{"id":257,"date":"2022-11-21T14:54:15","date_gmt":"2022-11-21T22:54:15","guid":{"rendered":"https:\/\/medicine.wsu.edu\/gme\/?page_id=257"},"modified":"2026-11-13T12:20:58","modified_gmt":"2026-11-13T20:20:58","slug":"curriculum","status":"publish","type":"page","link":"https:\/\/medicine.wsu.edu\/gme\/im-everett\/curriculum\/","title":{"rendered":"Curriculum"},"content":{"rendered":"<div class=\"wsu-hero wsu-width--full wsu-pattern--wsu-light-radial-left  wsu-hero--size-small \">\n\t\n\t<div class=\"wsu-image-frame wsu-image-frame--fill\">\n\t<img decoding=\"async\" src=\"https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2026\/06\/GME-resident-patient.jpg\"\n\t\tsrcset=\"https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2026\/06\/GME-resident-patient.jpg 1800w, https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2026\/06\/GME-resident-patient.jpg 396w, https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2026\/06\/GME-resident-patient.jpg 792w, https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2026\/06\/GME-resident-patient.jpg 768w, https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2026\/06\/GME-resident-patient.jpg 1536w, https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2026\/06\/GME-resident-patient.jpg 198w\"\n\t\tsizes=\"(max-width: 1800px) 100vw, 1800px\"\n\t\talt=\"Resident using a light to look at a patient&#039;s eye.\"\n\t\tstyle=\"object-position: 49% 36%\"\n\t\t\/>\n<\/div>\n\n\t<div class=\"wsu-overlay wsu-pattern-after wsu-overlay--none wsu-pattern--none\"><\/div>\n\t<div class=\"wsu-hero__content\">\n\t\t<div class=\"wsu-hero__caption\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div>\n\n\n<div class=\"breadcrumbs\" typeof=\"BreadcrumbList\" vocab=\"https:\/\/schema.org\/\">\r\n\t<!-- Breadcrumb NavXT 7.2.0 -->\n<span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" title=\"Go to Medicine Network Sites.\" href=\"https:\/\/medicine.wsu.edu\/\" class=\"main-home\" ><span property=\"name\">College of Medicine<\/span><\/a><meta property=\"position\" content=\"1\"><\/span><span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" title=\"Go to Elson S. Floyd College of Medicine.\" href=\"https:\/\/medicine.wsu.edu\/gme\" class=\"home\" ><span property=\"name\">Graduate Medical Education<\/span><\/a><meta property=\"position\" content=\"2\"><\/span><span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" title=\"Go to News.\" href=\"https:\/\/medicine.wsu.edu\/gme\/news\/\" class=\"post-root post post-post\" aria-current=\"page\"><span property=\"name\">News<\/span><\/a><meta property=\"position\" content=\"3\"><\/span><\/div><header class=\"wsu-article-header \">\r\n\t<h1 class=\"wsu-article-header__title\">\r\n\t\tCurriculum\t<\/h1>\r\n\r\n\t\r\n\t\r\n\t\r\n\t<\/header>\r\n\n\n<div class=\"wsu-row wsu-row--halves\" >\r\n    \n<div class=\"wsu-column\"  style=\"\">\r\n\t\n\n<h2 class=\"wp-block-heading\">Broad Clinical Experiences<\/h2>\n\n\n\n<p>We strive to support the varied career goals of our residents while living our mission to improve the health of the communities we serve. Our program curriculum places a strong emphasis on academic excellence throughout the training experience, offering a learning environment that balances learners\u2019 personal and professional needs. 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 to gain a breadth and depth of hands-on experience.&nbsp;<\/p>\n\n<\/div>\r\n\n\n<div class=\"wsu-column\"  style=\"\">\r\n\t\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class='embed-youtube' style='text-align:center; display: block;'><iframe class='youtube-player' type='text\/html' width='640' height='390' src='https:\/\/www.youtube.com\/embed\/m49cMo432yw?version=3&#038;rel=1&#038;fs=1&#038;autohide=2&#038;showsearch=0&#038;showinfo=1&#038;iv_load_policy=1&#038;wmode=transparent' frameborder='0' allowfullscreen='true'><\/iframe><\/div>\n<\/div><\/figure>\n\n<\/div>\r\n\n<\/div>\n\n\n<h2 class=\"wp-block-heading wsu-spacing-before--xxmedium\">X+Y Scheduling Model<\/h2>\n\n\n\n<p>Our program transitioned to a 4+2+2 rotation schedule model in July of 2026. This change was made in response to resident feedback and co-design. The goals of moving to the 4+2+2 system were to improve continuity of care for both inpatient and ambulatory rotations and enhance work-life integration for residents.<\/p>\n\n\n\n<p id=\"table\">In a 4+2+2 system, residents can expect to consistently return to a two-week ambulatory block separated by 6 weeks of inpatient and\/or elective experiences.<\/p>\n\n\n<div class=\"wsu-accordion  wsu-accordion--size-small\">\r\n    <h3 id=\"unique-id-1__9271\" class=\"wsu-accordion__title\">\r\n        <button class=\"wsu-accordion__title-button wsu-accordion--toggle\" aria-expanded=\"false\" aria-controls=\"unique-id-1__content\">Sample Intern Schedule, 4+2+2 Model, 6 Months<\/button>\r\n    <\/h3>\r\n    <div id=\"unique-id-1__content\" class=\"wsu-accordion__content\" aria-labelledby=\"unique-id-1__9271\">\r\n        <div class=\"wsu-accordion__content-inner\">\r\n            \n\n<table id=\"tablepress-9\" class=\"tablepress tablepress-id-9\">\n<thead>\n<tr class=\"row-1 odd\">\n\t<th class=\"column-1\">Intern<\/th><th class=\"column-2\">Block 1, Week 1<\/th><th class=\"column-3\">Block 1, Week 2<\/th><th class=\"column-4\">Block 1, Week 3<\/th><th class=\"column-5\">Block 1, Week 4<\/th><th class=\"column-6\">Block 2, Week 1<\/th><th class=\"column-7\">Block 2, Week 2<\/th><th class=\"column-8\">Block 2, Week 3<\/th><th class=\"column-9\">Block 2, Week 4<\/th><th class=\"column-10\">Block 3, Week 1<\/th><th class=\"column-11\">Block 3, Week 2<\/th><th