PeaceHealth Family Medicine of SW Washington

How many residents are trained?

Family Medicine of Southwest Washington is an 8/8/8 program. It is a three-year training program, with 8 first-year residents, 8 second years and 8 third years. Having completed the thirty-six month curriculum, residents are eligible to sit for the American Board of Family Medicine board exam. They then become board certified family physicians, and fully employable.

Our program opened its doors for establishment of a clinic in 1995, and we graduated our first residents in 1997. The program is sponsored by PeaceHealth Southwest Medical Center, supported by PeaceHealth Medical Group, and is academically affiliated with the University of Washington School of Medicine.

Where do graduates practice?

As of June 30, 2021, we have 175 graduates:

• 98 practice in the Vancouver/Portland metropolitan area:
• 41 are in Clark County
• 26 work for PeaceHealth Medical Group

9 at FMSW (residency), Vancouver

8 at Fisher’s Landing, Vancouver

1 at PeaceHealth Woodland

1 Memorial Campus Urgent Care, Vancouver

1 at PHSW Wound Care Clinic

1 at Union Station, Vancouver

1 at 87^th St. Clinic, Vancouver

1 in Longview, Washington

1 in Florence, Oregon

1 in Bellingham, Washington

1 in Friday Harbor, Washington

The rest of our graduates are located mostly in the Pacific Northwest, with smaller numbers serving communities in Hawaii, Alaska, California, Utah, Arizona, New Mexico, Illinois, Missouri, Arkansas, Mississippi, New Hampshire, New York, North Carolina, and Florida. Globally, FMSW graduates have a presence in Kenya, Malawi, and Zimbabwe.

Does the residency sponsor Fellowships?

Yes. The program has an accredited Sports Medicine fellowship, fully funded by the program, training one

fellow per year.

Does FMSW provide services in addition to Primary Care with OB and Pediatrics? Yes, specialty clinics and curriculum offered by core residency faculty incudes:

• Endocrinology consultation
• Women’s Health Consultation and Procedures
• General Procedures/ Vasectomy
• Musculoskeletal and Sports Medicine
• Integrated Mental Health Program with comprehensive counseling and prescribing

• Mental Health Medication Consultation
• HIV, Hepatitis C, and Transgender Care
• OMT (Osteopathic Manipulation Therapy)
• Integrative Medicine Consultation
• Suboxone Clinics for MAT (Medication Assisted Treatment) of opioid addiction and for chronic pain.
• “Bloom” Clinic, a collaboration with Lifeline Connections Women’s Recovery Center, to provide
  Maternity, Newborn, Pediatric care for women in residential substance abuse treatment.

• “Eat, Sleep, and Console Model” leadership/chair, faculty Heidi Radlinski, MD. Babies born after intrauterine exposure to opioids have both short- term and long-term effects. Historically, Neonatal Opioid Withdrawal Syndrome (NOWS) with significant withdrawal symptoms is treated with opiates, requiring NICU admission and intensive nursing involvement and extended length of stay. In 2010, Dr. Grossman at Yale School of medicine implemented a new method called Eat, Sleep, Console (ESC) keeping infants in a low-stimulation environment focused on keeping mother and child together. Breastfeeding is encouraged and skin to skin used as a treatment method. An integral part of the Eat, Sleep and Console model involves increased caregiver/parent involvement and normalizing the at-risk infant’s environment. A multidisciplinary workgroup at our hospital, led by Family Medicine of Southwest Washington has been developed to transition to the ESC Model at the Family Birth Center at PHSW.

• Pharmacy consultative services for patients with complex medication profiles.
• Dedicated anticoagulation clinic for warfarin (coumadin) management

Does the Residency only train Family Physicians?

Family Medicine of Southwest Washington sponsors interdisciplinary training in healthcare professions

critical to the Patient Centered Medical Home. This includes:

• 6 Masters level graduate students in Marriage and Family Therapy through an educational collaboration with Lewis and Clark College
• 2 Masters level Medical Social Worker (MSW) interns
• 2 PGY-1 (post-doctoral first year) Pharmacy Residents
• 1 PGY-2 (post-doctoral second year) Pharmacy Residents

How does FMSW Serve the Community?

FMSW serves diverse ethnic groups in Vancouver, which includes a large Latino and Russian population. FMSW focuses on other “high-needs” vulnerable populations, such as those with substance use disorder, mental illness, and homelessness. FMSW and PeaceHealth sponsor the programs below, providing residents with additional opportunities for contribution to the local community:

• Community Free Clinic
• Grant-supported Cervical and Breast Health Screening program
• Procedure Clinic for the Uninsured
• New Heights Free Clinic
• Annual Sports Physical Clinics for the Vancouver School District