UW

Course Information for

882-873: Senior Medical Program: Preceptorship (Prairie du Sac)
Waiting List Yes
Course Type Elective
Location Sauk Prairie Memorial Hospital
35 Prairie Avenue, Suite 315
Prairie du Sac, WI 53578-1500
Phone: (608) 643-2431
Fax: (608) 643-0048
Instructors John DeGiovanni, M.D., FACS (Surgery)
Availability 1 student/period
Initial Registration Contact Person: Kelly Krueger
EMail: kkrueger@spmh.org
Phone: (608) 643-2431
John DeGiovanni, M.D., FACS
EMail: Degi@SPsurgeons.com
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 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 Lana Holland at the Medical School by phone: 608-265-9081, or via EMail: ljholland@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. Please report to hospital surgery department at 7:30 a.m.
Housing Bedroom provided in apartment next to the hospital. Second bedroom may be in use by other medical students.
FOOD: All meals are provided by the hospital. The food is actually fairly good - especially the homemade desserts. Close to Wisconsin Dells for recreation and entertainment, home of Culver's Restaurants, close to Madison if student wants to commute daily.
Parking TRANSPORTATION NEEDS:
None.
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 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

Content ELECTIVES OFFERED: Anesthesiology, Ortho, Family Medicine HOW 6 WEEK ROTATION IS STRUCTURED:
Three weeks of primary care surgery with Dr. DeGiovanni. Other three weeks are optional though many students prefer to stay with Dr. DeGiovanni because they are given gradually increasing responsibility as they demonstrate competence. They also like the continuity of care thus offered. Seasoned practitioners who love to teach enjoy sharing their clinical experiences with medical students. New hospital is scheduled to open in March of 2014.

Prerequisites
Methods CLINICS/HOSPITALS: Sauk Prairie Memorial Hospital

Materials Provided
Expectations EMERGENCY ROOM EXPECTATIONS: Optional.
ON-CALL EXPECTATIONS:
The call schedule is very flexible, although Dr. DeGiovanni likes you to be there on Monday and Thursday nights, since on these nights the ER is staffed by a full-time ER doc. The only weekend responsibilities were on his weekend on call (every third to fourth weekend).
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