class=\"column-12\">Block 3, Week 3<\/th><th class=\"column-13\">Block 3, Week 4<\/th><th class=\"column-14\">Block 4, Week 1<\/th><th class=\"column-15\">Block 4, Week 2<\/th><th class=\"column-16\">Block 4, Week 3<\/th><th class=\"column-17\">Block 4, Week 4<\/th><th class=\"column-18\">Block 5, Week 1<\/th><th class=\"column-19\">Block 5, Week 2<\/th><th class=\"column-20\">Block 5, Week 3<\/th><th class=\"column-21\">Block 5, Week 4<\/th><th class=\"column-22\">Block 6, Week 1<\/th><th class=\"column-23\">Block 6, Week 2<\/th><th class=\"column-24\">Block 6, Week 3<\/th><th class=\"column-25\">Block 6, Week 4<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-hover\">\n<tr class=\"row-2 even\">\n\t<td class=\"column-1\">1<\/td><td class=\"column-2\">MICU<\/td><td class=\"column-3\">MICU<\/td><td class=\"column-4\">MICU<\/td><td class=\"column-5\">MICU<\/td><td class=\"column-6\">Night Med<\/td><td class=\"column-7\">Night Med<\/td><td class=\"column-8\">Ambi<\/td><td class=\"column-9\">Ambi<\/td><td class=\"column-10\">WARDS<\/td><td class=\"column-11\">WARDS<\/td><td class=\"column-12\">WARDS<\/td><td class=\"column-13\">WARDS<\/td><td class=\"column-14\">Elective<\/td><td class=\"column-15\">Elective<\/td><td class=\"column-16\">Ambi<\/td><td class=\"column-17\">Ambi<\/td><td class=\"column-18\">WARDS<\/td><td class=\"column-19\">WARDS<\/td><td class=\"column-20\">WARDS<\/td><td class=\"column-21\">WARDS<\/td><td class=\"column-22\">Night Med<\/td><td class=\"column-23\">Night Med<\/td><td class=\"column-24\">Ambi<\/td><td class=\"column-25\">Ambi<\/td>\n<\/tr>\n<tr class=\"row-3 odd\">\n\t<td class=\"column-1\">2<\/td><td class=\"column-2\">MICU<\/td><td class=\"column-3\">MICU<\/td><td class=\"column-4\">MICU<\/td><td class=\"column-5\">MICU<\/td><td class=\"column-6\">Night Med<\/td><td class=\"column-7\">Night Med<\/td><td class=\"column-8\">Ambi<\/td><td class=\"column-9\">Ambi<\/td><td class=\"column-10\">WARDS<\/td><td class=\"column-11\">WARDS<\/td><td class=\"column-12\">WARDS<\/td><td class=\"column-13\">WARDS<\/td><td class=\"column-14\">Elective<\/td><td class=\"column-15\">Elective<\/td><td class=\"column-16\">Ambi<\/td><td class=\"column-17\">Ambi<\/td><td class=\"column-18\">WARDS<\/td><td class=\"column-19\">WARDS<\/td><td class=\"column-20\">WARDS<\/td><td class=\"column-21\">WARDS<\/td><td class=\"column-22\">Night Med<\/td><td class=\"column-23\">Night Med<\/td><td class=\"column-24\">Ambi<\/td><td class=\"column-25\">Ambi<\/td>\n<\/tr>\n<tr class=\"row-4 even\">\n\t<td class=\"column-1\">3<\/td><td class=\"column-2\">WARDS<\/td><td class=\"column-3\">WARDS<\/td><td class=\"column-4\">WARDS<\/td><td class=\"column-5\">WARDS<\/td><td class=\"column-6\">Elective<\/td><td class=\"column-7\">Elective<\/td><td class=\"column-8\">Ambi<\/td><td class=\"column-9\">Ambi<\/td><td class=\"column-10\">MICU<\/td><td class=\"column-11\">MICU<\/td><td class=\"column-12\">MICU<\/td><td class=\"column-13\">MICU<\/td><td class=\"column-14\">Night Med<\/td><td class=\"column-15\">Night Med<\/td><td class=\"column-16\">Ambi<\/td><td class=\"column-17\">Ambi<\/td><td class=\"column-18\">WARDS<\/td><td class=\"column-19\">WARDS<\/td><td class=\"column-20\">WARDS<\/td><td class=\"column-21\">WARDS<\/td><td class=\"column-22\">Elective<\/td><td class=\"column-23\">Elective<\/td><td class=\"column-24\">Ambi<\/td><td class=\"column-25\">Ambi<\/td>\n<\/tr>\n<tr class=\"row-5 odd\">\n\t<td class=\"column-1\">4<\/td><td class=\"column-2\">WARDS<\/td><td class=\"column-3\">WARDS<\/td><td class=\"column-4\">WARDS<\/td><td class=\"column-5\">WARDS<\/td><td class=\"column-6\">Elective<\/td><td class=\"column-7\">Elective<\/td><td class=\"column-8\">Ambi<\/td><td class=\"column-9\">Ambi<\/td><td class=\"column-10\">MICU<\/td><td class=\"column-11\">MICU<\/td><td class=\"column-12\">MICU<\/td><td class=\"column-13\">MICU<\/td><td class=\"column-14\">Night Med<\/td><td class=\"column-15\">Night Med<\/td><td class=\"column-16\">Ambi<\/td><td class=\"column-17\">Ambi<\/td><td class=\"column-18\">WARDS<\/td><td class=\"column-19\">WARDS<\/td><td class=\"column-20\">WARDS<\/td><td class=\"column-21\">WARDS<\/td><td class=\"column-22\">Elective<\/td><td class=\"column-23\">Elective<\/td><td class=\"column-24\">Ambi<\/td><td class=\"column-25\">Ambi<\/td>\n<\/tr>\n<tr class=\"row-6 even\">\n\t<td class=\"column-1\">5<\/td><td class=\"column-2\">WARDS<\/td><td class=\"column-3\">WARDS<\/td><td class=\"column-4\">WARDS<\/td><td class=\"column-5\">WARDS<\/td><td class=\"column-6\">Ambi<\/td><td class=\"column-7\">Ambi<\/td><td class=\"column-8\">Night Med<\/td><td class=\"column-9\">Night Med<\/td><td class=\"column-10\">WARDS<\/td><td class=\"column-11\">WARDS<\/td><td class=\"column-12\">WARDS<\/td><td class=\"column-13\">WARDS<\/td><td class=\"column-14\">Ambi<\/td><td class=\"column-15\">Ambi<\/td><td class=\"column-16\">Elective<\/td><td class=\"column-17\">Elective<\/td><td class=\"column-18\">MICU<\/td><td class=\"column-19\">MICU<\/td><td class=\"column-20\">MICU<\/td><td class=\"column-21\">MICU<\/td><td class=\"column-22\">Ambi<\/td><td class=\"column-23\">Ambi<\/td><td class=\"column-24\">Night Med<\/td><td class=\"column-25\">Night Med<\/td>\n<\/tr>\n<tr class=\"row-7 odd\">\n\t<td class=\"column-1\">6<\/td><td class=\"column-2\">WARDS<\/td><td class=\"column-3\">WARDS<\/td><td class=\"column-4\">WARDS<\/td><td class=\"column-5\">WARDS<\/td><td class=\"column-6\">Ambi<\/td><td class=\"column-7\">Ambi<\/td><td class=\"column-8\">Night Med<\/td><td class=\"column-9\">Night Med<\/td><td class=\"column-10\">WARDS<\/td><td class=\"column-11\">WARDS<\/td><td class=\"column-12\">WARDS<\/td><td