SIHB Family Medicine Residency Program



					Frequently Asked Questions *What kind of OB numbers should I expect?* During the first year on Labor Delivery rotations at Swedish Hospitals, our residents perform a minimum of 30 vaginal deliveries, usually more. SIHB residents begin to care for prenatal patients during their first months of the R1 year. Our residents may receive 12+ continuity deliveries per year from their own panels and should expect to have delivered at least 100 patients by the time they graduate. Elective rotations to other Indian health sites may provide more delivery experience, if desired. *What is the contact with SIHB faculty?* There are currently five core faculty members at our site, and all share in precepting during your clinic hours. Some of our faculty also see patients at our facility, so you will have opportunities to interact with them during faculty clinic hours as well. Faculty attend on all admissions from SIHB to the Family Medicine Service. Faculty attend Tuesday Cherry Hill didactics as their schedules allow, and bimonthly SIHB faculty-resident meetings, and weekly perinatal team meetings. Periodic clinic-wide retreats and gatherings provide other opportunities for interaction. *What kind of Pediatric training should I expect?* Peds and ER Peds training occurs in the R1 and R2 year at Children’s Medical Center. SIHB residents also have the opportunity to work with Dr. Peter Talbot to round on SIHB peds patients at Children’s Hospital, as he is also an attending there. Dr. Talbot is available for consultation on any peds questions you may have in the clinic setting. Our clinic experiences a significant number of walk-in clientele that include acute illness Peds care. Resident panels are monitored closely to maintain at least a 20 percent panel of patients under the age of 19. Dr. Brent Oldham, a popular pediatrician on the Providence faculty, also offers 1:1 teaching clinics for R3’s as an elective. A new outpatient Peds elective began in Summer 1999 (for R1’s). *Do you see non-Indian patients in the clinic?* Yes. About 40% of clinic patients are non-Indian and reflect the ethnic mix of the greater Seattle area. This does not include the multi-ethnic nature of inpatient admissions during the R1 and R2 inpatient rotations, or R3 electives. *What types of clinic procedures will I be doing?* A bi-monthly procedure clinic began at SIHB in November 1999. Our clinic performs common outpatient procedures, including casting and ortho injection techniques, minor surgery, dermatology procedures, colposcopies and contraceptive inserts. Training for OB ultrasound and flex sig are available at the Cherry Hill site. Procedures performed in clinic are tracked on a quarterly basis. Elective time can be used to gain additional experiences and skills. *Is your clinic busy enough? Do you track productivity and types of diagnoses we see as residents?* Residents receive regular feedback on their productivity and types of patient visits. Quarterly tracking of the age/sex breakdown of residents’ patient panels and the top 10 diagnostic categories are also included. Residents can expect adjustments to their panels and clinic schedules should this data suggest the need to do so to meet RRC national standards. *How does this site differ from Cherry Hill or SeaMar?* We have a culturally specific curriculum, integrating patient care, sensitive to the different tribal customs. The Residency Program holds regular monthly "cultural night" evening meetings/potlucks, enjoying camaraderie time as we share and learn enriching traditions of the culture to better serve our patients. We have access to our Traditional Health liaison and many other employees that are available for our program to learn from. Residency staff also participate in SIHB cultural events through the year. We require two out of three possible elective months be spent at an Indian Health setting away from Seattle. Our demographics include 50-60% NA/ANS, and smaller numbers of Caucasians, Latinos, African Americans and Asians. *Will this residency prepare me for practice in a rural area?* Yes. Our graduates have gone on to work in both rural and urban settings. Elective time may need to be used to obtain additional OB, orthopedics, trauma and other skills. Like most family practice residencies, SIHB does not focus on acquisition of inpatient surgical skills, including operative obstetrics. The Residency Director oversees an area of concentration in rural health that includes trauma training. *Will I feel awkward as a non-Indian person working in this setting?* The SIHB staff represent people of multiple tribal and other ethnic backgrounds. Our patients and staff are most interested in the demonstration of respectful and caring attitudes among all health care providers – not what they look like. Our past residents have assured us that they felt welcomed and appreciated here. *If you have other questions, please feel free to ask us!* Dr. William Alto, Residency Director Lyn Garvey, Residency Assistant E: lyng@sihb.org 206.834.4019. © 2007 SIHB Family Medicine Residency Program - All rights reserved Privacy Notice
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