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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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Bland Clinic - VMH
120 Melby St
Westby, WI 54667
Phone: (608) 634-3126 (Clinic)
FAX: (608) 634-3316
Hirsch Clinic - VMH
407 S. Main St., Ste. 400
Viroqua, WI 54665
Phone: (608) 637-3174
FAX: (608) 637-3120
Vernon Memorial Hospital (Adjacent to Hirsch Clinic)
507 S. Main St.
Viroqua, WI 54665
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Instructors
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P.T. Bland, M.D. - Emeritus Associate Preceptor
Associate Preceptors - Jeffrey Menn, M.D. (Hirsch Clinic), William Calkins, M.D., (Bland Clinic) Additional practitioners with whom the students will work are Sherry Harris, FNP and Bernadette Adams, APNP at the Bland Clinic in Westby. Deborah Prior, MD, David Chakoian, MD, Duane Koons, MD & Brian Woody, MD at the Hirsch Clinic.
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Availability
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2 students/period
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Initial Registration
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Contact Person: Laura Schmidt
EMail: LSchmidt@vmh.org
Phone: (608) 637-4272
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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 need to be viewed online at: http://videos.med.wisc.edu/lectures.php?courseid=979 previous to the second day (Tuesday) of the preceptorship rotation, which is when your rotation starts at the site. Report to the hospital at 507 S. Main St. in Viroqua and contact Laura Schmidt, Health Information Service at the hospital. Her email address is lschmidt@vmh.org. Her phone number is 608/637-4272. Contact the head preceptor or contact person two weeks prior to your starting date. 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. Take your personal health record with you (immunizations).
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Housing
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The hospital owns and operates a medical student housing conveniently located behind the hospital. The house is completely furnished with 4 bedrooms and is able to house 4 students at one time. InterNet service is available. FOOD: Meals are provided at the hospital for breakfast and supper. Lunch is available at hospital when preceptoring at Hirsch Clinic. RECREATIONAL OPPORTUNITIES IN THE AREA: This is the most scenic part of Wisconsin. Seasonal sports include excellent biking, canoeing and cross country skiing. The hospital has an excellent fitness center offering aerobics, racquetball, weight lifting and exercise machines which are available for student's use. Dr. Menn will take you along when he provides services to the Amish in their homes and will also show you his cattle ranch. Dr. Bland will introduce you to the sport of ski jumping as part of the "total experience" here during the winter!
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Parking
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Private transportation is desirable, but not entirely necessary. The Bland Clinic is located 7 miles from Viroqua, north on Hwy. 14 to Westby.
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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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Specialty areas offered: Family Medicine, Emergency Room, Orthopaedics, Alternative Medicine, Homeopathy, Accupuncture, OG/GYN, Psych, Jail Clinic. During a 6 week period you will spend 3 weeks working at the Bland Clinic in Westby with Dr. Calkins and associates. The other 3 weeks will be spent working with Dr. Menn at the Hirsch Clinic. Viroqua is the center of alternative medicine and you can become acquainted with acupuncture, homeopathy by spending time with Dr. Paul Berquist in his clinic, located adjacent to the hospital. Dr. Jeffrey Lawrence, renowned orthopaedic surgeon, has a large orthopaedic population. This area also has a large Amish population and students have the opportunity to provide care to this population through home visits or care in the clinic.
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Prerequisites
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Methods
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The Preceptorship Program is well established and started in 1953. It is an integral part of the Westby/Viroqua medical community. The Bland Clinic - VMH in Westby and the Hirsch Clinic - VMH in Viroqua are utilized in the program. These clinics rare affiliated with Vernon Memorial Hospital (VMH), a 25 bed critical access hospital. There are about 23 attending physicians on the staff including two general surgeons, a pediatrician, 3 emergency physicians and an orthopedic surgeon. The program offers a broad exposure to the practice of medicine, in a relaxed and friendly setting. Student can learn from the many practitioners and can observe the close relationship of the physicians and their patients in a small town and rural setting to see how the physician integrates his practice with his personal and community life.
Vernon Memorial Healthcare Goals:
1. To learn that practicing medicine is fun.
2. Develop an understanding of how each patient has something to teach student and clinical experience give student framework for academic knowledge.
3. Tailor your experience to meet student's needs.
4. Provide an opportunity to see how physicians practice in a rural setting.
5. Provide an opportunity to identify, address and solve the needs that are unique in a rural setting.
6. Design solutions for patient care with the convenience of seeking advice or input from tertiary care centers when needed.
7. See how physicains in rural areas provide leadership and manpower to provide excellent healthcare where our patients live.
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Materials Provided
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Expectations
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Bland Clinic staff make rounds at the hospital every morning.
EMERGENCY ROOM EXPECTATIONS:
The student will be assigned to two to three weekends in the emergency room during the 6 week rotation. ON-CALL EXPECTATIONS: On Call expectations are consistent with the rotation being followed.
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Evaluating
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A 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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