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Waiting List
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Yes
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Course Type
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Location
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St. MichaelÂs Hospital
900 Illinois Avenue
Stevens Point, WI 54481
(715) 346-5000
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Instructors
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John Almquist, M.D.
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Availability
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1 student/period at each location
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Initial Registration
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Contact Person: Lisa Losee
EMail: Lisa.Losee@ministryhealth.org
Office Phone: (715) 342-6729
Office Fax: (715) 343-3331 For sending immunization records
John Almquist, MD
EMail: John.Almquist@ministryhealth.org
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To Add
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Place request with Lana Holland at the Medical School
EMail: ljholland@wisc.edu
Phone: (608) 265-9081
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To Drop
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Place request with Lana Holland at the Medical School
EMail: ljholland@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 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.
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Housing
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Student housing is available across the street from St. Michael's Hospital. 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 Lisa Losee - Phone: 715-342-6729.
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Parking
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Parking provided at the apartment. A car is not necessary unless transportation out of town is needed.
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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 preceptorÂs 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: Hospitalist Medicine
Dr. Almquist will need to talk to other MDÂs to see if they will do electives. Students will work with Dr. Almquist or an experienced hospitalist caring for hospitalized internal medicine patients. The patients have a broad spectrum of medical problems. The severity of illness ranges from critical care to observation bed admissions. They will also provide inpatient consultation to other specialties. Hours are from 7:00 AM Â 6:00 PM. Students will do about one admission or consult per day and manage 3 or 4 inpatients. They do H&PÂs, write initial orders, round on patients and make patient arrangement decisions and write daily notes and orders. On discharge they will communicate to the patientÂs primary care provider and do a comprehensive discharge plan and hospital summary.
All H&PÂs and discharge summaries are dictated. I want students to be the first person to see the patients on admission and daily rounds. They are encouraged to develop a differential diagnosis, work-up and treatment plan before presenting it to the attending hospitalists. After 3-4 weeks working on the hospitalist service rotations in other specialties may be available (e.g., ER, General Surgery, Radiology, Neurology and Psychiatry). There are weekly Grand Rounds at both locations.
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Prerequisites
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NOTE: Documentation of your immune status, by serologic testing, must be sent to Lisa Losee 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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Hospital
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Materials Provided
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Internet access, pager and name badge.
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Expectations
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EMERGENCY ROOM EXPECTATIONS: ER rotation is possible. LABORATORY EXPECTATIONS:
Students do not do any blood drawing IVÂs, or ABGÂs.
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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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