Internal Medicine

 Depth of Training


Ultrasound workshop/Bedside Point-of-care Ultrasound curriculum: Our US workshop is offered at the beginning of the academic year and ongoing training is scheduled with residents in the simulation lab. The goal is for residents to become comfortable performing common bedside procedures using ultrasound guidance. In addition to using bedside ultrasound for therapeutic purposes, we have designed a bedside point-of-care US curriculum. We train residents to use bedside ultrasound to assist with real-time clinical decision making.

LV Function Assessment


IMRS residents perform many procedures, usually with ultrasound guidance. Residents do not compete with fellows for the experience.

Residents generally obtain at least 20 central lines (although several residents have numbers in the hundreds). Other common procedures include arterial lines, paracentesis, thoracentesis and dialysis catheter placement.

    “In my first year, I had over 90 procedures including central lines, arterial lines, chest tubes, paracenteses, thoracenteses and lumbar puctures.”

    Vanessa Hoytfox

    Class of 2022

    HIV Clinic

    Spokane Internal Medicine Residency prepares residents for future practice in managing HIV and related diseases by having residents participate in a developed, integrated HIV curriculum where people living with HIV are followed by residents as their primary care provider in the resident continuity clinic.  During each ambulatory block, residents will get 1:1 teaching with faculty who are HIV specialists on how to manage HIV patients in the outpatient setting while seeing patients in our HIV walk-in clinic.  Residents will have access to the UW National HIV Curriculum and the opportunity to discuss cases with UW HIV ECHO one afternoon per week.  No matter the setting of their future practice, we train graduating residents to provide high-quality medical care to persons currently living with HIV.


    Hepatitis C Clinic

    The Hepatitis C clinic is a collaborative opportunity for both Internal Medicine and Family Medicine residents. Residents learn to evaluate referred patients with chronic Hepatitis C and to prepare them for treatment with new direct acting antiviral medications. The clinic works closely with pharmacy residents and faculty in the outpatient pharmacy clinic at Providence Sacred Heart Medical Center, enabling a maximum amount of learning with a minimum of paperwork as residents follow patients throughout the treatment process.

    Your residency starts here. What are you waiting for?