Continuity Clinics

Virginia Mason has a long tradition of excellence in ambulatory internal medicine. Virginia Mason residents consistently score in the top 10th percentile in general internal medicine on national exams and frequently go on to enjoy careers in primary care. All categorical and primary care track residents have a single continuity clinic for their three years of training.

Throughout the three years, residents spend on average one full day per week at continuity clinic (some rotations more, and some less due to inpatient demands).

  • Residents do not have inpatient or elective duties on their clinic days
  • On electives, one to two full days of clinic each week
  • On wards, one clinic day every other week
  • On ICU and Night float, no clinic

Residents establish a panel of patients and have initial and primary responsibility for evaluation, decision-making, care planning, record keeping, follow-up and ongoing management for all their continuity clinic patients. Attendings supervise residents with increasing autonomy as they demonstrate abilities to provide excellent patient care. Residents are part of a team of care providers in the ambulatory setting, including attending physicians, nurses and medical assistants.

“The ability to request a clinic site gives you the ability to have a unique experience. Having consistent attendings gives you the ability to form a mentorship and continue to work on your strengths and weaknesses. The benefit of this is that their teaching can continue to build off itself, week-by-week and year-by-year.” — Chad Rieck, MD, class of 2020

We have two options for continuity clinics:

  • The Eastgate Public Health Clinic
    • Diverse underserved patient population and complex medical disease
    • Traditional residency clinic format
  • The Virginia Mason Continuity Clinic
    • Showcasing the Virginia Mason Production System in a primary care model
    • One-on-one preceptorship

Eastgate Public Health Center

Residents can request to be assigned to the Eastgate clinic for their weekly, full-day continuity clinic. Eastgate is a King County Public Health Clinic that has partnered with Virginia Mason since 2008 to serve the health care needs of the community and improve resident education. Residents at Eastgate quickly establish continuity with their panel of patients and are truly seen as the patients’ primary physicians. Residents learn to manage a stunning diversity of illness presentations in a resource-limited setting with the assistance of Virginia Mason teaching faculty. The partnership between Eastgate and Virginia Mason allows for expanded access to primary care for underserved patients, while providing a rich educational opportunity for our residents.

Eastgate is the largest of three King County public health clinics. Started in 2008, this public-private partnership has been very successful in its goals of educating residents and providing increased health care access in King County. Residents manage a diverse population of underserved, largely non-English speaking patients under the supervision of Public Health (mornings) and Virginia Mason educators (afternoons). Ancillary services at Eastgate are excellent — with onsite Spanish interpreters, as well as nurses and medical assistants, dedicated to the Virginia Mason program. By expanding the capacity of the clinic, residents play valuable roles in providing care to patients who might otherwise go without adequate health care.

“Eastgate is an amazing experience. Every clinic day, I leave feeling I’ve made a difference in my patients' lives; providing care they otherwise would not have access to, helping empower them with knowledge and understanding of their health conditions, and learning from them in return both about complex medical conditions and culturally competent care.” — Cheyenne Enevold, MD, class of 2021

Virginia Mason Continuity Clinics

Designed in direct response to resident feedback, this unique continuity clinic model pairs each resident with one or two Virginia Mason general internal medicine attendings for all three years of residency. Residents manage their panel of patients while being integrated into the larger clinic, providing hands-on experience in a cutting edge, high-functioning primary care clinic. Working with the same preceptors throughout residency allows for more personalized resident education, creates a strong, personal relationship with an experienced clinician, and offers insight into the long-term benefits of primary care.

Two main locations: Downtown Seattle and Lynnwood. Possibility of other Virginia Mason regional clinics, if strong resident preference — Kirkland, Bellevue, Issaquah, Bainbridge Island and Federal Way.