HMC International Medicine Clinic

Ground West Clinic
Clinic contact:
Genji Terasaki, MD
Clinic phone:
(206) 744-4192
Monday 8 - 11:30 a.m., Monday, Wednesday and Friday: 1:00 - 4:30 p.m.
Pre-clinic Conference: 1:00 - 1:30 p.m. Residents expected to attend.
Nurse Manager:
Anita Leake, RN3
Nicole Ahrenholz
Carey Jackson
Alexandra Molnar
David Roesel
Frank Stackhouse
Genji Terasaki.

Harborview Medical Center International Medicine Clinic

The International Medicine Clinic at Harborview Medical Center is a small clinic that provides primary care to Seattle's poor and medically indigent refugee and immigrant populations, typically from Southeast Asia and East Africa. Patients have a broad array of chronic medical conditions, often co-existing with depression, anxiety and post-traumatic stress disorder. Residents in this clinic develop skills in cross-cultural medicine and managing interpreted encounters. The patient care visit is the core educational activity in the clinic.

Learning Goals and Objectives

  • To develop skills, knowledge, and behaviors in the areas of core competencies outlined by the ACGME: patient care, medical knowledge, practice-based learning and improvement, interpersonal communication skills, professionalism, and systems-based practice.
  • To build confidence in managing a broad range of outpatient medical conditions.
  • To provide culturally-competent care that is compassionate and effective for the treatment of health problems and the promotion of health; exemplify the highest standards of respect, compassion, integrity, and sensitivity to cultural differences.
  • To identify and treat mental illness in patients from different cultures, particularly those who have experienced violence and upheaval.
  • To be an advocate for your patients and their communities.
  • To build longitudinal relationships with a panel of patients and coordinate their care with other clinical providers and staff.
  • To understand the causes for medical non-adherence and develop strategies to address them.
  • To learn how to identify and use cultural mediators, including interpreters, to improve health in groups from different cultural, economic and linguistic backgrounds; gain insight into different medical belief systems, and learn how to bridge gaps between allopathic medicine and alternative systems to provide effective care.
  • To gain an appreciation of the culture, history and community structure of major immigrant and refugee groups in King County.