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Waiting List
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No
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Course Type
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Location
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Amery Regional Medical Center
265 Griffin St., East
Amery, WI 54001
(715)268-8000
http://www.amerymedicalcenter.org/
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Instructors
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Margie Peterson, MD (Family Medicine)
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Availability
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1 student/period
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Initial Registration
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Contact Person: Gwen Wold, Administrative Coordinator
EMail: gwenwold@amerymedical.com
Phone: (715) 268-0308
Margie Peterson, MD
EMail: drmargip@amerymedical.com
Cell: (651) 303-7975
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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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The 3 preceptorship orientation lectures can be found on Learn @ UW and need to be viewed online at: https://uwmad.courses.wisconsin.edu/ as they are the *only orientation* to your preceptorship. The first day of your rotation (Monday) is dedicated to viewing the orientation videos and Learn @ UW materials (if you have not already done so), traveling to your preceptorship site to get settled with housing and taking part in any site orientation. 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. Report to the medical center at 265 Griffin St., East, Gwen Wold, Administrative Coordinator. Her email address is gwenwold@amerymedical.com. Her phone number is (715) 268-0308. Contact the head preceptor and contact person two weeks prior to your starting date. 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. Take your personal health record with you (immunizations).
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Housing
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HOUSING: Provided by Amery Regional Medical Center at the Forrest Inn Motel with wireless internet, cable TV and continental breakfast.
FOOD: All meals in medical center cafeteria are FREE
RECREATION: Outdoor activities abound in the area including boating, fishing, hunting, camping, and cross-country skiing with 10K of groomed trails only minutes away.
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Parking
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TRANSPORTATION NEEDS: Car is necessary (provided by student), parking is free at medical center.
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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 groupsÂ’ 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 preceptorÂ’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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Mornings on this rotation are to be spent rounding on inpatients and helping with discharge planning, followed by several options including:
1. Seeing patients with the specialists (surgery, ortho, cardiology, pulmonology, neurology, urology, podiatry, gynecology, audiology, nephrology)
2. Scrubbing in on any, or all, surgeries
3. Spending time at the wound center
4. Spending time at the geriatric psych facility
5. Researching topics of interest
6. Meeting with administration to understand the financial aspects of medicine
7. Seeing emergency and urgent care patients
8. Spending time in the community to understand health care needs and services available
9. Going on nursing home rounds
10. Spending time with our chiropractor to understand his PM&R approach to care
11. Spending time at our rehab center/fitness center
12. Participating in deliveries by the family doctors, or nurse midwife, as desired
Afternoons will be spent seeing patients in the clinic setting divided by 2, or more, of the family physicians. There will be an expectation of call with the preceptor assigned to the student (or ER shifts with one of the ER physicians). We hope to be flexible to the needs and interests of the individual students.
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Prerequisites
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Methods
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Amery Regional Medical Center is a 25 bed Critical Access Hospital and Clinic, situated in lake country 50 miles northeast of St. Paul, Minnesota. The Medical Center moved into its new facility in 2007, with a state of the art diagnostic imaging department, urgent care department, emergency room, private inpatient rooms, busy OB department, and 48 clinic exam rooms. The former hospital site houses the Medical Center's ten-bed inpatient geriatric psychiatric facility, outpatient behavioral health center, state of the art wound center (including hyperbaric oxygen therapy) and sleep study center. The medical staff is committed to teaching. Due to the large number of services provided, there are many learning opportunities at this facility. The composition of the medical staff includes the following providers: 12 family physicians, 5 dedicated ER physicians, 2 surgeons, 4 nurse practitioners, 2 physician assistants, 1 chiropractor, 1 certified nurse midwife and 1 psychiatrist. Regular visiting specialty staff includes cardiology, nephrology, gynecology, audiology, neurology, podiatry, urology, pulmonary medicine, orthopedics, and spine and pain management. Experience the best of family medicine in a rural Wisconsin setting.
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Materials Provided
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Computer/Online Internet access at medical center in private office setting.
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Expectations
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ON CALL/ER EXPECTATIONS: Student will follow preceptor's call schedule - one of every eleven workdays and one of every eleven weekends. Student may opt for more time on call/ER if requested.
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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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