{"id":7804,"date":"2015-12-14T12:25:17","date_gmt":"2015-12-14T20:25:17","guid":{"rendered":"http:\/\/depts.washington.edu\/medex\/?p=7804"},"modified":"2015-12-14T12:25:17","modified_gmt":"2015-12-14T20:25:17","slug":"at-home-in-a-small-community","status":"publish","type":"post","link":"https:\/\/familymedicine.uw.edu\/test\/at-home-in-a-small-community\/","title":{"rendered":"At Home in a Small Community"},"content":{"rendered":"

Corey Rubinfeld \u2013 Seattle Class 48<\/span><\/strong><\/p>\n

For Corey Rubinfeld, the pathway to MEDEX and becoming a physician assistant began on the ski runs of neighboring Steven\u2019s Pass Ski Resort and, for the moment at least, has brought him back to where he started.<\/p>\n

A resident of the tourist mecca Leavenworth, WA, Corey worked for over a decade as a member of the ski patrol at Steven\u2019s Pass, while training in off-seasons as a Wilderness First Responder (WFR) and as an EMT, and working as an Outward Bound instructor and as a search and rescue team member in Antarctica. Healthcare and medicine were becoming central elements of his life and work in the outdoors.<\/p>\n

Then Corey ran across fellow Leavenworth resident Lucca Criminale, who had been a long time member of the Steven\u2019s Pass ski patrol as well. Criminale had left the ski patrol several years earlier, and Corey had lost touch with her. As it turns out, she had become a PA during that time, graduating from MEDEX Seattle Class 39 in 2007, and taking a job in 2009 with the Cascade Medical Center in Leavenworth.<\/p>\n

[smartslider3 slider=11]<\/div>\n

\u201cI<\/span> started running into Lucca again,\u201d<\/span><\/strong> Corey continues. \u201cOne day she said to me, \u2018Hey, come and shadow at the Medical Center sometime.\u2019 I took her up on it, and I think within the first three hours of my first shadowing with her, I told her immediately, \u2018I want to do this\u2019 and I haven\u2019t looked back since.\u201d<\/p>\n

And doing it he is. Currently a member of MEDEX\u2019s Seattle Class 48, Corey Rubinfeld is in the midst of the first rotation of his clinical year right there at the Cascade Medical Center, where his preceptor is none other than Lucca Criminale, PA-C.<\/p>\n

\u201cLucca always said, \u2018Why don\u2019t you come on back and I\u2019ll be your preceptor here.\u2019 And so I took her up on it. We made the request [to the MEDEX clinical assignment team], jumped through the hoops and the paperwork, and well, here I am.\u201d<\/p><\/blockquote>\n

We wonder how things have been going.<\/p>\n

\u201cIt\u2019s been great, better than I expected,\u201d Corey says with a smile. \u201cIt\u2019s not just having Lucca as my preceptor, but when she is off, I get to work the other preceptors here, too.\u201d<\/p>\n

T<\/span>he Cascade Medical Center<\/span><\/strong> is a critical access hospital, with an emergency room, ambulance service, acute care clinic, as well as physical therapy and lab service. It\u2019s also a training site for University of Washington medical students, and so there are a number other preceptors and providers who \u201care really excited about teaching,\u201d as Corey puts it. \u201cThe preceptors say \u2018Hey, I\u2019m doing this thing,\u2019 or \u2018I\u2019m doing that really neat thing\u2019, and grab you for the fun stuff.\u201d<\/p>\n

Fun stuff?<\/p>\n

\"Corey<\/a>
Corey out on a family ski tour.<\/figcaption><\/figure>\n

\u201cI’m referring to procedures that you just don’t get to see every day. From stitches, to joint injections, to biopsies. They do colonoscopies and stress tests here as well. So it’s been to just jump in and see what a referral to those services looks like, and then what happens with that data.\u201d<\/p>\n

\u201cOften times we see people in clinic,\u201d Corey continues, \u201cthen walk them downstairs to the ER and evaluate them there. Then if they are sick enough, we\u2019ll move them to swing bed or acute care and see them again as in-patients. And then in the next couple of days we\u2019ll go and round on them. It\u2019s been a phenomenal learning experience and small town follow up.\u201d<\/p>\n

L<\/span>eavenworth sees close to 2 million visitors<\/span><\/strong> per year.<\/span><\/span> \u201cSo we see a lot of folks from outside of Leavenworth, especially on the weekends, coming into clinic and to the ER. But Monday to Friday, it’s mostly locals,\u201d including many retirees and other members of the second-home community that exists in Leavenworth as well.<\/p>\n

\"Corey<\/a>
Corey on early morning ski patrol doing avalanche control.<\/figcaption><\/figure>\n

All this follows what Corey confesses was \u201ca stressful\u201d didactic year back in Seattle. \u201cI was really impressed with all that was covered, but it was way harder than I thought it was going to be,\u201d he says. \u201cMy wife and I stacked the deck against us, too, by having a child over on this side of the mountains right in the middle of the didactic year. So I\u2019ve been commuting back and forth every weekend. Didactic year is already hard, and that made it harder. My wife really made it all possible and is an amazing support.\u201d<\/p>\n

At this point, Corey Rubinfeld isn\u2019t sure where his next rotation will take him. But he\u2019s certain that after completing his rotations and successfully graduating from MEDEX, he would like to end up right back to where he is now: home.<\/p>\n

\u201cSomewhere I got into this thinking, \u2018Wow, Lucca has a really fun and stimulating gig in family practice and in the ER.\u2019 So I would love to end up working here in Leavenworth, or down valley further in Wenatchee. There are lots of good options with other clinics, family practice and ER. Moral of the story\u2014 this is our home. I love being in a small town and it would be great to stay a part of this small community.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Cory Rubinfeld\u2019s athleticism led him from ski runs to Wilderness First Responder and EMT. Now, studying to become a physician assistant, he\u2019s fulfilling his family medicine preceptorship in his hometown of Leavenworth, WA under the guidance of an old friend and former colleague of the local area ski patrol. <\/p>\n","protected":false},"author":1,"featured_media":7806,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8],"tags":[],"class_list":["post-7804","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-experience"],"_links":{"self":[{"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/posts\/7804","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/comments?post=7804"}],"version-history":[{"count":0,"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/posts\/7804\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/media?parent=7804"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/categories?post=7804"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/tags?post=7804"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}