Course Information for

882-840s: Senior Medical Program: Preceptorship (Green Bay-Surgery)
Waiting List	Yes
Course Type	Required
Location	BayCare Clinic General & Vascular Surgery Aurora BayCare Medical Center 2845 Greenbrier Rd. Green Bay, WI 54308
Instructors	Erik Johnson, MD
Availability	1 student/period
Initial Registration	Contact Person: Nita Jensen Email: nita.jensen@aurora.org Phone: 920/288-4205 Erik Johnson, MD Email: Ejohnson@baycare.net
To Add	Place request with Louisa Zelm at the Medical School Email: zelm@wisc.edu Phone: (608) 265-9081
To Drop	Place request with Louisa Zelm at the Medical School Email: zelm@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 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.
Housing	The day prior to ABMC Orientation, students may obtain access to the house where students will stay during their rotation. Students will stay at a 3 bedroom/2 bathroom (7 students maximum) home owned by Aurora Health Care called Marty's Place. The address is located at 1741 Deckner Avenue, Green Bay. The house will accommodate medical students from Green Bay rotations, therefore, medical students should plan on sharing a bedroom with another medical student of the same sex. Please park in the Deckner Clinic/Aurora Dialysis Center parking lot, which is adjacent to the house. It is fully furnished and equipped with kitchenware, appliances (washer and dryer are located in the basement), furniture, and a television. Bed linens and a pillow are also provided. Students will need to purchase food and related items. Also, the house has wireless internet. Keys can be picked up at the ABMC Security Office. The security office is located on the 1st floor and will have an envelope with student keys and driving directions for all. The direct phone number to the student house is (920) 469-3562. Local calls are free of charge.
Parking	A car is recommended since the house is approximately 3.5 miles from the hospital. Green Bay: FREE PARKING, FREE GYM MEMBERSHIP, FREE Food (Meal Cards - dollar amount is limited based on the # of weeks) RECREATIONAL OPPORTUNITIES: Green Bay and northeastern Wisconsin have ample opportunities for activities outside the hospital. Door County is just one hour north. Depending on the season, daily office conversations cover hunting, fishing, building and flying airplanes, restoring antique cars, high-end new cars, boating, scuba diving, bird watching, snow skiing, cycling, photography, and, of course, the Packers. If you can't find it in Green Bay, you are sure to find what you are looking to do in Milwaukee, just 90 minutes south.
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	BayCare Clinic and Aurora BayCare Medical Center are excited to offer a General Surgery Preceptorship in Green Bay. This six-week rotation will be spent primarily working directly with me and will consist of a combination of General, Vascular, and Trauma Surgery. Students will essentially mirror my professional life for six weeks and be involved in the care of my current patient population. A typical week includes both inpatient and outpatient experiences. Students will see new and established patients during my office hours (two half-days per week) and multiple hospitalized patients on daily rounds and consultations. On days that I am on call, we will see Emergency Room consultations and respond to trauma alerts. Students will have multiple opportunities to follow patients from initial consultation, through their surgery and post-operative hospital stay, and finally in office follow-up. A surgical case load of not less than two cases per day should be anticipated. Students will follow a volume of patients consistent with their experience and skill level. It is expected that the students will do the required reading and research necessary to fully understand the disease process of their patients and be able to formulate daily plans of care. We will discuss and review these daily. Students will be involved in the operating room to the max extent possible as their skills allow. We will be stressing basic surgical skills which will be of great use in the future. Students will be on call when I am, but not more than once per week. This can be done either in the hospital or from home. You will work the weekends that I work - generally one per month. While the majority of the rotation will be with me, my partners have interesting cases as well and you will be welcome to work with them on a case-by-case basis. Likewise, if you have specific subspecialty interests, we will work to expose you to those disciplines as much as possible. We have very active surgeons is nearly every specialty within BayCare Clinic. Green Bay and northeastern Wisconsin have ample opportunities for activities outside the hospital. Door county is just and hour north. Depending on the season, our daily office conversations cover hunting, fishing, building and flying airplanes, restoring antique cars, high-end new cars, boating, scuba diving, bird watching, snow skiing, cycling, photography, and, of course, the Packers. If you can't find it in Green Bay, you are sure to find what you are looking to do in Milwaukee, just 90 minutes south. We are committed to making this a great experience for our students. If you have questions or are interested in the rotation, please contact us and check out our websites. Dr. Johnson's bio can be found www.baycare.net under the physician's tab. Information about the hospital can be reviewed at www.aurorabaycare.com.
Prerequisites
Methods
Materials Provided
Expectations	Students will be on call when preceptor is, but not more than once per week. This can be done either in the hospital or from home. You will work the weekends that preceptor works - generally one per month.
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	Recommended readings are all available on-line at the hospital and will be assigned during the preceptorship.
Meets Patient Care Requirement	Yes