Emergency Medicine Residency Program
The Residency at Madigan is the Army's premier training program for Emergency Medicine. Madigan has been developing exceptional Emergency Physicians for over thirty years. Our program is very demanding, but the atmosphere is one of teamwork and camaraderie. The program leadership recognizes the challenges of residency, and supports an environment of respect and support of its residents. Our graduates are prepared to practice Emergency Medicine anywhere in the world, pass their Board exams, and assume leadership positions in the Army and beyond.
The Emergency Department
Madigan’s volume and acuity provide an optimal training experience for the Emergency Medicine Resident. We see an average of 60,000 patients per year, with a 20 percent admission rate. Our patients are a diverse group, with all ages represented and the full spectrum of medical, surgical, obstetric, and pediatric illness. Madigan is also a Level II Trauma Center and accepts civilian patients through its affiliation with the Tacoma Trauma Trust.
The Madigan Faculty consists of 22 board certified Emergency Physicians who are fully committed to the training and development of our residents. Many of our staff have completed additional fellowship training and earned degrees in such sub-specialties as Wilderness Medicine, Ultrasound, Sports Medicine, Legal Medicine, and Toxicology. All of our staff have established records of excellence in teaching, administration, and research. The devotion and approachability of the Madigan Staff create an optimal learning atmosphere for our residents, and an outstanding professional network for our graduates.
The Residency Program
Our 3-year curriculum has been fully endorsed by the ACGME to train 12 residents per year. Our philosophy is one of cooperative education. Residents work together to learn from one another, achieve professional goals, and decompress when the work of the day is done. As residents progress through their training, faculty provide them with personalized mentoring for academic, professional, and personal development and ensure they are set up for success upon completion of training. The basic layout of the program is described below:
Emphasis is on developing a solid foundation of Emergency Medicine knowledge and an expert approach to the Emergency Department patient. Rotations include an Orientation Month, 6 blocks in the Madigan ED, 1 block in the University of Washington ED, and 1 block each of Anesthesia, Ophtho/ENT, Ultrasound/EMS, and the Medical ICU (University of Washington.)
Emphasis is on developing efficiency in the ED, procedural expertise, and more independent practice as the resident demonstrates competency with increasingly complex patients. Rotations include 6 blocks in the Madigan ED, 1 block in the University of Washington ED, 1 block in a community ED (Saint Pete's, Olympia),and 1 block each of Trauma (Harborview, Seattle), Neurosurgical ICU (Harborview, Seattle), Cardiology, Pediatric EM (Mary Bridge Children’s Hospital), and Toxicology.
Emphasis is on the refinement of skill with orchestrating the care of multiple complex patients simultaneously, directing and teaching junior physicians, departmental leadership, literature appraisal, and evidence-based medicine. Rotations include 5 blocks in the Madigan ED, 1 block in a community ED (Good Sam Hospital, Puyallup), and 1 block each of Trauma (Harborview, Seattle), Pediatric EM, Medical ICU, Community EM (selective), Trauma ICU (Harborview, Seattle) an elective, and a variable amount of time as Chief Resident or Assistant Chief Resident.
In addition to bedside teaching and the learning that comes from daily patient encounters, Madigan boasts a robust curriculum of didactic, simulation, ultrasound, and tissue training. Weekly Grand Rounds are five hours of quality lectures, small group exercises, and hands-on practice at the Anderson Simulation Center. Daily Morning Report consists of Oral Boards cases, Simulation Thursdays, and Procedure Fridays. Senior residents also give brief white-board talks at every change of shift. We bring in expert staff from around the hospital, and special guest lecturers from around the country. The results of our curriculum are evidenced by our first-time EM Board pass rate of over 95 percent, and some of the highest In-Training Exam scores in the Nation.
The Pacific Northwest has countless opportunities for outdoor, cultural, and dining experiences. Seattle and Tacoma host a wealth of concerts, museums, professional sports teams, and fine restaurants. Outdoor enthusiasts enjoy hiking on Mount Rainier, camping on the Olympic Peninsula, skiing at any number of nearby lifts, and fishing and crabbing in the Puget Sound or local lakes and rivers. For a weekend away, the San Juan Islands, as well as Victoria and Vancouver Canada, are all within reach and are essential destinations for Washington residents.
The program offers fourth-year medical student rotations in the Emergency Department, Wilderness and Austere Medicine, and Emergency Ultrasound. Medical students are integrated into the emergency team and have the opportunity to see a high volume of patients and perform emergency procedures. Interested students are encouraged to apply early, especially if considering July through September rotation dates.