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The Omak Rural Training Program is a unique 1:2 program with a busy urban first-year experience at the MultiCare Tacoma Family Medicine’s Residency Program, then a hands-on real life rural Family Medicine for their 2nd & 3rd years in Omak on the Eastern side of the state. In Omak, inpatient training will be at MidValley Hospital, the critical access hospital for the Omak area serving a rural population of close to 44,000. In Omak, outpatient and community medicine training is from Family Health Centers an FQHC with a recently built community clinic in Omak that offers 6 Medical Clinics, 2 Pharmacies, 4 Dental Clinics and 2 mobile units