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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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Door County Memorial Hospital
North Shore Medical Clinic
323 S. 18th Avenue
Sturgeon Bay, WI 54235
(920)746-0510
www.doorcountymemorial.org
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Instructors
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Phillip Arnold, DO (Family Medicine)
Shaun Melarvie, MD (Surgeon)
Amy Fogarty, MD (Pediatrics)
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Availability
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2 or 3 students/year
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Initial Registration
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Contact Person: Brenda Leist, Access Manager
EMail: brenda.leist@ministryhealth.org
Phone: (920) 746-3523
Phillip Arnold, DO
Email: Phillip.Arnold@ministryhealth.org
Phone: (920)746-0510
Shaun Melarvie, MD
Email: sjmelarvie@gmail.com
Phone: (920)746-1060
Amy Fogarty, MD
EMail: Amy.Fogarty@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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Report to Door County Memorial Hospital at 323 S. 18th Avenue, Sturgeon Bay - Peggy Westin, Medical Staff Coordinator. Her email address is Peggy.Westin@ministryhealth.org. Her phone number is (920) 746-3535. Contact the head preceptor and contact person two weeks prior to your starting date. 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. 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 Door County Memorial Hospital at Westwood Shores.
FOOD: All meals in Door County Memorial Hospital cafeteria are FREE
RECREATION: Outdoor activities abound in the area including boating, fishing, hunting, camping, hiking, biking and cross-country skiing only minutes away.
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Parking
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TRANSPORTATION NEEDS: Car is necessary (provided by student), parking is free at Door County Memorial Hospital and North Shore Medical Clinic.
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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 may be spent rounding on inpatients and helping with discharge planning, followed by several options including:
1. Seeing patients with the specialists (family medicine, pediatrics and surgery)
2. Scrubbing in on any, or all, surgeries
3. Spending time at the wound center
4. Researching topics of interest
5. Meeting with administration to understand the financial aspects of medicine, if requested
6. Seeing emergency and urgent care patients
7. Spending time in the community to understand health care needs and services available
8. Going on nursing home rounds
9. Spending time at our rehab center/fitness center
10. Participating in deliveries by the family doctors, 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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Door County Memorial Hospital is a 25 bed Critical Access Hospital, situated 50 miles north of Green Bay, WI. Door County Memorial Hospital has a state of the art diagnostic imaging department, urgent care department, emergency room, private inpatient rooms coming Summer of 2010, busy OB department, and 40 clinic exam rooms. 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: 7 family physicians, 2 nurse practitioners, 3 physician assistants, 2 orthopedic physicians, 1 rheumatologist, 1 podiatrist, 4 internal medicine physicians, 2 pediatricians, 3 OB/GYN physicians and 1 med/peds physician. Regular visiting specialty staff includes cardiology, audiology, neurology, urology, and ENT 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 Door County Memorial Hospital and North Shore Medical Clinic.
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Expectations
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ON CALL/ER EXPECTATIONS: Student will follow preceptor's call schedule. 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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