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Introducing the Sea Mar Marysville Family Medicine Residency

Monday, October 16, 2017   (0 Comments)
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By Stephanie Velasco, Communications Specialist, Sea Mar Community Health Centers

Since the opening of its first clinic in 1978, Sea Mar Community Health Centers has grown to become one of the largest network of CHCs in the country. Sea Mar’s network of services includes 34 medical clinics, 24 dental clinics, 30 behavioral health clinics, 9 pharmacies and several human and educational services across 13 counties in Washington state.

To add to its ever-growing list of services and programs, the nonprofit organization now has its own accredited family residency program in Marysville. Part of Sea Mar’s mission is to increase access to health care, and one of the most effective ways to do that is to recruit students to train in a community health setting. The Sea Mar Seattle Medical Clinic has been a residency rotation clinic in partnership with Swedish Hospital for the past 30 years, and the partnership extended in 2015 with a nurse practitioner residency program. This year Sea Mar is excited to launch its Marysville Family Medicine Residency, accredited by the Accreditation Council for Graduate Medical Education (ACGME).  

There is recognition that the US health care system is expensive and does not have real high quality measurements compared to other civilized countries. A primary reason for this is that comparatively, we have a lower percentage of physicians in the primary care workforce, making health care more costly. To increase the number of physicians in Washington, the UW School of Medicine has increased their class size, emphasizing the importance of placing more graduates into primary care. With more students entering family medicine, there has been a need for more residencies. The state legislature recognizes this and has provided monies to support developing and new FM residencies, like the Sea Mar Marysville Family Medicine Residency.

The residency was a vision of Rogelio Riojas, Sea Mar CEO, and Dr. Ricardo Jimenez, Sea Mar Chief Medical Officer, as they both see the need for more family physicians, specifically in CHCs, to serve the underserved communities and the Latino population. With Sea Mar as the institutional sponsor (which is different than most residencies as they are typically sponsored by a hospital), Sea Mar is able to train residents in community health.

Six residents started the residency program in June 2017 and are set to graduate in 2020, and recruitment has already begun for the 2018 cohort. Sea Mar’s goal is to graduate excellent family medicine physicians capable of performing comprehensive, full-spectrum family medicine, both in ambulatory and inpatient settings. Continuity clinics are held primarily at the Sea Mar Marysville clinic, with several half-days per month at the Sea Mar Everett clinic. Upon graduation residents will be capable of handling the daily clinical patient encounter volume expected of a typical CHC provider.

A few highlights of the curriculum include:

·         32 weeks of training in Internal Medicine/Family Medicine Hybrid Service at Providence Regional Medical Center Everett (PRMCE)

·         24 weeks of training in Obstetrics at PRMCE

·         12 weeks of training in Emergency Medicine at PRMCE and Seattle Children’s Hospital


Providence Regional Medical Center Everett, just 15 minutes away from the Sea Mar residency clinics, is a modern 500 bed community hospital with the busiest ER in the state of Washington. While rotating at PRMCE residents will be ‘unopposed.’ This means there are no other residencies competing for patients, attendings and procedures. There is plentiful volume, allowing for some resident/faculty selection of patient types that will be optimal for the family medicine/internal medicine learning experience.

One block of inpatient pediatrics and one block of pediatric emergency medicine trainings are done at Seattle Children’s Hospital. This renowned medical center has a national reputation as a leader in pediatric medical care and residents will benefit from the expertise of the Children’s attendings.

The Sea Mar Marysville Family Medicine Residency trains residents to improve the health of individuals and communities, while seeking to alleviate health disparities. With this new residency program, Sea Mar will continue to attract students to community health and stay in community health as they move on to their career as a physician, whether it be at Sea Mar or another health center.


Photo 1: Class of 2020 holding Sea Mar Marysville Family Medicine Residency’s framed mission statement (from left to right) Raymond Aguilar, Zeena Al-Tai, Andrea Carnie, Leonel Oliveros-Rosen, Jessica Lazar, Kirstin Hansen.


Photo 2: Class of 2020 group selfie (from left to right) Zeena Al-Tai, Leonel Oliveros-Rosen, Andrea Carnie, Jessica Lazar, Kirstin Hansen, Raymond Aguilar.


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