class=\"column-13\">WARDS<\/td><td class=\"column-14\">Ambi<\/td><td class=\"column-15\">Ambi<\/td><td class=\"column-16\">Elective<\/td><td class=\"column-17\">Elective<\/td><td class=\"column-18\">MICU<\/td><td class=\"column-19\">MICU<\/td><td class=\"column-20\">MICU<\/td><td class=\"column-21\">MICU<\/td><td class=\"column-22\">Ambi<\/td><td class=\"column-23\">Ambi<\/td><td class=\"column-24\">Elective<\/td><td class=\"column-25\">Elective<\/td>\n<\/tr>\n<tr class=\"row-8 even\">\n\t<td class=\"column-1\">7<\/td><td class=\"column-2\">WARDS<\/td><td class=\"column-3\">WARDS<\/td><td class=\"column-4\">WARDS<\/td><td class=\"column-5\">WARDS<\/td><td class=\"column-6\">Ambi<\/td><td class=\"column-7\">Ambi<\/td><td class=\"column-8\">Elective<\/td><td class=\"column-9\">Elective<\/td><td class=\"column-10\">WARDS<\/td><td class=\"column-11\">WARDS<\/td><td class=\"column-12\">WARDS<\/td><td class=\"column-13\">WARDS<\/td><td class=\"column-14\">Ambi<\/td><td class=\"column-15\">Ambi<\/td><td class=\"column-16\">Night Med<\/td><td class=\"column-17\">Night Med<\/td><td class=\"column-18\">WARDS<\/td><td class=\"column-19\">WARDS<\/td><td class=\"column-20\">WARDS<\/td><td class=\"column-21\">WARDS<\/td><td class=\"column-22\">Ambi<\/td><td class=\"column-23\">Ambi<\/td><td class=\"column-24\">Elective<\/td><td class=\"column-25\">Elective<\/td>\n<\/tr>\n<tr class=\"row-9 odd\">\n\t<td class=\"column-1\">8<\/td><td class=\"column-2\">WARDS<\/td><td class=\"column-3\">WARDS<\/td><td class=\"column-4\">WARDS<\/td><td class=\"column-5\">WARDS<\/td><td class=\"column-6\">Ambi<\/td><td class=\"column-7\">Ambi<\/td><td class=\"column-8\">Elective<\/td><td class=\"column-9\">Elective<\/td><td class=\"column-10\">WARDS<\/td><td class=\"column-11\">WARDS<\/td><td class=\"column-12\">WARDS<\/td><td class=\"column-13\">WARDS<\/td><td class=\"column-14\">Ambi<\/td><td class=\"column-15\">Ambi<\/td><td class=\"column-16\">Night Med<\/td><td class=\"column-17\">Night Med<\/td><td class=\"column-18\">WARDS<\/td><td class=\"column-19\">WARDS<\/td><td class=\"column-20\">WARDS<\/td><td class=\"column-21\">WARDS<\/td><td class=\"column-22\">Ambi<\/td><td class=\"column-23\">Ambi<\/td><td class=\"column-24\">Elective<\/td><td class=\"column-25\">Elective<\/td>\n<\/tr>\n<tr class=\"row-10 even\">\n\t<td class=\"column-1\">9<\/td><td class=\"column-2\">WARDS<\/td><td class=\"column-3\">WARDS<\/td><td class=\"column-4\">WARDS<\/td><td class=\"column-5\">WARDS<\/td><td class=\"column-6\">Ambi<\/td><td class=\"column-7\">Ambi<\/td><td class=\"column-8\">Elective<\/td><td class=\"column-9\">Elective<\/td><td class=\"column-10\">WARDS<\/td><td class=\"column-11\">WARDS<\/td><td class=\"column-12\">WARDS<\/td><td class=\"column-13\">WARDS<\/td><td class=\"column-14\">Ambi<\/td><td class=\"column-15\">Ambi<\/td><td class=\"column-16\">Elective<\/td><td class=\"column-17\">Elective<\/td><td class=\"column-18\">WARDS<\/td><td class=\"column-19\">WARDS<\/td><td class=\"column-20\">WARDS<\/td><td class=\"column-21\">WARDS<\/td><td class=\"column-22\">Ambi<\/td><td class=\"column-23\">Ambi<\/td><td class=\"column-24\">Night Med<\/td><td class=\"column-25\">Night Med<\/td>\n<\/tr>\n<tr class=\"row-11 odd\">\n\t<td class=\"column-1\">10<\/td><td class=\"column-2\">Night Med<\/td><td class=\"column-3\">Night Med<\/td><td class=\"column-4\">Ambi<\/td><td class=\"column-5\">Ambi<\/td><td class=\"column-6\">MICU<\/td><td class=\"column-7\">MICU<\/td><td class=\"column-8\">MICU<\/td><td class=\"column-9\">MICU<\/td><td class=\"column-10\">Elective<\/td><td class=\"column-11\">Elective<\/td><td class=\"column-12\">Ambi<\/td><td class=\"column-13\">Ambi<\/td><td class=\"column-14\">WARDS<\/td><td class=\"column-15\">WARDS<\/td><td class=\"column-16\">WARDS<\/td><td class=\"column-17\">WARDS<\/td><td class=\"column-18\">Night Med<\/td><td class=\"column-19\">Night Med<\/td><td class=\"column-20\">Ambi<\/td><td class=\"column-21\">Ambi<\/td><td class=\"column-22\">WARDS<\/td><td class=\"column-23\">WARDS<\/td><td class=\"column-24\">WARDS<\/td><td class=\"column-25\">WARDS<\/td>\n<\/tr>\n<tr class=\"row-12 even\">\n\t<td class=\"column-1\">11<\/td><td class=\"column-2\">Night Med<\/td><td class=\"column-3\">Night Med<\/td><td class=\"column-4\">Ambi<\/td><td class=\"column-5\">Ambi<\/td><td class=\"column-6\">MICU<\/td><td class=\"column-7\">MICU<\/td><td class=\"column-8\">MICU<\/td><td class=\"column-9\">MICU<\/td><td class=\"column-10\">Elective<\/td><td class=\"column-11\">Elective<\/td><td class=\"column-12\">Ambi<\/td><td class=\"column-13\">Ambi<\/td><td class=\"column-14\">WARDS<\/td><td class=\"column-15\">WARDS<\/td><td class=\"column-16\">WARDS<\/td><td class=\"column-17\">WARDS<\/td><td class=\"column-18\">Elective<\/td><td class=\"column-19\">Elective<\/td><td class=\"column-20\">Ambi<\/td><td class=\"column-21\">Ambi<\/td><td class=\"column-22\">WARDS<\/td><td class=\"column-23\">WARDS<\/td><td class=\"column-24\">WARDS<\/td><td class=\"column-25\">WARDS<\/td>\n<\/tr>\n<tr class=\"row-13 odd\">\n\t<td class=\"column-1\">12<\/td><td class=\"column-2\">Elective<\/td><td class=\"column-3\">Elective<\/td><td class=\"column-4\">Ambi<\/td><td class=\"column-5\">Ambi<\/td><td class=\"column-6\">WARDS<\/td><td class=\"column-7\">WARDS<\/td><td class=\"column-8\">WARDS<\/td><td class=\"column-9\">WARDS<\/td><td class=\"column-10\">Night Med<\/td><td class=\"column-11\">Night Med<\/td><td class=\"column-12\">Ambi<\/td><td class=\"column-13\">Ambi<\/td><td class=\"column-14\">MICU<\/td><td class=\"column-15\">MICU<\/td><td class=\"column-16\">MICU<\/td><td class=\"column-17\">MICU<\/td><td class=\"column-18\">Elective<\/td><td