Course Information for

882-872: Senior Medical Program: Preceptorship (Minocqua)
Waiting List	Yes
Course Type	Elective
Location	Marshfield Clinic - Minocqua Center 9601 Townline Rd. P.O. Box 1390 Minocqua, WI 54548 Phone: (715) 358-7320 or (800)541-2895 ext. 27320 Fax: (715) 356-3649
Instructors	Joanna Gudel, M.D. (Clerkship Site Director) Assigned Attendings
Availability	1 student/available block
Initial Registration	OASIS View Minocqua Preceptorship
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. Take your personal health record with you (immunizations). Scheduling of your preceptorship is prearranged with your input up to four weeks in advance of starting. 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) and traveling to your preceptorship site to get settled with housing. Check into your condominium on Monday evening by reporting to the Reception Desk located in the main entrance of the Minocqua Center before 5:30 p.m.. Bring proper identification to receive key packet. Arrangements may also be made for early arrivals by contacting Diane Nyberg at 715/358-7320. Report to the Education Coordinator located at the Marshfield Clinic Minocqua Center, in Minocqua, WI on Tuesday morning promptly at 8:00 a.m. In order to streamline the orientation process, please find the link to the online orientation site http://www2.marshfieldclinic.org/education/student_show/ and review the following sections prior to your arrival. Welcome, General Information, *Policy Training. The password is: students. After completing these sections please complete evaluation. It is necessary to complete this orientation before clinical work starts. Be sure to review the Housing Rules and Regulations. Contact Diane Nyberg 800/541-2895 Ext. 27320 if you have any questions regarding your rotation at Marshfield Clinic Minocqua Center. Expect EMail notification in advance of the site orientation with travel directions and orientation specifics. View Professional Plaza Map Contact Lana Holland at the Medical School by phone: 608/265-9081, or via EMail: ljholland@wisc.edu if you have questions about course requirements.
Housing	Housing will be provided in shared housing with other medical students, both male and female, at a two bedroom (each bedroom has two twin beds) condominium located on the scenic Timber Ridge Golf Course south of the Minocqua bridge. View Minocqua Housing Map View Minocqua Housing rules While every attempt will be made to accommodate one person per room, there is the potential that two students of the same gender may have to share one bedroom. The condominium features an open concept kitchen, breakfast counter, living room and dining area. A recreation room is housed in the finished basement, and includes a small kitchen and sitting area with a TV and pool table. Two bathrooms are located on the upper floor. A closeted area in the hallway contains a washer and dryer. FOOD: No food is provided, however; utensils, pots and pans are provided. You are expected to bring your own twin sized sheets, pillows, blankets, VCR, answering machine, radio, alarm clock, etc. No pets are allowed, and no smoking is allowed inside. Requests for overnight visitors must be pre-authorized by the Regional Site Coordinator. You must complete a housing contract. Any deviation from the housing rules may result in your loss of housing privileges, requiring you to find other accommodations at your own expense.
Parking	Parking is available for students in the designated employee parking area located west of the Marshfield Clinic Minocqua Center. No permits are needed.View Minocqua Center Map
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 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 preceptors 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	Marshfield Clinic Minocqua Center has more than 50 physicians who provide care in a variety of specialties. We offer a six-week preceptorship with options to choose from various Primary Care, medical and surgical subspecialties. You may customize your rotation based on your needs if you give four weeks advance notice. ELECTIVES OFFERED: Virtually all specialties may be available. Cardiology, General Surgery, Internal Medicine, Nephrology, OB/GYN and Urology. The student will have an opportunity to work one-on-one with the preceptor in a busy clinic practice. You will be provided the opportunity to dictate the H&P's and discharge summaries.
Prerequisites	Planning of your rotation choices - a minimum of 4 weeks before starting.
Methods	CLINIC/HOSPITAL: The Marshfield Clinic - Minocqua Center has physicians providing care in a variety of specialties including Cardiology, Emergency Medicine, Family Practice, General & Vascular Surgery, Internal Medicine, Nephrology, Neurology, Obstetrics & Gynecology, Oncology/Hematology, Ophthalmology, Otolaryngology, Pediatrics, Plastic Surgery, Radiology, Urgent Care and Urology. The Minocqua Center is located a short distance from the hospital.
Materials Provided	Convertible (wireless tablet), local pager
Expectations	Your assigned experiences will include call responsibilities with assigned attending.
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	Yes