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Baraboo Clinical Sites

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Family Medicine Center

Medical Associates Clinic, Baraboo

Medical Associates Clinic is the ambulatory training site of the family medicine residency. Staff includes:

Baraboo Dean
  • 11 family physicians;
  • 3 surgeons;
  • 2 pediatricians;
  • 2 podiatrists;
  • 1 critical care internist;
  • 1 orthopedic surgeon;
  • 2 physician assistants; and
  • 3 nurse practitioners

Medical Associates Clinic is adjacent to the hospital. Resident physicians are treated as colleagues in the group practice: they have their own practice, deliver their own continuity obstetrics patients, and take call (with faculty backup) similar to all the other staff physicians.

Hospitals

St. Clare Hospital and Health Services (SCHHS) and St. Clare Meadows Care Center Nursing Home

» St. Clare Hospital and Health Services Web site

  • Regional community hospital/nursing home complex
  • 200 beds
  • Over 100 physicians
  • Approximately 7,800 inpatients per year

St. Clare hospital and nursing home are the primary inpatient teaching sites for rural track residents in the second and third years. Conditions treated at SCHHS range from geriatric syndromes to adult medicine to the care of women and children.

Patient Population

Patients are primarily Caucasian adults from small communities and area farms. SCHHS also serves a Native American population and a growing Hispanic community. During the summer, the SCHHS Emergency Department serves an influx of tourists from the Lake Delton/Wisconsin Dells area.

Critical Care

St. Clare hospital has a four-bed critical care unit (CCU). Family physicians have privileges to care for patients in this unit. Residents learn which patients can be cared for at St. Clare's CCU and which need transfer to a higher center. In addition, residents learn methods of transfer and why (helicopter vs. ambulance) and often have the opportunity to accompany the patient on ambulance transfers as the physician in charge.

Obstetrics

Approximately 325 obstetric deliveries occur at St. Clare each year. Residents co-follow obstetric patients with family physician faculty.

Most of the obstetric teaching in Baraboo is by family physicians. A consulting obstetrician comes to Baraboo twice weekly to offer consults.

So far, 100% of program graduates have chosen to provide maternity care in their rural practices and feel confident doing so.

The annual Advanced Life Support in Obstetrics (ALSO) course is hosted in Baraboo every June for UW family medicine and OB-GYN residents. Many of the Baraboo faculty and upper-level residents teach in the course and have served as editors and authors in the course's syllabus.

Additional SCHHS Services

  • A 10-bed inpatient geriatric psychiatric unit and day treatment program;
  • A sleep disorders lab;
  • A hemodialysis unit;
  • A home health agency (SCHHS co-owns Home Health United, which has 7,000 patient visits annually);
  • A recently updated Emergency Department (19,000 patients annually), with adjacent medical imaging and medical intensive care units;
  • A new surgery unit and expanded day surgery unit;
  • A new radiation oncology unit, opened in 2005;
  • A new obstetrics unit, opened in the Fall of 2006; and
  • A new 4-bed hospice house recently constructed on the medical campus.

Outpatient Clinic

SCHHS's Dean Specialty Clinic includes 45 visiting specialists who see 9,000 patients per year. Residents rotate on longitudinal rotations with these specialists in the outpatient setting.

St. Mary's Hospital

» St. Mary's Hospital Web site

  • Regional community hospital
  • 330 beds
  • 430 physicians
  • 25,000 inpatients per year

St Mary's Hospital is the primary training hospital during the first year of the rural track. Department of Family Medicine residents are the only house staff. Family physicians receive privileges to work in nearly all areas of SMH. Residents staff the intensive care unit and other key areas.

Many SMH medical staff are associated with one of the state's largest group practices.

University of Wisconsin Hospital and Clinics (UWHC)

» University of Wisconsin Hospital and Clinics Web site

  • Tertiary care hospital
  • 484 beds
  • Over 800 active medical staff
  • 17,000 inpatients per year

Rural track residents have rotations in the UWHC Family Medicine Service and the Emergency Department during the first year. In addition, residents have many opportunities for elective rotations in the second and third years.