Thank you for considering Family Medicine Residency of Spokane for your Family Medicine Sub-Internship! Located in urban northeastern Washington State, FMRS has a long legacy of excellence! We have been accredited for 33 years, hosted the first Rural Training Track in the nation and offered the first OB Fellowship in the nation. We are excited to give you a chance to learn family medicine in the recreational paradise of the Inland Northwest.
Applications welcomed starting in April.
Family Medicine Residency of Spokane is one of Providence Health System’s Missions in affiliation with the Spokane Teaching Health Consortium. Both organizations have been founded on the goal of using health care provider education as a source of improving access, quality of care and health outcomes for the underserved in Eastern Washington. To that end, our culture is one that values both the patients’ care as well as your education.
The Family Medicine Sub-Internship rotation is designed for you to:
- Experience life as a Family Medicine resident
- Have an intimate view of Family Medicine Residency Spokane
- Showcase your skills and personality to Family Medicine Residency Spokane.
Ultimately, we hope your rotation not only confirms your love of Family Medicine but also solidifies your fit at our program! We want you to function as a first year resident, learn more about the depth and breadth of Family Medicine, and enjoy the culture of the Inland Northwest.
A sub-internship is built to allow you to function in the same capacity and skill set as a first year Family Medicine resident. By the end of the rotation, you should be able to care for patients in equal ability to the R1 residents in the outpatient clinic at the Spokane Teaching Health Center and while rounding on the service at Sacred Heart Medical Center.
You will be given access to the clinic and Providence Sacred Heart Hospital with a photo badge and employee (not physician) parking. You will have an Epic EHR login that includes full student physician privileges. Your photo ID allows you access to most components of the STHC and Providence Sacred Heart campuses. We ask you to provide your Medical School waver of HIPPA training, comprehensive immunization status, state licensing, and professional liability. We anticipate professional attire and behavior throughout your rotation.
Your rotation will be split into inpatient service weeks and outpatient clinic weeks. This division will be discussed at your orientation and depends, in part, on the residents working with you.
You will see patients in the outpatient clinic 9 half days a week (0800 morning start or 13:30 afternoon start). You will have Focused Teaching on Thursday afternoons. The clinic is located at the Spokane Teaching Health Clinic on the WSU campus, 624 Front Ave. The residency clinic is a medical home model shared by Internal Medicine, Psychiatry, and Family Medicine and serves a wide variety of patients, from the vulnerable indigent to well-educated privately insured. Our mission is to provide excellent care to all regardless of patients’ resources or demographics.
Patients are scheduled every 20-40 minutes depending on need, giving you 3-5 patients in each of your half days in clinic. We serve as a full scope, comprehensive medical home. You may care for pregnant patients, work with translators, and perform procedures as you feel comfortable. You will be working closely with a senior resident and precepting all of your cases with an attending faculty physician.
The majority of your time will be spent caring for patients on the family medicine inpatient service at Providence Sacred Heart Medical Center(PSHMC) and Children’s Hospital. Just as R1’s focus much of their time and energy on polishing their hospital care skills, you too will be focusing most of your resources on improving these tools.
You will be expected to care for 2-4 patients at a time, completing all components of inpatient care [admission, rounding, procedures, care management, discharge planning, etc.], and presenting during reports and as needed to consultants on your team. You will be working under the guidance of a senior resident and the supervision of an attending faculty physician.
Plan to arrive before 06:30 to round on your patients. Morning sign out is promptly at 06:30. You will be assigned new patients or be allowed to admit new patients as seen appropriate by your senior. You will be expected to present your patients (prior patients and new patients) at morning report at 09:30. The afternoon is devoted to care management and new admissions.
You will NOT be expected to take call since your workdays will average 12 hours.
There will be multiple opportunities to learn by didactic lecture. Grand Rounds are presented at PSHMC every Wednesday over the lunch hour. A variety of lectures are scheduled on Tuesday morning. Focused Teaching, a Family Medicine didactic educational half day is every Thursday afternoon. Every effort is made to free you up for these opportunities. A schedule will be given to you on your first day and residents will share updated information. You will be asked to teach one lecture during morning report. This is a brief, rather informal, 15-30 minute discussion on a case based area of learning. No slides needed, handouts are helpful, and it ideally should relate to a case seen while on your rotation.
You will receive real-time feedback throughout your rotation including informal “on the fly” feedback as well as formal mid rotation and end of rotation feedback. We will help you set educational goals for yourself while on this rotation, and help you reach these goals while furthering your family medicine education. It is important to solicit reviews from all of the team members you work with, from staff to residents to attending physicians, to make the greatest gains in improving your skills and defining your style.
Your feedback on the quality of the rotation is important and helpful to us, as well. Again, we welcome real-time reviews as much as the formal mid rotation and end of rotation feedback sessions. In the unlikely event you encounter any issues that violate your rights as a student, please notify the program director or Providence’s HR team.
The first day of the SubInternship is devoted to orientation. You will be given instructions on obtaining photo badges, parking permits, food budgets, and Epic training. You will also tour the clinic and get introduced to as many residents and faculty as available. You will also have an hour long meeting with the SubInternship advisor during that day.
Your advisor will review learning objectives, professionalism, job description and expectations, feedback and troubleshooting. She will also book the formal mid rotation and end of rotation feedback meetings.
Each SubIntern will have a biography that includes an informal photo, background information, rotation location dates, and clinical interests. You can chose how you wish to share your contact information but typically your personal cell phone is used during your inpatient service weeks.
In the 2-4 weeks prior to your rotation, you will receive a welcome email, a request for the bio information and photo and a request to book a pre-rotation phone call. The phone call will confirm housing, directions to the clinic and hospital as well as trouble shoot any issues.
OTHER ENRICHMENT OPPORTUNITIES
The SubIntern may choose to enrich their experience further by participating in optional educational activities such that are available. These might include:
- speaking at a FMIG event
- sharing a grand rounds presentation with a resident
- volunteering at a Sports Medicine athletic event
- participating in the Primary Care Update
- participating a Q/I project
- participating in the NW Medical Research Symposium