|
Waiting List
|
Yes
|
|
Course Type
|
Elective
|
|
Location
|
Aspirus Hospital
425 Pine Ridge Blvd.
Wausau, WI 54401
Phone: (715) 355-4040
Fax: (715) 359-8461
|
|
Instructors
|
William Nietert, M.D.
Aspirus Hospital and its staff of more than 260 physicians are working cooperatively with other hospitals and physicians in the region to enhance the continuity of patient care.
|
|
Availability
|
1 student/period
|
|
Initial Registration
|
William Nietert, M.D.
EMail: williamn@aspirus.org
Contact Person: Deanna Froehlich
EMail: Deanna.Froehlich@aspirus.org
Phone: (715) 847-2276
|
|
To Add
|
Place request with Lana Holland at the Medical School
EMail: ljholland@wisc.edu
Phone: (608) 265-9081
|
|
To Drop
|
Place request with Lana Holland at the Medical School
EMail: ljholland@wisc.edu
Phone: (608) 265-9081
|
|
Report To
|
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. 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), traveling to your preceptorship site to get settled with housing and taking part in any site orientation. 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. Contact the head preceptor two weeks prior to your starting date. Take your personal health record with you (immunizations).
|
|
Housing
|
Each student is provided with a private hotel room near the hospital. Rooms are equipped with a recliner chair, desk work area, cable TV, coffee, tea, iron with board, hair dryer, telephone with voice mail,and analog Internet access. (mini refrigerator & microwave subject to availability). Additional ammenities include breakfast, housekeeping, coin-operated laundry, fitness/recreation area & shuttle service.
FOOD: You will be provided with a $6.00 per meal allowance in either the Medallion Room Restaurant or cafeteria. Breakfast hours are 7:00-9:00, lunch from 11:00-1:30 and dinner from 4:30-6:00.
|
|
Parking
|
TRANSPORTATION NEEDS:
It is recommended that you bring your own vehicle to use in travel from clinic to clinic.
|
|
Objectives
|
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
|
|
Content
|
ELECTIVES OFFERED: Most medical sub-specialities are available. The first week is spent with Dr. Nietert or one of his partners. It will be suggested to spend one week in dermatology. One week in the Emergency Department is required. Beyond these requirements, the schedule is very flexible and may be worked out with Dr. Nietert. About two weeks before your preceptorship starts, it is a good idea to notify Dr. Nietert of your areas of interest. Almost any kind of rotation can be arranged. For hospital patients, you will usually perform and dictate the admission history and physical, write daily progress notes, and write admission and progress orders which always must be approved by the attending physician before the nurse can carry them out. You are usually allowed to see patients in the physician's office or the ER and make your initial assessment/plan for review by the attending physician. In the ER, you should get plenty of experience with sutures and other emergency care procedures.
|
|
Prerequisites
|
|
|
Methods
|
CLINICS/HOSPITALS: The Aspirus Hospital (bed capacity 321) provides primary, secondary and tertiary services to the larger area of north central Wisconsin. There are several medical/surgical educational conferences weekly. Aspirus Hospital sponsors one of the UW's family practice residency programs.
|
|
Materials Provided
|
|
|
Expectations
|
EMERGENCY ROOM EXPECTATIONS:
One week and 2 weekends
ON-CALL EXPECTATIONS: Flexible
LABORATORY EXPECTATIONS:
All medical students must provide evidence of malpractice insurance coverage, immunity to rubella, TB skin test within 90 days (or chest x-ray if skin test is positive), Hepatitis B immunity or immunization, chicken pox, mumps and rubella.
|
|
Evaluating
|
A mid-rotation and cumulative evaluation will be completed by the preceptor based on all attendings input involved in the clinical and academic experiences.
|
|
Recommended Texts
|
|
|
Meets Patient Care Requirement
|
|
|
|
