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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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Thedacare Physicians
370 S. Main St.
Clintonville, WI 54929
Phone: (715) 823-5161 or (877) 644-2641
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Instructors
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Yu-Chin Fang, M.D.
This is predominantly a family practice experience. There are 13 family practice physicians, 2 surgeons and 1 podiatrist. Each doctor has his/ her area of subspecialization such as women's health, spinal manipulations, holistic and preventive health, and procedures such as vasectomies, gastroscopies and colonoscopies, stress tests, D & C's, to name a few. A new intensive care unit was recently completed and students get plenty of experience managing acute MI's and unstable angina.
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Availability
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1 student/period
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Initial Registration
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Yu-Chin Fang, M.D.
EMail: yuchin.fang@thedacare.org
Phone: (715) 823-5161
FAX: (715) 823-1386
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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.
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Housing
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The hospital provides a home one-half block from the Shawano hospital for students. CONTACT: Linda Jurgens via email Linda.Jurgens@thedacare.org to register for housing.
FOOD: Is available at the hospital cafeteria.
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Parking
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TRANSPORTATION NEEDS:
A car is helpful since students work at more than one clinic.
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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 preceptor?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Â?Âs 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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Mornings are spent following patients, assisting with surgeries and doing admission work-ups, but can be tailored to individual student's interests. There is excellent OB experience available, including assisting 2 doctors who do C-sections. The ER is very busy especially in the summer, with several ER docs eager to teach. Students can get exposed to very good ortho, ambulatory peds, cardiology, geriatrics, oncology, cardiology, OB/GYN, urology, ENT, and psychiatry. Afternoons are spent in clinic with different members of the group. Sometimes an admission work-up would take precedence over clinic. Students are given more front line experience. Arrangements are also made for the students to visit the Tribal Clinic in Keshena and other clinics in the area. There is some flexibility as far as the type of experience you will have. RECREATIONAL ACTIVITIES: There is good cross county ski trails within a few miles of town, or the larger systems in the Nicolet National Forest north of the Indian Reservation. In the summer, white water rafting on the Wolf River is popular. The Wolf, Red, Embarass Rivers also have good stretches for canoeing and kayaking. Watching the salmon run on the Wolf River at the dam is also a popular activity every spring. There are plenty of parks, beaches, trails. There are community recreation centers in Shawano and Clintonville that have swimming pools, exercise rooms, and courts. With a student ID - these are available at minimal charge. 2 movie theatres, cafes with "home cooking", sandwich shops, pizza & Chinese restaurants are available within walking distance of hospital. http://www.shawanocountry.com/shawanocountry/home/default.asp
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Prerequisites
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Methods
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CLINICS/HOSPITALS: Shawano Clinic, Shawano Medical Center, Clintonville Clinic,Tigerton Clinic, Gillett Clinic
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Materials Provided
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Expectations
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EMERGENCY ROOM EXPECTATIONS:
Two nights per week until 10:00 p.m.
ON-CALL EXPECTATIONS:
Two nights per week until 10:00 p.m. and 2 weekends till 10:00 p.m.
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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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