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Rural Trust

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Rural Trust

Tacoma Family Medicine is pleased to participate with the University of Washington Department of Family Medicine in the Targeted Rural/Underserved Track (TRUST).

TFM has a long history of preparing residents for practice in both rural and urban underserved communities. We have a well established curriculum, a network of community rotation sites in multiple states, and a one year post-residency Rural Family Medicine Fellowship. This structure can easily integrate TRUST scholars and their host community. This will provide an enhanced, integrated training experience and a path to possible early acceptance in the TFM Residency Program.

An outline of our rural TRUST curriculum and subsequent residency curriculum is below. This has been developed to reflect the TRUST Continuum. Contact Alan Gill MD if you are a TRUST scholar interested in working with Tacoma Family Medicine.

M1 & M2 Years

  1. Assign TFM faculty mentor with rural experience
  2. Offer participation in quarterly Rural Fellowship workshops. Includes procedural skills and rural curriculum topics
  3. Shadowing opportunities available with faculty, fellows, residents
  4. TFM mentor establishes contact with continuity community practice


M3 Year

  1. Ongoing mentorship
  2. Ongoing workshop opportunities
  3. TFM M3 clerkship with ambulatory emphasis, exposure to family medicine inpatient and obstetric care at Tacoma General Hospital. Content flexible within requirements of UW Family Medicine Clerkship.


M4 Year

  1. Summer or early autumn TFM Family Medicine inpatient with obstetrics subinternship
  2. Application process with early acceptance per the TRUST process
  3. Electives at TFM late M4 year. Individualized.


R1 Year

  1. Required 1 month rural rotation in continuity community
  2. Mentor from medical school becomes TFM advisor, ongoing contact with continuity community
  3. Resident rural curriculum


R2 Year

  1. Required 1 month rural rotation in continuity community
  2. Ongoing rural curriculum
  3. Option of pursuing C-section skills


R3 Year

  1. Option of away elective rotation in continuity community
  2. Rural curriculum
  3. OB elective and CS workshop series if seeking CS competency
  4. Electives geared toward practice needs in continuity community
  5. Option of Rural Fellowship application