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Current Fellows

Kena Lackman, MDKena Lackman, MD

Hometown: Hysham, Montana
Medical School: University of Washington School of Medicine - MT WWAMI
Residency: Family Medicine Residency of Idaho - Magic Valley Rural Program

I was born and raised in eastern Montana, in a rural farming and ranching community. Seeing the healthcare disparities present in small towns and my love for science and working with people inspired me to pursue full spectrum family medicine. I was fortunate enough to gain experience working in rural medical communities through the UWSOM MT WWAMI TRUST program, a longitudinal program where I trained in Miles City, MT. While in Miles City, my love for women’s health and maternity care grew. Early on I knew pursuing an OB Fellowship year would improve my ability to provide high quality maternity care in rural communities.

During my time in residency, I developed additional special interests in inpatient medicine, addiction medicine, HIV care, and mental health. In the future, I hope to work as a full spectrum family physician in the northwest, where I can continue to follow all of my passions. A special interest would be the ability to continue teaching medicine students or residents.

Completing an OB/Rural Fellowship year at TFM will allow my obstetrical skills to grow, improve my knowledge base, and advance my surgical skills. Acting as junior faculty, with significant teaching responsibilities is a fantastic opportunity for me to grow as a teacher. I am excited for the opportunities that TFM OB/Rural Fellowship provides and know I will be well prepared to practice medicine in a rural and underserved environment.

Hobbies, special interests: Traveling, visiting Montana, camping, rock-climbing, boating, cooking, baking, spending time with my cat “Nahvi”.


Nick Loomis, MDNick Loomis, MD

Hometown: Anaconda, MT
Medical School: The University of Washington
Residency: Tacoma Family Medicine

I grew up in the small smelter town of Anaconda, MT, where I enjoyed camping, hiking, skiing, long road trips, and working on my grandfather’s ranch. I attended medical school at The University of Washington, where I explored rural medicine in Alaska, Washington, and my home state of Montana. Through these experiences, I became passionate about full-spectrum rural medicine, and am thrilled to continue my training in obstetric care at Tacoma Family Medicine. Outside of obstetrics, my special interests include hospital, emergency, and pediatric medicine. After fellowship, I will be practicing full-spectrum family medicine in Bethel, Alaska. When I am not taking care of patients, I enjoys sailing, exploring the mountains with my golden retriever Finley, and traveling to the Oregon coast.


Stacey Rittmueller, DOStacey Rittmueller, DO

Hometown: Glendale, AZ
Medical School: Pacific Northwest University of Health Sciences
Residency: Tacoma Family Medicine

I chose the Rural Family Medicine with Obstetrics Fellowship at Tacoma Family Medicine to continue learning and refining technical skills in obstetrical and gynecological management through the lens of rural family medicine in a rigorous and supportive environment. My goal is to provide safe, impactful, and equitable full-spectrum family medical care in the rural Northwest or Midwest. I am excited to continue working and learning from the remarkable OB/Gyn and family medicine faculty who were the cornerstone of my residency experience. Equally, I am eager to teach and work closely with residents in both OB and family medicine settings. Following graduation, I will be fulfilling my responsibilities as a National Health Service Corps Scholar and will practice traditional family medicine. My training will prepare me for operative obstetrics and inpatient and/or emergency medicine in a rural setting, where I look forward to combining both medical and public health skills to promote health equity in the community I live and work. Outside of clinical duties, you can find me paddle boarding, exploring locally-run restaurants, experimenting with new recipes, taking impromptu trips to the mountains or to surprise my out-of-state family, playing board games, sharing home-cooked meals with friends, and rediscovering my center of gravity while rollerblading (in full protective gear, of course).


Brianne Huffstetler Rowan, MDBrianne Rowan, MD

Hometown: Port Townsend, WA
Medical School: University of Washington
Residency: Tacoma Family Medicine

I’m so grateful to be staying an extra year at Tacoma Family Medicine as a Rural / OB fellow. Having grown up in a small town myself, I've always envisioned returning to a similar community to practice - one where I can have a full spectrum practice that cares for multiple generations of families and meets the unique needs of the local community, especially for those who might otherwise not have access to adequate healthcare. It seems to me that one of the greatest privileges of being doctor is being trusted to share in a patient’s journey, especially when that journey entails bringing new life into the world. I am thrilled to be getting additional training in high risk and surgical obstetrics to help prepare me for this. My other clinical interests include addiction medicine, women’s health, and pediatrics, and I also enjoy being a part of larger groups working to address the many social issues and injustices that contribute to health disparities on a local and global level.

Hobbies, special interests: spending time with family and friends, gardening in my Tacoma backyard, anything in the PNW outdoors, learning new languages, and on a rainy day - drinking coffee and playing board games with my husband (usually with our 2 cats on their laps).


Robin Sautter, MDRobin Sautter, MD

Hometown: Lanesboro, Minnesota
Medical School: University of Minnesota - Duluth
Residency: Family Medicine Residency of Idaho - Boise

As the daughter of two veterinarians, I grew up on a sheep farm in rural Minnesota before obtaining my undergraduate degrees in chemistry and biochemistry at Drake University. Prior to starting my medical school journey, I spent one year teaching English to middle school students in Taipei City, Taiwan. I then returned to my home state for medical school at the University of Minnesota - Duluth, a campus focused on training rural primary care physicians. During my third year of medical school I completed the Rural Physician Associate Program (RPAP) which confirmed my desire to practice full scope family medicine. Hoping to find the smallest city that could accommodate both family medicine and internal medicine residency programs, my partner Chris and I completed our residency training in Boise, Idaho. I am very excited to join the Tacoma Family Medicine/MultiCare community as an OB fellow this year, particularly for the additional training in rural family medicine and high-risk obstetrical care. After fellowship, Chris and I hope to meet the ever-changing needs of a small rural community - location yet to be determined... 

In addition to my interest in rural medicine, I have particular interests in reproductive health, global health, and transgender care. While I am not donning scrubs or a stethoscope, I enjoy all outdoor activities (gardening, backpacking, and mountain biking to name a few). My newest hobby is finding fun places to "meet in the middle" as Chris serves as a chief resident at the University of Washington - Boise Internal Medicine Residency.