class=\"column-19\">Elective<\/td><td class=\"column-20\">Ambi<\/td><td class=\"column-21\">Ambi<\/td><td class=\"column-22\">WARDS<\/td><td class=\"column-23\">WARDS<\/td><td class=\"column-24\">WARDS<\/td><td class=\"column-25\">WARDS<\/td>\n<\/tr>\n<tr class=\"row-14 even\">\n\t<td class=\"column-1\">13<\/td><td class=\"column-2\">Elective<\/td><td class=\"column-3\">Elective<\/td><td class=\"column-4\">Ambi<\/td><td class=\"column-5\">Ambi<\/td><td class=\"column-6\">WARDS<\/td><td class=\"column-7\">WARDS<\/td><td class=\"column-8\">WARDS<\/td><td class=\"column-9\">WARDS<\/td><td class=\"column-10\">Night Med<\/td><td class=\"column-11\">Night Med<\/td><td class=\"column-12\">Ambi<\/td><td class=\"column-13\">Ambi<\/td><td class=\"column-14\">MICU<\/td><td class=\"column-15\">MICU<\/td><td class=\"column-16\">MICU<\/td><td class=\"column-17\">MICU<\/td><td class=\"column-18\">Elective<\/td><td class=\"column-19\">Elective<\/td><td class=\"column-20\">Ambi<\/td><td class=\"column-21\">Ambi<\/td><td class=\"column-22\">WARDS<\/td><td class=\"column-23\">WARDS<\/td><td class=\"column-24\">WARDS<\/td><td class=\"column-25\">WARDS<\/td>\n<\/tr>\n<tr class=\"row-15 odd\">\n\t<td class=\"column-1\">14<\/td><td class=\"column-2\">Elective<\/td><td class=\"column-3\">Elective<\/td><td class=\"column-4\">Ambi<\/td><td class=\"column-5\">Ambi<\/td><td class=\"column-6\">WARDS<\/td><td class=\"column-7\">WARDS<\/td><td class=\"column-8\">WARDS<\/td><td class=\"column-9\">WARDS<\/td><td class=\"column-10\">Elective<\/td><td class=\"column-11\">Elective<\/td><td class=\"column-12\">Ambi<\/td><td class=\"column-13\">Ambi<\/td><td class=\"column-14\">WARDS<\/td><td class=\"column-15\">WARDS<\/td><td class=\"column-16\">WARDS<\/td><td class=\"column-17\">WARDS<\/td><td class=\"column-18\">Night Med<\/td><td class=\"column-19\">Night Med<\/td><td class=\"column-20\">Ambi<\/td><td class=\"column-21\">Ambi<\/td><td class=\"column-22\">MICU<\/td><td class=\"column-23\">MICU<\/td><td class=\"column-24\">MICU<\/td><td class=\"column-25\">MICU<\/td>\n<\/tr>\n<tr class=\"row-16 even\">\n\t<td class=\"column-1\">15<\/td><td class=\"column-2\">Ambi<\/td><td class=\"column-3\">Ambi<\/td><td class=\"column-4\">Night Med<\/td><td class=\"column-5\">Night Med<\/td><td class=\"column-6\">WARDS<\/td><td class=\"column-7\">WARDS<\/td><td class=\"column-8\">WARDS<\/td><td class=\"column-9\">WARDS<\/td><td class=\"column-10\">Ambi<\/td><td class=\"column-11\">Ambi<\/td><td class=\"column-12\">Elective<\/td><td class=\"column-13\">Elective<\/td><td class=\"column-14\">WARDS<\/td><td class=\"column-15\">WARDS<\/td><td class=\"column-16\">WARDS<\/td><td class=\"column-17\">WARDS<\/td><td class=\"column-18\">Ambi<\/td><td class=\"column-19\">Ambi<\/td><td class=\"column-20\">Night Med<\/td><td class=\"column-21\">Night Med<\/td><td class=\"column-22\">MICU<\/td><td class=\"column-23\">MICU<\/td><td class=\"column-24\">MICU<\/td><td class=\"column-25\">MICU<\/td>\n<\/tr>\n<tr class=\"row-17 odd\">\n\t<td class=\"column-1\">16<\/td><td class=\"column-2\">Ambi<\/td><td class=\"column-3\">Ambi<\/td><td class=\"column-4\">Night Med<\/td><td class=\"column-5\">Night Med<\/td><td class=\"column-6\">WARDS<\/td><td class=\"column-7\">WARDS<\/td><td class=\"column-8\">WARDS<\/td><td class=\"column-9\">WARDS<\/td><td class=\"column-10\">Ambi<\/td><td class=\"column-11\">Ambi<\/td><td class=\"column-12\">Elective<\/td><td class=\"column-13\">Elective<\/td><td class=\"column-14\">WARDS<\/td><td class=\"column-15\">WARDS<\/td><td class=\"column-16\">WARDS<\/td><td class=\"column-17\">WARDS<\/td><td class=\"column-18\">Ambi<\/td><td class=\"column-19\">Ambi<\/td><td class=\"column-20\">Night Med<\/td><td class=\"column-21\">Night Med<\/td><td class=\"column-22\">WARDS<\/td><td class=\"column-23\">WARDS<\/td><td class=\"column-24\">WARDS<\/td><td class=\"column-25\">WARDS<\/td>\n<\/tr>\n<tr class=\"row-18 even\">\n\t<td class=\"column-1\">17<\/td><td class=\"column-2\">Ambi<\/td><td class=\"column-3\">Ambi<\/td><td class=\"column-4\">Elective<\/td><td class=\"column-5\">Elective<\/td><td class=\"column-6\">WARDS<\/td><td class=\"column-7\">WARDS<\/td><td class=\"column-8\">WARDS<\/td><td class=\"column-9\">WARDS<\/td><td class=\"column-10\">Ambi<\/td><td class=\"column-11\">Ambi<\/td><td class=\"column-12\">Night Med<\/td><td class=\"column-13\">Night Med<\/td><td class=\"column-14\">WARDS<\/td><td class=\"column-15\">WARDS<\/td><td class=\"column-16\">WARDS<\/td><td class=\"column-17\">WARDS<\/td><td class=\"column-18\">Ambi<\/td><td class=\"column-19\">Ambi<\/td><td class=\"column-20\">Elective<\/td><td class=\"column-21\">Elective<\/td><td class=\"column-22\">WARDS<\/td><td class=\"column-23\">WARDS<\/td><td class=\"column-24\">WARDS<\/td><td class=\"column-25\">WARDS<\/td>\n<\/tr>\n<tr class=\"row-19 odd\">\n\t<td class=\"column-1\">18<\/td><td class=\"column-2\">Ambi<\/td><td class=\"column-3\">Ambi<\/td><td class=\"column-4\">Elective<\/td><td class=\"column-5\">Elective<\/td><td class=\"column-6\">WARDS<\/td><td class=\"column-7\">WARDS<\/td><td class=\"column-8\">WARDS<\/td><td class=\"column-9\">WARDS<\/td><td class=\"column-10\">Ambi<\/td><td class=\"column-11\">Ambi<\/td><td class=\"column-12\">Night Med<\/td><td class=\"column-13\">Night Med<\/td><td class=\"column-14\">WARDS<\/td><td class=\"column-15\">WARDS<\/td><td class=\"column-16\">WARDS<\/td><td class=\"column-17\">WARDS<\/td><td class=\"column-18\">Ambi<\/td><td class=\"column-19\">Ambi<\/td><td class=\"column-20\">Elective<\/td><td class=\"column-21\">Elective<\/td><td class=\"column-22\">WARDS<\/td><td class=\"column-23\">WARDS<\/td><td