatric services in 25 specialty clinics.

Day Surgery of Tacoma is MultiCare’s outpatient surgery center located across the street from Tacoma General Hospital in the Frank S. Baker Medical Center. It has 4 surgery suites and is fully equipped to handle all outpatient surgeries from hernia repairs to laparoscopic procedures to cataractecomies. Residents often join both the TFM faculty and community attendings in this facility and participate in scheduled surgeries.

DAY SURGERY OF TACOMA

TACOMA FAMILY MEDICINE FAMILY PRACTICE CENTER

The Family Practice Center serves as the heart and the hub of resident training. The residents work with a highly trained staff who understand the needs of our underserved patient population. The core staff consists of 3 front office receptionists, 1 triage nurse, and 8 back office nurses. In addition, we receive ancillary support for our OB patients from the maternal support services staff from OBAC.

TFM NURSES DISCUSSING A CASE IN THE FPC

PROCEDURE ROOM IN THE FPC

The clinic includes:

2 modules (Team 1 and Team 2)

Team 1 module: 11 exam rooms

Team 2 module: 10 exam rooms

Preceptor room housed in the center of both modules for easy access for the residents in clinic

All FP faculty offices are on the same floor as the FPC for easy access to all FP faculty

Medical library with Internet access located in the Preceptor room

4 exam rooms equipped with videotaping capabilities

10 resident workstations, each equipped with their own computer that contains EpicCare, our electronic medical record, and Internet access MITCH SAGERS PA-C & DR. DAVIS PRECEPTING WITH FACULTY, DR. VANBUSKIRK

RESIDENT WORKSTATIONS IN THE FAMILY PRACTICE CENTER

DR.ACOSTA & NURSE CARING FOR A FP PATIENT

DR. MILLER (R3) & DR. ZOPF (R2) WORKING IN THEIR OWN RESIDENT OFFICE

DR. MURRAY EXAMINING A CHILD’S EAR

The OB Access Clinic serves as the prenatal clinic where the residents work during their OB rotation. The residents work with a highly skilled nursing and maternity support services staff who have been trained to care for our high risk OB population. The OBAC staff includes 1 certified nurse midwife, 2 LPNs, 1 RN, and a maternal support services staff made up of 3 case managers and 1 dietitian. The MOGA faculty provide the resident supervision.

OBAC STAFF

THE OB ACCESS CLINIC

The clinic includes:

8 exam rooms

1 procedure room

2 OB ultrasound & NST rooms

Counseling offices

6 workstations housing computers that contain EpicCare, our electronic medical record, & Internet access

Specialty Clinics

TFM ORTHOPEDIC CLINIC

The Orthopedic Clinic is located on the 4th floor of the Medical Center building, one floor up from the FPC. The residents rotate through this clinic during their orthopedic and sports medicine rotation. It is staffed by one FP faculty and a community orthopedist. The clinic includes 4 exam rooms, and 2 procedure rooms for casting.

The Colposcopy Clinic is located on the 4th floor of the Medical Center building, one floor up from the FPC. The residents rotate through this clinic during their GYN rotation. It is staffed by one FP faculty. The clinic includes 4 exam rooms, and 2 procedure rooms. Our colposcopy unit enables us to record images digitally into a computer for easy retrieval and comparison of images from previous studies. We also offer cryotherapy and LEEP.

TFM COLPOSCOPY CLINIC

TFM OUTPATIENT PROCEDURE CLINIC

The Outpatient Procedure Clinic is located on the 4th floor of the Medical Center building, one floor up from the FPC. The residents rotate through this clinic on a longitudinal basis during their R-3 year. The clinic includes 4 exam rooms, 2 procedure rooms, and is fully equipped to perform most outpatient procedures including minor surgery, vasectomy, circumcision, flexible sigmoidoscopy, nasopharyngoscopy, colposcopy, LEEP, cryotherapy, and pulmonary function testing.

The Foot and Ankle Clinic is located on the 4th floor of the Medical Center building, one floor up from the FPC, and houses the Podiatry Residency Program sponsored by MultiCare Health Systems. Residents are given the opportunity to spend elective time in this clinic. The clinic also provides a service for our patients in a convenient location.

MULTICARE PODIATRY RESIDENCY CLINIC

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Salary

The present salary range is shown below and is revised annually to maintain equity with the University of Washington Residency programs:

R-1 $ 38,484

R-2 $ 40,824

R-3 $ 43,116

Vacation

There are 3 weeks of paid vacation in each year of residency. Third year residents also receive 5 days of paid “practice search” time.

CME

Educational leave, along with financial support for continuing medical education, is also provided.

Each resident is required to participate in practice management, ACLS, ATLS, ALSO, NALS and PALS courses, with tuition funded by the residency

program.

Residents are also encouraged to become involved with organized medical

societies, and some limited funding is available to support this.

Other

Three white clinic coats are provided for each resident.

An allowance will be provided for the purpose of allowing the resdient

to purchase meals when the resident is assigned to in-house/hospital
duty for resdiency related responsibilities and at specified didactice

conferences.

Housing

Residents are responsible for their own housing (except when on call, in

this case hospital rooms are provided). Apartments and houses are
available in a variety of settings and price ranges within a reasonable

distance from the hospitals and the Family Practice Center.

Residents are required to locate housing within 20 miles (20 minute
travel radius) of the facilities at Tacoma General and Mary Bridge
Children’s Hospitals.

Since several facilities are utilized, automobile transportation is a
necessity.

Malpractice Coverage / Medical-Dental Coverage

Professional liability insurance (occurrence type with no need to
purchase “tail” coverage) is provided for residents through the
MultiCare Health System.

In addition, a comprehensive medical/dental insurance plan is provided

for the residents and their dependents, as well as group life and
disability insurance.