Medical College of Wisconsin Family and Community Medicine - Medical Student Education

Rebecca Bernstein, MD, MS
Associate Professor
Co-Director, Division of Medical Student Education
Co-Director, Urban and Community Health Pathway
Thread Developer, MCWfusion Curriculum Health Equity Thread
Residency Faculty at Ascension All Saints Family Medicine Residency
rbernstein@mcw.edu | (414) 955-8825

Leslie Ruffalo, PhD, MS
Associate Professor
Co-Director, Division of Medical Student Education
Co-Director, Continuous Professional Development Course
Director, MCWfusion Curriculum Spiral Weeks (Phase 2 & 3)
Elective Course Director: Promoting Health in Structurally Marginalized Communities
lruffalo@mcw.edu | (414) 955-8710

Sabina Diehr, MD
Associate Professor
M3 Clerkship Site Coordinator, Tosa Health Center
Director, Home and HAPI Project
sdiehr@mcw.edu | (414) 955-8875

Lauren Bauer Maher, MD
Assistant Professor
Faculty Liaison, Family Medicine Student Association
Elective Course Director: Family Medicine Medley
Residency Faculty at Ascension All Saints Family Medicine Residency
lmbauer@mcw.edu | (414) 955-4728

John Hayes, DO
Associate Professor
Director, M3 Family Medicine Clerkship
MCWfusion Curriculum Phase 2 Director
Elective Course Director: Mastering the Difficult Conversation
Residency Faculty at the Ascension Columbia St. Mary’s Family Medicine Residency
jrhayes@mcw.edu | (414) 955-8252

Bryan Johnston, MD
Assistant Professor
Elective Course Director: Health Policy, Family Medicine as Counterculture Medicine
Residency Faculty at Ascension All Saints Family Medicine Residency
bjohnston@mcw.edu | (414) 955-4318

Stephanie Shaw, MSM, MBA
Program Manager, Division of Medical Student Education
sshaw@mcw.edu | (414) 955-8207

Jenny Her, BA
Education Program Coordinator II, M-3 Family Medicine Clerkship
jher@mcw.edu | (414) 955-4318

Laura Johnson
Quality Analyst II, Elective Program Coordinator
ljohnson@mcw.edu | (414) 955-8497

The overall goal of the Family Medicine Clerkship is to provide an outstanding learning experience for all medical students. In addition, the Family Medicine Clerkship should:

• Demonstrate the unequivocal value of primary care as an integral part of any health care system
• Teach an approach to the evaluation and initial management of acute presentations commonly seen in the office setting
• Teach an approach to the management of chronic illnesses that are commonly seen in the office setting
• Teach an approach to conduct a wellness visit for a patient of any age or gender
• Model the principles of family medicine care
• Provide instruction in communication, physical exam, assessment, and clinical reasoning skills

The Discovery Curriculum is competency-based and linked to previously approved MCW Global Competencies. Upon completion of this unit, a student will be able to:

Patient Care

• Gather information, formulate differential diagnoses, and propose plans for the initial evaluation and management of patients with common presentations in the office setting.
• Manage follow-up visits with patients having one or more common chronic diseases in the office setting.
• Demonstrate competency in advanced elicitation of history, communication, physical examination, and clinical reasoning skills.
• Integrate socioeconomic, cultural, and environmental factors into patient care.

Knowledge for Practice

• Recognize symptoms, signs, and differential diagnoses of common acute and chronic illnesses as they present in primary care.
• Develop evidence-based diagnostic and management plans for common acute and chronic illnesses.
• Develop evidence-based health promotion/disease prevention plans for patients of any age or gender.
• Integrate population factors of heritage, environment, and disease prevalence into patient care.

Practice-Based Learning and Improvement

• Develop proficiency in efficiently assessing and using computer-based resources for improving patient care.

Interpersonal and Communication Skills

• Demonstrate skills in motivational interviewing.
• Demonstrate proficiency in patient education for acute and chronic conditions.
• Tailor clinical communication to the appropriate health literacy level of the patient.

