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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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The Monroe Clinic
515 22nd Ave.
Monroe, WI 53566
Phone: (608) 324-2295
Fax: (608) 324-2021
New facility opened in 2012 - environmentally friendly design (Silver LEED certified)
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Instructors
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Michael Netzel, M.D.
60+ physicians. Very friendly and helpful. Departments represented include: Internal Medicine, Family Practice, Pediatrics, General Surgery, Ob/Gyn, Oncology, Rheumatology, Cardiology, Pulmonary, Orthopedics, Urology, Radiology, Anesthesiology, GI, ENT, ER, Pathology, Nephrology, Endocrinology, Ophthalmology and Hospitalist Service. Soon to add Neurology and Dermatology.
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Availability
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1 student/period
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Initial Registration
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Michael Netzel, M.D.
EMail: michael.netzel@monroeclinic.org
Phone: (608)324-2339
Contact Person: Erin Sedlmayr
EMail: erin.sedlmayr@monroeclinic.org
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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. Contact Erin Sedlmayr EMail: erin.sedlmayr@monroeclinic.org (Monroe) two to four weeks prior to rotation.
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Housing
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Student housing located across the street from facility. Computer access in the hospital library is available.
FOOD: Free and good!
RECREATIONAL OPPORTUNITES: Green County YMCA, on-site fitness center with hour access, variety of restaurant choices, theater, library, bike trails, canoeing, kayaking, noon soccer at YMCA, downtown Square, outdoor café on-site with chef, Farmer's Market, concerts, brewery, cheese factory tours and festivals-seasonal activities. Within commuting distance from Madison.
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Parking
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TRANSPORTATION NEEDS: Automobile 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 preceptorÂs 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: OB/GYN, Pediatrics, Family Practice, General Surgery, Psychiatry, Pulmonary/Allergy, Cardiology, Rheumatology, Nephrology, Oncology, Dermatology, ENT, Orthopedics, Urology, Ophthalmology, Anesthesiology, Pathology, Radiology, Endocrinology and Hospitalist Service. The first 3.5 weeks are spent "clinic hopping" according to a schedule prepared by the preceptor. During this time you will spend one to three days in a given clinic and then move on to another clinic. The clinics in both Brodhead and New Glarus are also included in the schedule. The last 2.5 weeks are flexible in that the preceptee can chose which area(s) he/she would like to pursue further. Nearly any department is fair game. Charity care for underserved population is available.
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Prerequisites
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Methods
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CLINICS/HOSPITALS:
1. The Monroe Clinic a multi-specialty Clinic much larger than you would expect for a community its size. The reason the clinic survives and thrives is that it draws patients from towns all over southern Wisconsin and northern Illinois. Satellite clinics are located in Brodhead, New Glarus and Freeport.
2. The Monroe Clinic-Hospital--a hospital is a hospital is a hospital! This one is a very nice facility with plenty of beds, doctors, nurses, lab technicians and ancillary staff people, an ICU, OR, ER, cafeteria and a room in which you can stay for 6 weeks (more later).
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Materials Provided
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Expectations
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EMERGENCY ROOM EXPECTATIONS: You are expected to be on call in the Emergency Room two nights per week and every other weekend, but there is considerable flexibility in the scheduling. If you only want to work until 11 p.m. or midnight, that's fine. The hours you work are pretty much left to your own discretion.
ON-CALL EXPECTATIONS: ED expectations meet call requirements.
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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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