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2015 Summary Report Statewide CHIP: 59 students at 49 sites Milwaukee CHIP: 26 students at 19 sites June 8 - July 31, 2015 Wisconsin AHEC Community Health INTERNSHIP Program a statewide summer 8-week paid opportunity to learn and work in a local public health seng

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2015 Summary ReportStatewide CHIP: 59 students at 49 sitesMilwaukee CHIP: 26 students at 19 sites

June 8 - July 31, 2015

Wisconsin AHEC

Community Health INTERNSHIP Program

a statewide summer 8-week paid opportunity to learn and work in a local public health setting

(Page 2) Wisconsin AHEC 2015 Community Health Internship Program [CHIP] — Summary Report

Wisconsin AHEC’s Community Health Internship Program (CHIP) links undergraduate and graduate student interns with health departments, community health centers, tribal health centers, and community service agencies throughout Wisconsin to address a variety of public health issues.

Projects vary widely to suit interns’ interests and abilities, as well as local needs. Interns are given opportunities to shadow a variety of public health professionals and participate in a web-based public health academic course (statewide CHIP) or weekly public health seminars (Milwaukee CHIP).

On-site mentors provide technical support, assistance, and help interns gain an understanding and appreciation of the broad range of public health activities undertaken at the local level. The program would not be possible without the dedication and commitment of these community health professionals, who enrich the educational experience for CHIP participants.

There is also a benefit to the communities where interns are placed. Projects are proposed by the sponsoring agency or health depart-ment and address local health priorities. Priority for placements is given to local health departments and organizations working with rural and underserved populations.

Each intern’s work typically has an immediate, direct impact on the local community or region, as highlighted in this report.

Outcomes

Ove

rvie

w What interns say about CHIP...

The Community Health Internship Program through AHEC has been an incredibly rewarding experience. I am not only leaving Wood County

with new skills and experiences, but I also have professional contacts that are willing to continue to assist me with questions, trainings, and job openings and have also offered to be references. My time as an intern may be coming to an end, but the positive effect my participation in this program has had on me both personally and professionally will continue into my education and career development.

Anna KaislerWood County

Health Department

This experience has enhanced my understanding of the relationship between the State of Wisconsin and Tribal Public Health

system. Through learning about the Native American community, I was able to broaden my understanding of public health, beyond county health departments. I got firsthand experience working with, collecting and analyzing data for a minority population. I feel that I am a better-rounded individual since being part of the AHEC CHIP. Emily Baumann Green Bay Wisconsin Division of Public Health

I have always wanted to practice medicine in a rural community and participating in the CHIP program validated my decision. It gave me a

great background into community health, which I know will help me in serving and providing healthcare someday in a rural community. Besides getting tons of experience, this program really helped to improve my communication skills and talking and connecting with people I haven’t met before… I can’t tell you enough how thankful I am for this experience.

Amelia Korn Scenic Bluffs Community Health Center

Student evaluations indicate that after participating in CHIP…

96% learned how to identify factors that affect health within a community

96% gained insight into how interprofessional teamwork and collaboration are adapted to serve a specific population

90% learned strategies for working effectively in an interprofessional team

84% increased their interest in working in health care shortage areas and with underserved populations

95% felt that CHIP provided an opportunity to acquire skills and knowledge that will be useful regardless of whether they decide to work in public health

100% had the opportunity learn about public health principles and practice

“This internship has strengthened my resolve to pursue a dual degree in Medicine and Public Health (MD/MPH) and to work in an underserved, rural community. I hope to practice in Wisconsin after finishing my training.“ Abigail Zellner Sauk County Health Department

Wisconsin AHEC 2015 Community Health Internship Program [CHIP] — Summary Report (Page 3)

A unique aspect of this internship program is its academic curriculum.

Statewide CHIP

Orientation Day (June 5, 2015)Interns and mentors participated in a day-long session hosted at the UW School of Medicine and Public Health.

Topics included:• Mentoring relationships• Health equity and social determinants of health• Advocacy and leadership• Public health panel• Poverty simulation

Learn@UWThroughout the summer, Wisconsin AHEC provided online instruction about community and public health principles and practices. Interns participated remotely from their work sites.

Activities included:• Webinars on the future of public health in Wisconsin, infectious

diseases, healthcare reform, health policy, health equity and County Health Rankings & Roadmaps from experts in the field

• Sharing photographs, experiences, and impressions of internship sites and host communities

• Interviewing public health professionals• Writing letters to legislators• Reflections on factors that influence public health; policy, systems,

and environmental changes that can impact health; and the role of partnerships in achieving health

• Final presentations• Reflections on the CHIP experience

The Learn@UW site also has evidence-based resources for interns and mentors, recent news and scholarly articles, volunteer and work opportunities, as well as forums for interns to interact with one another.

