2015 – 2016

The curriculum at the University of Washington Family Medicine Residency Program prepares residents for the full spectrum of competencies needed for providers of the future. These competencies include not only excellence in providing medical care for individual patients in both inpatient and outpatient settings, but also a wide range of skills in other areas critical to excellence in professional and personal life:

  • Cultural competency.
  • Behavioral health, including patient-focused care, motivational interviewing, care of a wide range of mental health needs, and primary care psychiatry.
  • Community health.
  • Future of Family Medicine concepts of the office of the future, as well as Medical Home model.
  • Leadership skills, including team building and leadership, change management, organizational planning.
  • Health policy and advocacy skills.
  • Teaching skills.
  • Effective use of information technology.

Over all three years, didactics are structured as a half-day every week on Wednesday afternoons, and are scheduled to cover the range of topics essential for practicing family physicians.

UWNC-NORTHGATE RESIDENTS
HARBORVIEW RESIDENTS
Year One Year One
Family Medicine Clinics: UWNC-Northgate clinic 1-2 half-days/week Family Medicine Clinics: Harborview clinic 1-2 half-days/week
Core Skills 6 weeks Core Skills 6 weeks
Scholarly Work 2 weeks Scholarly Work 2 weeks
Family Medicine Inpatient Service: UWMC 6 weeks Family Medicine Inpatient Service: UWMC 6 weeks
Obstetrics: UWMC 6 weeks Obstetrics: UWMC 6 weeks
Internal Medicine: Seattle VA 4 weeks
Internal Medicine: HMC 4 weeks Internal Medicine: HMC 8 weeks
ICU Medicine: UWMC 4 weeks ICU Medicine: UWMC 4 weeks
Pediatrics Inpatient: SCH 4 weeks Pediatrics Inpatient: SCH 4 weeks
Pediatrics Emergency Medicine: SCH 4 weeks Pediatrics Emergency Medicine: SCH 4 weeks
Pediatrics NICU: UWMC 2 weeks Pediatrics NICU: UWMC 2 weeks
Trauma Surgery: HMC 2 weeks Trauma Surgery: HMC 2 weeks
Emergency Medicine, Adult: UWMC 4 weeks Emergency Medicine, Adult: UWMC 4 weeks
Sports Medicine / Orthopedics Outpatient  4 weeks  Sports Medicine / Orthopedics Outpatient  4 weeks
Year Two Year Two
Family Medicine Clinics: UWNC-Northgate clinic 2-3 half-days/week Family Medicine Clinics: Harborview clinic 2-3 half-days/week
Family Medicine Inpatient Service: UWMC 4 weeks Family Medicine Inpatient Service: UWMC 4 weeks
Family Medicine Night Float 4 weeks Family Medicine Night Float 4 weeks
Community Practice Rotation (Away) 4 weeks Community Practice Rotation (Away) 4 weeks
General Surgery 4 weeks General Surgery 4 weeks
Obstetrics: Northwest Hospital 6 weeks Obstetrics: Northwest Hospital 6 weeks
Internal Medicine: Seattle VA 4 weeks Internal Medicine: HMC 4 weeks
Pediatrics Emergency Medicine: SCH 4 weeks Pediatrics Emergency Medicine: SCH 4 weeks
Sports Medicine / Orthopedics Outpatient 4 weeks Sports Medicine / Orthopedics Outpatient 4 weeks
Medical Home 4 weeks Medical Home 4 weeks
Gynecology / Reproductive Health 4 weeks Gynecology / Reproductive Health 4 weeks
Elective 4 weeks Elective 4 weeks
 Scholarly Work  2 weeks  Scholarly Work  2 weeks
Year Three Year Three
Family Medicine Clinics: UWNC-Northgate clinic 4 half-days/week Family Medicine Clinics: Harborview clinic 4 half-days/week
Family Medicine Inpatient Service: UWMC 2 weeks + cross-cover/call Family Medicine Inpatient Service: UWMC 2 weeks + cross-cover/call
Family Medicine Night Float 2 weeks Family Medicine Night Float 2 weeks
Dermatology 4 weeks Dermatology 4 weeks
Pediatrics Outpatient 4 weeks Pediatrics Outpatient 4 weeks
Women’s Health 4 weeks Women’s Health 4 weeks
Geriatrics 4 weeks Geriatrics 4 weeks
Consult Senior 6 weeks Consult Senior 6 weeks
Selective 8 weeks Selective 8 weeks
Electives 8 weeks Electives 8 weeks
Scholarly Work 4 weeks Scholarly Work 4 weeks
 HMC Emergency Department  2 weeks  HMC Emergency Department  2 weeks

 

UWMC: University of Washington Medical Center
HMC: Harborview Medical Center, Seattle
SCH: Children’s Hospital and Medical Center, Seattle
VA: Veterans Administration Hospital, Seattle

Shaded areas indicate difference between two continuity clinic sites!!

