Grand Coulee,

Washington

WRITE Site

Coulee Family Medicine

411 Fortuyn Road

Grand Coulee, WA 99133 Eastern & Central Washington

WWAMI Clinical Coordinator Office Deborah J. Harper, MD, Assistant Dean

djharper@u.washington.edu

John F. McCarthy, MD, Assistant Dean

mccajf@u.washington.edu

Riverpoint Campus

Health Science Building 320P

PO Box 1495

Spokane, WA 99210

509-358-7794

09/09/2009

Grand Coulee is located in Grant County within the upper Columbia River Gorge of Central Washington and on the shores of Lake Roose-velt. This rural community of approximately 5,000 people is home to the largest concrete dam in North America and lies adjacent to Lake Roosevelt which stretches nearly 150 miles al-most to the Canadian border. Additional area i n f o r m a t i o n c a n b e f o u n d a t www.grandcouleedam.org.

Primary WRITE Preceptors: Family Medicine/OB:

Andrew Castrodale, MD

Clinic Preceptor: General Surgery: Mohammed Fercha, M.D. Community Physicians: Podiatry: Darren Vernon, DPM Cardiology: Andrew Boulet, M.D. Michael Hostetler, M.D. Radiology: Linda Strand, M.D. Radia Tele-radiology

Clinic: The clinic serves a large, culturally di-verse population base. The facility is comprised of six physician offices, 16 exam rooms, and a well-equipped minor treatment room that can handle small emergencies. It is staffed by two full-time family physicians, one general surgeon and five ARNP’s. The clinic staff conducts com-munity visits and weekly visits to the Indian Health Clinic in Nespelem. Visiting specialists offer regularly scheduled hours in the Coulee Family Medicine Clinic. The staff has received high praise from Rural/Underserved Opportuni-ties Program students, Family Medicine Resi-dents and ARNP students who have experienced a rotation here. The staff is enthusiastic about rural medical education and encourages stu-dents to pursue primary care, which offers the most variety and challenge. Hospital: Coulee Medical Center owns and operates two family medicine clinics, one that is adjacent to the hospital and one that is located 30 miles away in Coulee City. The hospital is a 25-bed Critical Access Hospital offering services in general medical & surgical care, OB (82 births/year), an emergency center and a long term care unit. The hospital is involved in several community outreach health programs. In July of 2009, the hospital broke ground on an $18.3 mil-lion building project. At the end of 14 months, a new state-of-the art facility will house both the hospital and clinic. The hospital's web site is www.cmccares.org.

Transportation and Directions: Grand Coulee is located 80 miles west of Spokane, 230 miles east of Seattle, and 100 miles south of Canada. Travel to Grand Coulee is easiest by automobile or bus. The nearest commercial airport is Spo-kane.

Recreational Activities: The great floods carved out a "coulee" revealing a stunning display of layers of basalt rock, so while you’re recreating, you’ll be surrounded by geological wonders. Additionally, for the out-door recreational enthusiast, the Grand Cou-lee Area offers many adventures. Lake Roose-velt and Banks Lake are two of the most beau-tiful and vast lakes in Washington. Fishing, boating, swimming, picnicking, and water sports can be found on both of these great reservoirs. The coulee walls and unique land-scape of the area offer excellent hiking trails and rock climbing. The area also offers abun-dant wildlife and bird viewing, nature walks, camping, hunting, horseback riding, and golf. Grand Coulee Dam: Built from 1933 to 1975, it is 550 feet tall, from the 500 foot wide polished granite base, to the 30 foot wide crest which supports a paved two lane road. When you include the third power house, Grand Coulee Dam is almost one mile long and more than twice as tall as Niagara Falls. It is the third largest producer of electric power in the world and the largest concrete structure in the US. The reservoir behind it is called (Franklin Delano) Roosevelt Lake. The laser show presented over the dam nightly during summer months has become one of the community’s leading attractions. Weather: July is the hottest time of the year with tem-peratures from 60-89°; January is the coldest time of the year with temperatures from 20-31°. Summer months tend to experience low to moderate precipitation amounts while win-ter months can see moderate snow levels oc-casionally reaching 15” of snow on the ground.

Dr. Castrodale is a Uni-versity of Washington School of Medicine graduate in 1994; Fam-ily Medicine Spokane Residency Program graduate in 1997 and completed an OB Hi-Risk Fellowship in 1997-1998. He has prac-ticed at Coulee Com-munity Hospital since the summer of 1998.

Born in Seattle and raised in Arlington, Dr. Chaffee graduated from the Univer-sity of Washington and com-pleted his residency with the Family Medicine Spo-kane Rural Training Track Residency Program in Col-ville. Dr. Chaffee enjoys windsurfing, rock climbing and snowboarding.

Jacob Chaffee, MD