Milwaukee CHIP

Weekly Seminar SeriesMilwaukee CHIP interns attended community health presentations at weekly in-person seminars.

Topics included:• Mental health • Poverty and health• Domestic violence • Global health• Epidemiology • Oral health

The Milwaukee interns also visited Walker’s Point Community Clinic, a free clinic for uninsured or underinsured, low income, and homeless, and CORE/El Centro, a natural healing center that provides alternative healing therapies.

Curriculum

Summer 2015 Host Sites

Summer 2015 ProjectsProjects at each site cover multiple topics spanning all areas of public and community health, giving students a variety of experiences and allowing each site to address the needs and priorities of their community.

(Page 4) Wisconsin AHEC 2015 Community Health Internship Program [CHIP] — Summary Report

Plac

emen

ts Placement History

Wisconsin AHEC’s statewide internship program has placed over 425 interns since 2002 in more than 60 health departments and 30 other agencies.

Milwaukee CHIP has placed over 440 students at Milwaukee-area sites since that program began in 2000.

2015 Totals byHost Site Type

41 Public Health Department

8 Community Organization

6 Hospital / Clinic

4 University

3 Tribal Health Department / Center

Intern Elaine Anderson and her mentor Pam

Thunder developed strategic plans to improve health outcomes in the

Ho-Chunk nation.

Polk County Health Department intern

Monica Bianchini worked in partnership

with the county jail to address health care

coverage issues.

Iron County UW-Extension interns Maria Olaru and Sarah Di Bar-tholomeo partnered to address the many needs of the senior

and retired population in Iron County and to connect residents to healthy, local food through the Garden to Market program.

Wisconsin AHEC 2015 Community Health Internship Program [CHIP] — Summary Report (Page 5)

CODING KEY

2015 Project Topics Policy, Planning, and PPA Accreditation

Obesity Prevention, NPAO Nutrition & Physical Activity

Health Education, EOSW Outreach, Safety & Wellness

Environmental Health EHLS & Laboratory Sciences

Health/Quality QIRIT Improvement Assessments, Research/ Evaluation & Information Technology

Maternal & Child Health MCH

Substance Use Prevention SUP

Project Topics Host Site Project Title Northeastern AHECNPAO, MCH Calumet County Health Division Calumet County Nutrition and Activity Coalition AssistantPPA, EOSW, QIRIT Fond du Lac County Health Department Building a Stronger Fond du Lac County Health Department While Pursuing Local Voluntary AccreditationNPAO, EOSW Live54218 Obesity Prevention in the Greater Green Bay AreaPPA, NPAO, EOSW, QIRIT, EHLS Outagamie County Public Health Division Public Health in Practice: A unique hands-on opportunity to learn about environmental health public health preparedness and community health educationPPA, NPAO, EOSW, SUP, QIRIT Ozaukee County Public Health Dept. Public Health InternPPA, NPAO, MCH, EOSW, SUP Sheboygan County Health and Human Connecting the Dots: Addressing priority health needs by collaborating prevention efforts with community Services - Division of Public Health partnerships; Changing the Culture of Community Health with outreach education and community engagementPPA, NPAO, QIRIT Winnebago County Health Department Bicycle/Pedestrian Analysis

North Central AHECPPA, QIRIT Chippewa County Dept of Public Health Public Health & Primary Care ConnectionsEOSW, QIRIT Clark County Health Department Promoting Health Equity: A Roadmap to a Healthier Clark County ProjectPPA, QIRIT, EHLS Eau Claire City-County Health Dept. Keeping a Pulse on the Community: Meeting the needs of the public and measuring progress; Wanted: Environmental Beautification Specialist to help clean up our streets! Is it you?EOSW, QIRIT Marshfield Clinic Research Foundation Research in Dental Public Health & InformaticsNPAO, MCH, EOSW The Family Center Wellness Promotion InternEHLS Waupaca County Public Health Environmental Health InternPPA, EOSW, QIRIT Wisconsin Division of Public Health State/Regional Public Health Services Evaluation and MarketingPPA, EOSW Wood County Health Department Healthy and Safe Wood County

