Faculty Director: Bill Alto, M.D., M.P.H.
The Swedish Family Medicine Residency Program Cherry Hill has a long history of training physicians to practice in underserved communities, including rural practice. We have trained physicians for rural practices, particularly working in American Indian, Alaskan Native, and Spanish speaking communities. Family Medicine practice in a rural area requires more experience in hospital and office procedures, acute care, as well as proficiency in culturally-competent, patient-oriented primary care. In order to improve access to these underserved populations we offer an Area of Concentration to specifically prepare physicians for the challenges and rewards of rural practice.
The Rural Medicine Track is designed to provide motivated residents opportunities in:
Residents will be selected based on their past demonstrated interest in rural medicine and the likelihood that they will use the skills acquired in their future practice. Residents must complete a short essay explaining their interest in rural medicine and meet the following requirements in order to be considered:
In order to successfully complete the AOC-RM residents must:
Participants will complete at least one rural rotation at an approved IHS facility after becoming fully licensed in Washington state in there 3rd year. The site will be based on the resident's academic interests (Rural OB vs. emergency medicine) and their interests in future practice opportunities. The faculty director of the AOC-RM is responsible for final approval of the rotation site. On return from the rural rotation, residents will report to the Residency in didactics on one aspect of the rural experience. This can be case-based discussion, a presentation of a medical topic particular to rural medicine, or a presentation of the social/cultural aspect of practicing medicine at the rotation site.
In addition to the currently required certifications, participants will complete the certification in ATLS during there 3rd year using their CME resources.
In the 2nd year ER rotation, participants will rotate through Harborview Medical Center on the trauma team. Objectives are to place central lines and chest tubes, respond with the trauma team, and manage fractures and lacerations.
In order to expand on the current musculoskeletal training the AOC-RM requires either an additional elective in orthopedics/sports medicine, a minimum of one season of athletic team coverage, or one season of ski first aid.
In either the 2nd or 3rd year of residency, participants will complete an elective in the Swedish ICU with the hospitalist and Pulmonary Medicine / Intensivist Team.
In addition to the required OB, general surgery and orthopedic rotations, the AOC-RM requires an additional surgical elective of the resident's choice. The intention is to enhance procedural and OR skills in order to be a competent primary physician in outpatient procedures and a competent assistant to OR-based surgeries.
The final project for the AOC-RM may be combined with a community medicine project or the away rotation presentation. It may be on any subject regarding the delivery of heath care in a rural community including needs assessments, public health interventions, independent study in procedure techniques, or political advocacy projects for rural communities. Final projects will be presented during didactics as part of the residents normally required presentations. A written outline or PowerPoint slides will be submitted to the faculty director.
The above represent the minimum requirements for preparation for rural practice. Family Medicine practice in a rural community is a diverse field that is influenced strongly by the community’s needs and the physician’s interests. In addition to the above curriculum, the following suggestions for further training are recommended: