UW

Course Information for

882-840o: Senior Medical Program: Preceptorship (Neillsville)
Waiting List No
Course Type Elective
Location Memorial Medical Center
216 Sunset Place
Neilsville, WI 54456
Instructors Dr. Timothy Meyer (Internal Medicine)
The preceptorship is a collaborative effort requiring the services of multiple physicians. Neillsville is a community of 3,000. Memorial Medical Center, a modern 30-bed hospital with two internists, two general surgeons, pediatrics, Ob/Gyn, otolaryngologists, an orthopedic surgeon, urologist, neurologist, anesthesiologists, family practitioners and pulmonologist. Hospital and clinic are contained in same complex along with emergency department.
Availability 3 students/year
Initial Registration Lori Rose
EMail: lrose@memorialmedcenter.org
Phone: (715) 743-3101
Fax: (715) 743-6245
To Add Place request with Lana Holland at the Medical School
EMail: ljholland@wisc.edu
Phone: (608) 265-9081
To Drop Place request with Lana Holland at the Medical School
EMail: ljholland@wisc.edu
Phone: (608) 265-9081
Report To 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 Lana Holland at the Medical School by phone: 608-265-9081, or via EMail: ljholland@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.
Housing The hospital will provide housing.
Food: Cafeteria at hospital.
Parking Free
Objectives 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

Content Rotation consists of varied experiences in Primary Care, ER, Peds, Ob/Gyn, Internal Medicine, Surgery. Great experience to show the basis of rural primary care medicine. Course will be collaborative and focused to meet student needs and provide most positive student experience. Opportunities in office procedures, cardiac stress testing, stress echocardiography, EKG reading and pulmonary function interpretation. Call to be taken with attending physician once a week. No weekend call. Call to include coverage of urgent care and rural emergency room care.
Prerequisites
Methods CLINICS/HOSPITALS: Memorial Medical Center, Neillsville
Materials Provided
Expectations
Evaluating A mid-rotation and cumulative evaluation will be completed by the preceptor based on all attendings input involved in the clinical and academic experiences.
Recommended Texts
Meets Patient Care Requirement