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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. From 2006 to 2016 Dr. Bush worked primarily in hospital-based medicine. He assumed a leadership role in the VM internal medicine residency in 1993, served as Program Director from 1996 to 2007, and has served as Associate Director since 2007. In 2013 Dr. Bush relocated to Billings, Montana to found a new internal medicine residency program at Billings Clinic. He now sees patients at Pike Market Medical Clinic, a Federally Qualified Health Center.

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.

In 2011 Dr. Bush began service on the Board of Commissioners of the Joint Commission, 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 since 2014. He is also a Director for the American Board of Medical Specialty’s Multispecialty Portfolio Program Board.

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 Examination Committee and the Communications/Publications Committee.