A–4 STANDING COMMITTEES Academic and Student Affairs Committee

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UW School of Medicine – Gonzaga University Regional Health Partnership and WWAMI Update INFORMATION This item is for information only. BACKGROUND In the early 1970s, the University of Washington took on a bold challenge to train and prepare physicians to care for patients and communities throughout the WAMI states, Washington, Alaska, Montana and Idaho (Wyoming joined in 1996). Today, this regional medical education program known as WWAMI (an acronym representing the states it serves) is known as one of the most innovative medical education and training programs in the country. The program has five primary goals:

• provide publically supported medical education, • increase the number of primary-care physicians, • provide community-based medical education, • expand graduate medical education (residency training) and continuing

medical education, and • provide all of this in a cost-effective manner.

The program has been recognized by the Association of American Medical Colleges with the Outstanding Community Service Award and has been identified as one of the nation's top primary-care, family medicine and rural medicine training school by U.S. News & World Report. A majority of the students training in the program choose to remain and practice medicine within the five-state region, and over half choose careers in primary care, helping to stem the shortage of primary care physicians, especially in rural areas. The WWAMI region is 28 percent of the US landmass but has less than 5 percent of the US population. This means much of the population in the five Pacific Northwest states lives in rural and largely underserved communities. The University of Washington School of Medicine MD program hosts 6 foundations phase site locations within the WWAMI region, each of which offers a unique regional experience. The six sites include:

• Seattle, Washington

STANDING COMMITTEES Academic and Student Affairs Committee UW School of Medicine – Gonzaga University Regional Health Partnership and WWAMI Update (continued p. 2)

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• Spokane, Washington • Laramie, Wyoming • Anchorage, Alaska • Bozeman, Montana • Moscow, Idaho

CURRICULUM RENEWAL The UW School of Medicine (UWSoM) began a curriculum renewal process in 2010, prompted by UW School of Medicine’s commitment to providing exceptional training for tomorrow’s leading physicians and advancing knowledge across the medical field. The curriculum aligns with new national standards of medical education brought about by broader shifts in the healthcare landscape. To ensure that the new curriculum reflects the needs of students and aligns with national standards, an extensive process was undertaken to engage stakeholders within and beyond the School of Medicine.

The new curriculum began in 2015 and is an innovative, competency-based model with three integrated learning Phases: a Foundations Phase, a Patient Care Phase and a Career Exploration and Focus Phase. Each Phase includes highly integrated curricula with active learning modalities – approaches made possible by new developments in technology and new understandings of how students best learn.

UW SCHOOL OF MEDICINE – GONZAGA UNIVERSITY REGIONAL HEALTH PARTNERSHIP For more than 47 years, the UW School of Medicine has provided medical education in Spokane and eastern Washington. Today, more than 500 faculty in 18 communities throughout eastern Washington serve as educators and mentors for UW medical students. WWAMI is constantly growing and changing to meet the needs of the region. In 2008, the University of Washington expanded its first-year medical education program in Spokane. In 2013, the program expanded further with a two-year pilot program to offer the second year for up to 20 second-year students. The expansion allowed medical students to spend their almost their entire four years of medical school in Spokane, with some clinical training provided throughout the WWAMI region. Until 2014, the UW School of Medicine operated in Washington (Pullman and

STANDING COMMITTEES Academic and Student Affairs Committee UW School of Medicine – Gonzaga University Regional Health Partnership and WWAMI Update (continued p. 3)

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Spokane) in partnership with Washington State University (WSU). In 2014, WSU opted to pursue its own separately accredited medical school and ended their WWAMI partnership with UWSoM. Subsequently, in the 2015 legislative session, the legislature affirmed their support for WWAMI Spokane and providing funding to expand enrollment in the program to 60 students per year. UWSoM operated WWAMI Spokane independently in Spokane for the 2015-16 academic year. However, after UWSoM’s partnership with WSU ended, UWSoM and Gonzaga University (GU) began discussions about potential partnership opportunities in medical education and research. A formal partnership agreement was executed in February 2016 creating the University of Washington-Gonzaga University Regional Health Partnership. The UW-GU Regional Health Partnership has seen successes since the beginning of the partnership including interprofessional education with the physician assistant program, GU nursing and law; shared faculty; GU faculty participating in admissions; a new leadership pathway; and teaching facilities. Attachments 1. UW School of Medicine – Gonzaga University Regional Health

Partnership and WWAMI Update (2019) 2. Presenters’ Biographies

UW School of Medicine –

Gonzaga University

Regional Health Partnership and

WWAMI Update

Suzanne M. Allen, M.D., M.P.H.