Northern Highland AHECMCH, EOSW, QIRIT Lincoln County Health Department Preparing Families to be Healthy and SafePPA, EOSW, SUP, QIRIT, EHLS Oneida County Health Department Public Health InternEOSW, QIRIT Shawano-Menominee Counties Health Dept. Silos No More: Resource Sharing in Shawano County

Northwest AHECEHLS Ashland County Health & Human Services Environmental Health InternPPA, QIRIT, EHLS Bayfield County Health Department Community Health ImprovementPPA, NPAO, EOSW Iron County UW-Extension Aging Friendly Communities; Garden to Market CoordinatorEOSW Lac Courte Oreilles Community Health Ctr. Elder Care AssistantPPA, EOSW, SUP, QIRIT Polk County Health Department Improving Access to Care for People in the Criminal Justice System in a Rural CountyPPA, NPAO, EOSW, QIRIT Red Cliff Community Health Center Community Health Improvement PlanEOSW, QIRIT Sawyer County Health & Human Services Improving Health in Sawyer County: Quality ImprovementEHLS St.Croix County Public Health Dept. Environmental Health in St. Croix County

Scenic Rivers AHECEOSW, EHLS Buffalo County Department of Health Environmental Health Internship and Human Services PPA, EOSW, SUP, QIRIT Grant County Health Dept/S.A.F.E. Grant Youth/Substance Abuse Prevention Intern PPA, EOSW Ho-Chunk Nation Health Department Ho-Chunk Nation Community Health ExperienceNPAO, EOSW, SUP, QIRIT Juneau County Health Department Health and Safety Community Resource GuideNPAO, EOSW, SUP La Crosse County Health Department Harvest of the Month, Farm2School & Tobacco Prevention in the Coulee RegionEOSW, QIRIT Scenic Bluffs Community Health Center Rural Health Care and Patient Centered Medical Home Specialist

South Central AHECEOSW Adams County Health and Human Adams County Community Wellness Program Chronic Disease Services - Public Health Division Prevention & Management Media Development Campaign NPAO, EOSW, QIRIT Childhood Obesity Prevention A Collective Impact Approach to Reduce Childhood Obesity in Dane County Collaborative of Dane County PPA, NPAO, EOSW, SUP, QIRIT Green Lake Co. Dept. of Health & Human Public Health in Practice/ Green Lake County Wellness Coalition Coordinator Services/Green Lake Wellness Coalition PPA, NPAO, EOSW, SUP, QIRIT, EHLS Public Health Madison & Dane County Inland Beach Monitoring and Microbial Risk Management; Retail Food Program Standards; Tobacco Control and Prevention: Product Advertising and Availability ScanPPA, QIRIT, EHLS Rock County Health Department Public Health Service Delivery Evaluation and Community Satisfaction SurveysPPA, EOSW, QIRIT Sauk County Health Department Rural Broad-Range Collaboration for Public Health and WellnessPPA, MCH, EOSW, QIRIT Second Harvest Foodbank of Southern WI From Hunger to Health InternshipNPAO, MCH, EOSW UW Extension Rock County Obesity Prevention with Early Care Providers NPAO, EOSW, QIRIT UW-Madison Center for Community and Research and Evaluation Intern for Obesity Prevention Initiative Nonprofit Studies PPA, EOSW, QIRIT, EHLS Watertown Department of Public Health Improving Health Care Access; Practical Application of Environmental Health TheoryEOSW, QIRIT Waushara County Health Department STD Marketing and Quality ImprovementPPA, NPAO, MCH, EOSW, QIRIT Wisconsin Division of Public Health Enhancing Access to Primary Care in Wisconsin; Wisconsin Chronic Disease Prevention; Wisconsin Public Health Improvement Initiative; Healthiest Wisconsin 2020: Everyone live better longer; Minority Health/Equity Internship

