On most rotations, our residents have continuity clinic a half day per week at the resident clinic at Gundersen Health System, La Crosse. They also do a 4-week block of afternoon half day clinic sessions. When residents are on busy inpatient services, they do no clinic or half day every other week. While priority is given to autonomy, you are given the opportunity to be taught exceptional clinical medicine by experienced faculty. During your three-year experience you will also learn clinic operation, including billing, insurance and appropriate patient referral. Special emphasis is placed on evidence-based clinical medicine.
Your clinic consists of patients you have cared for in the hospital on general medicine and subspecialty rotations who then become your primary patients, as well as patients you have seen in the Urgent Care, personal referrals and other patients looking for an internal medicine physician. In this way you obtain an excellent patient mix of common, rare, and severe medical problems, along with patients with varying ages and socioeconomic status.
"Our ambulatory clinic teaches us the fundamentals of both transitions of care and longitudinal management of chronic medical issues. Moreover, the opportunity to admit, treat, discharge, and follow-up with a patient in the clinic leaves an indelible impression on the resident-physician, leaving us with a thorough understanding of our patient. In our clinic there is no doubt that we, the resident-physician, are the owners of our patient’s care." Craig Destree, M.D., current Internal Medicine resident.
To enhance and enrich your experience, we have assembled a top-notch team of support staff, consisting of registered nurses, medical assistants and patient liaisons. They are ready and willing to help with procedures, fielding calls from your patients, handling prescription refills and addressing patient scheduling.
There is full primary care dermatology equipment available for cryotherapy, excisions, shave and punch biopsies. Joint aspiration and I&D equipment are also available.
A typical first year resident will see one new patient and two follow-up patients in an afternoon. As your training progresses, your volume will increase to accurately reflect your future practice. You have the ability to schedule patients outside of your scheduled clinic if needed as well. You do not have clinic during your months of ICU, Night Float and post-call on General Medicine inpatient service.