GME Everett Residents


Diverse Clinical Experiences

The major focus of our residency program is to support the diverse career goals of our trainees. Our program strives to live out our mission to serving the underserved in rural communities with a strong emphasis on academic excellence throughout the training experience, offering a learning environment that balances the personal and professional needs of our trainee. Residents divide their time between general medicine and subspecialty ward services, intensive care units, ambulatory care experiences, consultation rotations, emergency rooms and long-term care settings.

Our program believes in the importance of truly protected learning time. Clinical duties are suspended for ALL residents every Wednesday afternoon for Academic Half-Day (AHD). No pagers allowed. AHD content balances board-centric, core internal medicine content plus classroom elements necessary for success as well-rounded internal medicine physician including (but not limited to) med-economics, DEI talks, QI and POCUS workshops and Code-Blue simulations. Residents also enjoy trying to stump their attendings during a twice weekly, interactive, case-based conference. Regularly scheduled high-yield, highly curated Grand Rounds and Morbidity and Mortality talks pepper the conference schedule throughout the year. In addition to the class-wide curriculum, clinic residents experience a robust, protected outpatient curriculum. Residents attend Pre-Clinic Conference on the morning of their continuity clinic and have protected time Wednesday mornings while on their Ambulatory rotation for the Ambulatory Medicine Experiential (AMEx) Curriculum–experiential learning sessions on core outpatient topics like diabetes medication management and supplies, outpatient paracentesis and joint injection training, IUD/Nexplanon insertion and removal, and medication assisted treatment for opioid use disorder. Residents also have recurring sessions during AMEx for Panel Management, and clinic-based QI.

Serving our community in Everett in the clinic is enhanced by getting to know the community and improving access to care outside our clinic walls. Throughout the year, residents will have the opportunity to participate in community service events with local service partners. They will also have the opportunity to practice medicine in non-traditional settings with our partners who reach people who cannot easily access our clinics. This currently includes working with a mobile free clinic serving people who are ineligible for insurance and medical outreach to our neighbors experiencing homelessness. 

As part of our program’s mission to train physicians ready to improve equity in our state’s rural and underserved communities, we incorporate health equity and advocacy training into all three years. Our residents learn skills to be agents of change in the exam room, in their health system, or in their wider community. Topics we cover include cultural humility, trauma-informed care, quality improvement for health equity, legislative advocacy, and community organizing.

Many learners come into residency wanting to improve their teaching skills or pursue careers that involve teaching trainees. The WSU Everett IM Residency Medical Education rotation is a month-long elective that blends adult learning theory, interactive workshops, and real-world practice with directly observed teaching. Residents get experience teaching in multiple settings such as small groups, large groups, chalk talks, slide-based, wards, clinic, at the bedside, as well as teaching clinical reasoning, and giving feedback. Additionally, residents on this elective have protected time to work on a mentored medical education project.

Point Of Care Ultrasound

It’s not often that technology advancements bring us back to the bedside, rather than away from it. Primarily used in emergency medicine and intensive care, Point of Care Ultrasound (POCUS) has now transitioned to the medicine world at a rapid pace. The development of new ultrasound technologies, combined with artificial intelligence software implementation and mounting research showing POCUS is within the scope of practice of internists, has made POCUS an important skillset to master for future inpatient and outpatient internal medicine providers.

Federico Fenton Portillo

“Point of Care Ultrasound empowers the clinician that knows the patient best to efficiently and reliably get clinical information at the bedside, aiding in clinical decision while also improving patient-physician relationship.”

Federico Fenton Portillo, MD
POCUS Director

Quality Improvement and Patient Safety

As systems become more complex, pressure to address efficiency issues throughout our healthcare environment is increasing. As frontline healthcare professionals, residents have unique opportunities to contribute to quality improvement and patient safety initiatives at the clinical sites where they rotate. Through formal didactics, group projects and QI and PS committees, WSU internal medicine residents have many ways to contribute to the evolving quality landscape at Providence Medical Center and WSU.

Alexander Katz

“Understanding the system you are working within is essential to maximizing your performance as a physician and to helping your patient’s navigate an increasingly complex care environment”

Alexander Katz, MD
Director of Quality Improvement and Patient Safety, Inpatient

Year 1

The first year of residency is focused on training in the fundamentals of internal medicine.

First-year residents are exposed to a diverse population of patients with a broad mix of complex disease. Interns will rotate through general inpatient wards, sub-specialty selectives, night medicine, the intensive care unit, and ambulatory medicine. Residents will also spend two weeks on the patient centered care team (PCT) working in a value-based care system. Patient volumes and teams are structured to provide adequate support with an emphasis on learning. Call schedules vary from rotation to rotation but in general we use a drip or shift work model for admissions. We have a night medicine rotation in place to cover general inpatient medicine teams. The outpatient experience includes a longitudinal continuity clinic and two to three ambulatory blocks to initiate interns in ambulatory medicine. Four weeks of vacation are given during ambulatory medicine and subspecialty selectives.

Sample Resident Schedule, Year 1

1Night Medicine/PCT
2Ambulatory Medicine/Subspeciality
3Ambulatory Medicine/Vacation
4Inpatient Wards
5Subspecialty Selective/Vacation
6Inpatient Wards
7Subspecialty Selective/Vacation
8Inpatient Wards
10Inpatient Wards
11Ambulatory Medicine/Vacation
12Night Medicine
13Inpatient Wards

Years 2 and 3

During the second and third years of residency, each trainee assumes the responsibility of functioning as the supervising physician on the general medicine, subspecialty and ICU rotations.

During the second and third years of residency, there is a greater emphasis on outpatient medicine with increased rotations in ambulatory medicine, PCT, and subspecialty rotations including Neurology, Geriatrics and Emergency medicine. In addition, residents will spend four weeks rotating in a rural community of Western Washington with experiences in both inpatient and outpatient medicine. Four weeks of vacation are given during the second and third year.

Sample Resident Schedule, Year 2

1Inpatient Wards
2Ambulatory Medicine/Vacation
3Inpatient Wards
5Inpatient Wards
6Night Medicine/Vacation
7Rural Medicine
8Subspecialty Selective/Vacation
9Emergency Medicine
12PCT (Patient Centered Care Team)

Sample Resident Schedule, Year 3

2Ambulatory Medicine
4Subspecialty Selective
5Night Medicine
6Rural Medicine
7Inpatient Wards
9Inpatient Wards
11Subspecialty Selective/Vacation
12Inpatient Wards
13Subspecialty Selective/Vacation