Madigan Army Medical Center Tacoma, Washington PEDS 667

Madigan Army Medical Center Pediatrics Rotation
Updated July 2009

Welcome to the Third-Year Pediatric Clerkship at Madigan Army Medical Center! The following information is meant to supplement your Clerkship Student Handbook. We look forward to your arrival.

Directions:
To Fort Lewis:
I-5 to Fort Lewis Main Gate (Exit 120). Map of base available at Main Gate. If driving on base, at all times you will need: (1) picture ID, (2) car registration/rental car agreement, (3) proof of car insurance and (4) license plate number. You can get a pass for your car at the Main gate only. If your vehicle has a military sticker or you have obtained a temporary car pass at the Main Gate, you may enter post at Madigan/ Berkley St (Exit 121.)
Fort Lewis Lodge: Once thru Main Gate, travel straight and turn right at the second light (Nevada Ave). PX and commissary on your left. Fort Lewis Lodge is on the left.  Phone number to Fort Lewis Lodge: (253) 964-0211.
Hospital Parking:  It is best to park in one of parking lots on the west side of the hospital or along Gardner Loop. You will be ticketed if you park in patient parking.
Transportation from Seatac Airport:
1. Ft. Lewis Airporter: Telephone 360 876-1737 or obtain web reservations at www.kitsapairporter.com. Picks up every 2-3 hrs at baggage claim doors 00. Cost: $16.50 plus $3 for each luggage over 2 pieces (cash only).
2. Airport Taxi

Day 1 of Rotation:
0730 Morning Report – Pediatrics Conference Room
Enter the Main Entrance of the Medical Mall (entrance level is
the 1st Floor). The Pediatric Clinics are on your left. Go down the escalator to the ground floor. Walk straight and turn right at the elevators. Just after you step off the Medical Mall “brick floor” tile you will see the Pediatric Conference room on the right in G-56-35A. If you pass a set of stairs in an open lobby overlooking the lake outside you have gone too far.
0900 MAMC In processing - GME office –  Ms. Kathy Rogers, 8N room 865
Exit the Pediatric Conference room and turn right. Turn left at the laboratory and follow the hallway to the end, turn right, then turn left toward the cafeteria. Near the entrance of the cafeteria you will see several elevators. Take the elevator to the 8th floor. Follow the signs to Graduate Medical Education.
1000 Orientation - Dept of Pediatrics – Dr. Sara Anderson, Site Coordinator
Report to Pediatric clinic front desk and have Dr. Anderson 253-552-0405 paged. Dr. Anderson’s office is in I Hallway, Room 1-78-44
If Arriving Late:
Please stop by the Pediatric Clinic front desk to have Dr. Anderson or the Chief Resident paged.

Pediatrics Didactics Schedule:
0730 - 0900 Activity: Morning Report, Pearl, Lecture
Participants: All medical students
Location: Pediatric Conference Room G-56-35A
Ground Floor, Medical Mall
1200 - 1300
Activity: Medical Student Brown Bag Lecture (bring lunch)
Participants: All medical students
Location: Resident Work Room, Pediatric Clinic, Room E-10

Evaluations:
1. Formal H&P(s) copy handed in to Dr. Anderson for a Pediatric Patient admitted to 4 North Pediatric Ward (USUHS and UW students).
 2. Oral Case Presentation of a Pediatric patient evaluated in the Pediatric Clinic or ER who was not admitted or presented at noon time lecture (USUHS students).
3. Pediatric Clinic Encounter Evaluations (Blue cards for USUHS students, white cards in preceptor room for UW students). Hand out cards for every half-day encounter with your evaluator in the outpatient clinic.
4. Nursery, Ward and Well Child Rotation Evaluations from Attending(s) from your Newborn Nursery Rotation, Pediatric Ward Rotation, and the Well Child Clinic Rotation.
5. Ethics exercise (UW direction are on the UW website. USUHS students will complete an on-line blog session).
6. Examinations
a. USUHS students: National Board Ped Exam last week of rotation.
b. UW Students: UW examination based on CLIPP cases and Board Review text.
c. Other Students: Pediatric Core Exam.

