First-Year Rotations

Blue rotations are non-vacationable. White rotations are vacationable and outpatient. Striped rotations are vacationable and inpatient.

FMI

Our residency begins with Family Medicine Intensive (FMI), a six-week rotation to get to know your classmates and our program and to build and hone your family medicine skills. FMI includes workshops such as ACLS, ALSO, and NRP; obstetrical care; patient-centered communication; motivational interviewing; procedures; cross-cultural health care; evidence-based medicine; and community medicine.

You will be trained and oriented to our electronic medical record system (Epic). You will get to know staff and the workings of your home clinic. You will begin to build your patient panel in the clinic with frequent clinic sessions and have opportunities to discuss cases with your classmates. The first-year support group, Finding Meaning in Medicine, also begins during this time. By the time residents start their second rotation, they have a real "home" in their family medicine clinic.

Many of our program's annual events happen during FMI: the intern white coat ceremony, Senior Resident Orientation, graduation, the Intern Retreat, and our Anti-Racism Workshop.


More Rotations:

  • Places residents in a variety of important community health and social resources that will facilitate the care of patients.

    This rotation is just one segment of our Longitudinal Community Medicine Curriculum. Learn about the overall curriculum here.

  • Residents work with dermatologists and family physicians in dermatology clinics to gain experience and confidence in description, identification and management of eczema, acne, rosacea, pre-malignant and malignant lesions, skin infections, urticaria, alopecia and other skin conditions. They have the opportunity to learn many procedures and gain hands on skills. They also participate in telederm consultations during which regional physicians in the WWAMI region can present cases for dermatologic consultation.

  • Residents complete 3.5 FMS blocks in the R1 role. R1s are responsible for medicine and pediatric admissions and management and team cross-coverage. R1s are always supervised by senior resident.

    During FMS R1 blocks, residents have modified Q4 call schedule with 12-16 hour shifts and one afternoon clinic per week.

    See an overview of our FMS service on the Curriculum Highlights page.

  • Work with colorectal surgeons to learn management of anal fissures, hemorrhoids, constipation as well as master the skill of anoscopy.

    Rotate with a breast surgeon and specialized ARNPs at the Swedish Breast Center.

    Shadow at the Gestational Diabetes clinic and participate in patient care.

    Work with wound care specialists at the Wound Center and learn about essentials in wound management, cellulitis, edema and vascular insufficiency.

    Rotate with a podiatrist to master a foot and ankle exam and learn about management of common complaints.

    Master first trimester dating ultrasound at the Seamar ultrasound clinic.

    Learn skills in Occupational Medicine including evaluation of new work injuries, employment exams, medical surveillance of work sites, physical therapy in the treatment of work injuries, and Work Task Simulation as a screening tool.

  • First-year residents develop skills of evaluation, diagnosis and treatment of the hospitalized obstetric patient, including the antepartum, perinatal, and postpartum periods.

    Residents from the Cherry Hill Family Medicine Residency, the Swedish First Hill Family Medicine Residency, and the Swedish OB/GYN residency work together during intern year. Cherry Hill residents have three OB blocks during intern year. Our interns spend six weeks on our family medicine Birth and Family Service (BFS), up to four weeks embedded at Swedish’s OB/GYN service (FAB), and at least two weeks at Providence Everett (EV).

    At Swedish, deliveries are managed with a panel of Obstetric and Family Medicine doctors who choose to include residents in their patients care. Family Medicine Obstetrical Fellows work closely with the first-year residents to coordinate teaching and provide in-house consultation on triage patients. An in-house laborist is also available for emergency obstetrical support.

    An OB simulator suite is utilized to help teach emergency scenarios including vacuum-assisted deliveries, postpartum hemorrhage, and shoulder dystocia management.

  • Residents improve their skills of assessment and management of common pediatric conditions requiring hospitalization. Residents function as pediatric R1s, assuming primary responsibility for the pediatric patients they admit. Supervised by senior pediatric residents and pediatric attendings, residents care for all ages of children from infancy to adolescence, with a wide range of medical and surgical problems.

    Teaching rounds address early identification and management of medical and surgical problems, appropriate use of consultations, developmental assessment, common behavioral and emotional problems and their management, outpatient prevention and follow-up, and the pediatric history and physical.

    Call is every fourth night, averaging four to ten patients managed per resident.

  • Residents improve their skills in developmental pediatrics, adolescent medicine, and urban outpatient pediatrics by rotating to various community clinics that serve underserved populations and at-risk youth. Time is spent with a number of community-based pediatric offices: the Ballard High School Teen clinic, Sea Mar, and Swedish Pediatrics.

    The goals of the rotation are for residents to: gain competency in the diagnosis and management of common pediatric outpatient acute and chronic conditions, gain competency in the provision of well child care (including immunizations and oral health), learn to effectively counsel parents and provide anticipatory guidance, and understand when to appropriately refer pediatric patients to specialty care.

  • The goals of the inpatient surgical rotation are to develop competency in the initial evaluation and management of common surgical problems, basic outpatient procedure skills and surgical assisting skills. Residents will develop an ability to explain surgical procedures to patients and to provide follow-up care. Residents will also learn how to develop good working relationships with, and communicate well with, surgical consultants.


Curriculum Changes for RTT

While RTT residents spend their first year in Seattle, their intern curriculum is not 100% identical to the Seattle interns’. RTT interns actually spend only the first twelve blocks of the year in Seattle. During the last block, they move to Port Angeles and have their first rotation there.

To maximize their learning in an urban environment, RTT interns have a few different rotations. RTT interns have one fewer FMS block to make room for a hospitalist rotation at Swedish’s specialty hospital. Their community medicine, dermatology, general pediatrics, and surgery curriculum happen later in Port Angeles. In exchange, the RTT interns have addiction medicine, pediatric emergency medicine, and pediatric specialties in Seattle.

Blue rotations are non-vacationable. White rotations are vacationable and outpatient. Striped rotations are vacationable and inpatient.