Annual Report
2001-2002
.
Education
UNIVERSITY-BASED RESIDENCY SECTION
The University of Washington's Family Practice Residency Program at the Academic Medical Center remained a strong program with an excellent reputation among students and educators nationwide. In June, the Program graduated a full class of eight residents for a total of 185 family physicians produced since its inception. Two of these graduates trained at the Program's satellite at Harborview Medical Center, now in its fifth year of operation. Despite a three-year national downturn in the match rates of family practice residency programs, the University's Program continued to fill with well qualified applicants. Additionally, the sports medicine fellowship has continued to attract and graduate one fellow each year. The program also continues as a training site for medical students, pharmacy residents, interns in behavioral science, and residents in obstetrics. Currently there are 24 family practice residents in the program, with 18 residents located at the Roosevelt Family Medical Center and six residents located at Harborview Medical Center.
The mission of the residency is to train family physicians for practice, with a priority for underserved areas in the Pacific Northwest and for academic or health policy involvement. To fulfill that mission, the residency has maintained active and full service clinical practices at its family practice centers at Roosevelt and Harborview that serve diverse populations of patients. Although service to the medically underserved occurs through care at each FMC, there is a particular emphasis on this at the Harborview satellite and through the care of patients at Columbia Health Center, a federally designated underserved site.
Strong training in clinical family medicine remains the cornerstone of the educational program, and combines ambulatory practice through each resident’s own panel of patients at the FMC’s with outpatient and inpatient training utilizing sites throughout the University and Harborview medical systems. The program also exposes residents to rural practice, and allows them to pursue interests in care for the underserved. Educational strategies in the family medical centers emphasize an interdisciplinary approach to training and patient care through the involvement of behavioral science, pharmacy, social work, nursing, and other disciplines. Additionally, the program has provided opportunities for residents to pursue special interests in research or health policy, and several residents have pursued these options within the last several years. To further develop this mission, a residency task force is designing a formal elective track for residents to evolve more advanced skills through involvement with projects and mentorship in research or health policy during their resident training.
The quality of residents and graduates of the program remained extremely high with a continued 100% pass rate for Board Certification. Overall in-training and Board Certification exam results remained consistently above national means. Of the 2002 graduates, one entered a sports medicine fellowship, three are practicing at Indian Health Service sites in the Southeast, one in a rural setting, one in a community health clinic, one in an urban practice, and one is providing locum tenens at this time.
Operationally, negotiations are being completed between the University of Washington Medical Center and the Department of Family Medicine to reconfigure financial support and oversight for the program. As part of this negotiation, the leadership structure of the program was modified to align educational and operational elements of the clinical operations. Additionally, a pro forma was projected for performance expectations for the Family Medical Center, and a redesign process for operations has been started. Several challenges for the Center remain, including marketing for specific patient demographics, assessing the impact of billing and reimbursement system changes, and planning for staffing needs.
The main sources of income generated by the residency during 2001-2002 included direct clinical income, federal reimbursement for graduate medical education, and state line funding for certain faculty positions. In addition, the residency program received $98,496 through State of Washington Primary Care Training Funds and $93,380 in federal educational grant funding during the 2001-2002 year.
The following residents and fellow graduated from the Program in 2002:
-
Ian Alward, MD
Layne Bracy, MD
David Della Lana, MD
Jeffrey Kim, MD
Gretchen Lockard, MD
Wuaca Luna, MD
Hikmat Maaliki, MD
Elizabeth Sanchez Fuentes, MD
Santana Macias Fontana, MD – Sports Medicine Fellow.
| Laura Gottlieb, MD | Harvard Medical School |
| Jeff Huebner, MD | Medical College of Wisconsin |
| Kelley Kennedy, MD | George Washington University SOM |
| David Krivan, MD | Tufts University |
| Ai-Khue Nguyen, MD | E. Tennessee State University |
| Cynthia Ohata, MD | UW School of Medicine |
| Art Wendel, MD | Tufts University |
| Catherine Zeh, MD | University of Illinois College of Medicine |
Home URL: http://www.fammed.washington.edu/