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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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North Lakes Community Health Center
11128N State Highway 77
Hayward, WI 54843
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Instructors
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Sabrina Dunlap, M.D. (Family Medicine)
Hayward is located in the northwest area of the state, 1 1/2 hour from Duluth and 5 hours from Madison. This is a region of scattered lakes and woodland popular for vacationing in all seasons. The lumber industry is also very important to the area's economy. Local industries and businesses are small. The hospital and clinic in Hayward are adjacent to one another. Hayward has a population of about 2,000 residents. The population density is low as is the per capita income combining to greatly reduce access to medical care. As a result, health care in the area involves a coordinated effort by many services, a need to prioritize health care needs, and an understanding of the larger community in order to be most effective. A Native American reservation (Lac Courte Oreilles) and its clinic are in the service area.
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Availability
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4 students/year
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Initial Registration
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Sabrina Dunlap, M.D.
EMail: sdunlap@northlakesclinic.org
Phone: (715) 634-2541 (Tues., Wed., & Fri.)
Fax: (715) 634-5740
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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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Sabrina Dunlap, M.D. 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.
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Housing
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Students stay in various private/small resort settings 6 - 15 miles from the hospital. A hospital room is available for call nights or bad weather if desired.
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Parking
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TRANSPORTATION NEEDS: The distance between sites makes a car mandatory.
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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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ELECTIVES OFFERED: As this is a continuity primary care experience there are no block electives within the six-week period. However, it is our intent to emphasize flexibility in the nature of the experience to meet the student's needs. This may include time spent with other organizations such as public health or social services, or with referral physicians within the community such as orthopedics or surgery. The family medicine experience will introduce the student to a variety of clinical problems including urgent care, internal medicine, non-operative orthopedics, obstetrics and pediatrics.
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Prerequisites
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Methods
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CLINICS/HOSPITALS: They are staffed by four family physicians and three physician assistants. The student will work mainly out of the Hayward office and hospital. The clinics are staffed by Sabrina Dunlap, MD, Nina Gilberg, MD, Brent Kelley, DO, Dodson Thompson, MD, Tom Nigbor, PA-C, Heather Runge, PA-C and Phread Kosmach, PA-C. The hospital is staffed by family physicians and a general surgeon.
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Materials Provided
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Expectations
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ON-CALL EXPECTATIONS: One night per week and two weekends during the six-week rotation.
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Evaluating
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A mid-rotation and 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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