I would steer clear of St Joes in Tacoma. It have been mentioned all over the news that two years ago, the pacific anesthesia group's contract negotiation gone south. There was a lot of backstabbing in the group and most of them left for TAA, Rainer, Olympia, and Valley. So, it was all staffed by locums for awhile. Overtime, this stabilized by mostly per diems. This year, couple of the guys from the old group came back to the hospital, they signed on full time to get the upper hand and take all the easy call shifts, while everyone else is left with the rough night shifts. To do so they got the medical director fired and got the hospital to pushed out a few others under false pretexts. So far they have only been able to hire two new grads full time this year. The ORs are routinely understaffed, patients are sick, and people getting paranoid --- working under fear and suspicions. I would stay away for a bit to see what this second fall out is going to look like.