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Madigan Army Medical Center Robert J. Newman, MD
 

Madigan Army Medical Center Robert J. Newman, MD

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    Madigan Army Medical Center Robert J. Newman, MD Madigan Army Medical Center Robert J. Newman, MD Presentation Transcript

    • 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)
        • 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
      • Pediatric Surgery
      • Pediatric Orthopedics
      • Pediatric Ophthalmology
      • Pediatric Otolaryngology
      • Pediatric Urology
      • Pediatric Radiology
    • 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
      • 2 weeks Pediatric Ward / ICU
      • 2 weeks General Pediatric Clinic
      • 1 week Well Child Clinic
      • 1 week Mother-Baby Unit
    • 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 / 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
      • 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
      • 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
      • 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
      • 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 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