Course Information for

882-862: Senior Medical Program: Preceptorship (Marshfield)
Waiting List	Yes
Course Type	Required
Location	Marshfield Clinic 1000 North Oak Ave. Marshfield, WI 54449-5702 Phone: (800) 541-2895 Option #4 Fax: (715) 387-5163
Instructors	Vijay Aswani, M.D. (Clerkship Site Director) Assigned attendings
Availability	1 student/available block
Initial Registration	Contact person: Deanna Burt (Education Coordinator) Email:burt.deanna@mfldclin.edu Phone: 800/541-2895 Ext. 7-5133
To Add	Place request with Louisa Zelm at the Medical School Email: zelm@wisc.edu Phone: (608) 265-9081
To Drop	Place request with Louisa Zelm at the Medical School Email: zelm@wisc.edu Phone: (608) 265-9081
Report To	Scheduling of your preceptorship is prearranged with your input up to four weeks in advance of starting. 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 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 Louisa Zelm at the Medical School by phone: 608-265-9081, or via Email: zelm@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. Check into your apartment by reporting to the Security Desk located in the main entrance of Marshfield Clinic. Bring proper identification to receive key. You are required to attend a site orientation session, held on the first Tuesday of your rotation. A time will be set up for you to meet with the Education Coordinator on the first day of your rotation. Report to teh Division of Education, 2nd floor of the Lawton Center (adjacent to Marshfield Clinic). You will receive arrival information via University E-mail. Contact Deanna Burt at 800/541-2895 Ext. 75133 or via email burt.deanna@mfldclin.edu if you have questions regarding your rotation at Marshfield Clinic.
Housing	Check into your apartment the evening before the first day of your rotation. Upon arrival in Marshfield, report to the Security Desk located at the main entrance of Marshfield Clinic. See map View housing map with proper identification to receive your key packet, including your apartment number, key, phone number, map. The apartment complex is located about 5 blocks from the Marshfield Clinic and is located on North Fig Ave. It will be provided as shared housing with other medical students with single, double or queen size beds (sheets supplied only). Each apartment is equipped with kitchen and cooking supplies. FOOD: Meal cards will be available for all students for a fee of $150.00 per month (4-weeks), which allows up to $12/day in St. Joseph's Four Seasons cafeteria. Contact Deanna Burt prior to your scheduled rotation if you want to purchase a meal card. Immediately review the View housing regulations Failure to follow these rules can result in disciplinary action. To receive mail during your rotation, letters must be addressed to you in care of: c/o Division of Education - 1R6, 1000 N. Oak Ave., Marshfield, WI 54449-5788.
Parking	Free parking is available at the clinic/hospital. View Marshfield Clinic Parking map There is also free parking available at the Marsh Run Apartments. View housing parking map
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	Marshfield Clinic is a multi-specialty clinic with over 450 physicians in primary care subspecialty care. Options for training include one - three weeks in various primary care, medical and surgical subspecialties. You may customize your rotation based on your needs if you give four weeks advance notice. Enjoy life in a small town while practicing medicine at a tertiary care facility. ELECTIVES OFFERED: Virtually all specialties may be available. Allergy, Anesthesiology, Cardiology, Cardiovascular Surgery, Clinical Microbiology/Pathology, Clinical Ophthalmology, Critical Care/Medical ICU, Dermatology, Emergency Medicine (ER), Gastroenterology, General Surgery, Geriatric Medicine, Hematology/Oncology, Infectious Disease, Medical Genetics, Nephrology, Neurology, Neurosurgery, Nuclear Medicine, OB/GYN, Orthopaedic Surgery, Otolaryngology (ENT), Palliative Care, Pediatric Intensive Care Unit (PICU), Pediatric Neurology, Pediatric Orthopaedics, Pediatric Orthopaedics, Pediatrics, Pediatrics (Wards), Physical Medicine, Plastic Surgery, Primary Care and Preoperative Medicine, Psychiatry and Alcohol/Other Drug Abuse, Radiation Oncology, Rheumatology, Sports Medicine, Surgical Intensive Care Unit (SICU), Urgent Care, Urology.
Prerequisites	Planning of your rotation choices - a minimum of four weeks before starting.
Methods
Materials Provided	Convertible (wireless tablet) based on availability, local pager
Expectations	Your assigned experiences will include call responsibilities with assigned attending.
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	Yes.