The Kaiser Permanente Family Medicine Residency is a pioneer in the implementation of the patient-centered medical home during residency training. Our model of training is set to the direction for health care of the future. Resident training is both science-based — teaching evidence-based medicine — and systems-based immersing residents in a fully functional health care system. Residents graduate with the skills necessary to transform primary care.

Training at Kaiser Permanente differs from the traditional "block" model employed at many residency programs. Instead of focusing exclusively on one service or specialty each month, our trainees see patients in clinics, provide inpatient OB and IM care, treat urgently sick patients, care for a geriatric panel, and participate in rotating sets of specialty experiences organized longitudinally.

Resident-driven learning is emphasized with training tailored around the resident's professional interests. Other unique training opportunities include health systems-based training and Kaiser Permanente's Lean-based management system. Curriculum revisions and updates are centered around resident feedback with resident curriculum chiefs leading this effort.

Kaiser Permanente and Swedish Hospital share facilities in Seattle. Residents' inpatient medicine, surgery, and obstetrical experiences take place with Washington Permanente Medical Group, but are located at Swedish Medical Center.

Didactics and Conferences

Didactics are scheduled weekly. Didactics vary from formal presentations to informal case-based discussions. Residents rotate in giving presentations as well as leading our monthly journal club. One afternoon a month, the Teaching Interdisciplinary Clinic sessions focus on incorporation of evidence-based guidelines and point-of-care tools in providing care for patients with a chronic disease, with time then set aside for each resident to review his or her own patients and provide outreach as indicated. The residency also supports reflection time for residents, and this includes Balint sessions as a group, as well as separate class check-in time.