HMC International Medicine Clinic

Ground West Clinic
Genji Terasaki
Nicole Ahrenholz
Carey Jackson
Alexandra Molnar
Mahri Haider
Carey Jackson
Frank Stackhouse
For planned absences (vacation, conference leave, etc.) contact:

Nicole Ahrenholz, MD,

For emergency absences (sick leave, family emergency, etc.) contact:

Call clinic at 206-744-6976
or email:
Nicole Ahrenholz, MD –
Anita Leake (RN3) –
Heather Burkhalter (RN) –

Please inform the clinic of your absence before 7am so that they can contact any patients that are scheduled.

Monday mornings 8:00-11:30am
Monday afternoons 1:00 - 5:00pm
Wednesday afternoons 1:00 - 5:00pm
Friday afternoons 1:00 - 5:00pm
Pre-clinic conference is from 1:00 - 1:30pm; residents are expected to attend.
Nurse Manager:
Anita Leake, RN3

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.