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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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Krohn Clinic. S.C.
610 W Adams St
Black River Falls, WI 54615
Office Phone: (715) 284-1946
Clinic Fax: (715) 284-2568
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Instructors
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Jeffrey Polzin, MD (Group Family Practice with OB)
Darrin Antonelli, MD, Nick Kitowski, MD (Gen Surgery, C-Sections and selected Gyn Surgery)*
Dr. Polzin been assistant preceptor since coming to Black River in 1981 and head preceptor since 1994. Student will work with the staff of the Krohn Clinic, the main clinic serving Jackson County. This includes 14 family physicians, a psychiatrist, 2 general surgeons, a podiatrist and 2 nurse practitioners. The hospital ER is staffed by 5 ER/family physicians employed/contracted by the hospital. The Ho-Chunk clinic serves tribal members and employees.
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Availability
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1 student/period
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Initial Registration
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Contact Person: Chipper Wyss
Phone: 715/284-1303
Email: WyssL@brmh.net
Jeffrey Polzin, M.D.
Call Dr. Polzin the week prior to starting your rotation
at (715) 284-1946 or Cell: (715) 896-5534
Clinic Fax: (715) 284-2568
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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. You will begin clinical work on the second day (Tuesday) of the rotation. 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. Plan on meeting Dr. Polzin at 8:00 a.m. in the hospital cafeteria on the first Tuesday of the rotation in Black River Falls. You can move in the day before or later Tuesday morning.
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Housing
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The hospital owns a house directly across the street from hospital with 6 bedrooms, 2 baths, kitchen, laundry, cable and 2 large TVs. Chipper Wyss will arrange student check-in. Roommates may include PT or lab intern, or nurse anesthetists. There are free opportunities for horseback riding and white water kayaking and many outdoor sports for students and they will have a prepaid membership at the community recreational facility (Lunda Center) which includes a pool, gym, weight room, racquetball court and walking track. There is also an exercise room at the hospital and there will be a room available for sleep-over if student is following an OB or difficult hospital patient, but in general, rotation is set up so student is done with ER by about midnight. A shower at the hospital is available in the Surgery locker rooms. FOOD: Meals at the hospital are free (usually very good). Also, any snacks student likes are free. Coffee, soda and tea are always available. Chinese, Italian and Mexican restaurants in Black River Falls.
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Parking
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TRANSPORTATION NEEDS: Black River Falls is about 120 miles northwest of Madison, just off I-94. It is a rural community of about 4,000 people with patients coming from the surrounding rural and agricultural area of Jackson County with a population base of 20,000. The clinic is just across the street from hospital and student housing.
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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's 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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ELECTIVES OFFERED: General Surgery, Anesthesiology, Ob/Gyn (FP's do C sections, hysteroscopy, colposcopy), Oncology, Cardiology, Psych, Radiology, Rehab (PT/OT/ST), Podiatry, Ortho, ENT, Ophth, Urology, Tribal Ho-Chunk Clinic, Chiropractic. Students get involved in Amish and Native American patient care and house calls with Hospice care are available with MDs and nurses. The clinic is located right across the street from Black River Memorial Hospital. You see hospital patients and do discharge planning in mornings (start at 7:30 a.m.). (You dictate admissions, discharge notes, and clinic notes.) Also, you may scrub on any or all surgery, spend time with radiologists (from LaCrosse who come five mornings a week), do some reading, recreation (when Dr. Jeff Polzin is not working he can take you horseback riding or kayaking down the Black River Falls River) or catch up on sleep! In the afternoons (1-5 p.m.), you'll spend time in the clinic - usually 3 - 4 days each with different family docs. You may, if your wish, participate in all deliveries. The hospital has 140 deliveries per year about 35 of those by C-sections performed by three family physicians. Neurology, cardiology, urology, oncology, ophthalmology, visit once or twice a month and an orthopedic specialist sees patients once a week. You can choose to see selected patients with them. A day can be spent with the local Ho-Chunk Tribal clinic or a local chiropractor if you wish. Referrals go to Marshfield, Eau Claire, LaCrosse, Mayo and UW.
*In addition to scrubbing on hospital surgical cases, students may elect to work with Drs. Antonelli and Kitowski in their office practice for 2 - 3 weeks of the rotation - consulting, seeing post op cases and performing office surgical procedures. Please contact Dr. Polzin and Dr. Antonelli as early as possible ahead of your rotation to arrange this option via Krohn Clinic operator 715/284-4311, Polzin ext. 1846 and Antonelli ext. 1849.
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Prerequisites
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Methods
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CLINICS/HOSPITALS: Black River Memorial Hospital (the only hospital in the county and a 30-mile radius) was built in 1968. It has 27 beds including obstetrics and surgery and an extensive out-patient service. In 1969, the clinic moved into its W. Adams St. building across from the hospital with a major expansion in 2008. The number of medical and support staff has increased progressively over the years. Specialists from Eau Claire and La Crosse visit the clinic regularly.
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Materials Provided
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Doctor's lounge and offices have Internet access. There are also wireless areas at the hospital.
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Expectations
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EMERGENCY ROOM EXPECTATIONS: The hospital and Emergency Room are just across the street from the clinic. 20 - 40 patients visit the ER each day. Hospital - ER coverage 24 hrs/day and on floor hospitalist coverage 15 hrs/day for patients without a primary MD is provided by physicians employed or contracted by the hospital. On call with the ER MD or hospitalist/primary care, student will get to see many patients in an independent manner, then discuss their work-up plan and management.
ON-CALL EXPECTATIONS: Saturdays and Sundays are very busy in the ER. We would like to have student cover 2 weekends (Saturday & Sunday) from 4:00 PM to midnight during the six weeks. Student can take a day off following the ER weekend and will also cover ER 2 nights/week from 6:00 p.m. to midnight.
LABORATORY EXPECTATIONS: Students are not required to draw any blood samples or run any laboratory tests. Learning opportunities in lab medicine are available if student wishes.
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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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Reference books available in ER and doctor's offices.
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Meets Patient Care Requirement
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