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Madigan Army Medical Center. Robert J. Newman, MD COL MC Pediatric Endocrinology. Madigan - Pediatrics. Military and Civilian Staff General Pediatrics – 9 (4 military & 5 civilian) Adolescent Medicine – 1 Cardiology – 2 Developmental Pediatrics – 4 (2 military & 2 civilian)

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madigan army medical center

Madigan Army Medical Center

Robert J. Newman, MD

COL MC

Pediatric Endocrinology

madigan pediatrics
Madigan - Pediatrics
  • Military and Civilian Staff
    • General Pediatrics – 9 (4 military & 5 civilian)
    • Adolescent Medicine – 1
    • Cardiology – 2
    • Developmental Pediatrics – 4 (2 military & 2 civilian)
    • Developmental Fellows – 5
    • Endocrinology – 2
    • Gastroenterology – 1
    • Genetics & Dysmorphology – 1 (civilian)
    • Hematology-Oncology – 2
    • Infectious Disease – 1
    • Neonatology – 5 (4 military and 1 civilian)
    • Neurology – 2 (1 military and 1 civilian)
    • Pulmonology – 1
    • Rheumatology – 1
madigan other
Madigan - Other
  • Pediatric Surgery
  • Pediatric Orthopedics
  • Pediatric Ophthalmology
  • Pediatric Otolaryngology
  • Pediatric Urology
  • Pediatric Radiology
pediatric residency
Pediatric Residency
  • 6 Residents per year group
  • Clerkship site for USUHS since 1999
  • Clerkship site for WAMI (U of W) since 1982
  • Currently 39% USUHS graduates (although USUHS accounts for only 15-25% of the annual applicants)
    • 3 PL-3’s
    • 2 PL-2’s
    • 2 PL-1’s
  • 2 of the 3 Army USUHS grads of 2003
the rotation
The Rotation
  • 2 weeks Pediatric Ward / ICU
  • 2 weeks General Pediatric Clinic
  • 1 week Well Child Clinic
  • 1 week Mother-Baby Unit
general pediatric ward icu
General Pediatric Ward / ICU
  • Average census: 10-20 patients
  • Average length of stay: 2-4 days
  • Staff attending
  • Senior resident
  • Supervising resident
  • One or two interns (pediatric, family practice, transitional (elective))
  • One to three students – MS-III & MS-IV
general pediatric ward icu8
General Pediatric Ward / ICU
  • Each student responsible for one to three patients daily
  • Admission H&P; daily notes
  • Presents at rounds
  • Presentations at morning report
  • Case discussions with attending
  • On-call twice per week
  • Evaluated by attending and senior resident
pediatric clinic
Pediatric Clinic
  • Three to five patients per half-day
  • General pediatric or subspecialty clinic
  • Precepts with attending
  • Observed history and physical
  • Treatment room half-day
  • Evaluated by attending
well child clinic
Well Child Clinic
  • Birth to 24 months
  • Age-cohort half-days
  • Infant growth and development, newborn metabolic screening, infant nutrition and normal physical findings
  • Immunization room half-day
  • Required reading of selected articles
  • Works with single preceptor who evaluates every third year student
mother baby unit
Mother-Baby Unit
  • Pregnancy and delivery history
  • Newborn physical examination
  • Attends normal deliveries
  • Assessment of risks for sepsis, hypoglycemia, hyperbilirubinemia, etc
  • On-call in NICU once or twice
  • Circumcisions
  • Works with single attending who evaluates every student – One student per week
educational opportunities
Educational Opportunities
  • Morning report – case discussion
  • Morning Pearl
  • Morning lecture – 4 days per week
  • Multi-disciplinary conferences (Pediatric ER, Peds-OB, Peds Path) monthly
  • Noon lectures – general pediatrics
  • Continuity clubs – twice monthly
  • SIM center
  • Wilderness medicine / cardiology conf.
  • Combat pediatrics / Treatment guidelines
  • Physical diagnosis rounds
educational opportunities13
Educational Opportunities
  • Medical Library access
  • Ward and NICU libraries
  • Computer / Network access
  • Up to date
  • MD Consult
  • OVID / Pub Med
  • Courses available to students – (sporadic) MMHAC, PALS, NRP, Winter Conference
ad