WAUKESHA FAMILY PRACTICE RESIDENCY PROGRAM:

• What makes WFPRP Unique?
• Advantages of WFPRP
• Our Mission
• Our Curriculum
• Our Family Practice Center
• Directions
• Our Hospital, Call System and Graduates
• Our Community
• Fun Things to do in the Area!
• Top Ten list of Fun Events by Our Current Residents
• Benefits package
• Points to consider when applying to any residency program

What makes WFPRP Unique

Thank you for your interest in the Waukesha Family Practice Residency Program, an innovative and growing program since 1976.

Those of us associated with the program have a deep respect for family medicine and those who have chosen to pursue it. We are strongly committed to the vital role of the family practice physician in a changing health care environment emphasizing preventive care and health maintenance. National focus on the need for primary care physicians demonstrates the importance of excellent training in family practice. Through our program, qualified, dedicated physicians will gain the tools, resources and experience required to be among the best in their field. They will be prepared to excel in a variety of practice settings and assume leadership roles in today's changing health care delivery system.

Ours is a unique program offering you the following advantages:

• A strongly supported community-based program with no competing residencies.
• An Innovative Majors and Masteries curriculum which gives you a chance to design a curriculum that is right for you.
• An optional 4th year residency where you can get an MBA, MPH or OB fellowship.
• A Nationally know program in Informatics (you will receive a FREE Laptop and PDA upon arrival)  
• A new, recently expanded model family practice clinic.
• An excellent, diverse resident group with all six positions consistently filled through the match process
• A proven track record of quality graduates who have entered rural, small city, urban, and academic settings.
• A committed, diverse program faculty who all practice the full spectrum of family medicine with an extensive, respected volunteer family practice and specialty preceptor faculty.
• Cultural, occupational and socioeconomic diversity among our patient population including a sizeable Hispanic population.
• Focus on the value of teamwork and stong collegial relationships.
• Special focus educational programs, including training in domestic violence management, flexible sigmoidoscopy, colposocopy, ACLS, neonatal resuscitation, advanced life support in obstetrics, and more.
• Strong curriculum in obstetrics(over 200 deliveries), medicine, pediatrics, behavioral science, geriatrics, and community medicine.
• Affiliations with a nearby medical school and a highly supportive community hospital that serves as the county's premier health care provider.
• Easy access to beautiful southeastern Wisconsin, including the 80 lakes of Waukesha County, as well as many recreational and cultural opportunities.

We feel physicians who choose family practice are a special breed, combining a caring attitude with a wide range of skills. Typically, our graduates are that kind of physician-- caring, dedicated and highly competent. They tell us the Waukesha Family Practice Residency Program prepared them well for the direction they chose in medical practice.

I wish you the best as you search for the residency experience that is right for you

Michael F. Mazzone , M.D.
Program Director

Advantages of WFPRP

1. LOCATION
   • Provides highly diverse exposure to mid-sized city/semi-rural/suburban population.
   • Quick access to recreational and cultural activities (many parks and hills, more than 80 county lakes, and nearby metropolis, i.e., 20 minutes to Milwaukee).
2. STRUCTURE
   • NO competing residencies with state-of-the-art model Family Practice Center close to the hospital.
   • Smaller program structure emphasizing individualized instruction.
   • A realistic on-call structure that utilizes night float and home-call frequently, which better prepares the residents for practice.
   • Utilizes a single community-based hospital for almost all rotations minimizing resident travel.
   • A diverse population with a Spanish-speaking minority.
3. STABILITY
   • Full five-year accreditation status (five years is the longest accreditation possible.)
   • Excellent tenure for this award-winning program faculty (recipients of departmental and national Faculty Excellence awards for 1994 - 2007). Family Practice faculty has obstetrical, pediatric, NICU and ICU/CCU privileges and are able to provide direct back up to the residents.
   • Abundant volunteer faculty is paired with full-time faculty to provide fast access to staffing physicians and enhance clinic teaching. Very few programs have as many volunteer community family physicians that teach residents in the clinic setting.
   • Waukesha Memorial Hospital is very supportive of family physicians with its own Department of Family Practice, which privileges its own members. There is a large complement of family physicians in the area.
   • Waukesha Memorial Hospital is very supportive of the program as evidenced by commitment to provide financial support for clinic renovations and extensive computer support. Its strength and stability are evidenced by its "top 100 in the nation" designation in a national study several years ago.
   • The hospital is rapidly growing and modern with excellent support services making "scutwork" nearly non-existent, allowing residents to concentrate on patient care and learning. An outstanding medical staff ensures exposure to advanced clinical services including cardiac surgery and neuro-surgery, in vitro fertilization, dialysis, MRI scanning, gero-psychiatry, eating disorders, inpatient rehabilitation, NICU and inpatient pediatrics, etc.
   • Department of Family and Community Medicine of the Medical College of Wisconsin provides leadership, essential support, and a strong academic presence for our program.
   • Excellent benefits for residents including life, health and disability insurance, exercise facility, enhanced travel allowance, meals, moving expense allowance, on-campus day care/sick child day care, and even a loan repayment program that supports debt reduction during residency.
4. UNIQUE CURRICULAR FEATURES
   • The Majors and Masteries Curriculum allows residents to get core family medicine training as well as gain expertise in an area of special interest. It also allows residents to gain advanced degrees in a unique 4 year residency model.
   • Very strong OB (residents from other programs come here for the experience).
   • A very broad pediatric experience in the Family Practice Center, inpatient community-based hospital rotations, inpatient Children's Hospital rotation, outpatient experiences with local pediatricians, ER pediatric and neonatology rotations, and Adolescent Medicine.
   • Superior internal medicine teaching with many elective choices.
   • Coordinating faculty to ensure emphasis on Behavioral Science, Community medicine, and Geriatrics.
   • Abundant procedural and Sports Medicine experiences (You will be an assistant team physician for one of the local High Schools) .
   • Specially structured educational experiences including ACLS, ALSO, a neonatal resuscitation course, flexible sigmoidoscopy, colposcopy, OB ultrasound, Evidence-Based Medicine, and others that are all taught by program faculty.
   • Computer competency emphasis assured using a clinic electronic medical record and by providing each resident with a laptop computer and PDA that they may keep upon graduation.

Our Mission

Educational Excellence, Emphasis on Caring

By developing individualized instruction plans, residents and faculty collaborate on specific training needs during the entire residency. As a result, each graduate is better prepared to address life-long learning, self-analysis and critical review, while practicing the skills of family-oriented care, health maintenance, and disease identification and treatment.

As a Resident of our program, you'll complete rotations, attend conferences, and acquire valuable hands-on experience while caring for people of all ages and all walks of life. The program is committed to a bio-psychosocial model of medicine, which is integrated into all segments of the curriculum. Our program focuses on families and the community as the environment in which health and disease develop and interact.

With no competing residencies, residents have ample opportunity to directly care for patients and develop procedural skills. Working in our family practice clinic provides emphasis on strong ambulatory care skills. You will take part n the life of the community through involvement in high school athletic competition, an indigent care clinic, a women's shelter, a college health center, and a sports medicine clinic.

We are committed to curricular breadth and educational excellence from obstetrics through geriatrics. Our obstetrical experience is highly regarded and attracts family practice residents from other programs to develop skills in operative obstetrics and care for high risk patients. A rich and diverse experience in pediatrics and medicine is practiced in many settings (i.e. hospital, nursing homes, retirement facilities and patient's homes) and is taught by faculty with the geriatric certificate of added qualification.

Program faculty provides supervision and role modeling for patient care, teaching, and self-development skills. Full-time family physician faculty has privileges in obstetrical, ICU, and surgical procedures at Waukesha Memorial Hospital to provide direct back up as needed. Our volunteer faculty supervises rotations, support your work at the center, and offer consultative assistance. Working with physicians and other health care providers practicing in the community helps you become a strong member of the health care team and provides you with keen insights into community resources.

Our Curriculum

Our curriculum has been carefully designed to ensure a broad and relevant family practice experience. Faculty and residents use their talents and experience to collaborate on an ongoing basis to explore how each rotation can be strengthened. This team approach to curricular development creates an investment by all and a special learning experience
Although most programs appear similar on the surface, important features set ours apart:

PERINATAL CARE
The program offers more than 200 deliveries per resident during the course of residency and an excellent exposure to instrumental obstetrics. A family-centered perinatal unit creates an educational atmosphere conducive to understanding family dynamics surrounding childbirth and unique perspective family physicians offer. Many practicing Family Physicians do Obstetrics ensuring strong role modeling for residents. This experience attracts family practice residents throughout the country. Both Advanced Life Support in Obstetrics and Neonatal Resuscitation courses are taught by our faculty and are provided on-site to increase confidence in handling key emergencies. Nearly all of our graduates choose to continue obstetrics in practice.

COMPREHENSIVE PEDIATRIC CURRICULUM
Neonatology is taught in an NICU at Waukesha Memorial Hospital. Family physicians, pediatricians, and neonatologists include residents in resuscitations. Neonatologists round with residents on all NICU patients and provide excellent teaching support. Hands-on procedural skills are emphasized.

Inpatient pediatrics begins with a month-long introduction at Children's Hospital, a regional pediatric medical center, to establish fundamental inpatient skills to enhance recognition of the very sick child. Subsequently, one month of pediatrics at Waukesha Memorial builds a clear understanding of the types of problems that are likely to be encountered by family physicians in a community hospital. This view of two very different settings helps graduates know how and when to use each setting and its consultants most effectively.

Outpatient pediatrics is taught in the family practice center, local pediatricians' offices, and the emergency room at Children's Hospital. A one-month first-year experience lays the foundation for essential skills that must be practiced in the family practice center. To emphasize adolescent care, residents provide all care at Carroll College's student health center. Family practice faculty has additional training in Adolescent Medicine.

MEDICINE
Outstanding teaching for our teaching service rotation is provided by both the full time family medicine faculty and our hospitalist service. Full-time family practice faculty supports the inpatient family practice service and serve as excellent role models for providing comprehensive inpatient care. There are many talented volunteer consultants, who ensure a wide array of required and elective specialty medicine experience.

GERIATRICS
Taught longitudinally over three years in diverse sites (office, hospital, nursing home (our residency functions as the medical director of Linden Grove, a skilled nursing facility ranked in the top 2% in the country), retirement facility, and home), our residents learn comprehensive assessment, prevention and treatment of common diseases and ways to optimize functional status using key resources available within the community. Affiliation with a sophisticated care delivery system allows our residents to experience a multidisciplinary model of care in which the aged can transition from one facility to the next based on their level of function and need for support. This model challenges traditional thinking by demonstrating that nursing home care can lead to functional recovery.

