Goals and Objectives
Students in the Legacy MD Program at the University of Wisconsin School of Medicine and Public Health in Madison who are in the Ambulatory Acting Internship will be expected to complete the following goals and objectives.
- Knowledge for Practice
- Problem Solving and Clinical Skills/Patient Care
- Practice-Based Learning and Improvement
- Systems-Based Practice
- Interpersonal and Communication Skills
- Recognize the impact of continuity of care on health care delivery.
- Compare the impact of nutrition, physical activity and weight on physical and mental health.
- Reflect on the challenges of chronic disease management in the U.S. health care system.
- Evaluate the roles of federal, state and private programs that pay for health care within the U.S. health care system.
Problem Solving and Clinical Skills
- Develop proficiency in providing patient care in a community setting.
- Conduct efficient and effective clinical medicine interviews.
- Develop independent assessments and differential diagnoses.
- Negotiate management plans with patients and Preceptors.
- Provide continuous care and assure effective care transitions for patients as they move through multiple health care settings.
- Participate in community health activities.
Practice-Based Learning and Improvement
- Recognize contemporary health care issues and discuss their impact on the practice of medicine.
- Recognize the importance of evidenced-based interventions in the success of efforts to address community health issues.
- Reflect on how clinical experiences in a non-academic setting and personal experiences in a community might influence future career and life choices.
- Analyze the Preceptor's relationship to the health care system in which he or she practices.
- Analyze the complexities of a multidisciplinary health care system.
- Describe the impact of local culture on health care, wellness, the work environment, and the community.
- Recognize the impact of health care and reimbursement systems on the delivery of health care.
- Recognize the effect of quality measurement and improvement on clinical decision-making, cost of care, and patient satisfaction.
- Develop an understanding of a local quality improvement initiative.
- Participate in planning the implementation of an evidence-based public health intervention in a community setting.
Interpersonal and Communication Skills
- Work and communicate with doctors, nurses, therapists, physician assistants, medical assistants, chaplains and other health care personnel in a manner that fosters mutual respect and excellence in patient care.
- Efficiently communicate patient information with attending physicians via oral and written presentations.
- Interpret and incorporate the concerns of community members and health systems employees about priority health issues into a written plan for implementing an evidence-based public health intervention.
- Expand upon personal and professional growth and development.
- Conduct oneself in a professional manner.
- Recognize areas of tension between professional, family and personal aspects of their lives.
Learning Activity Objectives
- Consistently generate differential diagnoses and demonstrate clinical reasoning.
- Efficiently focus histories and exams based on differential diagnosis.
- Independently generate treatment plans and manage patients with minimal oversight.
- Effectively apply medical knowledge to patient care.
- Write clear and concise notes to efficiently document patient encounters.
- Deliver succinct and well-organized verbal presentations about patient encounters to the Preceptor.
- Discuss options for balancing personal well-being and professional accomplishment in community practice.
Small Group Discussion
- Discuss their impressions of community-based clinical practice.
- Explain how the Preceptorship experience in community-based clinical practice relates to residency and career plans.
Large Group Discussion
- Discuss the challenges of designing practical plan to implement an evidence-based community health intervention.
- Describe how the Preceptorship experience of identifying and addressing community health issues relates to their career plans.