Allergy Rotation

Physical Address

Madigan Army Medical Center
Department of Allergy/Immunology
Ground Floor, Medical Mall
9040 Jackson Ave
Joint Base Lewis McChord, WA 98431

Business Hours

Monday - Friday 7:00 a.m. - 4:00 p.m.
Closed on Federal Holidays and Selected Training Holidays

Contact Information

Phone: (253) 968-5422

Welcome to the Allergy / Immunology Service:

The Allergy / Immunology Department at Madigan Army Medical Center is proud to offer expert consultative care for a broad range of common and uncommon allergic and immunologic diseases in both the outpatient and inpatient clinical setting. While rotating students will receive exposure to both adult and pediatric allergic diseases such as drug, food and insect venom allergy, allergic and non-allergic chronic rhinitis, allergic and non-allergic asthma, atopic dermatitis, chronic urticaria, angioedema, anaphylaxis, primary immunodeficiency and hypersensitivity lung disease and occupational allergy. Students will received instruction on the indications and interpretation of commonly utilized procedures, tests and treatments to include immunotherapy, immunizations, allergy skin tests, delayed hypersensitivity skins, methacholine and exercise challenge testing, immunology and advanced allergy testing.


Students will perform initial evaluations to include history and physical for all patients evaluated in the outpatient clinic and referred to the inpatient consultative service. Students are expected to present a complete history with pertinent review of systems and focused physical examination, review available radiographic studies and generate a differential diagnosis and basic diagnostic and/or therapeutic plan. The attending physician works with the student to facilitate development of appropriate clinical assessments and plans, and presents relevant case-based information to advance the student’s understanding of the allergic and immunologic disease process and management. Students learning will be assessed through a pre and post-rotation quiz.


Informal patient specific teaching and research are viewed as the most important learning opportunity for students. Students are oriented to the service at the beginning of their rotation and receive recent reviews and key articles on common allergic and immunologic problems as reference during their rotation. The attending physicians will lead small group didactic and discussion sessions related to the patients seen during the rotation. In addition to supplement their clinical and attending teaching time, students are expected to attend morning report and core teaching conference daily.

Patient Characteristics:

Older adolescent, adult, and geriatric age groups. Military (active duty, retired, dependents) and VA beneficiary patients. Patients from a variety of cultures with different ethnicities and socio-economic situations. The demographics of this group are representative of the national population.

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