BEHAVIOR SCIENCE
Also longitudinal, curriculum emphasis is placed on using the family and community as resources for promoting health, managing disease, and addressing unhealthy life habits. Integration of teaching occurs in the majority of rotations so that residents learn about behavioral and psychological aspects of care at the time when it is most valuable-as they see each patient.

Focused training sessions on family dynamics, common psychological disorders, and the recognition of and intervention in hidden family illness (i.e. chemical dependency, smoking and family violence), are interspersed throughout three years. Curricular innovations in health promotion and domestic violence education have received an awards from the Medical College of Wisconsin and national recognition.

PROCEDURE COMPETENCY
Structured didactic sessions, abundant procedural experience, extensive tracking mechanisms to identify areas of needed growth, and faculty expertise and support result in documented success in developing competence for graduates who obtain privileges in a wide array of procedures. Colposcopy, flexible signoidoscopy, casting, Norplant, vasectomy, lesion excision, Ob ultrasound, and suction curettage for miscarriage, are some of the many skills that can be developed.

SPORTS MEDICINE
Residents are taught on-site by family practice and orthopedic role models. Residents are assigned a high school as a PGY-1 and are given time to work in he training room and on the sidelines. The orthopedics rotation is coordinated by sports medicine fellowship orthopedic surgeon who includes each resident in his weekly sports medicine clinics and on the sidelines of high school and college sporting events. The Department of Family and Community Medicine provides elective and fellowship experience under a sports medicine fellowed family physician who also has his own clinic and covers high school, college, and professional team sports. For those wanting more specialized sports medicine training we offer a Sports Medicine Mastery which affords you the opportunity to work with teams like the Milwaukee Brewers and the Milwaukee Wave.

ROTATIONS
Our core curriculum of rotations is listed in Majors and Masteries section. A balanced mix of ambulatory and inpatient rotations ensures an experience that is most relevant to family physicians. They are designed to systematically and logically add to resident skill, while providing "buffer" rotations so that the intensity of the experience is optimal - not overwhelming. For each rotation, a description has been written that details the responsibilities of the resident and special education events offered during the month. Learning objectives and evaluation mechanisms are also defined.

Rotation preceptors are well aware of the clinic and other longitudinal experiences in which residents participate. Time away from rotations is ensured for these essential family practice curriculum components. Preceptors are selected based on teaching skill. Most hold clinical appointments at the Medical College of Wisconsin. In fact, many even hold a dual appointment, with teaching responsibilities in their specialty department at the medical school.

CONTINUITY OF PRACTICE
Each resident is assigned a clinic and nursing home practice population. Continuity and comprehensiveness of care, as well as prevention, health promotion, and the evaluation and treatment of families, are emphasized. Seminars on such topics are concentrated in the first year for early resident acquisition of basic skills. Office-based procedures, interpersonal skill development, family dynamics, perinatal care, sports medicine, geriatric care, the adolescent patient, practice management, cost-effective care, and many other key concepts are taught and reinforced in the office and throughout the community.

CONFERENCES AND SEMINAR
Well rounded exposure to both common and uncommon conditions is emphasized. The cognitive basis of procedural skills is reviewed and retention of concepts is promoted through active participation. Resident conferences are planned by both faculty and residents. Computer tracking promotes the uniform coverage of predefined topics over a two-year period.

Conferences are offered at the residency, the hospital and the medical college:

Waukesha Family Practice Residency Program

• Twice weekly teaching rounds review the care of patients and families at the center. A multi-disciplinary team considers all facets of care consistent with a biopsychosocial approach, while focusing on the problem solving skills of the primary care physician.
• Wednesday afternoon conferences on selected topics relevant to the family physician. Residents participate periodically by presenting conferences to practice their teaching skills.
• Clinic meetings held bi-monthly with center staff, residents and faculty to facilitate strong communication and encourage resident participation in day-to-day practice management decisions.
• Structured longitudinal on-site training programs conducted by our faculty in ACLS, Advanced Life Support in Obstetrics (ALSO), neonatal resuscitation, flexible sigmoidoscopy, colposcopy, and others.
• Journal Club (semimonthly) ensures practical application of concepts in evidence-based medicine.
• All lectures are readily available to all residents at all times through our unique Electronic Learner's File (ELF).

Hospital Based Programs

• Specialty programs and include All Staff Conferences, Oncology Review Board, EKG Review, and Perinatology Conferences.
• Ethics meetings with physicians, nursing staff, clergy, and attorneys to define ethical principles guiding optimal patient care.

Medical College of Wisconsin

The Department of Family and Community Medicine at the Medical College of Wisconsin is one of the leading family medicine departments in the country. Our residents attend department seminars in practice management (i.e. evaluating practice alternatives and transition to practice), monthly grand rounds, and journal club. Its chief resident training program attracts residents regionally. Academic and Sports Medicine fellowships are available.

Our Center

Our center continues to grow and has recently expanded to 8,200 square feet, occupying the entire second floor and half of the third floor of a renovated professional office building. The center features a large waiting room, and 21 examination rooms (including three procedure rooms and a patient education/counseling room). Videotaping capability in both patient exam and procedural rooms enhances teaching aids for interpersonal and procedural skills. The highly functional layout is ideal for patient flow. The center includes lab, X-ray, and an array of advanced equipment essential to today's family practice physician. We have computers in every exam room as well as in the staffing room and nurses’ station, which facilitate our use of an Electronic Medical Record. There is a large, comfortable resident lounge that is equipped with computers. The Center also has a business office and a conference room/library.

OUR PATIENTS
Throughout your residency, your own practice will grow with patients of diverse ethnic and socioeconomic backgrounds. Factory workers, white-collar workers, poor, rich, old, and young come through our doors every day. Our reputation for excellence in obstetric and geriatric care guarantees you considerable experience with these patients. About 15% of our patient visits include Spanish speaking patients, with translators provided for every visit.

OUR FACULTY
As a result of extensive volunteer family physician support from our medical community, our program has the unique ability to offer the perspective of both private practice and academic family physicians. This strong volunteer support also allows for excellent access to staffing physicians. Frequently two family physicians are assigned in the center for teaching purposes. This level of depth and breadth in the residency training environment is exceptional. You will quickly notice that volunteer physicians donate their time because they truly enjoy the role of teacher.

Full-time dedicated program faculty have many unique qualifications as educators,, certified instructor status for specially structured educational experiences (e.g., Advanced Cardiac Life Support, Advanced Life Support in Obstetrics, Neonatal Resuscitation, flexible sigmoidoscopy, etc.). Recent medical school honors including departmental awards (Clinical Teaching and Innovative Educational Project Awards). Hospital privileging also demonstrates the breadth of clinical expertise necessary for effective role-modeling.

OUR AFFILIATIONS
LindenGrove Nursing home is a 135-bed facility recently cited as a national center for excellence in geriatric care (top 2% of Nursing homes in the country). Structured teaching round are conducted with program faculty to ensure educational focus with qualified educators. First-year residents are assigned two patients to three patients; second-year residents are assigned five patients to six patients; and third-year residents are assigned eight patients to ten patients.

Optional experience with a local church-sponsored program (St. Joseph's Free Medical Clinic) offers the opportunity to care for the community's medically underserved populations.

The Center is located in the same building as a branch of La Casa de Esperanza and the Hispanic Health Resource Center, which help us assist our Hispanic patients with their health care needs.

Directions

Waukesha Family Practice Center

I-94 to Waukesha Family Practice Center

From the East (Milwaukee and Airport) - Take I-94 West. Exit at the Hwy. F/164 exit, turn left into Waukesha.

From the West (Madison and the Country Inn) – Take I-94 East. Exit at the Hwy. F/164 exit, turn right into Waukesha.

Go approximately 2.7 miles straight into Waukesha. Hwy. F becomes North Avenue. At the intersection of Moreland Road, Hwy. F will turn left, however you want to continue straight on North Avenue. The next intersection will be Barstow Street. Turn left on to Barstow and drive one block in the right-hand lane. You will see a two-story red brick building on your right. This is the Barstow Building. Enter the parking lot and drive around the building to the side facing Mary Street. This is the entrance to the Family Practice Center (park anywhere in the front). Follow the signs and come up to the second floor.

Waukesha Memorial Hospital

1-94 to Waukesha Memorial Hospital
Follow the same directions as above until you get to Barstow St. Instead of turning left on to Barstow, continue driving then straight through that intersection in the center lane. (CAUTION: Do not go into the far right lane. You will be required to turn right on to Hwy. 18 which heads West.) When North Ave reaches the next intersection after Barstow, make a wide right turn on to Madison Street and go up the hill to Fairmont Ave. Take a left on to Fairmont Ave to the Hospital. You will see the hospital parking structure on the left. You can park there for free. Go into the main lobby of the hospital and ask for directions to the Medical Staff Office.

Our Hospital, Call System and Graduates

WAUKESHA MEMORIAL HOSPITAL
Established in 1914, Waukesha Memorial Hospital is the major health care resource in Waukesha County and the largest, most clinically advanced hospital between Milwaukee and Madison. Waukesha Memorial combines the warm atmosphere you would expect from a community hospital with a wide range of specialty services often associated only with the largest medical centers. The hospital is a private, not-for-profit corporation employing approximately 1,850 full and part-time employees.

Its constantly growing medical staff of more than 590 members provides direction for clinical services ranging from cancer treatment and intervention cardiology to emergency medicine and medical/surgical specialties. The hospital's excellent consulting staff is easily accessible and very interested in teaching. The hospital averages approximately 11,550 inpatient admissions, 2,100 births, 205,000 outpatient visits and 33,000 emergency visits annually.

The hospital's excellence resulted in its designation as "top 100 in the nation," according to a 1995 study of 4000 hospitals.

PRIMARY CARE FOCUSED
At the heart of its growth is a commitment to building a strong primary care network to meet the health care needs of Waukesha County residents. In fact, the hospital has aggressively recruited family physicians to be a key component of its network.

Waukesha Memorial Hospital has a separate Department of Family Medicine with more than 50 family and general practitioners. The department is responsible for privileging its members. Family physicians assume key leadership roles among the medical staff and are well respected by community specialists.

STRONG ADMINISTRATIVE AND CLINICAL SUPPORT
The hospital demonstrates its commitment to the Waukesha Family Practice Residency Program by providing primary financial assistant and ensuring ongoing growth and development. Extensive hospital and clinic support staff allows residents to focus on learning rather than "scut work."

