First Year
Inpatient Responsibilities
First year residents complete the majority of their rotations at St. Mary’s Hospital and the University of Wisconsin Hospitals and Clinics alongside their Madison Family Medicine residency partners. Surgery and Rural ER are the only curricular areas in which Baraboo residents rotate separately from the Madison residents.
Outpatient Responsibilities
While much of the first year is spent on inpatient hospital service in the Madison area, residents will begin to establish their continuity patient panel at Dean Clinic Baraboo, their FMC, where they will see an average of three to four patients per half-day of clinic, twice weekly. During the first year, residents will not round on patients at St. Clare Hospital, any of the area nursing homes, or take call on behalf of the Dean system.
Second and Third Year
At the beginning in the second year, rural track residents will move within 20 minutes of Baraboo and immerse themselves in full spectrum rural family medicine practice. Flexible, longitudinal curriculum places an emphasis on lifelong learning in an apprenticeship model.
Longitudinal Model
Second and third year rotations consist of eight-week blocks. During each block, residents complete longitudinal and mini-block rotations, as described below:
Longitudinal Rotations
Five weeks of an eight-week block are spent longitudinally at the Baraboo clinic under faculty supervision. Longitudinal weeks mimic full spectrum, “real world” practice. A sample of weekly responsibilities includes:
| Location | PGY2 | PGY3 | |
|---|---|---|---|
| Seminar (Big Team/Little Team) | Alumni Hall or Dean-Baraboo via Video Conference | Wednesday PM | Wednesday AM |
| Outpatient Rotations* | Dean Clinic-Baraboo Specialty Services | Three half-days | Two Half-days |
| Continuity Clinic | Dean Clinic Baraboo | Five half-days | Six Half-Days |
| Home Call OR ER Call | Home or St. Clare Hospital | One evening | One evening |
| Postcall | Afternoon following call | Afternoon following call | |
| Rounding | St. Clare Hospital | PRN | PRN |
*Residents spend time with local specialists based on individual learning needs, and to fulfill required and elective hours.
Mini-Block Rotations
Three weeks of an eight-week block are spent on rotation with a subspecialist to complete other required and elective rotations. These rotations take place in Madison, Baraboo and other local communities that offer rotations. During each mini-block week, residents see their continuity patients in the clinic for two or three half days. A sample of weekly responsibilities while on mini-block includes:
| Location | PGY2 | PGY3 | |
|---|---|---|---|
| Seminar (Big Team/Little Team) | Alumni Hall or Dean-Baraboo via Video Conference | Wednesday PM | Wednesday PM |
| Outpatient Rotations | Varies | Seven half-days | Six half-days |
| Continuity Clinic | Dean Clinic Baraboo | Two half-days | Three half-days |
| Rounding | N/A | N/A | N/A |
| Home or ER Call | NA | NA | NA |
Call Schedule and Continuity OB Training
Second and third year residents participate in the Dean call pool alongside attending physicians from the Baraboo, Lake Delton and Wisconsin Dells clinics. Call requirements will not exceed one evening per week and one weekend day per month. Residents are also able to participate in ED call at St. Clare Hospital.
Unopposed continuity maternity care is taught by the family medicine attending physicians throughout the second and third years of residency. Optional C-Section training is available at the discretion of the attending surgeons.
Mentors and Inpatient Hospital Preceptors
Prior to the start of the second year, residents choose a Baraboo faculty mentor, who oversees the resident’s education and assists the resident with acquiring the skills needed for rural practice.
Each resident also selects a faculty hospital preceptor who makes daily rounds with the resident in the hospital. Hospital preceptors rotate teaching responsibilities every six months.
Residents also work with other faculty during clinic, on call, and during deliveries.
Electives
Residents are allowed a minimum of 12 weeks of elective time. Established electives are listed below and are subject to change based on preceptor availability and curriculum requirements.
- Addiction Disorders
- Allergy
- Behavioral Health
- Cardiology
- C-Section Training
- Diabetes Management
- Endocrinology
- Geriatrics
- Global Health
- Infectious Disease
- Integrative Medicine
- Neurology
- Nutrition
- Oncology
- Nutrition
- Palliative Care and Hospice
- Practice Styles
- Psychiatry
- Pulmonary
- Radiology
- Rheumatology
- Research
- Resident as Teacher
- Tribal Health – Ho Chunk Nation
- Urgent Care
- Urology
- Vasectomies
Electives are subject to change based on preceptor availability.
Additional Educational Opportunities
- Primary Care Conference
- Family Medicine Seminars
- Clustered Didactics
- Gynecology
- Management of Health Systems
- Geriatrics
- Musculoskeletal
- Dermatology
- Urology
- Men’s Health
- Population Health
- Monday Morning Rounds
- CME – held weekly at St. Clare Hospital and Health Services, September through May
- Clinical Didactics – held monthly
- Behavioral Health Didactics – held monthly
In addition, there are several hospital-based committees that 2nd and 3rd year residents are encouraged to join in order to broaden their scope and further develop their practice management skills.
Global Health
Baraboo residents are encouraged to partake in elective global health opportunities during their 2nd and 3rd years, with the support of the University Of Wisconsin Department Of Family Medicine, Madison residency program, a global health leader.
