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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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Beaver Dam Community Hospital
705 S. University Ave., Suite 200
Beaver Dam, WI 53916
Phone: (920) 887-9272
FAX: (920) 885-4752
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Instructors
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Sharon Haase, M.D., FACP, Internal Medicine
Assisting in teaching will be Dr. Amy Muchow, Internal Medicine; Surgeons and Emergency Medicine Physicians on the Staff of the Hospital.
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Availability
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1 student/period
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Initial Registration
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Sharon Haase, M.D., FACP
EMail: sharon.haase@uwmf.wisc.edu
Phone: (920) 887-9272
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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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Contact Person: Darlene Minnema
EMail: DMinnema@bdch.org
A furnished two bedroom (with locks) apartment adjacent to the hospital is provided. Included: Basic TV, microwave, coffee maker, toaster, kitchen utensils, linens (no maid service). FOOD: A $5 meal ticket is provided for each meal. Coffee house, Japanese/Sushi restaurant, and diners in Beaver Dam. Within commuting distance from Madison.
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Parking
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TRANSPORTATION NEEDS:
Although convenient, you could easily get along without a car. Parking is provided.
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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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CONTENT: Tuesday of week 1: Orientation to the hospital and UW Medicine Clinic of Beaver Dam. Weeks 1 - 2, 4 - 6 are spent in one-on-one training in internal medicine; each student will have 4-5 of their own medicine clinic patients daily. Additionally, students participate in admissions, consults and discharges of hospital patients. Internal medicine rotation includes nuclear and chemical cardiac stress testing and cardiac echocardiography. Week 3: surgery elective. Elective time spent in other disciplines such as OB/Gyn, neurology, radiology, dermatology, pediatrics, orthopedics, anesthesiology, pain medicine, ER, hospitalist, nursing home visits, or other interests can be arranged. Hospice and home care exposure available if desired.
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Prerequisites
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Methods
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CLINICS/HOSPITALS:
1. Beaver Dam Community Hospital: An acute-care facility with 80-bed capacity, a new hospital as of February 2006. Typical daily census is 35 patients, divided among the medical, surgical, OB, ICU and telemetry wards. Full ancillary services are available including: lab, radiology, nuclear medicine, MRI, cardiopulmonary, cardiac rehabilitation, PT, OT, home health care and hospice. There is also a fully staffed and busy emergency room.
2. Clinics: Most physicians are in group practices in a new medical office building attached to the hospital; there are Madison affiliations such as UW Health and Dean. There is also a church-based, free clinic for the medically underserved where the student has the opportunity to participate in a person-oriented and team (nurse/physician/clergy) approach to health care.
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Materials Provided
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Bring white coat, stethoscope, small reference pocket manuals, PDA--the rest is provided.
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Expectations
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EMERGENCY ROOM EXPECTATIONS:
Work in ER when on call to admit patients to Internal Medicine (under supervision of Dr. Haase or Dr. Muchow).
ON-CALL EXPECTATIONS: 6 nights during the preceptorship. 4 weekday nights (Mon. - Thurs.); and 2 weekend nights (Fri. - Sun.). The students arrange their own call schedule.
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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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