Baraboo Clinical Sites

Family Medicine Center

Dean Clinic Baraboo is the ambulatory training site of the family medicine residency. Staff includes:

• 11 family physicians;
• 1 pediatrician;
• 2 internal medicine physicians;
• 3 physician assistants; and
• 4 nurse practitioners

Dean Clinic Baraboo is adjacent to St. Clare Hospital and Dean Clinic Baraboo Specialty Services. During the second and third years of training, residents are immersed in the rural full spectrum family medicine experience by taking call, performing surgeries, rounding at the nursing home, admitting patients, providing maternity care and working in the ER at St. Clare Hospital, Baraboo.

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 Health Services is the primary inpatient teaching site 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

SCHHS serves a diverse population of patients, including the Native American population, and a growing Hispanic community. In addition, Dean Clinic Baraboo and St. Clare Hospital and Health Services patient care staff are heavily relied upon to provide urgent care/emergent services to patients of the neighboring city, Wisconsin Dells, where tourism increases the population tremendously during the summer months.

Critical Care

St. Clare hospital has a six-bed Intensive Care Unit (ICU), which includes a sleeping area for family members wishing to stay near loved-ones in the ICU. Family physicians have privileges to care for patients in this unit. Residents discern which patients can be cared for at St. Clare’s ICU and which require transfer to a higher center. In addition, residents learn methods of transfer 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 conducted by family physicians. A consulting Dean obstetrician comes to Baraboo twice weekly to offer consults.

To date, the majority 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 and Madison, alternately, 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 (20,000 patients annually), with adjacent medical imaging and medical intensive care units;
• A new surgery unit and expanded day surgery unit;
• A radiation oncology unit, opened in 2005;
• An obstetrics unit, updated in the fall of 2006; and
• A 4-bed hospice house recently constructed on the medical campus.

St. Mary’s Hospital (SMH)

» St. Mary’s Hospital Web site

• Regional community hospital
• 440 beds
• 671 physicians
• 23,000 inpatients per year

St. Mary’s Hospital is a major regional medical center offering state of the art medical care. Family medicine residents are the only full-time graduate medical trainees at the hospital. A dynamic, forward-looking institution, St. Mary’s has steadily supported our program since 1970.

The Family Medicine Department at St. Mary’s is the largest section in the hospital. Family physicians routinely receive privileges to practice the full range of family medicine including obstetrics, intensive care medicine, and specialized procedures. The case mix is typical of a full service community hospital, and residents are respected as important members of the health care team.

University of Wisconsin Hospital and Clinics (UWHC)

» University of Wisconsin Hospital and Clinics Web site

• Tertiary care hospital
• 566 beds
• Over 1,200 physicians
• 27,000 inpatients annually

UWHC has been rated as one of the top 50 hospitals in the country for the past decade. All of our teachers are UW School of Medicine and Public Health (SMPH) faculty, and we take full advantage of the variety of opportunities offered by the SMPH and university environment.

Residents spend four months of their residency on the UW Hospital Family Medicine Inpatient service, a “self-contained” service in which the Madison faculty are the attending physicians and the Madison senior residents lead the team.

In the 2^nd and 3^rd years, Baraboo residents are welcome to complete some of their elective rotations within the UWHC system.