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Waiting List
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Yes
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Course Type
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Required
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Location
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Sheboygan Clinic
2414 Kohler Memorial Dr.
Sheboygan, WI 53081
Phone: (920) 457-4461
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Instructors
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Bryan Schmitt, M.D.
Eighty-five physicians plus ancillary staff
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Availability
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1 student/period. Sheboygan is a community of approximately 50,000 people. The student will work with the preceptor in a primary care setting. There are multiple opportunities for the student to be involved in direct patient care. As a busy multi-spcialty clinic the students are exposed to different settings in the outpatient area.
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Initial Registration
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Contact Person: Christine Backes
Email: Christine.backes@aurora.org
Phone: (920) 457-4461
Fax: (920) 459-1418
Lois Schneider, RN - Employee Health
Phone: (920) 457-4461 Ext. 1818
Contact the Therese Lutzke one month prior to your starting date. Contact Lois Schneider, RN of Employee Health two weeks before preceptorship to schedule site specific education.
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To Add
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Place request with Louisa Zelm at the Medical School
Email: zelm@wisc.edu
Phone: (608) 265-9081
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To Drop
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Place request with Louisa Zelm at the Medical School
Email: zelm@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 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.
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Housing
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Grand Stay Residential Suites Hotel
708 Niagara Avenue
Sheboygan, WI 53081
Students will have a studio hotel suite, complete with a small kitchen area (microwave, stove top, dishwasher, refrigerator, but NO oven) and dining area. Free WiFi access. Daily continental breakfast.
Other hotel amentities: indoor pool and hot tub, on-site laundry, exercise room, outdoor recreation and grill area, and business center.
FOOD: An allowance of $25 per week is provided for food.
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Parking
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TRANSPORTATION NEEDS: A car is necessary.
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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: Anesthesiology, Neurology, Ob/Gyn, Oncology, Pathology, Psychology, Radiology, all surgical subspecialties except Neurosurgery and Cardiac Surgery. Rounds with the preceptor occur each morning at both hospitals. The balance of the day is spent seeing patients at the clinic. Appropriate admissions are worked up at the hospital (average of q.o.d.). The typical patient is not as sick as a typical CSC patient. The ER is freely available to the preceptee, though this is generally a pretty quiet place. Also, arrangements may be made to spend time in other subspecialty areas. There are also opportunities in the clinic to do some one to two day specialized days such as Podiatry, Diabetic Education and other shorter subspecialty type experiences.
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Prerequisites
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Methods
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CLINICS/HOSPITALS: At the core of this rotation is the Sheboygan Clinic, staffed with eighty-five physicians plus ancillary staff. You are assigned to either of two preceptors. The Sheboygan Clinic physicians primarily use Sheboygan Memorial Medical Center for hospital care. Occasionally students will have patient care activities at St. Nicholas Hospital.
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Materials Provided
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Expectations
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ON-CALL EXPECTATIONS:
Call is every eighth night.
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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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