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Internal Medicine

Program Type: Military Medical Center

Location: Tacoma, Washington

Accredited: Yes, Accreditation Council for Graduate Medical Education

Program Length: 3 years

Required Pre-Requisite Training: Medical School Graduation

  • If prior completed preliminary medicine internship, may start at PGY2 level with program director approval.
  • If prior completed transitional year internship, may start at PGY1 level with partial credit with program director approval.
  • If prior completed surgical year internship, will start at PGY1 level.

Categorical Year in Specialty Required: 

Total Approved Complement: 36

Approved per Year (if applicable): N/A

Dedicated research year offered: No

Medical Student Rotation availability: 3rd and 4th year (contact us 8-9 months in advance to schedule)

  • 4th Year:
    • Inpatient (Ward) Medicine
    • Medical Intensive Care Unit (MICU)
    • Cardiology
    • Hematology Oncology
    • Endocrinology
    • Rheumatology
    • Pulmonary
    • Nephrology
    • Allergy Immunology
    • Gastroenterology
    • Infectious Disease
    • IMC Consult/Primary Care
  • 3rd Year:
    • Core clerkship site for Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
    • Core clerkship site for University of Washington School of Medicine

Additional degree concurrent with training (e.g. MPH): No

Program Phone Number: 253-968-1928


Program Hours of Operation: Monday-Friday 7 a.m. - 4 p.m.

Program Description

Internal medicine residency training at Madigan is unique. Madigan Army Medical Center is located on Joint Base Lewis McChord, currently the third largest Army installation in the United States and an integral part of a major West Coast tri-service military mobilization and force projection platform. As the flagship medical center within the Pacific Region, Madigan provides its trainees with a rich training experience caring for active-duty service members and their families, a large local population of military retirees and their beneficiaries who utilize the military medical system for their care, and a robust referral practice from other surrounding military treatment facilities mainly in the local 5 state area (Washington, Alaska, Montana, Idaho, and Oregon) and northern California. The institution also provides inpatient services for the local American Lake Veterans Administration facility. Because of these diverse and complex missions, internal medicine residents find themselves in a diverse practice environment that provides a wide variety of both typical and unique training opportunities, and an educational environment that has been deliberately managed to provide them with an outstanding and progressive learning experience. The Madigan Internal Medicine Residency prides itself on providing a patient-centered focus that prioritizes clinical excellence and patient safety within everything that we do. Outstanding clinical education is the foundation of this experience, balanced with thoughtful supervision that ensures the provision of safe and effective patient care while fostering each resident’s individual growth towards independent practice as a general internist.

We also take pride in creating well rounded physicians. To this end we have several different initiatives residents take part in, including: narrative medicine events, “pizza and ethics” conferences, “donuts and DEI” sessions, women in medicine journal clubs, attending a crucial conversations course, and a DEI (diversity, equity and inclusion) lecture series called “Diversity in Plain Sight”, which aims to shine light on the diverse and unique personal and professional experiences of our colleagues and allow us to learn through honest discussion.

We operate under a “4 + 1” (X+Y) scheduling structure composed of four weeks on a traditional rotation (subspecialty elective, wards, EM, etc...) followed by a week of ambulatory internal medicine continuity clinic. Rotations outside of MAMC extend our resident’s clinical skills including:

  • Deaconess and Sacred Heart hospitals  – Develop procedural competence and manage critically ill patients in a busy ICU at a 4-state referral academic medical center.
  • Seattle Veteran's Administration – Care for 150,000 veteran beneficiaries with high acuity/high complexity of medical conditions in a high volume academic medical center with bone marrow transplant, lung transplant and other unique capabilities. Also based on a residents’ aspirations, the program can attempt to help set up other unique elective educational experiences.
  • Pulse Heart Institute Cardiology – Care for patients with complex cardiac disease in a cardiac care unit (including treatment for advanced heart failure with ECMO and LVAD capabilities).
  • Providence Centralia Hospitalist rotation – Practice in a role of a hospitalist in a busy community hospital resembling the experience at many Army Community Hospitals/small MTFs
  • American Lake VA Geriatrics rotation – customized geriatric care for patients in the ambulatory setting.

The Internal Medicine Residency Program is 36 months in duration, with a progressive, structured curriculum of requirements and individualized educational experiences combined with a wide variety of educational conferences and activities to provide residents with the experience and education to prepare them well for the challenges commonly faced in practice by an Army general internist.

Graduates from Madigan’s Internal Medicine Residency Program are well known for the outstanding clinical and academic skills they acquire during training. Madigan residents are exceptionally competitive candidates for sub-specialty fellowship opportunities of their choice, as evidenced by high fellowship acceptance rates. They consistently demonstrate scholarly excellence with high rates of abstract acceptance at prestigious regional and national meetings and through peer-reviewed publications in reputable medical journals.

On top of all of that, Tacoma, Washington is a great place to live. The Pacific Northwest is perfect for outdoor enthusiasts and offers a wide array of cultural opportunities. The beautiful Olympic and Cascade Mountains provide hundreds of hiking trails and multiple ski resorts only a few hours drive away. As Washington’s largest urban center, the Puget Sound region offers an extraordinary variety of entertainment options, including professional and college sports teams, theatres, music venues, and a wealth of historical and architectural attractions. And of course, there’s a great coffee shop on every block!

Mission and Aims

Curriculum and Schedules

Scholarly and Professional Development Opportunities

Participating Sites

Applicant Information, Rotation and Interview Opportunities

Teaching Opportunities

Faculty and Mentorship


Contact Us

Internal Medicine Residency Program

Location: Madigan Army Medical Center, Hospital Tower, 5 South (in the same area as the Nephrology clinic)

Hours of Operation:

7 a.m. to 4 p.m. PT

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