Vice Dean for Academic, Rural and Regional AffairsUniversity of Washington School of Medicine

Darryl K. Potyk, M.D.

Chief of Medical Education for the University of Washington School of Medicine-Gonzaga University Regional Health Partnership

and Associate Dean for Eastern Washington

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Spokane Leadership

Darryl K. Potyk, M.D.

Chief of Medical Education for the University of Washington School of Medicine-Gonzaga University Regional Health Partnership

and Associate Dean for Eastern Washington for the UW School of Medicine

John F. McCarthy, M.D.

Assistant Dean for Rural Programs

William (Bill) Sayres, Jr., M.D.

Assistant Dean, Foundations Phase

Geoffry (Geoff) S. Jones, M.D.

Assistant Clinical Dean, Central & Eastern Washington-WWAMI

Judith (Judy) G. Swanson, M.D.

Assistant Clinical Dean, Spokane WWAMI

Courtney Law, PhD

Director, Regional Health Partnership, Gonzaga University

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What is WWAMI?

• UW School of Medicine is the sponsoring institution for WWAMI, the regional medical school for Washington, Wyoming, Alaska, Montana and Idaho

• “WAMI” is a 48-year partnership (Wyoming joined in 1996 as the second “W”), providing high-quality, cost-effective medical education

• Partner institutions: Gonzaga University, University of Wyoming, University of Alaska Anchorage, Montana State University, and University of Idaho

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WWAMI History of Success

• #2 in Family Medicine • #1 in Rural Medicine• #2 in Primary Care• #1 public medical school in NIH research funding• High quality, cost effective medical education• Over 50% of graduates practice in their home state• Over 65% of graduates practice in the region • 54% of graduates plan to work with the underserved• 22% of graduates plan to work in rural or small

communities

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Leading Change

• Explosion of medical and scientific information• Explosion of information technology• Enhanced patient knowledge and understanding• Generational characteristics of students• Changes in learning styles and new knowledge

about how students learn• National movement to active learning modalities• Changes in the roles of physicians in rapidly

evolving healthcare system

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New Curriculum

• New curriculum began in 2015• Unique in the nation in geographic reach and the

collaborative development of a common curriculum • Three phases

– Foundations– Patient Care– Explore and Focus

• Outcomes– Successful Match for residency– 37% matched to residency in WWAMI

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WWAMI Rural Programs

• RUOP - Rural Underserved Opportunities Program• Began 1989; 53% graduates in primary care in

WWAMI• WRITE - WWAMI Rural Integrated Training

Experience• Began 1996; 67% graduates in primary care and

35% rural• TRUST - Targeted Rural Under Served Track

• Began 2008; 36 students/year

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UW Medicine in Spokane

and Eastern Washington

• UW School of Medicine has provided medical education in Spokane and eastern Washington for nearly 48 years

• 500 faculty in 18 communities throughout eastern Washington serve as educators and mentors for UW medical students

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UW-GU Regional Health

Partnership

• Partnership is grounded in a shared commitment, educational excellence and the contributions to greater good for our community

• Teaching facilities located on the Gonzaga campus• IPE for students – MEDEX/Nursing/Law• GU professors on Admissions • Shared faculty• Leadership pathway

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Spokane learners

• 60 students/year in Foundations Phase– 20 students completing Patient Care Phase– 20 students completing Explore and Focus Phase

• 149 UWSOM students completing clerkships in Spokane

• 13 graduates currently in residency programs in Spokane

• 250 graduates practicing in Spokane and Eastern Washington

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UW Graduates – Residency Programs

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E-19 Class Photo

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SUZANNE M. ALLEN, M.D., M.P.H.

Vice Dean for Academic, Rural and Regional Affairs

University of Washington School of Medicine

As the Vice Dean for Academic, Rural and Regional Affairs at the

University of Washington School of Medicine (UWSOM), Suzanne Allen

works broadly across academic affairs and regional affairs to enhance the

excellence of medical education for the UWSOM and the five-state

WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) region.

WWAMI started in 1971 and is accredited through the University of

Washington School of Medicine and provides publically supported medical education for

citizens of the participating states. WWAMI students complete the classroom phase of the

curriculum in their home state and then their required and elective clinical rotations may be

completed at locations across the five state region.