EXCELLENT MEDICAL LIBRARY

An exceptionally large and comprehensive medical library is available for your convenience for medical research, review and course study. The librarian provides expert assistance in literature searches through the hospital's on-line search capabilities and responds promptly to inquire for literature searches. Multiple dedicated computers are available in the library to ensure immediate access to PubMed and other search engines at any time of the day.

OUTSTANDING CLINICAL CAPABILITIES

• Committed to building a strong primary care base that focuses on caring for families.
• Top 1% by Healthgrades in 2007
• NOVA national award for service
• Specialty programs in cancer, cardiology, women's health, chemical dependency, mental health, and more.

Specialty programs include:

• Cardiology - Interventional cardiology, including open heart surgery and electrophysiology.
• Women's Health Services - A comprehensive program for women with breast cancer and low cost mammography screening programs, as well as health resources and information. A modern, family centered birthing unit offers 26 labor-delivery-recovery-postpartum (LDRP) rooms, a Level III nursery, and two surgical suites for Cesarean and other obstetrical procedures. The in-vitro fertilization program is among the most successful in the country.
• Regional Cancer Center - The hospital's cancer program combines sophisticated treatment with a personalized approach to patient care. The center is among the busiest in southeastern Wisconsin and offers the full range of advanced treatment modalities.
• Critical Care - The new critical care unit reflects the ultimate in modern design and technology. Because Waukesha Memorial is the central trauma facility in the county, patients of all ages benefit from expert staff and one of the most technologically advanced monitoring systems available.
• Surgery - Approximately 12,500 inpatient and outpatient surgical procedures are performed at Waukesha Memorial Hospital each year. The modern facilities includes specially designed suites for day surgery, open heart surgery, vascular surgery, urology, casting and laser surgery.
• Behavioral Programs - Excellent chemical dependency and mental health programming.
• Advanced Technologies - Renal dialysis, lithotripsy, hyperbaric medicine, and MRI and CT.

OUR CALL SYSTEM
You'll quickly see an important difference in our call system. With the exception of eight months of rotations (i.e. obstetrics, surgery and pediatrics), call is done at home. Once residents experience "at home" call, they understand its essential value in preparing them for "real life" family practice. Our graduates say that home call has better prepared them to make a rapid transition to practice because of the extensive experience triaging problems by phone and developing a keen sense of when they need to go to the hospital.

Because our residents experience a busy inpatient practice, they have ample opportunities to admit patients, participate in codes, and perform procedures. An extensive documentation system demonstrates that our residents have an elaborate procedural experience that equals or exceeds traditional call settings.

However, to ensure that residents are not overburdened, the system is capped so that residents will not be overwhelmed with responsibilities.

Many hours can be spent inactive in a traditional call setting. Our call system helps you learn to balance commitment to patients with the needs of family, friends, and self by allowing you to spend time on call just as you will as a practicing family physician. Our newly instituted night float system on our inpatient service, makes sure you are rested before the next day’s work begins.

Many specialties that have been long-time proponents of traditional call are now adding home call to their programs (i.e. medicine, surgery, and pediatrics). They are discovering what we have known for a long time - the quality of the physician is dependent on his/her knowledge, experience, desire to learn and growth as a person, not on the number of inpatient call nights spent in the hospital.

Achieving a balance between your life as a physician and your personal life is important to you and to your ability to effectively practice medicine.

HOW NIGHT FLOAT WORKS

• Your inpatient medicine months include a night float system.  This will limit your overnight calls to 2 per inpatient month.
• There will continue to be 3 people on the inpatient service who will cover the hospitalized patients of the WFPC and undoctored patients
• Coverage for admissions and cross coverage to the hospital between approx 0700 and 2200 will be shared between the 3 residents on the inpatient team and the Peds resident
• Coverage of admission between 2200 and 0700 will be covered mostly by the PGY 2 and 3 night float person.  (Covering Sunday through Thursday).  2 nights per week will need to be covered by the inpatient/peds team

THE CENTER
By providing coverage of your assigned patients at the center, you will be able to participate in a family's pregnancy through the birth of their child, monitor a child's pneumonia through recovery, and remove a cast that you have applied.

When you are on-call for other rotations, you can also be on call for your center patients to answer telephone calls or see an ill patient in the emergency room. Because your center practice is limited in size, this rarely adds significantly to your overall call effort.

When you are not on call for patients on your rotation, you are encouraged to sign out to the second or third year resident providing call coverage for the family practice center. The covering resident will communicate directly with you the following day about any calls they handled so that you can follow up if needed. This ensures that evenings or weekends can be completely free of all responsibilities on a frequent basis.

INPATIENT ROTATIONS
Three-quarters of the first year and approximately half of the second and third year rotations are on inpatient services at Waukesha Memorial Hospital. Inpatient teams care for about 15-20 patients on a medical or surgical service.

Once your rounds and hospital work are complete, you are free to leave the hospital. Nursing will page you for miscellaneous orders (to report fevers, update patient status, ask for medications, etc.) Occasionally, you may need to return to the hospital to work-up a new admission or to see a patient whose condition has worsened.

The obstetrics rotation has in-house call within 8 twenty-four hour shifts per month. Sleep is possible during most nights. Dedicated call rooms and showers on obstetrics are comfortable and attractive.

Surgery call is 1-2 nights a week with in-house call on weekdays and home call on weekends when surgery tends to be less busy. Pediatrics at Childrens' Hospital is every fourth night in-house.

Home call is an important education feature of our program. Our residents gain more inpatient procedural experience than in many traditional call programs. Our graduates confirm that home call was a key element of their education and prepared them well for "real life" family practice. Personal time is maximized.

