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Course Information for

882-865: Senior Medical Program: Preceptorship (Rhinelander)
Waiting List Yes
Course Type Elective
Location Ministry Medical Group - Northern Region
1020 Kabel Ave.
Rhinelander, WI 54501
Phone: (715) 361-4700
FAX: (715) 361-4798
Instructors John F. Frost, M.D. (Internal Medicine)
Steven Brooks, M.D. (Internal Medicine)
30 Multi-specialty physicians
Availability 1 student/period
Initial Registration John F. Frost, M.D. (Internal Medicine)
EMail: jfrost@shsmh.org
Steven Brooks, M.D. (Internal Medicine)
EMail: sbrooks@shsmh.org
Contact Person: Debbie Rinaldi
EMail: debbie.rinaldi@ministryhealth.org
Phone: (715) 361-4816
Fax: (715) 361-4780 For sending immunization records
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 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, 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. Contact the head preceptor two weeks prior to your starting date.
Housing Housing (provided by clinic) is a house and each student has his/ her own bedroom.
FOOD: All meals are provided at the hospital cafeteria, tray line at night.
Parking TRANSPORTATION NEEDS:
Housing is two miles from the clinic. The hospital is adjacent to the clinic.
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 groupsÂ’ 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 preceptorÂ’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 ELECTIVES OFFERED ON SITE: Anesthesiology, Neurology, Ob/Gyn, Oncology, Radiology, General Surgery, ENT, Internal Medicine, Peds, Derm, (Off-site--Ortho), Rheumatology. Basically structured by students to take advantage of specialties offered. Recommend rotations be limited to two weeks maximum.
Prerequisites NOTE: Documentation of your immune status, by serologic testing, must be sent to Sue Erickson PRIOR TO the start of your rotation: Rubella, Rubeola, Varicella, Hepatitis B Antibody Status, Mumps, updated PPD. Start of rotation is dependent upon this documentation being provided PREVIOUS to start date.
Methods CLINICS/HOSPITALS: Saint Mary's Hospital. Ministry Medical Group, Rhinelander is a multi-specialty clinic of approximately 30 physicians, sponsors the preceptorship. The clinic housed under the same roof as Saint Mary's Hospital. Specialties include: Internal Medicine, General and Peripheral Vascular Surgery, Ob/Gyn, Pediatrics, Dermatology, Oncology, ENT, Radiation Oncology and Neurology. Orthopedics is available at other clinics in Rhinelander. Family Practice is available outside of Rhinelander in Tomahawk or Eagle River.

Materials Provided Internet access.
Expectations ER EXPECTATIONS:
2 week nights until 10:30 p.m. and every other weekend from noon until 10 p.m. Normal work day hours are 8 a.m. - 5 p.m.
LABORATORY EXPECTATIONS: None.
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