Internal Medicine Home

We Value

Depth of Training




Contact Us

Program Coordinator

Teri Yaeger
101 W. 8th Ave.
Spokane, WA 99204
P (509) 474-3237
F (509) 626-9917

Teaching Environment

Purple Team

The Purple inpatient team is a novel approach to assisting the senior resident develop skills to successfully manage a team. Each R2 rotates on this team, with a purposefully smaller number of patients, prior to rotating on traditional inpatient teams with larger numbers of patients and more learners. 

Spokane 10

Our residents and faculty consider these 10 diagnoses to be the cornerstone to internal medicine. We encourage every R1 to master this list – everything from epidemiology, pathophysiology, diagnosis and treatment:

  1. Diabetes/DKA
  2. COPD/asthma
  3. Sepsis
  4. Afib
  5. Cirrhosis
  6. ACS (includes STEMI, NSTEMI)
  7. Stroke
  8. GI Bleed
  9. AKS/CKD
  10. PE/DVT

Residency Blog

Our residency has maintained an active blog containing summaries of noon conference teaching points, ambulatory teaching, and a repository of clinical and logistical information.  Past residents even make guest appearances, as they continue to read the blog!


Each year as part of orientation, the IMRS faculty teach the ACLS course for all of the interns. As a second year resident, when it is time to renew your ACLS certificate, an ACLS-EP course is given.

ACLS in Spokane offers the following benefits:

  • IMRS pays for the course and certificate
  • Local faculty run the course so you get a jumpstart on meeting many of us
  • We utilize scenarios from our own institutions to begin the familiarization process


  • Provides recertification for ACLS (IMRS pays for the course and cards)
  • Allows exploration of in-depth, but less common ACLS scenarios
    • Hypothermia
    • Toxins, including poisoning
    • Advanced airway procedures (using pig tracheas for cricothyroidotomies)
    • Advanced electrolyte abnormalities
    • Lightning strikes
    • Severe asthma management

IMRS Faculty

IMRS is fortunate to have a faculty dedicated solely to medical education. We have experienced very little turnover in faculty which allows for consistency of teaching and evaluation. They are creative and innovative in their approach to medicine and are interested in each learner.

Why Spokane?

“The faculty are so deliberate on providing us as many useful learning opportunities as possible while also actively seeking our feedback.”
Taylor Christensen, class of 2019

Transition to Senior Resident

All of the R1s attend an evening with the Program Director and a senior resident. R1s learn the duties of a senior resident including how to present to attendings at night, guidelines for calls, covering clinic patient calls, etc. In addition, they identify traits they wish to emulate as a senior resident and those they will avoid. Leadership of a team is discussed and they troubleshoot potential problems inherent in a team. This work is continued in the Teach the Teacher workshop.

Teach the Teacher Workshop

Annual workshop organized by faculty and fellows, geared specifically to give tools for success for senior residents.

Topics include:

  1. Teaching skills for senior residents.
  2. Grading, teaching and managing medical students.
  3. Dealing with difficult interns and faculty.
  4. Managerial skills for senior residents.
  5. Conflicts at the workplace.
  6. Being an effective senior on night float.


Providence IMRS uses a vital Medical Humanities curriculum, built on evidence of clinically-relevant empathy and adult learning of "theory of mind."   Noon conferences use narrative literature to examine our opinions and assumptions, and navigate difficult ethical and clinical situations.  Social science elements build cultural humility and required care competencies.  The history of medical thought illuminates physicians' moral and functional role in society.   Physical examination skills are taught using in part art-based habits of observation and interpretation.  Centrally, IMRS emphasizes Medicine itself as an Art, a set of actions to be practiced and performed, rather than just a body of facts to be known.  

IMRS faculty maintain an active education-research program on the impact of humanities work on clinical performance and human empathy.  We encourage our residents to participate in scholarly activity, research, publications and presentations in this arena, along with their other clinical interest topics.