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Waiting List
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Yes
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Course Type
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Required
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Location
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Riverview Hospital Association
410 Dewey St.
Wisconsin Rapids, WI 54494
(715) 423-6060
http://www.rhahealthcare.org
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Instructors
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Joseph Garde, MD FACS (Surgery)
Marjorie Miller, MD FACS (Surgery)
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Availability
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1 student per rotation
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Initial Registration
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Contact Person: Ronda Alft, QI Administrative Assistant
EMail: alfron@rhahealthcare.org
Phone: (715) 423-6060, ext 7809
Joseph Garde, MD
EMail: jrgarde@wctc.net
Cell: (715) 424-4488
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To Add
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Place request with Louisa Zelm at the Medical School
EMail: zelm@wisc.edu
Phone: (608) 265-9081
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To Drop
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Place request with Louisa Zelm at the Medical School
EMail: zelm@wisc.edu
Phone: (608) 265-9081
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Report To
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Report to the Riverview Hospital at 410 Dewey St., Jane Walczak, Education Coordinator. Her email address is waljan@rhahealthcare.org and her phone number is (715) 421-7421. Contact the lead preceptor or contact person one month prior to your preceptorship starting date. The first day of your rotation (Monday) for traveling to your preceptorship site to get settled with housing, taking part in any site orientation and at 6 p.m. taking part in a phone orientation in which you will need computer access. You will be informed of the remaining two phone orientations from Dr. Paul Hunter, Course Director. In most cases you will begin clinical work on the second day (Tuesday) of the rotation, however, please check with your site as some students may be on call the first night of your preceptorship. If you have questions about your preceptorship, contact Louisa Zelm at the Medical School by phone: 608-265-9081, or via Email: zelm@wisc.edu. Your background check information and immunization records can be found in OASIS under Academic History/My Med School. It is your responsibility to copy that information and send it to your site coordinator or preceptor via email before your preceptorship starts. You will not be allowed to start your preceptorship training until this information is received by the preceptorship site.
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Housing
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HOUSING: Provided by Riverview Hospital Association at a fully furnished house within walking distance of the hospital campus, complete with internet and laundry facilities. Bed linens and towels are available if desired.
Meals are available at the hospital Water's Edge cafeteria. Housing contact is Melody Dearth, Dir. Environmental Services 421-7443, deamel@rhahealthcare.org
FOOD: All meals in the hospital cafeteria are FREE
RECREATION: Outdoor activities abound in the area including boating, fishing, hunting, camping, and cross-country skiing.
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Parking
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TRANSPORTATION NEEDS: Parking is free on the hospital campus.
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Objectives
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GOALS AND OBJECTIVES -
Overarching Goals -
Upon completion of the 4th Year Preceptorship, students will:
1. Understand the complexities of a multidisciplinary health care system
2. Develop proficiency in providing patient care in a community setting
3. Apply principles of preventive medicine to clinical care
4. Recognize the impact of health care and reimbursement systems on the delivery of health care
5. Expand upon their personal and professional growth and development
6. Recognize the effect of quality measurement and improvement on clinical decision-making, cost of care, and patient satisfaction
Educational Objectives -
Patient Care (Problem solving and Clinical Skills)
Students are expected to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
1. Conduct an efficient & effective clinical medicine interview
2. Describe the impact of continuity of care on health care delivery
3. Develop independent assessments and differential diagnoses
4. Negotiate management plans with patients & preceptors
5. Describe the impact of local culture on health care, wellness, the work environment, and the community
6. Provide continuous care and assure effective care transitions for patients as they move through multiple health care settings
7. Describe challenges of chronic disease management in the US healthcare system
Medical Knowledge -
Students are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences.
1. Describe the impact of nutrition, physical activity, and weight on physical and mental health
2. Locate ACIP recommendations for immunizations and describe strategies for improving community immunization rates for both children and adults
3. Describe the impact of USPSTF and other professional groups screening recommendations on the clinical practice of your preceptor
Practice Based Learning and Improvement -
Students are expected to investigate and evaluate their patient care practices by appraisal and assimilation of scientific evidence.
