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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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Marshfield Clinic - Lakeview Medical Center
1700 W. Stout St.
Rice Lake, WI 54868
Phone: (800) 541-2895 Ext: 74910
Fax: (715) 858-4470
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Instructors
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David Henningsen, M.D. (Clerkship Site Director)
Assigned Attendings
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Availability
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Available to WARM students.
Potential availability to non-WARM students based upon request and availability at the time.
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Initial Registration
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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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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. Take your personal health record with you (immunizations). 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) and traveling to your preceptorship site to get settled with housing. Be sure to review the Housing Rules and Regulations. You are required to attend a site orientation session, held on the first Tuesday of your rotation. Orientation will begin promptly at 8 a.m. in Administration located at the Rice Lake Center. In order to streamline the orientation process, please find the link to the online orientation site http://www2.marshfieldclinic.org/education/student_show/ and review the following sections prior to your arrival. *Welcome, * General Information, *Policy Training. The password is: students. After completing these sections please complete evaluation. It is necessary to complete this orientation before clinical work starts. If you have questions about your preceptorship site, contact Renee Hagen at 800/541-2895 Ext. 38314 or via email hagen.renee@marshfieldclinic.org if you have questions regarding your rotation at Marshfield Clinic/Lake View Medical Center. Contact Lana Holland at the Medical School by phone 608/265-9081, or via EMail: ljholland@wisc.edu if you have questions about course requirements.
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Housing
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View Rice Lake Preceptorship A two bedroom house is provided with kitchen, TV, DVD, coffee maker, toaster, pots, pans, utensils, dishes, etc. Each bedroom has a full size bed fully equipped. Sheets are available but it is recommended you bring your own bedding. Telephone, cable and wireless internet is available. No laundry facilities on premises.
View Rice Lake Housing Rules
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Parking
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TRANSPORTATION NEEDS: Laundry facilities in town. Car is recommended.
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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 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
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Content
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Marshfield Clinic Rice Lake Center offers both primary and specialty care and draws patients from throughout northwestern Wisconsin. Physicians also help serve patients at Marshfield Clinic locations in Chetek and Spooner. Enjoy the life in a small town while practicing medicine at a tertiary care facility. Options for training include primary care, and medical and surgical subspecialties. During the week, you work in the clinic with the family medicine MD with whom you may be on call. Your schedule will be adapted to the attending/dept. with whom you are assigned. You may work with a different M.D. each 2 weeks in duration. One-week rotations in some areas are obtainable if planned with the site Education Coordinator in some subspecialist's practices, if desired. Rounds are informal before clinic. However, rounding early enables you to write orders and participate more. In general, your orders are followed just as M.D.'s would be and co-signed later by your attending. Emphasis is placed on teaching you to apply your "book knowledge" to practical clinical patient care.
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Prerequisites
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Planning of your rotation choices - a minimum of 4 weeks before starting.
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Methods
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CLINICS/HOSPITALS: The Rice Lake Center consists of a variety of Family Medicine, Internal Medicine and many subspecialty physicians. It is a great experience to observe the dynamics (medically and administratively) of a busy clinic. Some experience may be scheduled at regional clinics.
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Materials Provided
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Convertible (wireless tablet), local pager
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Expectations
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Your assigned experiences will include call responsibilities with assigned attending.
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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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Yes
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