Third Annual SCMS Summer Cruise

August 2018

We are in the planning stages for our third annual membership cruise. We will send out invitations and more details soon!

All SCMS members and guests/family are invited. The first cruise was around Lake Washington with a catered lunch and last year we went to Tillicum Village, Blake Island tour with a northwest inspired buffet of fire roasted fish and a Northwest Native American storytelling show.

Stay tuned for our 2018 membership cruise!


2018 WSMA Leadership Development Conference

May 18-19, 2018
Campbell’s Resort on Lake Chelan

Are you interested in enhancing your leadership skills and provide practical information and skills that can be used in any setting? The WSMA leadership development conference is an annual meeting that features a mix of comprehensive and interactive breakout sessions designed to enhance participant’s leadership skills.

If you are a SCMS member and interested in attending this event as a representative of Snohomish County, please let us know. We would love to support sending you to this event.

For more information, please contact SCMS at: or call us at 206-956-3624


Saratoga Transitional Rehab in Stanwood, Washington is looking for physicians

Saratoga Transitional Rehab in Stanwood, Washington is looking for physicians in the community to become a medical director in their 160 bed- skilled nursing facility.  They are also interested in finding physicians who can follow patients in their facility.  Saratoga Transitional Rehab currently has 3 medical directors in place. They would like to add another medical director. The facility is located in Stanwood, Washington and they have 160 skilled nursing beds and an average of 60 assisted living residents on the campus.  Of the 160 beds;  31 of them are transitional rehab. They admit, on average, 500 residents per year. If you would like more information on this position with Saratoga Transitional Rehab, please contact Kati Shannon, Community Relations Director at: or call (360) 386-3097.

Saratoga Transitional Rehab is located at 9901 272nd Place NW, Stanwood WA 98292.


SCMS Resident Update

Greg Sanders, MD, Program Director, Sea Mar Marysville Family Medicine Residency

The first medical residency in Snohomish County has started. Six pioneering family medicine residents began their 3 year tenure at the Marysville Sea Mar CHC Family Medicine Residency June 26th. Currently, they are orienting in the local community, the clinic and Providence hospital. Then they start their 4 week rotations, at the hospital or with specialists in the community.

Providence is preparing for the residents, as this is their first residency. Certainly, there is a cultural shift, as the hospital transitions to a graduate medical teaching institution. Dr. Frank Andersen gave a hospital tour to the resident’s significant others, who now know where their loved ones will be spending up to 80 hours per week for the next 3 years. In addition to the family medicine residents, Washington State Elson Floyd School of Medicine first year medical students are spending some time at Providence. They will return and spend all of their third and fourth years at this hospital.

There has been great support from Providence and the specialists in our community. Recently, the residents went through some baseline skills testing. Local family physicians Jim Fletcher, Hans Danker and Kevin Clay participated in these events. The exposure to enthusiastic, wise local physicians with heterogeneous backgrounds makes for a dynamic learning environment. The orientation sessions are loaded with a variety of events, like team building, ACLS training, skills testing, community windshield surveys, introduction to scholarly activities, quality improvement, simulations, underserved curriculum, EHR, etc.

I hope you have an opportunity to work with the residents. They are a strong cohort, and their enthusiasm for learning is infectious. Share some of your wisdom.


In Memorium: Remembering Larry Weed, M.D.

Gerald Yorioka, MD, SCMS President

Larry Weed, M.D.: 12/26/1923-6/3/2017

Few physicians may have personally met Larry Weed, but most have utilized the S.O.A.P. not format for clinical chart entries.

In the arena of continuing education, there has been a focus on setting forth clear learning objectives, but upon listening to Dr. Weed speak at the Alliance for Continuing Medical Education (ACME) national meeting, it became apparent from the effect on his audience that there was a different way to attain adult learning.  Many in the audience would be so stirred to disagree with him that they would dig in, sharpen their position, to counter his provocative statements.  Whether it was by design or not, there was effective learning brought to action.

The S.O.A.P. notes were easy in comparison to the knowledge-coupler concept he promoted in subsequent years.  It is guiding the clinical physician to optimally use the available knowledge at the point of care.  Technology in the form of On-line resources and Electronic Records is now catching up to his ideas.  From the beginning, the physician would be the one making the diagnosis, recognizing the fact that there are often valued intangible factors that enter into human decision making.  Japan has experimented with robot secretaries and news this week revealed the use of robots replacing coal miners.  I once had a patient with metastatic lung cancer who insisted on seeking six “second opinions.”  When asked why she picked the advise of one particular specialist, her response was, “I liked him better.”  I think Larry Weed would understand.

Emory University 1971 presentation by Larry Weed