The first-year medical program entering its third year in Spokane is already changing minds in Seattle about physician training, but expanding residency opportunities is the key to anchoring more newly trained doctors in Eastern Washington, officials said Friday. Dr. Ken Roberts, head of the WWAMI Spokane Education Program, said starting from zero in 2008 required the bootstrapping of faculty, administration, and doctors and other resources from within the community. Despite the improvisation, he said, many students from the first class are returning to Spokane for their third year of training.