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Course Information for

882-858: Senior Medical Program: Preceptorship (Green Bay)
Waiting List Yes
Course Type Elective
Location Bellin Health - Ashwaubenon
1630 Commanche Ave.
Green Bay, WI 54313 AND/OR

Bellin Health - Howard
2714 Riverview Dr.
Green Bay, WI. 54313
Instructors James T. Jerzak, MD - Head Preceptor
Shane Degen, MD
Michelle Schacht, MD
Loren Fuglestad, MD
Elizabeth Russell, MD
(Family Medicine)
Availability 1 student/period
Initial Registration Morgan Rabatine
EMail: MJRaba@bellin.org
Phone: (920) 445-7212
Fax: (920) 445-7209

To Add Place request with Lana Holland at the Medical School
EMail: ljholland@wisc.edu
Phone: (608) 265-9081
To Drop Place request with Lana Holland at the Medical School
EMail: ljholland@wisc.edu
Phone: (608) 265-9081
Report To You will receive an email from Morgan Rabatine at least one month prior to rotation start date with requirements/paperwork requests and housing needs. You will also receive your orientation schedule and directions to the site at least one week prior to the rotation start 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. 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.
Housing Bellin Student Housing - Students share hotel room with another student of same sex.
The day prior to Bellin Orientation, students may obtain access to the hotel where students will stay during their rotation, which will be the Extended Stay hotel, located next to one of our clinics and gym locations. The address is 1639 Commanche Ave., Green Bay, WI. 54313. The hotel can be reached by calling 920-499-3600.
Contact Morgan Rabatine, Physician Education Coordinator (920) 445-7212 or MJRaba@bellin.org for Check-in and Check out dates. Students will need to check in at the hotel’s front desk on their designated check-in date.
Hotel amenities include -
Kitchen: Full size refrigerator, cook top stove with range hood, microwave oven, kitchenette sink, cooking & dining utensils, dinnerware, coffee pot, toaster, table and chairs.
Free high speed Internet service, 65 TV channels, ESPN, CNN & Fox News, local calls, Voicemail, two phone lines.
Video surveillance, coded room keys, shower bath, 24-hour staff on duty.
Guest laundry open 24-hours, same day dry cleaning service. iron and ironing board.
Vending machines, 24-hour Business Center - free limited copies, faxes, printer.
Free parking, 24 - hour shuttle service to airport, 10% discount from Duzzi’s Sports Pub & Tony Roma’s Restaurant.
FOOD: is available in the doctor's lounges at Bellin Hospital.
Parking FREE PARKING & BELLIN GYM ACCESS!
TRANSPORTATION NEEDS:
Because of the distance between the clinic and the housing, a car is necessary for this rotation.

Objectives 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’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

Content Enhance skills in the initial evaluation and management of primary care patients with an emphasis on appropriate differential diagnoses, testing and treatment plans and follow-up. Students spend the six weeks of rotation with the preceptors in their outpatient family medicine setting. In this setting, the students will see a wide variety of patients and will evaluate the patients first, and then staff the patient with the preceptor. This rotation is office based and is an excellent opportunity to become skilled at initial assessment evaluation of the undifferentiated patient. There is opportunity to occasionally admit patients. but the focus is primarily in the office setting. Because the preceptorship is primarily an outpatient experience with the extensive use of hospitalists, there are no specific call responsibilites. Students have little to NO call during this rotaiton. Possible OB after hours deliveries is an opportunity, if interested. It is also possible to arrange time with the Bellin Hospitalist group if additional experience in this area is desired.
Prerequisites
Methods
Materials Provided
Expectations
Evaluating A mid-rotation and cumulative evaluation will be completed by the preceptor based on all attendings input involved in the clinical and academic experiences.
Recommended Texts
Meets Patient Care Requirement