Transitional Program Coordinator
101 W 8th Ave
Spokane, WA 99204
P (509) 474-3020
The Spokane TY program offers a flexible curriculum with four full blocks of elective time. With 13 rotations for 18 residents, both the core curriculum and elective rotations can be tailored for each resident’s interest. While all Transitional Year residents will complete similar core rotations, the elective time coupled with the variety of electives, enables residents to tailor their schedules to meet their advanced program interests.
Ultimately, the Spokane Transitional Year program will offer you a balanced life with a breadth of clinical and hands-on experience in a beautiful setting.
Sample academic year:
The academic year consists of 13 four-week blocks:
- Critical Care – two blocks
- Surgery – two blocks
- Most commonly, pediatric surgery and general surgery at Sacred Heart
- Other rotations include bariatric surgery at Deaconess, ambulatory surgery at the Veterans Administration, neurosurgery for PM&R residents, and surgical oncology for radiation oncology residents.
- House staff – one block
- Night float – one block
- In-patient pediatrics – one block
- Emergency medicine – one block
- Ambulatory medicine – one block
- Electives – four blocks
Four weeks of vacation are offered in one-week blocks at a time, incorporating the weekend before and after. Please see the salary and stipends section for further details.
Elective choices are as follows, as seen through the resident’s experience:
- Anesthesia-Pain Management
- Blood Bank - one week:
Outpatient setting. Mainly a shadowing experience, but the attendings will assign you to do presentations for you to stay stimulated.
- Infectious disease
Fantastic rotation with some clinic time and plenty of OR time including scheduled cases and emergencies. Highlight of this rotation for me as a future ophthalmologist was seeing the beautiful anatomy of the orbit while removing a meningioma wrapped around the optic nerve and assisting with an awake craniotomy. The hours can be long, but definitely worth it.
- Ophthalmology-Spokane Eye Clinic:
High variety rotation in every subspecialty of ophthalmology (except uveitis). You get a lot of time behind the lens to hone your exam skills, chances to work up patients on your own, networking, and plenty of observation time in the OR if you want it (cataracts, retina, strabismus, tubes, trabs, etc).
- Ophthalmology- Rockwood Ophthalmology:
A comprehensive ophthalmology rotation with a heavy emphasis on learning the fundamentals of refraction and the use of indirect ophthalmoscopy. Rotating between five providers, residents quickly learn many styles of clinical ophthalmology. Roughly two days a week are spent at the clinics attached ASC observing various intraocular and plastic surgical cases.
The orthopedic surgery sees trauma, pediatric, oncology and is supported by two excellent physician assistants who are both fantastic teachers. Your time is split between the operating room and clinic. Good elective to choose to improve operative skills as you are typically first assistant (opportunities to sew and suture). One has the ability to view high volumes of MSK images (in clinic every patient will have a long imaging history for you to review and a team is eager to review fracture types with you).
- Pediatric Cardiology
- Pediatric Oncology
- Pediatric Ophthalmology:
Wonderful rotation working alongside attendings that love to teach, great clinic time, and plenty of OR time where you will have the opportunity to assist with strabismus and tear duct surgeries. In the clinic you will mostly be shadowing however, you still learn a lot and will practice retinoscopy, and estimating a cup-to-disc ratio on a moving target.
- Pediatric Surgery
- Plastic Surgery:
A month of heavy hands-on experience in the OR learning advanced technique from the pros. You are responsible for learning only – no notes, no Epic, no conscious patients. And no working on Fridays or weekends.
Inpatient setting. Mainly self-directed learning where you get a computer and can view all the resident case files. Also have the opportunity to sit in with attendings or to observe an array of interventional procedures. Attend a radiology conference at noon instead of the normal noon conference.
- Radiation Oncology:
Clinic but lots of radiology.
This is a shadowing experiencing only. It provides the opportunity to see many patients, but oftentimes, the patient's disease is well controlled as they are being seen in follow up.
- Surgical Oncology
- Vascular Surgery