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Course Information for

882-883: Senior Medical Program: Preceptorship (Reedsburg)
Waiting List Yes
Course Type Required
Location Reedsburg Physicians Group
1900 N. Dewey Ave.
Reedsburg, WI 53959
Phone: (608) 524-6477
www.reedsburgphysicians.com

Instructors Deanna Benish, M.D. (Family Practice)
Availability 1 student/period
Initial Registration Deanna Benish, M.D.
EMail: dbenish@ramchealth.org
Office Phone: (608) 524-6477
Fax: (608) 524-8305
To Add Place request with Louisa Zelm at the Medical School
Email: zelm@wisc.edu
Phone: (608) 265-9081
To Drop Place request with Louisa Zelm at the Medical School
Email: zelm@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 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.
Housing Your housing will be a Bed & Breakfast Inn located in a beautiful city park, downtown Reedsburg. No pets please.
FOOD: For the student, three delicious and nutritious meals are provided free of charge, seven days a week at the hospital's "Sunshine Cafe".
Parking TRANSPORTATION NEEDS: Car is NECESSARY (provided by student). Free parking at hospital and 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 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 The Reedsburg Preceptorship site is best suited for a student planning a career in Primary Care (Family Practice, Pediatrics, General Internal Medicine), but all students are very welcome. Personal motivation and initiative are required for a successful learning experience.
ELECTIVES OFFERED: General Surgery, Cardiology, OB/Gyn, ENT, Urology, Neurology, Oncology, Radiology, Dermatology, Rehab., Allergy, Rheumatology, Orthopedics, Ophthalmology, Optometery, Vascular Surgery, Podiatry, RespiratoryTherapy/Sleep Lab, Visiting Nurse Service, Chiropractic and Long-Term Care. The daily assignments will be individualized to meet each student's needs and interests.
Prerequisites
Methods CLINICS/HOSPITALS:
1. Hospital: Reedsburg Area Medical Center is a critical access hospital consisting of 25 acute-care beds, 50 long-term nursing home beds and 25 assisted living units. RAMC offers a full range of services including: Medical/Surgical, Intensive Care, Obstetrics, Pediatrics, Orthopedics, Emergency and Urgent Care, Lab and Radiology (including MRI, CT, Ultrasound), Rehabilitation and Long Term Care. Specialty consultation and support services are provided from major Madison facilities. Three full-time orthopedic surgeons, two general surgeons, and one part-time OB/Gyn physician are on staff.
2. Clinic: Reedsburg Physicians Group is an independent group practice consisting of ten family practice physicians, a pediatrician, a cardiologist/internal medicine specialist, three nurse practitioners, two nurse midwives and two diabetic nurse educators.
Materials Provided Computer/On-line Wifi access is available at hospital and medical clinic.
Expectations ON CALL/ER EXPECTATIONS:
Student will not be responsible for primary ER coverage. Call will consist of working in ER along with an ER physician one to two evenings per week from 6 - 10 p.m. Weekend call will be working in ER two or three weekend days during the preceptorship.
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