The Department of Family Medicine Medical Student Education Section and the Family Medicine Residency Network have developed a sub-internship (FAMED 688) for 4th year medical students at the University of Washington School of Medicine and for students visiting from LCME and AOA accredited M.D. / D.O. schools.

Please be aware that when funding is available we offer funded sub-internships for students who are from underrepresented groups in medicine. For information please send an email to fmedres@uw.edu

Objectives

  • Students will be able to participate on family medicine team with an advanced degree of independence and responsibility in preparation for their R-1 year.
  • Rotations are a mix of inpatient and/or outpatient. Students should read the individual webpages for each site for a description of what kind of experience to expect. If the information is not provided please contact the site directly.
  • Students will be able to perform an initial assessment of patients under consideration for admission to the family medicine service.
  • Students will be able to implement diagnostic and therapeutic plans taking into account evidence-based information and patient preferences.

 

Application Steps for UW Students      |      Application Steps for Visiting Students


 

Things to consider when choosing your family medicine sub-I

Sub-Is are a valuable opportunity for you and a residency program to get to know each other. A FM sub-I is encouraged strongly if you are considering applying in FM. A FM sub-I will fulfill your Advanced Patient Care Clerkship Requirement.

You only need one letter of recommendation from a family physician for your FM application, and you do not need a departmental or chair’s letter.

 Be careful of generalizations! Every site is unique. These tips are just a start to help you make your decision. Wherever you go, the more you engage in your learning, the better your experience will be.

Timing of Sub-I

Early sub-I (April- August) results can contribute to your ERAS application. They give you a chance to get a letter of recommendation for your ERAS application. A good grade on your sub-I can also be a plus for your transcript.We encourage an early sub-I if you don’t think that your FM clerkship faculty will write a good letter for you, if your FM grade was a pass, or if you are trying to decide between FM and another specialty.

If none of these conditions apply to you, a later sub-I (Aug- early Feb) offers a good chance to get to know a program that you would like to apply to and can be easier to schedule since they’re not as competitive. This may give you a better chance of getting the residency of your choice.

Obviously, it is important for you to perform well. Sometimes programs will offer to interview you while you are there for your sub-I. A later sub-I can help your application anytime up to early February, when programs and applicants submit their rank lists.

Which Program is right for you?

Do a sub-I at a program that you may apply to or an area you would want to live in. For example, if you know you never want to live in Seattle in the future, don’t choose a Seattle site.

It can be helpful to think about what type of FM program would be a good fit for you. Think geographic location, program characteristics (eg., academic vs community programs, more or less OB), size, etc. Some programs have special tracks (eg, sports medicine) for residents and may have affiliated fellowships (eg, addiction medicine).

Special Circumstances

If you have had significant academic challenges during medical school (eg, STEP failure), it is a good idea to speak to a FM departmental advisor to devise a sub-I strategy together. Click here to make an appointment.

Thinking Ahead…

If you are considering applying in FM, the departmental advisors are also a resource for you. Click here to make an appointment.



FAQ

  • Should I do a sub-I even if I honored my FM clerkship?

In addition to the other points above, sub-Is demonstrate commitment to the specialty, so it is still a good idea to do a sub-I, especially if you are thinking of staying in Seattle, as some of these programs are very competitive. That way, you can make a good impression on your sub-I and increase your chances at matching at that program.

 

  • Can I do more than one sub-I?

You can, but you don’t have to. You may not get your very top choices for all of them, but we try to help accommodate student requests. The limit for FM sub-Is is three.

 

  • Can I still apply to FM if I don’t do a sub-I in FM?

Yes, it is possible and some students do. If you do a sub-I in another specialty that you feel would benefit you as a family physician (eg, general surgery) make sure to address that in your personal statement.



FAMED 688: Family Medicine Sub-Internship
UW Student Registration Protocol

To register for a sub-internship in family medicine for 2019-20 academic year please fill out the sub-I Catalyst survey supplied by Ivan Henson in the dept of Family Medicine, during the month of September. If you did not receive a survey, or would like to schedule a sub-I later contact Ivan at famed@uw.edu

 

REGISTRATION NOTES: Because residencies require timely registration information, enrolling in a Family Medicine sub-I is slightly different from other fourth year rotations. Please note the following:

A. Rank sites where you would seriously consider rotating.

B. Consider the following when considering a rotation time block:

a. The first five rotations time blocks (April through August) are highly sought after and you will likely have to rank the rotation as one of your top choices. Sub-I’s for audition purposes are often useful through January.

b. To guarantee your rotation will be included in your MSTP/Dean’s letter you will need to complete your rotation by late August. It is possible that September sub I’s can also be included in your MSTP/Dean’s letter. This will be determined primarily upon the timeliness of which we receive your evaluation from the site.
Contact Ivan Henson famed@uw.edu in the Department of Family Medicine for more details.

c. If your priority is doing a sub-I rotation at a particular site before a potential residency interview, we suggest requesting the rotation in the October, November and December time blocks. These time blocks tend to be less competitive.

C. Shortly after the registration period closes, you will be contacted by the sub-I manager from the Department of Family Medicine to offer you a sub-I rotation slot. Unlike other fourth year courses, you will need to quickly commit to the rotation that is offered to you.

  1. IF, after the schedules are released, you decide that you would like to a sub-I experience:
    A. Visit the Sub-I & APC Location page and choose the program in which you are interested.
    B. Contact the program directly by using the information listed at the bottom of each residency description page.
    C. Obtain agreement including the dates of the sub-I from the program in the form of an e-mail that can be forwarded to Ivan Henson: famed@uw.edu
    D. Once you have permission from the program and Ivan Henson in the Department of Family Medicine, contact the registrar to sign up for the course.**Residencies depend on reliable student schedules. Therefore, as a professional courtesy, you should not drop this course unless there are considerable extenuating circumstances. Should you need to drop the course, you must first gain permission from Ivan Henson in the Department of Family Medicine. All drops need to happen more than six weeks before the start of the rotation except for extreme situations.

FAMED 688: Family Medicine Sub-Internship
Visiting Student Registration Protocol

As a visiting student, the University of Washington Family Medicine Residency Network can seem a bit more complex. A major benefit to the Residency Network is that there are 30 programs across 5 states, serving many different interests and offering experiences in a wide variety of settings. Scheduling is done on a first-come, first-served basis.

Steps for Application for Visiting Students

  1. Visit the residency Sub-I & APC Location page, considering both the calendar and programs’ specific offerings to find the right fit for you.
    1. Keep in mind that visiting students can only take Sub-Is. APC rotations listed on this page are for UW students only.
  2. Contact the program to see if there are openings during the four week block you are available to schedule the sub-I. If your first choice program seems to be full, consider one of the other top notch network programs.
  3. Once an arrangement has been made with a residency site, visit the UW Medical School’s Visiting Students page to review application requirements. Applications can be submitted through VSLO. You will need to apply at least two months in advance of your rotation. Be sure to contact the visiting student coordinator, visitstu@uw.edu, with any questions or concerns.
  4. Double check the program’s description to note whether or not the program requires additional information. If you aren’t sure, contact the program to find out and be sure to send anything else required to that program directly. You will not be accepted or registered for the course without it.
  5. Once your completed application is approved and the program’s specific requirements met, you will be registered for the course. You will receive an e-mail with your clerkship offer via VSLO.
  6. Dropping the rotation should only be done in extreme cases. If such circumstances arise that require you to drop the rotation, please contact both the program and Family Medicine sub-I manager:
    Ivan Henson: famed@uw.edu Phone: (206) 616-7888