1. Describe a local quality improvement initiative at your preceptorship site
Systems Based Practice -
Students are expected to demonstrate an awareness of the larger context and system of health care and effectively call on system resources to provide optimal care.
1. Use and refer patients to appropriate community-based healthcare resources
2. Participate in community health activities
3. Describe your preceptor's relationship to the healthcare system in which (s)he practices
4. Describe the roles of federal, state and private programs that pay for health care within the US healthcare system
5. Describe the relationships between health care financing and health care delivery
6. Identify contemporary healthcare issues and discuss their impact on the practice of medicine
Interpersonal and Communication Skills -
Students are expected to effectively communicate and collaborate with patients, their families and health professionals.
1. Work and communicate with doctors, nurses, therapists, physician assistants, medical assistants, chaplains and other healthcare personnel in a manner that fosters mutual respect and excellence in patient care
Professionalism -
Students are expected to demonstrate a commitment to carrying out professional responsibilities, and to be responsive and compassionate.
1. Conduct yourself in a professional manner
2. Obtain formative feedback and improve communication, history & physical exam skills
3. Identify areas of tension between professional, family, and personal aspects of your life
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Content
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Three weeks of this rotation are to be spent with Dr. Garde and Dr. Miller: rounding on inpatients and helping with discharge planning, and following him in the clinic daily. One of the weeks of the rotation will be spent with the radiologist and the other two weeks will be spent with the specialty surgeon of the student's choice as available and a combination of the following:
1. Seeing patients with the specialists (surgery, ortho, cardiology, pulmonology, neurology, urology, podiatry, gynecology, audiology, nephrology)
2. Scrubbing in on any, or all, surgeries
3. Spending time at the healing wound center
4. Researching topics of interest
5. Meeting with administration to understand the financial aspects of medicine
6. Seeing emergency and urgent care patients
7. Spending time in the community to understand health care needs and services available
8. Going on nursing home rounds
9. There will be an expectation of call with the preceptor assigned to the student (or ER shifts with one of the ER physicians). We hope to be flexible to the needs and interests of the individual students.
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Prerequisites
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*An interest in surgery and surgical sub-specialties is required*
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Methods
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Riverview Hospital Association in Wisconsin Rapids is licensed for 99 beds and has a current capacity of 69 inpatient beds. Riverview is situated on the Wisconsin River in central Wisconsin, 120 miles north of Madison, Wisconsin. The hospital includes a new inpatient facility (opened in September 2009) with all private rooms. The hospital also houses a critical care unit, a birthplace, UW Cancer Center Riverview (with tomotherapy radiation therapy), a state-of-the-art diagnostic imaging department, a laboratory, emergency room, Riverview Wound Healing Center (including two hyperbaric oxygen therapy chambers), the Central Wisconsin Joint Center at Riverview Hospital, a sleep lab, and numerous outpatient services. The Riverview medical staff offers many learning opportunities. Riverview's Active Medical Staff includes: family medicine, internal medicine, dedicated ER physicians, surgeons, hospitalists, obstetrics/gynecology, radiology, anesthesiology, pathology, pediatrics, dentistry, podiatry, gastroenterology, ophthalmology, urology, oncology, orthopaedics, otolaryngology, and oral/maxillofacial surgery. Riverview's Courtesy Medical Staff includes many of these same specialties, as well as: cardiology, nephrology, neurology, occupational medicine and plastic surgery. Experience the best of surgery in this rural Wisconsin setting.
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Materials Provided
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Wireless computer Internet access at Riverview Hospital.
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Expectations
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ON CALL/ER EXPECTATIONS: Student will follow preceptor's call schedule.
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Evaluating
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A mid-rotation and cumulative evaluation will be completed by the preceptor based on all attendings input involved in the clinical and academic experiences.
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Recommended Texts
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Meets Patient Care Requirement
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