Frequently Asked Questions

Are there any other residency programs here?

CWFMR is an unopposed residency program – resources are therefore directed to the residency program and it’s support. We believe this allows our residents to receive true full-spectrum training.

What are some social events and activities in Yakima?

Yakima is an ideal location for those who enjoy outdoor activities, with very quick, traffic-free access to rock climbing, hikes, rafting, snow sports, and more. There are several festivals throughout the year in the city, including Fresh Hop Ale Fest, A Case of the Blues, and more.

What is the patient population?

Yakima has a population of about 250,000, a majority of which are either white or Hispanic, and is a medically underserved urban community. As a result residents are exposured to complex pathology while also making a real impact in patient’s lives.

Do you have a night float system?

A second-year resident works night shifts for two consecutive weeks at a time, while on their inpatient medicine rotation.

What is call like? Do you get any sleep?

Clinic call lasts for one week, and residents are asked to answer patient calls when the clinic is closed (after 5PM until 8AM on weekdays, and all day Saturday & Sunday). On average, residents receive four calls per night, and usually none after midnight.

How many months of call do you have?

First year residents are assigned 1-2 weeks of clinic call per year. Second-year residents are assigned 2 weeks of clinic call per year. Third-year residents are assigned 3 weeks of clinic call per year.

Does the program provide handheld computers?

Yes! Every resident receives a laptop to be used during their residency. Laptops are capable of remote access to the EMR.

Is there an intern support group?

There is a biweekly residency support group held on Mondays. In addition, the residency purchased and implemented a longitudinal Wellness Curriculum that began with the 2020 academic year.  Our Committee for Residents Experiencing Difficulty (Educational Advancement Committee (EAC)) manages and supports any resident who is struggling either emotionally or academically. Interns are paired with a mentor upon entering the program.

What kind of teaching and didactics do you receive?

Formal didactics take place every Wednesday from 1-5PM and cover a wide range of important Family Medicine topics. Some didactic time is used for workshops including casting, vaginal repair, & dermatology.

I am interested in research. Are there opportunities for me?

Yes, Community based primary care, (Community Medicine Rotation during R2) and Quality Assurance Rotation (3rd year).

How does obstetrics fit into your curriculum?

Our program places a strong emphasis on obstetrics. There is enough volume to get as many deliveries as you want. Residents have 8 weeks of obstetrics in their first and second years – this includes covering labor and delivery, ultrasound clinic (dating and fetal anatomy ultrasounds), and outpatient OB clinic. Residents are also assigned continuity patients early in their first year, who they will manage in their own clinic.

Having several FP-OB faculty in the residency clinic practice ensures you will have the opportunity to manage high risk, continuity patients as well.

What kind of procedures do you learn?

Residents at CWFM have the opportunity to do a wide array of procedures:

Ultrasounds: OB (1st, 2nd and 3rd trimester), POCUS, MSK; Joint injections; Trigger point injections; Prolotherapy; Trigger finger injections; Tendon sheath injections; Nerve blocks (carpal tunnel, ulnar nerve, occipital neuralgia etc.); Intralesional injections (psoriasis, etc.); Punch, shave, excisional biopsies; Skin lesion destruction; Subcutaneous mass removal; Epidermal inclusion cyst removal; Laceration repairs; Breast cyst aspiration; Colposcopy, cryo/LEEP; Bartholin gland marsupialization; Dilation and suction/curettage; Nexplanon; IUD placement; Vasectomy; Circumcisions ; Tubal ligations; Cesarean sections; Flexible sigmoidoscopy; Rubber band ligation of internal hemorrhoids; Hemorrhoidectomy (external); Spirometry ; ECG; X-ray; Casting/Splinting; Toe nail removal.

View Curriculum Here

Will I learn how to do C-sections?

Residents are first assists on every C-section while covering labor and delivery and are encouraged to participate to a greater degree if comfortable and interested in doing so. Several FM faculty are credentialed to perform C-sections at Local Community Hospital our local community hospital.

Will the residency help my significant other find employment?

They are more than happy to help!

Are meals covered?

While residents are on inpatient services, all meals are covered! There is also catered lunch every Wednesday for didactics.

Do residents and faculty socialize outside of work?

Residents and faculty frequently socialize outside of work – many of the local activities are done together. They also get together to play basketball weekly during the summer, go skiing together in the winter, and have BBQ’s to name a few.

What are the salary and benefits for the residents?

First-year residents earn $52,630, second-year residents earn $55,080, and third-year residents earn $58,450. This is fairly equal to most other residencies in the nation, but because the cost of living is much friendlier in Yakima, salaries go a lot further.

$1,500 CME funds are provided over three years and can be used for conferences, medical textbooks, subscriptions, or equipment. ACLS, ALSO, & NRP courses are covered. USMLE and COMLEX Step 3 are covered. Limited and Full Washington Medical Licenses are covered. Medical, dental, and vision insurance is also provided. Please see https://www.cwfmr.org/resident-benefits/ for full benefits.

Do residents have a voice in decision-making?

Residents are frequently asked for feedback and input and are assigned to a variety of external and internal committees each year. Chief Residents hold a Res-Res meeting every other month and liaison with residency and sponsoring institution leadership to communicate issues or questions that arise. Curriculums and rotations are routinely revised to improve resident learning, and resident feedback plays a crucial role in these decisions.

Are residents involved in teaching medical students?

Residents are very involved in teaching third and fourth-year medical students in all areas of family medicine – outpatient, inpatient, & obstetrics. Third-year clerkships are available for students from Pacific Northwest University & University of Washington, but fourth-year sub-I’s are open to all students. Please visit https://cwfmr.org/student-rotations/ to apply

Are residents allowed to do away electives?

Yes! Residents may use one of their third year electives to do an away rotation, which may also be international. Residents have done rotations in Guam, Malawi and India to name a few.