Residents are required to complete two scholarly projects over the course of the residency, one being a mandatory Community Medicine project. Beginning in the R-1 year during their Community Medicine rotation residents will begin working on a community health related project with Dr. Gary Goldbaum, Health Officer and Director of the Snohomish County Health District. The topic of the second scholarly project is up to the resident, but typically this would be a Quality Improvement project. For example, we will use the Family Practice Inquiries Network (FPIN), where residents can create Help Desk answers. These projects improve patient care by translating research into practice. Also, there are many hospital quality improvement projects that residents can choose to become involved with. An example is the Community Clinical Care Pathways, where hospital and community providers and staff have collaboratively developed standardized clinical pathways for e.g., anemia/blood transfusions, antibiotic guidelines and anticoagulation guidelines.