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Waiting List
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Yes
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Course Type
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Elective
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Location
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Chequamegon Clinic
415 Ellis Avenue
Ashland, WI 54806
Phone: (715) 685-6600
FAX: (715) 685-6601
"The Patient Above All Else"
Memorial Medical Center
1615 Maple Lane
Ashland, WI 54806
Phone: (715) 685-5516
Fax: (715) 682-4022
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Instructors
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George Fall, M.D.
Nine family physicians. Other visiting staff represent Dermatology, Endocrinology, Neurosurgery, Physical Medicine, Rehabilitation, Rheumatology, Cardiology, OB/Gyn, Pulmonary Medicine, Urology, Nephrology, Gastroenterology, Orthopedics and Sports 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: Patti Skoraczewski
MMC Director of Health and Safety and Student Liaison
EMail: pskoraczewski@ashlandmmc.com
Phone: (715) 685-5516
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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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Fully furnished farm house, 1 block from hospital. Full cooking facilities (including microwave and stove), satellite television, VCR/DVD Player, WIFI, bed, bath and kitchen linens, and weekly waste and soiled linen pickup provided. Complimentary use of a washer and dryer is available for student use at the hospital after 5 p.m. daily. An ironing board with iron is available at the farm house. Students are expected to keep the house tidy and secure. A vacuum is provided for their use.
FOOD:Provided through dietary at Memorial Medical Center. Students regularly praise excellent quality and portions.
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Parking
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TRANSPORTATION NEEDS:
Clinic is 2 miles from the hospital. Private transportation is desirable.
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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 preceptor????Âs 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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Training will include three weeks of General Surgery and OR time and three weeks of training in Internal Medicine/Pediatrics with considerable hospital time. ELECTIVES OFFERED: Tribal clinics, Anesthesiology, Opthalmology, Psychiatry, Family Medicine, Radiology and Pathology. Students will be encouraged to get as much experience in medical fields other than their residency specialty. Students will be asked to do a presentation to doctors on a topic they have encountered which needs research of some sort. Students will be invited to dinner once a week with doctors at doctors' home to discuss a variety of topics related to medicine and the life of a physician in rural medicine.
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Prerequisites
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Methods
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CLINICS/HOSPITALS: Memorial Medical Center is a modern, well-equipped 25 bed critical access hospital with a Special Care Unit and a 10 bed Inpatient Psychiatry Unit located at the Behavioral Health Building. The clinic building is 12 years old, under St. Luke's Hospital in Duluth. A separate Behavioral Health facility which houses mental health services, AODA treatment programs, dual diagnosis treatment, and an Inpatient Psychiatry Unit are available for student participation. Diagnostic capabilities are sophisticated and efficient with an automated lab, CT, MRI scanners and strong Radiology, Cardiopulmonary and Pathology Departments. Computer access is available on the Memorial Medical Center system for medical students. In addition, our Public Health Nursing, Northland College Student Health, and County Jail health programs are available to interested students as are community immunization programs. We have had some experience with the Reservation Clinics in Bad River and Red Cliff; both have full-time physicians where students are welcome.
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Materials Provided
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Expectations
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EMERGENCY ROOM EXPECTATIONS:
ER rotations are part of the curriculum. Full-time, 24/7 physician and nurse staffing is present in the Memorial Medical Center ER.
ON-CALL EXPECTATIONS:
On Call expectations are consistent with the rotation being followed.
LABORATORY EXPECTATIONS: Full-time Pathology and Radiology is present at Memorial Medical Center and many students have had fruitful experiences with these.
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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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