All other rotations allow call from home. Because services can be quite busy at times, a dedicated resident lounge provides you with a place to work (including a computer), eat, sleep and shower.

OUR RESIDENTS AND GRADUATES

WHAT THEY SAY ABOUT FAMILY PRACTICE
Perhaps the best way for you to evaluate our residency program is to hear more from our residents. They have chosen family practice for some very good reasons.

"Continuity of care" is a phrase we hear often. Family physicians want to know their patients and know them well. They like treating entire families. They want to understand patients' lives and feelings, their jobs and families.

"The well-being of the whole person" is important. Residents choose family practice because it gives them the opportunity to discover connections between lifestyles and health, and emotion and wellness through the many phases of patients' lives.

The "variety, participation and involvement in all phases of patient care" is another reason for choosing family practice. Not being limited to one dimension or one aspect of health care is also very appealing. Family physicians not only deliver babies, they watch them grow into adulthood.

Residents find the "broad challenges of diagnosis and treatment" exciting. The way some diseases differ in symptomology at different ages provides a real challenge.

Two areas that come up again and again are "preventive medicine" and "counseling." By choosing to treat patients on a long-term, wide-spectrum basis, family physicians have the chance to make positive changes in a patient's health by counseling changes in lifestyles.

WHAT THEY SAY ABOUT OUR PROGRAM
"The people and their enthusiasm" is the comment cited most often. The program is small enough to be personal and to encourage close interaction and friendship.

"It's truly a team." You can be confident in your colleagues and proud to be part of the team. The "enthusiasm is contagious" among people excited and serious about their education and careers.

"The dedicated faculty" are educational leaders in the residency program, hospital, and medical school. Their teaching is individualized and in-depth. They are committed to shaping competent, caring physicians.

The hospital "believes in what we're doing." The call system "fits in well with 'real life" family practice."

The city is "large enough and small enough." People here come from all walks of life and all levels of sophistication. "It's a good patient mix and the people are pleasant." Residents truly enjoy the very "liveable" community.

WHAT ARE GRADUATES ARE DOING

43 percent practice in towns of 15,000 or less. Most continue to provide obstetric and ICU care. Three graduates have completed our one-year fellowship Many of our graduates are volunteer faculty with residency programs and medical schools Nearly 20 percent provide volunteer staffing on-site at our residency.

Our Community

Waukesha County, the home of the Waukesha Family Practice Residency Program, is a fast growing county that offers the benefits of both urban and rural living.

The city of Waukesha, with a population of 55,000, is a self-contained community with a distinct personality, plenty of quality housing, cozy neighborhoods, recreation and thriving business and industry. A recent study showed that Waukesha County is among the most active U.S. hiring markets.

You will find that Waukesha is a great place to live. The cost of living compares favorably to communities of similar size and is substantially less than big-city living. You can choose to live in a splendid old Victorian home, perhaps one that has been converted to apartments, or you can move to a neighborhood of modern, custom-designed homes and condominiums. Apartment complexes throughout the city and nearby rural areas give you can excellent choice for comfortable living at a reasonable price.

From the glitter of Milwaukee's lakefront to the scenic rolling hills of the Kettle Moraine State Forest, the Waukesha area offers you a kaleidoscope of recreation and attractions.

Spend an afternoon browsing antique and specialty shops that line the streets of historic downtown Waukesha. Enjoy the sun and warm breezes on greens of championship golf courses. Step back in time to Old World Wisconsin, one the finest outdoor living museums in the nation.

Waukesha County has more than 80 lakes and many state parks nestled in a countryside of great natural beauty. Just a short drive from Waukesha, you'll find year-round recreation, including downhill and cross-country skiing, boating, biking, hiking, swimming and fishing. Waukesha city parks offer year-round recreational and cultural activities.

Waukesha boasts a public school system recognized for excellence, plus a branch of the University of Wisconsin, Waukesha Technical College and Carroll College. Milwaukee is home to Marquette University and the University of Wisconsin - Milwaukee.

The big city amenities of Milwaukee are just 20 minutes away. Milwaukee is known as the "City of Festivals" where you can enjoy lakefront festivals including Summerfest, the "World's Largest Music Festival," and a variety of ethnic celebrations. You'll also find fine restaurants, professional sports teams (the Brewers, Packers, and Bucks), great shopping, one of the nation's finest zoos, and many cultural attractions, such as the Performing Arts Center and Milwaukee Art Museum.

Waukesha - a great place to work and live - and the home of an excellent career opportunity - the Waukesha Family Practice Residency Program.

Enjoy the 80 lakes of Waukesha County. Comfortable living at a reasonable price. Thriving community enjoying booming growth and development Access to big city life with Milwaukee, Madison, and Chicago within easy reach.

TO LEARN MORE, PLEASE CALL (262) 548-6907.

Fun Things to Do in the Area!

