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Course Information for

882-864: Senior Medical Program: Preceptorship (Monroe)
Waiting List Yes
Course Type Required
Location Monroe Clinic
515 22nd Ave.
Monroe, WI 53566
Phone: (608) 324-2295
Fax: (608) 324-2021
Instructors Michael Netzel, M.D.
Student selects from working with over 60 physicians representing Internal Medicine, Family Medicine, Pediatrics, OB/GYN, Rheumatology, Pulmonary, Orthopedics/Sports Medicine, Urology, Radiology, Anesthesiology, GI, ENT, Emergency Medicine, Pathology, Palliative Medicine, Nephrology, Endocrinology, Ophthalmology, Hospitalist Service and Dermatology.
Availability 1 student/period
Initial Registration Contact Person: Lori Rodefeld, Medical Education Coord.
EMail: lori.rodefeld@monroeclinic.org
Phone: (608) 324-1518

Michael Netzel, M.D.
EMail: michael.netzel@monroeclinic.org
Phone: (608)324-2339
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. Contact Lori Rodefeld via email: lori.rodefeld@monroeclinic.org two to four weeks prior to rotation.
Housing An on-site private hotel-style room or space in the student house is available. Both include access to a single bed, dresser, linens, cable TV and Wi-Fi access. On-site fitness center access is included as well as complimentary meals and Physician Lounge access.
Parking TRANSPORTATION NEEDS: Automobile desirable
RECREATIONAL OPPORTUNITES: Seasonal festivals, Farmer's Market, bike/running trails, historic downtown square, nearby golf and kayaking.
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 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 Monroe Clinic has over 60 physicians who participate in the Rural Preceptorship program. Opportunities for mini-rotations include OB/GYN, Family Medicine, Internal Medicine, Palliative Medicine, Dermatology, Pulmonary/Allergy, ENT, Orthopedics/Sports Medicine, Anesthesiology, Radiology, Pathology, Endocrinology, and the Hospitalist Service. Schedule is a series of 4 to 5 mini-rotations with various departments of interest. Students take call in the Emergency Department (see below).
Prerequisites
Methods CLINICS/HOSPITALS:
Monroe Clinic is a multi-specialty clinic offering both hospital and clinic services to locations throughout Wisconsin and northern Illinois. The hospital is a state-of-the-art 58 bed operating capacity offering the highest quality care. Physicians are experienced teachers working with both medical students and residents for more than 60 years.
Materials Provided
Expectations Students take call in the Emergency Department 8 - 10 nights throughout the rotation. The rotation also includes 3 - 4 shifts on Saturdays.
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