Useful Locations:
• GME Office: Kathy Rogers, 8th Floor, Hospital Tower
• AMO: for CHCS passwords, 1st Floor Med Mall directly below Med Library. POC: Bruce Ramsey.
• Medical Library: 2nd Floor Medical Mall.
• Provost Marshal: for Hospital Badges, 2nd Floor Medical Mall
• Waller Hall: for Post Car Pass. Located near Fort Lewis Lodge.
• MDS WILL CALL: for Lab Coats. Located Ground floor near “Nursing” Tower.
• Dining Facility and PX/Snack Bar: Ground Floor near Nursing Tower elevators.
• 4 North Inpatient Pediatric Ward: 4th Floor Nursing Tower.
• 3 South Newborn Service Mother/Baby Unit: 3rd Floor Main Tower.
• NICU: 3rd Floor Main Tower near 3 South. (Scrubs)
• CHCS training: across from Pediatric Conference room on G floor (AMO training room), CIS training in Phase 2 PACU (post anesthesia care unit) 2nd floor near ICU West.
• Pediatric Outpatient Clinic: 1st Floor Medical Mall

Miscellaneous:
• Reference Material: Nelson’s Essentials of Pediatrics, Harriet Lane Handbook. USUHS Students: The Diagnostic Approach to Signs and Symptoms in Pediatrics.
• Paging:  Dial 99, then 7digit pager number OR contact the hospital operator at 253-968-1110 and request to have someone paged.
• Call Requirements:
• Ward – one weekday (M-F) and one weekend (S/Su)
• Newborn – one weekday
• Clinic – no call
•  Food:
Cafeteria (ground floor nursing tower) requires a hospital badge to enter.
Anthony’s Pizza and small store (nursing tower next to the cafeteria)
Coffee/sandwich vendor plus vending machines (ground floor of medical mall)
• Dress Code:
Civilians: Tie not required, appropriate casual dress, no blue jeans.
Military: ACUs, class B or service equivalent for duty days. Weekend rounds wear uniform or appropriate casual dress.
Scrubs: Should be worn during call hours or if on newborn rotation otherwise, change to regular attire during the duty day. Scrubs are NOT allowed out of hospital, even from car to hospital. Scrubs worn off the floor must be covered by a lab coat or cover gown.
White Coats: you will be issued white coats from the hospital.
• 4th Year Students:
1. To set up a Residency Interview:
Contact Ms. Kendra Mejia, Kendra.mejia@amedd.army.mil to schedule interview with the Department Chief, Program Director and Assistant Program Director. Class A uniform suggested for interview.
2. To set up a MSVI rotation:
Contact LTC(P) Franklin Wood, franklin.wood@amedd.army.mil to arrange a rotation.
• Leave:
Please coordinate leave plans prior to arrival as your school is the final approving authority. If traveling outside a 250 mile radius, passes may be issued on an individual basis.

Contacts/Emergencies:
If you are unable to perform your clinic duties for the day, or have other questions, please
contact Dr. Anderson at (253) 968-1969 or pager (253) 552-0405. If there are any after hours
issues, please feel free to page or contact her cell (808) 371-6646.

Medical Student Education Coordinators:
Sara Anderson, MAJ, US Army                                   Ms. Kendra Mejia
Email: Sara.Anderson@amedd.army.mil                        Email: Kendra.mejia@amedd.army.mil
Phone: (253) 968-0220 [Peds Dept. phone]                 Phone: (253) 968-1330
Fax: (253)968-0384                                                     Fax : (253) 968-0384

Graduate Medical Education liaison:
Mrs. Kathy Rogers
Email: kathy.rogers2@amedd.army.mil
Phone: (253) 968-1511