Gastroenterology Rotation

Physical Address

Madigan Army Medical Center
Department of Gastroenterology
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) 968-1040

Welcome to the Gastroenterology Service:

The Gastroenterology Department at Madigan Army Medical Center is proud to offer expert consultative care for a broad range of common and uncommon gastroenterology diseases in the outpatient and inpatient clinical setting, as well common gastroenterology tests and procedures. Commonly, encountered on the gastroenterology service include acute and chronic presentations of IBD, IBS, diarrhea, pancreatitis, liver disease, esophageal disease, GERD, GI malignancy, UGIB and LGIB. Students also will receive exposure to the full range of special diagnostic procedures including observation of EGD, endoscopic ultrasound, colonoscopy, flex sigmoidoscopy, paracentesis, liver biopsy, 24 hour pH and manometry, breath test, ETCP, and small bowel biopsy.

Expectations:

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 gastroenterology history with pertinent review of systems and focused physical examination, review available radiographic and endoscopic 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 gastroenterology disease process and management. Each student will be required to give a 20 minute talk on the topic of their choice to the attending and other service rotators. The lecture will require a handout.

Didactics:

Informal patient specific teaching and research are viewed as the most important learning opportunity for students. In addition to supplement their clinical and attending teaching time, students are expected to attend morning report and core teaching conference daily. The attending physicians will lead small group didactic and discussion sessions related to the patients seen during the rotation. Students are also encouraged to schedule time at the Anderson Simulation Center to practice on the high-fidelity endoscopic trainer.

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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