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Waiting List
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No
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Course Type
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Required
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Location
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Wild Rose Community Memorial Hospital
601 Grove Ave., P.O. Box 243
Wild Rose, WI 54984
Hospital Phone: (920) 622-3257
Fax: (920) 622-5597
Waushara Family Physicians
701 Grove Ave., P.O. Box 314
Wild Rose, WI 54984
Clinic Phone: (920) 622-5560
Fax: (920) 622-5598
Waushara Family Physicians
N6493 Valley Circle Rd., P.O. Box 5
Plainfield, WI 54966
Clinic Phone: (715) 335-6506
Fax: (715) 335-6946
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Instructors
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Chad Voskuil, MD
Family Medicine
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Availability
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1 student per rotation
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Initial Registration
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Contact Michelle Siebert two weeks before rotation. michelle.siebert@partnershealth.org
920-622-5582
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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.
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Housing
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Housing is provided - fully furnished (walk out) lower level of home with Internet service.
FOOD: Free at the hospital
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Parking
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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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ELECTIVES AVAILABLE: General Surgery, Endoscopy, ER, Anesthesiology, Radiology and Family Practice. Most other specialties also available if interested, but allow 2 - 3 weeks to organize with outside staff. The primary focus is rural family practice with Dr. Voskuil or one of his associates in full time family practice. The student will have a rotating schedule of 2 weeks in clinic and 1 week in the ER and hospital. Hours average 8 - 5 p.m. During their time in clinic, the student will complete histories and physicals, develop a plan of care, and work with the preceptor to improve skills. No overnight or weekend responsibilities, unless student is specifically interested - participation does not affect final rotation evaluation. During hospital rotation, students will have an opportunity to apply their skills while working with patients in the ER, Acute Care and the Swing Bed Program (skilled nursing/rehab). The student will complete histories and physicals, write initial and follow-up orders and perform minor procedures if interested: IV starts, suturing and dressings, etc. There is significant flexibility in the schedule allowing for rotation time in a variety of other specialties, as listed above. Time is spent with practicing community physicians who are interested in teaching. Students have an opportunity to formulate a working problem list, differential diagnosis, diagnostic plan, treatment plan and discharge plan.
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Prerequisites
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Methods
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CLINICS/HOSPITALS: Wild Rose Community Memorial Hospital, Berlin Memorial Hospital, Waushara Family Physicians in Wild Rose and Waushara Family Physicians in Plainfield.
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Materials Provided
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Expectations
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EMERGENCY ROOM EXPECTATIONS: One week in Emergency Dept. rotation every three weeks.
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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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