class=\"column-24\">WARDS<\/td><td class=\"column-25\">WARDS<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-9 from cache -->\n\n        <\/div>\r\n    <\/div>\r\n<\/div>\n\n<section  class=\"wsu-section  wsu-width--full wsu-color-background--gray-5\"  >\r\n    <div class=\"wsu-section__inner wsu-width--content\">    \n<div class=\"wsu-accordion wsu-color-background--white\">\r\n    <h3 id=\"unique-id-1__28005\" class=\"wsu-accordion__title\">\r\n        <button class=\"wsu-accordion__title-button wsu-accordion--toggle\" aria-expanded=\"false\" aria-controls=\"unique-id-1__content\">Career-Enhancing Tracks &amp; Distinctions<\/button>\r\n    <\/h3>\r\n    <div id=\"unique-id-1__content\" class=\"wsu-accordion__content\" aria-labelledby=\"unique-id-1__28005\">\r\n        <div class=\"wsu-accordion__content-inner\">\r\n            \n\n<p>Our residents have broad interests that inform their career decisions and professional identities. To support our residents\u2019 professional goals, in addition to our Primary Care Track, our program is proud to offer starting AY 2027\u20132028 the WSU IMRP Distinctions program.<\/p>\n\n\n\n<p>Our Distinctions are 2-year opt-in longitudinal curricula that residents apply for in PGY1 year. Each Distinction has unique requirements that residents must fulfill to graduate with a Distinction certificate.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\">Health Equity and Community Organizing Distinction<\/h4>\n\n\n\n<p>The Health Equity and Community Organizing Distinction is an elective certificate program for residents who are interested in incorporating a focus on health equity into their future practice. Residents will have the opportunity for additional training and hands-on experience with community organizing methods to promote change as well as opportunities for deeper personal reflection on how they use their practice of medicine to advance equity. Activities in the distinction may include: being a leader for a resident project to advance health equity in our community, working on a larger community organizing campaign, attending community events focused on health justice, and meeting with peers and mentors to reflect on personal practices of medicine.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Directors <\/h5>\n\n\n\n<ul>\n<li><a href=\"https:\/\/medicine.wsu.edu\/directory\/wsu-profile\/elizabeth.westling\/\">Elizabeth Westling, MD<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/medicine.wsu.edu\/directory\/wsu-profile\/riley.irish\/\">Riley Irish<\/a><\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\">Medical Education Distinction<\/h4>\n\n\n\n<p>The Medical Education Distinction (previously the medical education track started in 2024) is designed to equip residents with skills needed to be effective clinical teachers and future clinician educators. Residents receive practical training on applying adult learning theory to multiple teaching settings, effective inpatient and outpatient clinical teaching, giving and receiving feedback, teaching diagnostic and management reasoning, curriculum design, and medical education scholarship. To graduate with a Medical Education Distinction certificate, residents participate in a 2-week elective immersion block in their PGY2 year (or complete asynchronous online modules derived from the 2-week immersion block). Additionally, residents complete directly-observed classroom and clinical teaching assignments with immediate feedback from faculty, and engage in a medical education capstone project. <\/p>\n\n\n\n<p>Additional details about the Medical Education Distinction activities can be found at <a href=\"https:\/\/medicine.wsu.edu\/gme\/im-everett\/curriculum\/medical-education-track\/\">Medical Education Track<\/a>.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Director<\/h5>\n\n\n\n<p><a href=\"https:\/\/medicine.wsu.edu\/directory\/wsu-profile\/yihan.yang\/\">Yihan Yang, MD, MHS-MedEd<\/a><\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Current Med Ed Distinction Candidates <\/h5>\n\n\n<div class=\"wsu-row wsu-row--halves\" >\r\n    \n<div class=\"wsu-column\"  style=\"\">\r\n\t\n\n<h5 class=\"wp-block-heading\">PGY2<\/h5>\n\n\n\n<ul>\n<li>Fatma Aboud, MBChB<\/li>\n\n\n\n<li>Nolan Herron, MD<\/li>\n\n\n\n<li>Asal Patterson, MBChB<\/li>\n\n\n\n<li>Anisa Rohilla, DO<\/li>\n<\/ul>\n\n<\/div>\r\n\n\n<div class=\"wsu-column\"  style=\"\">\r\n\t\n\n<h5 class=\"wp-block-heading\">PGY3<\/h5>\n\n\n\n<ul>\n<li>Jasmine Li-Brubacher, MD<\/li>\n\n\n\n<li>Michelle Lui, MD<\/li>\n\n\n\n<li>Angela Phan, MD<\/li>\n\n\n\n<li>Scott Perrault, MD<\/li>\n\n\n\n<li>Jamila Raja, DO<\/li>\n\n\n\n<li>Jacky Tran, DO<\/li>\n<\/ul>\n\n<\/div>\r\n\n<\/div>\n\n\n<p><a href=\"https:\/\/medicine.wsu.edu\/gme\/im-everett\/residents\/\">View Resident Bios<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\">Women\u2019s Health Distinction<\/h4>\n\n\n\n<p>The women\u2019s health distinction provides residents with training to develop knowledge and skills necessary to care for women across the lifespan, particularly in the primary care setting. The Distinction offers longitudinal and elective clinical exposure to women\u2019s health topics such as reproductive health, breast health, menopause management, screening and survivorship for women&#8217;s cancers, and outpatient gynecologic procedures. Residents complement this clinical training with focused didactic and workshop sessions. Completion of the Distinction includes a scholarly project in women\u2019s health, which may take the form of research, quality improvement, medical education, or a patient-focused initiative.