In addition to serving as the Vice Dean for Academic, Rural and Regional Affairs, Dr. Allen

holds a Clinical Professor faculty position within the Department of Family Medicine at the

University of Washington School of Medicine. Dr. Allen is an attending physician at the Family

Medicine Residency of Idaho and an active physician in the Department of Family Medicine at

Saint Alphonsus Regional Medical Center and Saint Luke’s Medical Center located in Boise,

Idaho. Dr. Allen is committed to medical education and rural healthcare.

Website: https://www.uwmedicine.org/school-of-medicine

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DARRYL K. POTYK, M.D., F.A.C.P.

Chief of Medical Education for the University of Washington

School of Medicine-Gonzaga University Regional Health

Partnership

and Associate Dean for Eastern Washington for the

University of Washington School of Medicine

In his role as the Chief of Medical Education for the University of

Washington School of Medicine-Gonzaga University Regional Health

Partnership, and Associate Dean for Eastern Washington, for the UW

School of Medicine (UWSOM), Dr. Potyk leads the medical school’s

operations and expansion in Spokane and eastern Washington for the Regional Health

Partnership, overseeing all four years of UWSOM’s medical education. Dr. Potyk has been on

the UW School of Medicine faculty in Spokane since 1994 and as the Associate Dean for Eastern

Washington, supervises the Assistant Clinical Deans in Eastern Washington and Spokane who

are responsible for the clinical training of third- and fourth-year students. In addition, Dr. Potyk

has served as an Associate/Program Director for Spokane-based residency programs for the past

16 years. Dr. Potyk was named Spokane County Medical Society’s Physician Citizen of the Year

for 2016, was recognized as the American College of Physician’s Washington State Internist of

the Year in 2009, and has been cited as a “Best Doctor” for his clinical expertise in Internal

Medicine and Geriatric Medicine. He has been widely published in numerous peer review

publications, including the American Journal of Medicine, Journal of Graduate Medical

Education, Annals of Internal Medicine and the Journal of the American Geriatric Society to

name a few. Dr. Potyk is currently working on a collaborative study proposal about improving

pneumococcal vaccination rates in older adults.

Websites:

https://www.uwmedicine.org/school-of-medicine/about

https://www.uwmedicine.org/education/md-program/wwami/wwami-contact-us

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JUSTIN THOMPSON

University of Washington School of Medicine

4th-Year Medical Student

Justin Thompson is a fourth-year medical student at UWSOM

and is a 2018 UW Husky 100. Born in Virginia and raised in

Maryland, Justin served six years in the United States Army,

working as a Sergeant and pharmacy technician. Through

pharmacy, he discovered his passion for medicine and loved

being a part of a healthcare team. As he got to know patients,

he realized that helping patients achieve optimal health

required much more than just delivering medication. Patients

taught him the importance of the patient-provider relationship

and the human element of medicine. These experiences are what compelled him to return to

school to pursue a career as a family physician.

Washington has been Justin’s home since he finished his time in the Army. He currently lives in

Spokane Valley with his wife, daughter, and two dogs. He received his undergraduate degree

from the University of Washington Bothell and has completed most of his medical training in

Spokane. Justin hopes to complete a family medicine residency in the area, and his ultimate goal

is to practice family medicine somewhere in Eastern WA.

TAYLOR BOZICH

University of Washington School of Medicine

2nd-Year Medical Student

Taylor Bozich is currently a second-year medical student at

UWSOM in Spokane. She grew up in a small neighborhood in

downtown Puyallup, Washington and earned a bachelor’s degree

from Pacific Lutheran University (PLU). While at PLU, she spent

time abroad doing research in the fields of peacebuilding and

cultural anthropology. Through her research, she had the privilege

of working at a variety of women’s shelters and clinics and became

deeply moved by the ways in which healthcare workers were able

to care for and build relationships with their patients. It was through these experiences that she

became passionate about medicine and health equity.

After graduating from PLU, Taylor spent a year working in the Tacoma General emergency

department, volunteering at a local homeless shelter, and engaging with local government on

topics related to health equity. Eager to engage with a community different from the one where

she grew up, she decided to apply to the Spokane site of UWSOM. She and her husband moved

to Spokane in August 2018 and have fallen in love with Spokane and eastern Washington. Taylor

is excited to do most of her clinical rotations in Spokane beginning in April 2020 and is looking

forward to the opportunity to continue learning about and exploring the field of medicine.

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