Mission

The Madigan Pediatrics Residency Program trains residents to be respected subject matter experts from major medical centers to austere war zones. The rich traditions of rigorous academic and professional excellence are instilled in a culture of wellness intended to maximize residents' potential as well as the relevancy of Army Pediatrics.

Vision

The Madigan Pediatrics Residency Program trains residents to be respected subject matter experts in any environment, from major medical centers to austere war zones. The rich traditions of rigorous academic and professional excellence are instilled in a culture of wellness intended to maximize residents' potential as well as the relevancy of Army Pediatrics. The work hard – play hard philosophy of the department promotes lively professional interaction with the residents, who are encouraged to ask questions of their attending staff. The graduating residents are well equipped to serve in their future roles as clinicians, teachers, and leaders in military medicine.

Aims

The Madigan Army Medical Center Pediatrics Residency will:

• Develop next generation of military pediatricians who can practice innovative, evidence-based medicine in resource limited medical centers both stateside and overseas, meeting the needs of the families of uniformed services and also supporting operational medicine within the needs of the Army.
• Provide pediatric training that allows graduates to function effectively with other members of the health care team in both inpatient and ambulatory settings, enabling them to become proficient leaders in patient care organization and management.
• Prepare graduates of the program with rigorous board preparation to successfully complete and pass the certification process of the American Board of Pediatrics (ABP).
• Create an environment of scientific inquiry through faculty mentorship, ensuring that all residents graduate with proficiency in scholarly research and continuous process improvement projects.
• Support the well-being of residents and faculty, striving to mitigate burnout while promoting resiliency and modeling techniques for life balance.

Morning Report Cases

All residents participate in delivering multiple morning report case discussions each academic year as part of the longitudinal educational curriculum. In addition, senior residents and/or the rotating PGY3 Chief Resident are expected to prepare content-specific teaching topics or lead a group discussion about the specific case.

Educational Lecture

Daily lectures by faculty and staff on topics pertinent to and derived from the American Board of Pediatric Certification Examination content specifications.

Board Review

Each resident is required to formally review and teach a specific board review topic during a didactic educational session once per academic year. Topics are derived from the American Board of Pediatric Certification Examination content specifications.

Joint Grand Rounds

Each PGY3 resident has the opportunity to present a joint grand round case presentation with the Emergency Department, OB-GYN Department, or the General Surgery, Pathology, and Radiology Departments.

Diversity, Equity, and Inclusion

The program has health care disparities and DEI lectures/topics scheduled throughout the year during morning report. Additionally, the hospital has multiple monthly DEI related interest groups, lecture series, and committees available.

All rotations 1 month unless otherwise specified.

Full spectrum of pediatric subspecialties in department, niche elective rotations are available such as the Seattle Children's' Cardiac ICU, or with the hospital’s Leadership and Faculty Development Fellowship.

Our program has an average of four call shifts per month.

• Capstone Course
• Bimonthly Officer Professional Development Sessions
• Okubo Clinic/Operational Medicine Experience
• Military Medical Humanitarian Aid Course
• Tropical Medicine Elective
• Alaska TDYs

• Inpatient blocks: Must complete a minimum of 200 clinical training hours.
• Outpatient blocks: Must complete a minimum of 32 half-day sessions.
• Longitudinal continuity clinical training hours (ex: continuity clinic): Do NOT count towards the minimum required training hours/half-day requirements for each inpatient and outpatient educational block.
• Continuity Clinics: Must complete a minimum of 36 half-day continuity clinic sessions per year of a longitudinal outpatient experience not to be scheduled in fewer than 26 weeks per year.
• MAMC ED Rotation (PGY1): Must complete a minimum of 12 shifts/month.
• MB ED Rotation (PGY2s and PGY3s): Must complete a minimum of 10 shifts/month (goal is 12-16 shifts)
• Core Electives:  (need a minimum of 4 core electives)
  • Allergy/Immunology
  • Cardiology
  • Dermatology
  • Endocrinology
  • Gastroenterology
  • Hematology/Oncology
  • Infectious Disease
  • Genetics
  • Nephrology
  • Neurology
  • Pulmonology
  • Rheumatology

Simulation curriculum includes:

• Delivering Difficult News
• Capstone

• Third year rotating chief rotation
• Faculty Development conference opportunity

• All residents participate in scholarly activity.
• Multiple residents working on grant funded research.
• Residents have recently presented at national conf AAP, PAS, CHEST.
• Recent resident research awards: Investigator of the year, AAP Howard Johnson Award, Val Hemming Award, Outstanding Young Pediatrician East and West.

• Quarterly departmental quality improvement and patient safety didactics
• Morbidity and Mortality (M&M) conference quarterly

• Faculty development lectures quarterly.
• Opportunities to participate in Faculty Development Conferences biannually.