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Director<\/h5>\n\n\n\n<p><a href=\"https:\/\/medicine.wsu.edu\/directory\/wsu-profile\/theresa.king\/\">Tess King, MD, MPH<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h4 class=\"wp-block-heading\">Primary Care Track<\/h4>\n\n\n\n<p>PGY1s dedicated to pursuing a career in primary care can apply to join the WSU IMRP Primary Care Track in their PGY2 year. In addition to their ambulatory blocks at Providence or the VA, Primary Care Track PGY2s and PGY3s will have approximately 6 weeks each year of community-based primary care and ambulatory subspecialty rotations to gain broad exposure to the unique models of primary care practice and patient populations in Washington State. Current community-based offices include Community Health Center Everett (an FQHC), Providence Medical Group primary care, and PacMed primary care. Additionally, a track-specific structured learning series prepares our residents to successfully navigate early careers as primary care doctors. Primary care track residents remain eligible to participate in the Distinctions Programs above.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Director<\/h3>\n\n\n\n<p><a href=\"https:\/\/medicine.wsu.edu\/directory\/wsu-profile\/yihan.yang\/\">Yihan Yang, MD, MHS-MedEd<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Current Primary Care Track Residents <\/h4>\n\n\n\n<ul>\n<li>Fatma Aboud, MBChB<\/li>\n\n\n\n<li>Caleb Ko, MD<\/li>\n\n\n\n<li>Calvin Vetter, DO<\/li>\n<\/ul>\n\n\n\n<p><a href=\"https:\/\/medicine.wsu.edu\/gme\/im-everett\/residents\/\">View Resident Bios<\/a><\/p>\n\n        <\/div>\r\n    <\/div>\r\n<\/div>\n\n<div class=\"wsu-accordion wsu-color-background--white\">\r\n    <h2 id=\"unique-id-1__82918\" class=\"wsu-accordion__title\">\r\n        <button class=\"wsu-accordion__title-button wsu-accordion--toggle\" aria-expanded=\"false\" aria-controls=\"unique-id-1__content\">Structured Learning Curriculum<\/button>\r\n    <\/h2>\r\n    <div id=\"unique-id-1__content\" class=\"wsu-accordion__content\" aria-labelledby=\"unique-id-1__82918\">\r\n        <div class=\"wsu-accordion__content-inner\">\r\n            \n\n<p>We believe in the importance of truly protected learning time. <\/p>\n\n\n\n<h4 class=\"wp-block-heading\">WSU IM residents participate in the following structured learning curricula:<\/h4>\n\n\n\n<h5 class=\"wp-block-heading\">Academic Half Day<\/h5>\n\n\n\n<p>Clinical duties are suspended for all residents every Wednesday afternoon for Academic Half-Day (AHD). 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 medical economics, quality improvement (QI), point-of-care ultrasound (POCUS) workshops, and code blue simulations.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Case Conference<\/h5>\n\n\n\n<p>Held at noon two days a week, all residents on inpatient services participate in these case-based discussions where they work through clinical unknowns and\/or management dilemmas. PGY1s have a protected intern-only case conference on Mondays (no attendings allowed) to hone their clinical reasoning in a safe space with our chief residents. Regularly scheduled high-yield, highly curated Grand Rounds, and Morbidity and Mortality talks pepper the conference schedule throughout the year.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">Ambulatory Didactics<\/h5>\n\n\n\n<p>In addition to the class-wide AHD, residents also experience a robust, protected outpatient structured learning curriculum during each of their ambulatory Y blocks. Held Wednesday mornings, ambulatory didactics include a combination of ambulatory morning report (case conference focused on outpatient chief concerns and management), 40-minute high-yield reviews of common outpatient chief concerns, as well as immersive Ambulatory Medicine Experiential (AMEx) sessions. AMEx mornings involve 2-3 hour experiential learning sessions on core outpatient skills. Recent examples include diabetes medication management and supplies, outpatient procedures training, IUD\/Nexplanon insertion and removal, advanced communications training, office-based quality improvement, nutrition and social determinants-based grocery store scavenger hunt.<\/p>\n\n        <\/div>\r\n    <\/div>\r\n<\/div>\n\n<div class=\"wsu-accordion wsu-color-background--white\">\r\n    <h2 id=\"unique-id-1__1180\" class=\"wsu-accordion__title\">\r\n        <button class=\"wsu-accordion__title-button wsu-accordion--toggle\" aria-expanded=\"false\" aria-controls=\"unique-id-1__content\">Community Outreach<\/button>\r\n    <\/h2>\r\n    <div id=\"unique-id-1__content\" class=\"wsu-accordion__content\" aria-labelledby=\"unique-id-1__1180\">\r\n        <div class=\"wsu-accordion__content-inner\">\r\n            \n\n<p>Serving our community in Everett is enhanced by getting to know the community and improving access to care outside our clinical walls. Throughout the year, residents have opportunities to participate in community service events with local service partners and to practice medicine in non-traditional settings to reach people who cannot easily access our clinics. These opportunities include working with free mobile clinics serving people who are uninsured, medical outreach to our neighbors experiencing homelessness, and home visits.