 

R1 AND R2 YEARS

The first two years prepare residents for inpatient medical and emergency care, including obstetrics and pediatrics, and lay the groundwork for essential outpatient skills and practice. Residents work collaboratively on many rotations with residents from other University training programs, building relationships and taking advantage of the broad and exceptional educational opportunities. Teaching of other residents and medical students, particularly as the R2 senior on many rotations, is a bonus.

The specific rotations in the R1 and R2 years are shown in the preceding table. The differences between educational experiences of the Northgate-based and Harborview-based residents are highlighted with the educational content being identical.

Our Family Medicine Inpatient Service includes both adult patients from our own practices, those of family physicians in the UW system and regionally, and obstetric patients and their newborns from those practices and a local community health clinic, Columbia Health Center. Attendings supervising the Family Medicine Service are our residency Family Medicine Faculty who cover adult medicine, obstetric and newborn admissions.

The R-1 Core Skills block is 3 spaced 2 week blocks of time devoted to enhanced orientation and integration prior to resuming R1 rotation experiences. There is also time devoted to the whole R1 class sharing outpatient learning experiences geared to providing residents family and community medicine expertise early in their residency career.

In the R-2 year, the Family Medicine Community Practice Rotation (CPR) places residents in a full-service primary care practice in either rural or urban areas where excellent family medicine care is provided and modeled. The resident is embedded in a community to gain insight into components of a future practice they plan to join. The R-2 residents’ general surgery outpatient month is community based as well and scheduled back to back with their CPR month in the same location, if possible.

R-2 Women’s Health/Reproductive Health/Family Planning Rotation: UW Family Medicine Residency is a RHEDI (Reproductive Health Education in Family Medicine) site. We are committed to training our residents in comprehensive reproductive health care which includes medication and aspiration abortion, miscarriage management, and contraception. All residents participate in didactics and clinical rotations, with an opt-out curriculum available. Research opportunities are also available with family planning faculty in the Family Medicine and OB/Gyn departments.

 

R3 YEAR

The third year intensively focuses on the Family Medical Center continuity clinic practices, building on knowledge and skills already gained and carrying them to new levels through focused learning sessions, longitudinal application and intensive seminars. Outpatient rotations take advantage of a number of specialty clinics that address common primary care problems, such as rheumatolgy, geriatrics, ENT, cardiology, neurology, gynecology and uro-gynecology, breast clinic, outpatient pediatrics and adolescent medicine.

Outpatient skills and procedures for which specific learning experiences are structured in the third year include:

  • Prenatal care in an urban under-served community health clinic, Columbia Health Clinic.
  • Outpatient pediatrics, working with community pediatricians and adolescent health care providers.
  • Outpatient procedures, including colposcopy, flexible sigmoidoscopy, and vasectomy, in addition to the full range of dermatologic, orthopedic, and gynecologic procedures included as part of everyday practice.
  • Outpatient services within our Family Medical Centers, including nutrition, sports medicine and psychiatry.
  • Specialty clinics in geriatrics, palliative care and long-term care.
  • Specialty clinics in neurology, breast problems, urogynecology, sexual assault center, urology, otolaryngology, and ophthalmology.
  • Clinics in adult dermatology.
  • Longitudinal care of nursing home patients, and home visit care.
  • Advanced practice seminars in behavioral medicine and practice management education.
  • Skills for all residents in academic focus pathway topics: health policy and advocacy, teaching, leadership, and research.

Inpatient skills are maintained and honed through 1/2 month of Family Medicine Service day time senior resident, ½ month of Family Medicine Night Float and occasional coverage of the Family Medicine Inpatient Service and weekend night float, including supervision and teaching of the R1 on the Service.

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