I’m writing this on Tuesday morning, September 22, before the storm hits. To be clear, the actual weather here in Central Washington is supposed to be pretty perfect. I mean all the things. Tuesday night: Husband arrives from Alaska. Furniture moving and construction-site Tetris begins. Wednesday...

A webinar this week about the evolution of a rural residency program inspired this week's reflections. In addition to the successes and growing pains, the thing that caught my attention was the sheer number of changes they had both created and endured. In just 11 years, the program had 4 Chief Me...