\u202f<\/p>\n\n        <\/div>\r\n    <\/div>\r\n<\/div>\n\n<div class=\"wsu-accordion wsu-color-background--white\">\r\n    <h2 id=\"unique-id-1__29500\" class=\"wsu-accordion__title\">\r\n        <button class=\"wsu-accordion__title-button wsu-accordion--toggle\" aria-expanded=\"false\" aria-controls=\"unique-id-1__content\">Health Equity and Advocacy<\/button>\r\n    <\/h2>\r\n    <div id=\"unique-id-1__content\" class=\"wsu-accordion__content\" aria-labelledby=\"unique-id-1__29500\">\r\n        <div class=\"wsu-accordion__content-inner\">\r\n            \n\n<p>To equip physicians with the necessary skills to improve access to care in our state\u2019s rural and underserved\u202fcommunities, we incorporate health equity and advocacy training into all three years of the curriculum. Our residents learn how to be a voice for their patients, leaders in their local communities, and public experts for healthcare infrastructure and access. Our curriculum covers a wide array of topics. As a result, our graduates approach patients and communities with perspective taking and curiosity, assure that historical challenges are accounted for in whole person care, and partner with communities and legislators to enact change for healthier communities. Residents interested in more deeply engaging with health equity and advocacy can apply as a PGY1 to the Health Equity and Advocacy Distinction.<\/p>\n\n\n\n<p>*We define health equity as the assurance of conditions for optimal health for all people. We pursue this work in service of all communities and all peoples of Washington.<\/p>\n\n        <\/div>\r\n    <\/div>\r\n<\/div>\n\n<div class=\"wsu-accordion wsu-color-background--white\">\r\n    <h2 id=\"unique-id-1__76010\" class=\"wsu-accordion__title\">\r\n        <button class=\"wsu-accordion__title-button wsu-accordion--toggle\" aria-expanded=\"false\" aria-controls=\"unique-id-1__content\">Point of Care Ultrasound<\/button>\r\n    <\/h2>\r\n    <div id=\"unique-id-1__content\" class=\"wsu-accordion__content\" aria-labelledby=\"unique-id-1__76010\">\r\n        <div class=\"wsu-accordion__content-inner\">\r\n            \n\n<h2 class=\"wp-block-heading\">Point Of Care Ultrasound<\/h2>\n\n\n\n<p>It\u2019s 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.<\/p>\n\n\n<div class=\"wsu-row wsu-row--sidebar-left\" >\r\n    \n<div class=\"wsu-column\"  style=\"\">\r\n\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-medium\"><img decoding=\"async\" loading=\"lazy\" width=\"396\" height=\"495\" src=\"https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2023\/08\/Federico-headshot-396x495.jpg\" alt=\"Federico Fenton Portillo\" class=\"wp-image-2035\" srcset=\"https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2023\/08\/Federico-headshot-396x495.jpg 396w, https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2023\/08\/Federico-headshot-792x990.jpg 792w, https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2023\/08\/Federico-headshot-768x960.jpg 768w, https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2023\/08\/Federico-headshot-158x198.jpg 158w, https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2023\/08\/Federico-headshot.jpg 1024w\" sizes=\"(max-width: 396px) 100vw, 396px\" \/><\/figure><\/div>\n<\/div>\r\n\n\n<div class=\"wsu-column wsu-spacing-padding-left--none\"  style=\"\">\r\n\t\n\n<blockquote class=\"wp-block-quote wsu-font-size--medium\">\n<p>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.<\/p>\n<cite>Federico Fenton Portillo, MD<br>POCUS Director<\/cite><\/blockquote>\n\n<\/div>\r\n\n<\/div>\n        <\/div>\r\n    <\/div>\r\n<\/div>\n\n<div class=\"wsu-accordion wsu-color-background--white\">\r\n    <h2 id=\"unique-id-1__21860\" class=\"wsu-accordion__title\">\r\n        <button class=\"wsu-accordion__title-button wsu-accordion--toggle\" aria-expanded=\"false\" aria-controls=\"unique-id-1__content\">Quality Improvement and Patient Safety<\/button>\r\n    <\/h2>\r\n    <div id=\"unique-id-1__content\" class=\"wsu-accordion__content\" aria-labelledby=\"unique-id-1__21860\">\r\n        <div class=\"wsu-accordion__content-inner\">\r\n            \n\n<h2 class=\"wp-block-heading\">Quality Improvement and Patient Safety<\/h2>\n\n\n\n<p>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.<\/p>\n\n\n<div class=\"wsu-row wsu-row--sidebar-left\" >\r\n    \n<div class=\"wsu-column\"  style=\"\">\r\n\t\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-medium\"><img decoding=\"async\" loading=\"lazy\" width=\"396\" height=\"495\" src=\"https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2023\/08\/Katz_Alexander-MD-1-396x495.jpg\" alt=\"Alexander Katz\" class=\"wp-image-2098\" srcset=\"https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2023\/08\/Katz_Alexander-MD-1-396x495.jpg 396w, https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2023\/08\/Katz_Alexander-MD-1-792x990.jpg 792w, https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2023\/08\/Katz_Alexander-MD-1-768x960.jpg 768w, https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2023\/08\/Katz_Alexander-MD-1-158x198.jpg 158w, https:\/\/wpcdn.web.wsu.edu\/wp-medicine\/uploads\/sites\/3093\/2023\/08\/Katz_Alexander-MD-1.jpg 1024w\" sizes=\"(max-width: 396px) 100vw, 396px\" \/><\/figure><\/div>\n<\/div>\r\n\n\n<div class=\"wsu-column wsu-spacing-padding-left--none\"  style=\"\">\r\n\t\n\n<blockquote class=\"wp-block-quote wsu-font-size--medium\">\n<p>Understanding the system you are working within is essential to maximizing your performance as a physician and to helping your patient\u2019s navigate an increasingly complex care environment<\/p>\n<cite>Alexander Katz, MD<br>Director of Quality Improvement and Patient Safety, Inpatient<\/cite><\/blockquote>\n\n<\/div>\r\n\n<\/div>\n        <\/div>\r\n    <\/div>\r\n<\/div>\n    <\/div><\/section>\n\n\n<h2 class=\"wp-block-heading has-text-align-left wsu-spacing-before--xmedium\">Year 1<\/h2>\n\n\n\n<p>The first year of residency is focused on training in the fundamentals of internal medicine.