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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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Ministry Medical Group - Northland Orthopedics
444 E. Timber Dr.
Rhinelander, WI 54501
Clinic: (715) 369-2300
Ministry St. Mary's Hospital
2251 North Shore Dr.
Rhinelander, WI 54501
Hospital: (715) 361-2000
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Instructors
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James Dyreby, MD (Orthopedics)
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Availability
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1 student every other rotation
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Initial Registration
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Contact Person: Brant Bergeron brant.bergeron@ministryhealth.org
Office phone: 715-343-3371
James Dyreby, MD
Email: James.Dyreby@ministryhealth.org
Pager: (715) 361-2000
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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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Contact the lead preceptor or contact person one month prior to your preceptorship starting date. The first day of your rotation (Monday) is 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. NOTE: See prerequisite for health requirements needed prior to your arrival.
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Housing
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Student housing is available approximately 1 1/2 miles from the hospital and clinic. Meals are provided free of charge at the hospital. Computer access is available 24/7 at the hospital. Free wireless internet in housing. Contact is Brant Bergeron - phone 715-343-3371.
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Parking
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Parking is provided at the apartment. A car is necessary to travel back and forth from the hospital and clinic.
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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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Rhinelander is approximately 190 miles north of Madison on I-39/51 with easy access to all parts of the state. The site has hosted PA students from Marquette and other UW programs. Hospital and clinic offer excellent service and support providing a high quality teaching environment for interested and motivated students. The preceptorship is geared toward working in a smaller town Orthopedic
Surgery practice. During the 6 week rotation, time will
be spent on the Orthopedic Surgery Service. Call responsibilities will mirror preceptor (approximately 1 in 3 or 1 in 4). Weekend call variable (average of 1 in 3 to 1 in 4). Students will assist, round on and work up surgical service patients. Opportunity to improve and/or build basic surgical skills. Emphasis is placed on hands-on experience for the student at the judgement of the preceptor. This is a
good opportunity for those interested in the surgical field or wish to see a different side of surgery as compared to a tertiary setting and to hone clinical skills in preparation for residency, in which the medical student must learn to move on a more autonomous path. Clinical supervision will always be present. Planning the clinical course, ordering and instigating appropriate therapies and procedures will be
supervised by the preceptor.
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Prerequisites
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NOTE: Documentation of your immune status, by serologic testing, must be sent to Ministry PRIOR TO the start of your rotation: Rubella, Rubeola, Varicella, Hepatitis B Antibody Status, Mumps, updated PPD. Start of rotation is dependent upon this documentation being provided PREVIOUS to start date.
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Methods
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Materials Provided
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Internet access, pager and name badge are provided.
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Expectations
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Students are expected to put in the effort and desire to learn and execute the care of the surgical patient. Over the course of the preceptorship, tasks such as writing notes, orders and ordering of appropriate tests become more commonplace, allowing the student more opportunity to expand and use their knowledge base in a clinical setting and to improve technical skills such as suturing, assisting in the surgery suite and procedural techniques required in surgery.
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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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