Internal Medicine


Purple Team

The purple inpatient team is a novel approach to assisting the senior resident develop skills to manage a team as well as learn/practice educational techniques. This year, this team is changing into an admission-only team to hone triage and admission skills and to improve workflow of the rounding housestaff teams.

    Spokane 10

    Our residents and faculty consider these 10 diagnoses to be the cornerstone to internal medicine. We encourage every R1 to master this list – everything from epidemiology, pathophysiology, diagnosis and treatment.

    • Diabetes/DKA
    • COPD/asthma
    • Sepsis
    • Afib
    • Cirrhosis
    • ACS (includes STEMI, NSTEMI)
    • Stroke
    • GI Bleed
    • AKI/CKD
    • PE/DVT


    Residents are the hospital code team and are kept up-to-date in ACLS training.  The program provides supplemental training (advanced airway management, pharmacology and cardiac rhythm lectures, interdisciplinary code team training) to truly prepare our residents to feel confident running codes.


    Second year residents take an ACLS-EP course given by the IMRS faculty.

    • Provides recertification for ACLS (IMRS pays for the course and cards)
    • Allows exploration of in-depth, but less common ACLS scenarios
    • Hypothermia
    • Toxins, including poisoning
    • Severe asthma management
    • Lightning strikes
    • Advanced electrolyte abnormalities
    • Advanced airway procedures(using pig tracheas for cricothyroidotomies)

    IMRS Faculty

    IMRS is fortunate to have a faculty dedicated solely to medical education.  They are creative and innovative in their approach to medicine and are interested in each learner.

    “The faculty are so deliberate on providing us as many useful learning opportunities as possible while also actively seeking our feedback.”

    Taylor Christensen

    Class of 2019

    Transition To Senior Resident

    All of the R1s attend an evening (complete with food) with the Program Director and a senior resident. R1s learn the duties of a senior resident including how to present to attendings at night, guidelines for calls, covering clinic patient calls, etc. In addition, they identify traits they wish to emulate as a senior resident and those they will avoid. Leadership of a team is discussed and they troubleshoot potential problems inherent in a team. This work is continued in the Teach the Teacher workshop.

    Teach The Teacher Workshop

    Annual workshop organized by faculty and fellows, geared specifically to give tools for success for senior residents.

    Topics include:

    • Teaching skills for senior residents
    • Grading, teaching and managing medical students
    • Dealing with difficult interns and faculty
    • Being an effective senior on night float
    • Conflicts at the workplace
    • Managerial skills for senior residents
    Student Teaching Conference


    IMRS provides a vital Medical Humanities curriculum, built on evidence of clinically-relevant empathy and adult learning of “theory of mind.” Noon conferences use narrative literature to examine our own stances and assumptions, and navigate difficult ethical and clinical situations. Social science elements build cultural humility and required care competencies. The history of medical thought illuminates physicians’ moral and functional role in society. Physical examination skills are taught using in part art-based habits of observation and interpretation. Centrally, IMRS emphasizes Medicine itself as an Art, a set of actions to be practiced and performed, rather than just a body of facts to be known.

    IMRS faculty maintain an active education-research program on the impact of humanities work on clinical performance and human empathy. We encourage our residents to participate in scholarly activity, research, publications and presentations in this arena, along with their other clinical interest topics.

    Your residency starts here. What are you waiting for?