Roger Bush, MD

Roger Bush, MD

Reared in the remote, high desert of northeastern Montana, Dr. Bush received his Doctor of Medicine from the University of California, San Francisco in 1980 and completed residency in Internal Medicine in 1983 at Virginia Mason (VM) Medical Center in Seattle.

After working in rural private practice in the Pacific Northwest, he practiced General Internal Medicine at Virginia Mason for 23 years. He assumed a leadership role in the VM internal medicine residency in 1993, serving as Associate Program Director and Program Director. From 2013-2016, Dr. Bush served as founding Program Director for a new primary care internal medicine residency program at Billings Clinic. He sees patients at Pike Market Medical Clinic, a FQHC, and is Associate Program Director of another new Internal Medicine Residency in Everett, WA, focused on preparing general internists for primary care practice in rural and underserved communities, sponsored by Washington State University Elson S Floyd College of Medicine. He is a Technical Advisor for Rural Residency Program Development, a HRSA-funded effort to launch rural GME programs.

Dr. Bush served on the Residency Review Committee for Internal Medicine (RRC-IM), appointed by the American College of Physicians. He chaired the Educational Innovation Project subcommittee of RRC-IM, a multi-year effort to change from process-based to outcomes-based accreditation and collaboratively align educational and quality of care outcomes.

Dr. Bush served on the Board of Commissioners of the Joint Commission, 2011-2019, where he chaired the Achieving High Reliability in Healthcare Strategic Interest Workgroup, and served on the Standards and Survey Procedures, Performance Measurement, and Governance Committees. Since 2015 he has been a Director for the American Board of Internal Medicine, in addition to serving as a member of its (General) Internal Medicine Specialty Board, 2014-2019.

Dr. Bush’s core professional interest is the design and implementation of clinical microsystems around the needs and preferences of patients, with education integrated in the daily work. As a member of the physician leadership team at VM and the Billings Clinic, he has been a strong proponent of waste elimination, the integral role of education in quality and safety, and relationship-based, patient-centered care. He observed the Toyota Global Production System in practice at Hitachi air conditioning, Toyota Automotive, and at Toyota supplier factories in Japan. Dr. Bush led and participated in several kaizen events, using lean management tools to reward clinical faculty, reduce interruptions of clinical work, eliminate extended duty hours, and integrate resident and faculty schedules.

Aside from medicine, Dr. Bush is interested in stories, running, family, bird dogs, sailing, and eating well—and he also bakes a wicked fruit pie. Dr. Bush and his wife, Heidi, have two grown children—an online advertising tech worker and a geophysicist.

Dr. Bush serves the ABFM on the Certification Committee, the Knowledge Assessment Committee, and the Engagement & Communications Committee.