Inpatient Care Unit Medicine Rotation

Physical Address

Madigan Army Medical Center
Department of Inpatient Medicine
5th Floor, Hospital Tower
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) 968-1189
Fax: (253) 968-1187

Welcome to the Inpatient Care Unit Medicine Service:

The Inpatient Medicine Service at Madigan Army Medical Center is proud to offer expert primary and consultative care for broad range of internal medicine disorders. The service consists of approximately 20 male and female beds and three inpatient teams consistent of one attending physician, one senior house officer and two interns. While rotating on service students will receive exposure to both new onset and acute exacerbation of both common and uncommon medical disorders. They will also receive instruction on perioperative medicine and on frequently encountered procedures such as thoracentesis, lumbar puncture and paracentesis.


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 and laboratory studies and generate a differential diagnosis and basic diagnostic and/or therapeutic plan. The supervising house officer and 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 medical disease process and management. Students are expected to document all history and physicals, daily progress and consult notes in the designated EMR. Although not required, students are encouraged to place orders for labs, radiography and consults on their patients with the direct supervision and co-signature of their house officer or attending physician. An intern or resident must promptly countersign all orders. Students are also encouraged to present at least one time during morning report.


Informal patient specific teaching and research are viewed as the most important learning opportunity for students. The attending physicians and house officers will lead small group didactic and discussion sessions related to the patients seen on service as well on common medical pathology and disorders. 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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