<\/p>\n\n\n\n<p>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 electives, night float, the intensive care unit, and ambulatory medicine. 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 float in place to cover general inpatient medicine teams. With our X+Y scheduling system, residents spend 2 weeks in their longitudinal continuity clinic every 8 weeks. Four weeks of vacation are given each academic year. Sample intern schedules are in the <a href=\"#table\">X+Y table<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-left wsu-spacing-before--large\">Years 2 and 3<\/h2>\n\n\n\n<p>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.<\/p>\n\n\n\n<p>During the second and third years of residency, there is a greater emphasis on subspecialty rotations including Neurology, Geriatrics, Emergency medicine, and additional electives. In addition, residents will spend four weeks rotating in a rural community of Western Washington with experiences in both inpatient and outpatient medicine. Residents continue to spend 2 weeks in their longitudinal continuity clinic every 8 weeks. Four weeks of vacation are given during the second and third year.<\/p>\n\n\n<div class=\"wsu-row wsu-row--halves\" >\r\n    \n<div class=\"wsu-column\"  style=\"\">\r\n\t\n\n<h3 class=\"wp-block-heading\">Year 2 Sample Resident Rotations<\/h3>\n\n\n\n<ul>\n<li>Inpatient Wards<\/li>\n\n\n\n<li>Ambulatory Medicine<\/li>\n\n\n\n<li>MICU<\/li>\n\n\n\n<li>Night Medicine<\/li>\n\n\n\n<li>Rural Medicine<\/li>\n\n\n\n<li>Subspecialty Selective<\/li>\n\n\n\n<li>Emergency Medicine<\/li>\n\n\n\n<li>Neurology<\/li>\n\n\n\n<li>PCT (Patient Centered Care Team)<\/li>\n\n\n\n<li>Electives<\/li>\n<\/ul>\n\n<\/div>\r\n\n\n<div class=\"wsu-column\"  style=\"\">\r\n\t\n\n<h3 class=\"wp-block-heading\">Year 3 Sample Resident Rotations<\/h3>\n\n\n\n<ul>\n<li>PCT<\/li>\n\n\n\n<li>Ambulatory Medicine<\/li>\n\n\n\n<li>Electives<\/li>\n\n\n\n<li>Subspecialty Selective<\/li>\n\n\n\n<li>Night Medicine<\/li>\n\n\n\n<li>Rural Medicine<\/li>\n\n\n\n<li>Inpatient Wards<\/li>\n<\/ul>\n\n<\/div>\r\n\n<\/div>\n\n<section  class=\"wsu-section wsu-width--full wsu-red-lines white-text wsu-spacing-before--none wsu-spacing-top--medium wsu-spacing-after--none wsu-spacing-bottom--medium\"  >\r\n    <div class=\"wsu-section__inner wsu-width--content\">    \n\n<h2 class=\"wp-block-heading has-text-align-center wsu-spacing-before--xxsmall wsu-spacing-after--xxsmall\">Take the Next Step<\/h2>\n\n\n\n<div style=\"height:31px\" aria-hidden=\"true\" class=\"wp-block-spacer wsu-hide--phone\"><\/div>\n\n\n<div class=\"wsu-row wsu-row--thirds\" >\r\n    \n<div class=\"wsu-column\"  style=\"\">\r\n\t\n<div class=\"wsu-cta  wsu-text-align--center wsu-cta--width-full\" >\n\t<a \t\t\t\t\thref=\"https:\/\/medicine.wsu.edu\/gme\/im-everett\/apply\/\"\t\n\t\tclass=\"wsu-button  wsu-button--style-outline wsu-button--size-small\">\n\t\t\t\n\t\tApply\t\t\t<\/a>\n<\/div>\n\n<\/div>\r\n\n\n<div class=\"wsu-column\"  style=\"\">\r\n\t\n<div class=\"wsu-cta  wsu-text-align--center wsu-cta--width-full\" >\n\t<a \t\t\t\t\thref=\"mailto:IMREverett.medicine@wsu.edu\"\t\n\t\tclass=\"wsu-button  wsu-button--style-outline wsu-button--size-small\">\n\t\t\t\n\t\tRequest Information\t\t\t<\/a>\n<\/div>\n\n<\/div>\r\n\n\n<div class=\"wsu-column\"  style=\"\">\r\n\t\n<div class=\"wsu-cta wsu-text-align--center wsu-cta--width-full wsu-spacing-after--xxsmall\" >\n\t<a \t\t\t\t\thref=\"https:\/\/medicine.wsu.edu\/gme\/#programs\"\t\n\t\tclass=\"wsu-button  wsu-button--style-outline wsu-button--size-small\">\n\t\t\t\n\t\tView all Residency Programs\t\t\t<\/a>\n<\/div>\n\n<\/div>\r\n\n<\/div>\n    <\/div><\/section>","protected":false},"excerpt":{"rendered":"<p>X+Y Scheduling Model Our program transitioned to a 4+2+2 rotation schedule model in July of 2026. This change was made in response to resident feedback and co-design. The goals of moving to the 4+2+2 system were to improve continuity of care for both inpatient and ambulatory rotations and enhance work-life integration for residents. In a [&hellip;]<\/p>\n","protected":false},"author":34189,"featured_media":0,"parent":127,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_wsuwp_accessibility_report":null},"categories":[],"tags":[],"wsuwp_university_location":[],"wsuwp_university_org":[],"_links":{"self":[{"href":"https:\/\/medicine.wsu.edu\/gme\/wp-json\/wp\/v2\/pages\/257"}],"collection":[{"href":"https:\/\/medicine.wsu.edu\/gme\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medicine.wsu.edu\/gme\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medicine.wsu.edu\/gme\/wp-json\/wp\/v2\/users\/34189"}],"replies":[{"embeddable":true,"href":"https:\/\/medicine.wsu.edu\/gme\/wp-json\/wp\/v2\/comments?post=257"}],"version-history":[{"count":58,"href":"https:\/\/medicine.wsu.edu\/gme\/wp-json\/wp\/v2\/pages\/257\/revisions"}],"predecessor-version":[{"id":4392,"href":"https:\/\/medicine.wsu.edu\/gme\/wp-json\/wp\/v2\/pages\/257\/revisions\/4392"}],"up":[{"embeddable":true,"href":"https:\/\/medicine.wsu.edu\/gme\/wp-json\/wp\/v2\/pages\/127"}],"wp:attachment":[{"href":"https:\/\/medicine.wsu.edu\/gme\/wp-json\/wp\/v2\/media?parent=257"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/gme\/wp-json\/wp\/v2\/categories?post=257"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/gme\/wp-json\/wp\/v2\/tags?post=257"},{"taxonomy":"wsuwp_university_location","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/gme\/wp-json\/wp\/v2\/wsuwp_university_location?post=257"},{"taxonomy":"wsuwp_university_org","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/gme\/wp-json\/wp\/v2\/wsuwp_university_org?post=257"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}