• Wisconsin Official Tourism Page
• Visit Waukesha Area Convention & Visitors Bureau, Inc.
• West Wood Health and Fitness Center, a state of the art exercise/sports center (No Membership fee and discounted monthly fee for residents)
• YWCA/YMCA nearby
• Civic Theatre offering many plays, and opportunities to participate
• Moor Downs Golf Course 4 blocks from Residency Center
• Many nearby Lakes with public access: (water-skiing, wave running, sailing, fishing, cross-country skiing, snowmobiling)
• Nice, family oriented parks in town (Frame Park, Buchner Park)
• Many State parks nearby with excellent camping, hiking, horseback riding etc. (Kettle Morraine, Lapham Peak, Pinewoods campground, Ottowa Lake)
• Many wonderful State Parks throughout Wisconsin
• Festivals:
  1. Riverfest in downtown Waukesha (music, food, fun family activities)
  2. Waukesha Art Festival
  3. SUMMERFEST (www.summerfest.com) and many other festivals in Milwaukee
• Wonderful Biking Trails with trail heads near hospital (Glacial-Drumlin, Lake Country)
• Carroll College, a 4 year college in town with sports, music and drama offerings
• Excellent Public Library in downtown Waukesha
• Benefits of nearby Milwaukee:
1. Milwaukee Symphony Orchestra
2. Milwaukee Public Museum - a natural history museum which includes rainforest education exhibit and Imax theater.
3. Milwaukee Art Museum
4. Milwaukee County Zoo (Excellent family programs, Winter cross-country skiing)
5. Professional Basketball- Milwaukee Bucks (www.nba.com/bucks/)
6. Bradley Center - host to the Bucks, Wave Soccer, Marquette Basketball, Admirals Hockey, and other exciting events.
7. Professional Soccer (The Milwaukee Wave)
8. Professional Baseball - Milwaukee Brewers (www.milwaukeebrewers.com)
9. A little further North - Green Bay Packers (www.packers.com)
10. A little to the South - Great America (a six flags amusement park) an hour's drive away

Top Ten List of Fun Events by Our Current Residents

10. Summerfest

9. Milwaukee Brewers' opening day

8. Walking, biking and skating at Frame Park

7. Trips to Great America

6. Halloween Party

5. Lakefront Brewery Tours

4. Basketball and Softball games with faculty, residents and family members

3. Clinic "meetings" at La Estacion (A local Mexican Restaurant)

2. Poker night at Mazzone's

AND THE NUMBER 1 BONDING ACTIVITY …. ANNUAL RETREAT

Benefits Package

CONTRACTS:	Contracts come from MCWAH, Inc., a corporation established by the Medical College of Wisconsin and affiliated hospitals for the sole purpose of employing residents to all specialties. The standard contract for the 2002-02 academic year calls for:
STIPEND:	PGY-1 $45,000 PGY-II $46,000 PGY-III $47,000
SICK LEAVE:	15 days per year, (if unused can be added to sick leave in subsequent years).
EDUCATIONAL LEAVE:	Up to 7 days per year (includes weekend days) subject to local guidelines. At Waukesha, $2,700 is available to each resident over the 3-year period for conference-related expenses
INSURANCE:	Health and major medical (no cost for resident; added fee for family plan) Long-term disability Life and accidental death and dismemberment Workers' compensation Dental plan (paid for by resident)
VACATION:	3 weeks vacation per year
TOTAL TIME AWAY:	American Board of Family Practice allows no more than 20 working days per year to qualify for the board certification exam.

ADDITIONAL BENEFITS

MOVING EXPENSES:	Based on need and distance, incoming PGY-1's may qualify for up to $800.
MEALS:	All meals are provided for residents on call. Lunch is provided for all residents during the week when working at Waukesha Memorial Hospital.
CHILD CARE:	Day care and sick child day care are available on hospital campus.
PROFESSIONAL DUES:	American Academy of Family Physicians (AAFP) American Medical Association (AMA) State Medical Society Waukesha County Medical Society
DEBT REDUCTION PROGRAM:	For each $1000 payment toward your own student debt, Waukesha Memorial Hospital will match dollar for dollar up to $1000 for each academic year. Payment will be made to the student loan program of choice before the end of the academic year. With the resident's participation, a total of $6000 of debt reduction is possible during the three years of residency.
URGENT CARE MOONLIGHTING:	Local urgent care with $60/hour and malpractice insurance paid.
EXERCISE FACILITY:	$1000 stipend for licensure and exercise is paid annually.. Additionally, the hospital's health club (Westwood) offers an exemption of the $200 enrollment fee and discounts the monthly fee from $59 to $39.
LICENSING FEE REIMBURSEMENT:	See above . This amount will be added to your June 30th paycheck.
FACULTY DEVELOPMENT FELLOWSHIP:	For those interested in teaching, a one-year fellowship with our program is available immediately after graduation.

Points to Consider When Applying to Any Residency Program

INTRODUCTION
What you are seeking in family practice programs can be a highly individual matter. Your evaluation of a program will relate to personal goals and areas of study you believe will best prepare you to reach your objectives. In some ways what you are looking for will differ from the objectives of any other applicant. However, your preparation for interviewing is sure to include concerns common to most applicants. What follows are general thoughts about interviewing, plus some specific ideas about what to say when you are asked if you have any questions just five minutes after the interview begins. You will have questions, too. Put them down ahead of time in their order of importance to you. Some questions will be better answered by the program director, by the other faculty or by residents. You will want information about the hospital, the FP clinic, educational program and other matters. The section below will suggest pertinent questions.

WHERE TO INTERVIEW
Your decision will be based on the kind of family practice you would like to have where you would like to live. Some areas of the country emphasize different aspects of family medicine than others. Ask what the main emphasis is in the area of the country where you are interviewing. Is it behavioral medicine, OB, geriatrics, general surgery, etc? Rural programs will be different in their emphasis than inner city programs due to the nature of their populations.