Senior residents rotate at a number of off-site clinical locations including:

• Mary Bridge Hospital
• St. Joseph Hospital
• Seattle Children's Hospital
• Naval Hospital Bremerton

Interview Opportunities for 4th-Year Medical Students at Madigan Army Medical Center

Rotation Options

3rd and 4th year medical students are welcome to rotate at Madigan either via an ADT (active duty sponsored) rotation or in a non-ADT rotation status. We also can accommodate 1-2 day site visits with tours and in person interviews, and phone or zoom interviews if needed.

Duration

Typical interviewee rotations last 2-4 weeks, but flexibility in timing is possible.

Housing Accommodations

 Hosted housing accommodations are be available upon inquiry.

Rotation Experience

During the full 4-week rotation, students have the opportunity to function as pediatric interns at Madigan Army Medical Center, participating in both inpatient and outpatient services (ie. One week each of: ward, nursery, general pediatrics outpatient clinic, pediatric subspecialty clinics). Work hours include Monday through Friday, with weekends available for students to explore the beautiful pacific northwest and surrounding areas.

Contact Information

Potential interviewees should reach out to schedule their rotation by contacting our program email: dha.jblm.madigan-amc.list.mamc-peds@health.mil.

Objectives

• Competently perform history and physical examinations on pediatric patients.
• Formulate problem lists, differential diagnoses, and therapeutic plans for common pediatric illnesses.
• Prioritize diagnostic evaluations and therapeutic management.
• Communicate critical thinking in diagnosis and planning.
• Use diagnostic studies and consultants effectively.
• Demonstrate confidence and competence during family-centered rounds.
• Apply evidence-based principles to manage pediatric patients’ conditions. These objectives will be evaluated through resident and faculty observations, write-ups, and patient interactions.

Learning Activities

• Family-centered rounds (Inpatient)
• Morning Report at MAMC (7:30 - 8 a.m.)
• Morning Conference at MAMC (8 - 9 a.m.)
• Noon medical student lecture (12 - 1 p.m.)
• Combined conferences with other departments at MAMC
• Case presentations and write-ups

Students are expected to

• Attend conferences as directed.
• Perform history and physicals with supervision.
• Write admission or daily/discharge orders under supervision.
• Actively assist in patient care.
• Write daily concise SOAP notes.
• Participate in procedures.
• Present patients to supervising faculty and residents.
• Present during family-centered rounds and teaching conferences.

• Both in person and virtual available.
• Applicants are encouraged to share their CV and personal statement.

Program graduates take the American Board of Pediatrics, General Pediatrics Certifying Examination. This exam is offered annually. To become fully board certified, applicants are eligible to take board certification exam 4 months following graduation. To be eligible to take specialty board exams, graduates must complete all pre-requisites required by the American Board of Pediatrics by October 30th.   You can review these requirements on their website, located at: Admission Requirements | The American Board of Pediatrics

Third year residents rotate during the year overseeing cases presented at morning report. Faculty Development elective rotation is available to R3s.

• Adolescent Medicine
• General Pediatrics
• Genetics
• Palliative Care
• Neonatology
• Pediatric Cardiology
• Pediatric Endocrinology
• Pediatric Gastroenterology
• Pediatric Hematology/Oncology
• Pediatric Hospitalist Medicine
• Pediatric Infectious Disease
• Pediatric Intensive Care
• Pediatric Nephrology
• Pediatric Neurology
• Pediatric Pulmonology
• Pediatric Rheumatology

All residents are required to select a mentor upon starting residency. As a mentor, faculty have a unique opportunity to work longitudinally with a resident over the course of their residency training to provide career/professional guidance, collaborate on scholarly projects, and support wellbeing. Mentors will meet with their mentee at least quarterly each academic year and guide the resident in the initiation and modification of an individualized learning plan (ILP) to help foster self-directed learning and goal setting throughout residency. They also review formal and informal feedback with the resident including In-Training Exam (ITE) results, rotation evaluations, and Clinical Competency Committee (CCC) feedback in order to assist the resident, and participate in mentor-mentee teambuilding events and provide general support to the overall program culture of wellness.

Madigan Pediatrics has a work hard, play hard culture that encourages trainees to enjoy life outside the hospital. The hospital is ideally located just south of Tacoma in the scenic Puget Sound basin of western Washington. Seattle is just 40 miles to the north. Ferries ply the waters of Puget Sound for short excursions or for longer trips up into Canada. The Seattle-Tacoma area provides a wide assortment and unique combination of delectable dining, professional sports, theater, museums, and other cultural activities. Outdoor recreational activities abound and include skiing, hiking, kayaking, fishing, camping, sailing, biking, and mountain climbing. Glacier capped Mount Rainier is less than 50 miles away.