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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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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
LAFARGE CLINIC
111 W. Snow Street
LaFarge, WI 54639
Phone number: (608) 625-2494
Fax number: (608) 625-2092
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Instructors
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Associate Preceptors – William Calkins, MD (Bland Clinic), Anthony Macasaet, MD (Emergency Medicine), James DeLine, MD (LaFarge Medical Clinic), Lucas Readinger, MD and Paul Bergquist, MD (Complementary Medicine/Family Practice), David Chakoian, MD and Elizabeth Roberts, MD (Hirsch Clinic). Additional providers with whom the students may work with are Shawn Sedgwick, MD (LaFarge Medical Clinic), Joann Fouts, DO and Bernadette Adams, NP (Bland 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: Barbara Burke
Email:bburke@vmh.org
Phone:(608) 637-4202, Ext. 74202
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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. Report to the hospital at 507 S. Main Street in Viroqua and contact Barbara Burke, Health Information Service at the hospital. Her email address is bburke@vmh.org. Her phone number is (608) 637-4202. In the event Barbara is not available, please contact Laura Schmidt, Health Information Service at the hospital. Her email address is lschmidt@vmh.org. Her phone number is (608) 637-4272.
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Housing
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The hospital owns and operates a medical student house conveniently located behind the hospital. The house is fully furnished with 4 bedrooms, a full kitchen, dining room, and TV/living room. Washer and dryer are free. Wireless internet is available. Breakfast and dinner are available to students for free at hospital. RECREATIONAL OPPORTUNITIES IN THE AREA: Viroqua and Westby are located in the Driftless Wisconsin Area that was untouched by glaciers. As a result, the area is very scenic with bluffs and rivers. Seasonal sports include excellent biking, canoeing, and cross country skiing. Students also have access to the hospital’s fitness center which offers aerobics, racquetball, weight lifting, and exercise machines. Viroqua has a wonderful food co-op and restaurants focused on farm-to-table dining. Westby is the home of a spectacular ski jump competition and festival in January.
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Parking
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Private transportation is desirable, but not entirely necessary.
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
LAFARGE CLINIC
111 W. Snow Street
LaFarge, WI 54639
Phone number: (608) 625-2494
Fax number: (608) 625-2092
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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'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, Pediatrics, Emergency Room, Orthopedics, General Surgery, Alternative Medicine/Homeopathy/Acupuncture, OB/GYN, Radiology, Pharmacy and Psychiatry. During a 6 week period you will spend time alternating between the Bland Clinic in Westby, the LaFarge Medical Clinic in LaFarge, the Hirsch Clinic in Viroqua and the Complementary/Family Medicine Clinic in Viroqua. Viroqua is the center of alternative medicine and you will become acquainted with acupuncture and homeopathy by spending time with Dr. Readinger and Dr. Bergquist in their clinic, located in the medical office building adjacent to the hospital. Dr. Jeffrey Lawrence, renowned orthopedic surgeon, has a large orthopedic population. This area also has a large Amish population and students have the opportunity to provide care to this population during their time spent with Dr. DeLine.
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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 are affiliated with Vernon Memorial Hospital (VMH), a 25 bed critical access hospital. There are about 23 attending physicians on the staff including three general surgeons, a pediatrician, 3 emergency room physicians and two orthopedic surgeons. 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 experiences 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 physicians in rural areas provide leadership and manpower to provide excellent health care where our patients live.
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Materials Provided
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Expectations
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Expectations: Rounding with providers at the hospital. May round at nursing homes with providers.
Emergency Room Expectations: The student will be assigned to two shifts (8 hours minimum or more) in the emergency room during a six 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 mid-rotation and cumulative evaluation will be completed by the preceptor based on all attending's 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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