There are five types of programs, but the contrasts between university and community programs are most noteworthy. If your interest is in academic FP, a university program will allow you to learn appropriate skills and to meet appropriate role models. University programs usually have a larger FP faculty, residents in other specialties, medical students and a wide choice of clinical electives. Community programs usually have less competition with other residencies, rely on private attendings for much of the educational program and are good learning patterns of referral in communities. In any program, ask how long it has been in existence and how much support the community and affiliated hospital gives to the program.

INTERVIEW DAY
On this day, you gather as much information as you can about a program and let their people have a look at you. Most programs have you interview with the program director or chairman of the department, one or two faculty members, and usually the FP residents. You should have answers to questions such as these: how did you hear about our program; how did you get interested in FP; what could you bring to our program; what do you do to relax; what are your future goals in FP? You will be given a lot of written material. Save it for later.

It is a good idea to quickly find out a little about those with whom you will be interviewing to see if you have any common interests or backgrounds. Preparation of a case showing your interest in preventive medicine, or other aspects that FP considers important can be helpful. Be prepared to think diagnostically on your feet-you might be presented with a case and asked for your input.

In interviewing, nonverbal clues are very important, so look for them when asking questions. Watch for eye contact.

Makes notes. Rely on your impressions. Do you like the atmosphere in the clinic and the hospital? Are the people genuine, friendly, and intelligent? Is this an environment in which you will learn well? When you get home, look at your notes.

If you were well treated and are still interested in the program, you might want to write a thank-you note to the director. It is also a good idea to write notes to the person who put you up for the night.

If you are invited back for a second look and you are interested in the program, go again and collect more information.

THE RESIDENCY DIRECTOR:

• What is the direction of program?
• What changes in the curriculum?
• FP's political power in the community?
• Stability of the program and hospital, FP faculty, new faculty?
• Funding from where? Is it stable?
• His/Her philosophy of FP?
• What graduates of the program do now? What % pass their boards? What kind of practice: solo vs. group, OB, urban vs. suburban vs. rural, academic FP, third world?
• Where do graduates go?
• Problems with graduates obtaining priviledges? How is documentation achieved in the program?
• How are residents evaluated?
• Computer use? Practice management?

Be careful when asking about the weaknesses of the program. Your questions should be more specific.

OTHER FACULTY:

• Ask questions pertaining to their area of interest or research: OB, behavioral science, etc.
• What background? Private practice?
• Why they came here?
• Private attending physician's commitment to teaching?
• Do FP faculty do OB? (Important if they attend when you see OB patients in the clinic)

Try to see faculty in action on the floor or in the clinic.

RESIDENTS:

• Why they chose this program?
• Is it living up to their expectations?
• Strengths of the program? What could be improved?
• Quality of fellow residents?
• Do they interact socially?
• Where do FP residents stand in the hospital: respected by residents in other specialties?
• Quality of interaction with clinic FP attendings? Ward attendings? Private attendings?
• Living in the community? Community involvement?

Try to see residents in action, especially in clinic. Observe attitudes.

THE FP CLINIC:

• Number of centers? Near hospital? Rural clinics?
• Availability of attendings teaching on site? Help with procedures?
• What is clinic population? Age, range, racial mix, OB, Peds?
• What patient education programs are available?
• Are behavioral science faculty helpful with cases? Are programs interactive to teach counseling and management of social prgorams?
• How are the charts set up? Dictation in clinic?

THE HOSPITAL:

• Number of beds? Diversity of patients?
• Call schedule: number of admissions per night? Scut work? On-the-ward labs? Med students?
• Enough call rooms available?
• Ancillary services: phlebotomy, IV teams, nursing, clinical labs? Does the hospital work well?
• IM? Follow patients into unit, unit experience, responsibility, supervision?
• OB volume? Who teaches?
• Are there Peds residents? Adequate volume? Good outpatient? NICU?
• What is ER experience?
• Is surgery first assist? Outpatient?
• Is psych inpatient relevant?

EDUCATIONAL PROGRAMS:

• What library facilities available? Good hours? Close to wards? Good family practice/primary care collection?
• What research opportunities?
• What is FP conference schedule? How is it organized?
• Is there overlay of behavioral medicine teaching? Geriatrics?
• What is procedure experience for LP's, unit procedures, colposcopy, sigmoidoscopy,. casting, suturing, intubation?
• Programs in neonatal resuscitation? ALSO? ACLS?ATLS?
• Community experiences - home visit, nursing home, sports medicine?

MISCELLANEOUS:

• What are benefits? Salary? Insurance? Money for conferences/books? Relocation reimbursement, loan repayment, moonlighting permitted/with or without malpractice insurance coverage?
• What provisions for meals, lab coats, parking, vacation, xeroxing privileges? Child care or sick child care?
• How helpful and friendly are clinic staff? Department secretary?
• What type of environment in the city where residency is located? Cultural amenities? Cost of living? Recreational activities? Schools? Club for spouses? Employment or education for spouse?

Dr. Michael Mazzone, Director
Waukesha Family Medicine
Residency Program

Contact Information:

If you would like more information, or to schedule an interview, e-mail Lori Goodman at lori.goodman@phci.org , or call (262) 548-6907.

Our address:
Waukesha Family Practice Residency Program
210 NW Barstow Street, Suite 201
Waukesha, WI 53188