SIHB Family Medicine Residency Program



					Frequently Asked Questions *What kind of OB numbers should I expect?* During first year rotations at First Hill Campus at Swedish Hospital, residents do a minimum of 30 vaginal deliveries, usually more. SIHB residents start to care for prenatal patients during their first months of the R1 year, and typically start to deliver patients from their own panel by January of the R1 year. Residents may get from 6-12+ continuity deliveries per year from their own panels and should expect to have delivered 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 the precepting during your clinic hours. Some faculty members also see patients here, so you will have additional opportunities to interact with them during faculty clinic hours. Faculty members are on-call with R2’s and R3’s who take clinic call for our patients after hours, and admissions and deliveries are done together. Faculty members attend Tuesday Providence didactics as their schedules allow, and bimonthly SIHB faculty-resident meetings, weekly perinatal team meetings, and periodic clinic-wide retreats and gatherings provide other interaction opportunities. *What kind of Pediatric training should I expect?* Inpatient 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 includes 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 – 50 percent 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 Providence site. Procedures done 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 get 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 Providence or SeaMar?* We have a higher percentage of adults, especially those with chronic complex diseases. We have two half-time behavioral scientists, one with additional credentials in chemical dependency. We require 2 out of 3 possible elective months be spent at an Indian Health setting away from Seattle. Our demographics include 60 – 70 percent NA/ANS, and smaller numbers of Latinos, Asians, African Americans & Caucasians. *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. *Will I feel awkward as a non-Indian person working in this setting?* The SIHB staff represents 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. *Have other questions? Please feel free to ask any of us!* You can e-mail our site director, Dr. Michael Erickson, at michaele@sihb.org or our coordinator, Robin Snyder at robins@sihb.org if you have questions after your interview. To phone either Michael or Robin directly (24 hours/day), please dial 206.834.4019. © 2007 SIHB Family Medicine Residency Program - All rights reserved Privacy Notice
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