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Depth of Training




Contact Us

Program Coordinator

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

Depth of training


Ultrasound workshop/Bedside Point-of-care Ultrasound curriculum: Our Ultrasound workshop is offered at the beginning of the academic year and ongoing training is scheduled with residents as-needed in our simulation lab. In addition to using bedside ultrasound for therapeutic purposes, we have designed a bedside point-of-care US curriculum. We hope to train residents to use bedside ultrasound to assist with real-time clinical decision making in a critically ill patient.

Justin Chen M.D. (R1) performing bedside ECHO to assess LV function.

Justin Chen M.D. (R1) performing bedside ECHO to assess LV function.

HIV  Clinic

The HIV clinic works closely with Spokane Regional Health District, which refers patients to the residents for HIV management, STD evaluation, and treatment—as well as pre-exposure prophylaxis treatment of patients at risk for acquiring HIV.  We currently follow approximately 150 HIV patients, with each IM resident caring for 3-7 of their own patients, under the supervision of a certified HIV specialist.

Hepatitis C Clinic

The Hepatitis C clinic at STHC recently opened with a focus on collaborative teaching of both Internal Medicine and Family Medicine residents. Residents learn to evaluate referred patients with chronic Hepatitis C and to prepare them for treatment with new Direct Acting Antiviral medications. The clinic works closely with pharmacy residents and faculty in the outpatient pharmacy clinic at Providence Sacred Heart Medical Center.


IMRS residents perform many procedures, usually with ultrasound guidance. There are few barriers for those with interest, as residents do not compete with fellows for the experience.

Residents generally obtain at least 20 central lines (although several residents have numbers in the hundreds).  Other common procedures include arterial lines, paracentesis, thoracentesis and dialysis catheter placement.

Why Spokane?

“I was looking for hands on learning without fellows getting in the way so I could feel comfortable as a hospitalist.  I ended up getting 50+ central lines and about 5-10 thoras, paras, and LPs my first year!”
Josh Hubbard, class of 2018

Simulation Lab

The simulation lab is a 7,200-square-foot space at PSHMC that enables medical staff and students to experience lifelike medical situations through the use of robotic manikins.


  • Provide collaborative, team-based training for in-house code teams
  • Practice managing emergent and life-threatening conditions in a safe, controlled learning environment
  • Use sophisticated, high-tech human patient simulators to provide the learner with a more realistic experience

Ambulatory Clinic

Spokane Teaching Health Clinic (STHC) is a spacious and innovative new facility located downtown only 8 minutes from Providence Sacred Heart Hospital. At STHC, internal medicine, family medicine and psychiatry residents LEARN, TEACH, and PROVIDE CARE to a diverse and medically complex panel of patients in a collaborative setting. Faculty and students in social work, pharmacy, physical and occupational therapy also provide patient care. Much of the patient population is underserved. 


  • Implement preventive medicine guidelines
  • Develop quality improvement projects based on patient panel data
  • Obtain specific training in motivational interviewing techniques
  • Educate patients with teach back modeling
  • Acquire proficiency in EMR (EPIC) and time management
  • Pre-clinic morning curriculum


  • At least one faculty preceptor for every four residents
  • Teach medical students and other learners in multidisciplinary clinic
  • Subspecialty clinic rotations: dermatology, endocrinology, orthopedics, psychiatry, podiatry
  • Direct observation of resident-patient interaction with feedback on communication, time management and physical exam skills


  • Take ownership as the primary care physician for a panel of patients
  • Clinical Support Staff (Medical Assistants, LPNs, RNs) provide staff continuity. Every resident is assigned to a CSS with whom you work longitudinally
  • Collaborative care model for psychiatry/internal medicine interface
  • Medical-Legal partnership to assist patients and providers
  • R1: one ½ day per week + concentrated ambulatory clinic rotation
  • R2 and R3: one full day/week + concentrated ambulatory clinic rotations
  • Many ambulatory rotations are in 2-week blocks alternating with hospital rotations