Systems-Based Practice

• Discuss the principles of family medicine care.
• Discuss the critical role of family physicians within any health care system.

Interprofessional Collaboration

• Identify the role of family physicians and other members of the health care team in the Interdisciplinary/Medical Home model of comprehensive, personalized care.

Personal and Professional Development

• Promote professional self-awareness and self-care. Demonstrate and promote emotional development thru critical reflection on clinical stories.

Professionalism

• Demonstrate a basic understanding of the professional and ethical issues facing family physicians.
• Continuous effort at striving to fulfill expectations of the patients, colleagues, and members of the healthcare team.

Milwaukee
At the start of each 4-week block, the Family Medicine Clerkship begins with an orientation. The orientation is held virtually, and a link will be provided prior to the start. Orientation is generally the first Monday of the rotation and normally begins at 9:00 am. Attendance at orientation is mandatory and you should always be professional.

Green Bay
Each block of the Family Medicine clerkship begins with an orientation, which will be given via Zoom by the Clerkship Director. Your Green Bay coordinator will notify you with a link and time to report.

Clinical Site Orientation
For all sites, we will work with your site coordinator and/or your preceptor and coordinate the schedule at that practice site and the schedule with other physicians at that site. The physician’s office staff at the clinical practice site will provide an orientation to the practice, to the office staff, to other physicians, and to that practice's schedule.

All students will be assigned to a clinical practice with a family physician who will be their site preceptor. Sites include:

1. Family Medicine Residency Program sites affiliated with the MCW Department of Family and Community Medicine. Specific sites include Columbia-St. Mary’s Family Health Center, All Saints Family Health Center, Town Hall Health Center, and the Fox Valley/Appleton Family Health Center.
2. Other select non-MCW Family Medicine Residency Program sites.
3. Froedtert & MCW primary care clinics.
4. Southeastern (SE) Wisconsin community family physicians or family physician groups that volunteer to have students in their office.
5. State of Wisconsin “rural” practice sites, outside of SE Wisconsin, for select 4-week blocks, based on availability. Students can choose a rural site. For some 4-week blocks students will be assigned to a rural practice.

Students will receive an email to rank site placement about 60 days to the start of their rotation. Request from students to any of the above locations are considered and when possible accommodated. Students will be notified of the clinical practice assignments in advance by the clerkship coordinator. Clinical site placement is managed by our program manager. All students will be assigned to a clinical practice with a volunteer community family physician (or group).

M3 Family Medicine Clerkship Sites

Columbia St. Mary's Family Practice Associates Cedarburg
W62 N179 Washington Ave.
Cedarburg, WI 53012

Froedtert Menomonee Falls Hospital Family Medicine Residency Program
W180 N8000 Town Hall Rd.
Menomonee Falls, WI 53051

Fox Valley Family Medicine Residency Program
229 S. Morrison St.
Appleton, WI 54911

Froedtert – Tosa Health Center
1155 N. Mayfair Rd., Suite A
Wauwatosa, WI 53226

Waukesha Family Medicine Program
210 NW Barstow St., Suite 201
Waukesha, WI 53188

Columbia St. Mary’s Hospital
2301 N. Lake Dr., Room 4208
Milwaukee, WI 53212
Director: Jahanvi Kothari, MD
Course Coordinator: Varonica Williams

Froedtert Menomonee Falls
W180 N8085 Town Hall Rd.
Menomonee Falls, WI 53051
Director: Camdin Gray, MD
Course Coordinator: Amy Matenaer

Waukesha Memorial Hospital
725 American Ave.
Waukesha, WI 53188
Director: Maureen Longeway, MD
Course Coordinator: Diane Behling

St. Joseph Hospital
5000 W. Chambers Ave.
Milwaukee, WI 53210
Director: Laura Brusky, MD
Course Coordinator: Staci Huber

Columbia St. Mary’s Family Health Center
1121 E. North Ave.
Milwaukee, WI 53212
Director: Seth Bodden, MD
Course Coordinator: Varonica Williams