Six months are spent in ambulatory care, including one month in the emergency room, two months of elective clinics, and three months of required clinics. During the two-month elective clinic period, R2s can choose to train in orthopedics, gynecology, women's health care, ophthalmology, refugee medicine, and dermatology, as well as in medical subspecialties. They may also work with selected community physicians in their general medicine practices. R3 Year Residents spend four months in the ambulatory care clinics. In ambulatory care rotations, residents can choose to pursue special interests, such as general medicine inpatient consulting and in-depth outpatient subspecialty training in fields like urology, sports medicine, and those listed above.
Residents can also undertake projects in the areas of ambulatory medicine and quality assurance.
Residents continue to follow their outpatient panel throughout the year by attending general medicine clinic one afternoon each week. During the R2 year, the program is based at the Veterans Affairs Medical Center, Boise, a major teaching hospital of the University of Washington. The R1 year is the same as for the Seattle Primary Care program. The resident's continuity clinic is at the University of Washington Medical Center's Roosevelt Primary Care outpatient facility. R2 Year Residents spend their second year at the Boise Veterans Affairs Medical Center in Boise, Idaho.