Milwaukee AHECPPA, NPAO Aurora Walker’s Point Community Clinic Developing a Health Coaching ClassPPA, MCH, EOSW Aurora Health Care Healthy Living SeriesPPA, EOSW, QIRIT UWM College of Nursing Preserving Nursing’s Past and Preparing for Its Future; Institute for Urban Health Partnerships - Support of Nurse Managed Health Centers PPA, NPAO, EOSW, QIRIT, EHLS City of Milwaukee Health Department (Combined list of project types for all City of Milwaukee Sites; variety of projects)NPAO, EOSW, CORE/El Centro Farmers Market Outreach Coordinator; Community Farm Activity CoordinatorPPA, NPAO, EOSW, QIRIT Medical College of Wisconsin Population health improvement to prevent obesity, diabetes and cancer; Building a community engaged cancer disparities program; Milwaukee Succeeds School Readiness ProgramPPA, EOSW Milwaukee AHEC Global Public Health: The Connection Between National & International Health; Leadership of Youth Health Service Corps PPA, QIRIT Bread of Healing Clinic Assessing Statistics of Health in a Free ClinicPPA, QIRIT Greenfield Health Department Assessment, Planning in a Local Health DepartmentPPA, EOSW, QIRIT Kenosha County Division of Health Immunization Partner Assessment and OutreachEHLS Racine Health Department Engaging in Water Quality Objectives for Human and Ecosystem HealthNPAO, EOSW University of Wisconsin-Whitewater Campus Garden Education and Outreach SpecialistPPA, NPAO, EOSW, QIRIT Walworth County Div. of Public Health Nutrition Promotion and Intervention in Walworth County; Adolescent Immunizations in Walworth County

(Page 6) Wisconsin AHEC 2015 Community Health Internship Program [CHIP] — Summary Report

Most students selected for the program are college juniors or seniors, first-year health professions graduate students, or other graduate students with a strong interest in public health.

In 2015, over 200 applications were received and a total of 85 interns were placed (78 undergrads; five graduate students including two current medical students).

Academic Majors / Disciplines

Stud

ent P

arti

cipa

nts

Troy Farrell Lac Courte Oreilles

Community Health Center As a CHIP intern and student in the RUSCH (Rural and Urban Scholars in Community Health) program, Troy Farrell worked as the Elder Care Assistant at the Lac Courte Oreilles Community Center in Hayward.

“During my time at the Lac Courte Oreilles Community Health Center, I had the opportunity to shadow healthcare employees in Family Medicine and interact with members of Wisconsin’s Native American population and hear about their healthcare. I gained experience in public health and clinical medicine within a rural setting. I also learned the various benefits and problems presented by the Native American healthcare system.”

Amanda Ross Juneau County Health Department

Amanda Ross, an intern at the Juneau County Health Department, participated in coalition meetings and led information sessions on initiatives such as Car Seat Check and Tobacco Compliance Check.

“My placement required a lot of community involvement and outreach, which fit my outgoing personality perfectly. I enjoyed the variety of options and projects within the health department.”

Amanda also said CHIP helped her understand the complexities of public health.

“Coming into this project, I knew little about public health, but now my eyes are opened to the possibilities in the field.”

Danielle Strebel Outagamie County Public Health Division

Danielle Strebel, a nutritional science and dietetic student at UW-Green Bay, spent her summer further developing an online Worksite Wellness Tool-Kit for The Weight of the Fox Valley community initiative with a community health educator.

Danielle also expanded the tri-county nutrition initiative SmartPlate, in which she evaluated participating restaurants and investigated future participants. To end this project, she proposed a children’s segment of SmartPlate to representatives from Winnebago, Calumet and Outagamie counties and the Town of Menasha.

“The skills I learned pertaining to community outreach will be transferable to my future career. I feel so fortunate for this experience.”

Wisconsin AHEC 2015 Community Health Internship Program [CHIP] — Summary Report (Page 7)

Funding

Monica Bianchini Polk County Health Department

Monica Bianchini, a pharmacy student at UW-Madison pursing a MPH, created access to healthcare in the justice system as an intern. She enrolled inmates in BadgerCare and set up pre-release planning services.

“Viewing public health from the setting of a county jail showed me public health has no boundaries. A county jail is a really good place to observe the collision of many social determinants of health.”

Monica also worked to decrease the rate of recidivism.

“I feel individualization of care is important in these settings because every individual is complex case. My ability to connect with patients definitely improved from interacting with such a unique population.”

Samantha Wong Marshfield Clinic Research Foundation

As an intern, Samantha worked on oral health literacy at Marshfield Clinic. Originally from Chicago, Samantha learned immensely from her rural placement. She presented on the integration of healthcare and technology for research foundations.

“This internship provided several opportunities to develop skills that will be helpful in my future career. Since I want to become a pediatric dentist, I tremendously benefited from the job shadowing experiences I had. It gave me the ability to observe the practice I am truly passionate about, and allowed me to witness the community’s health status and how the clinic responds to barriers in order to provide oral healthcare.”

Laura HerzogSecond Harvest Foodbank of

Southern Wisconsin

Laura Herzog spent her summer developing media about Second Harvest Foodbank to present to clients, patients and healthcare professionals. She designed layouts, content flow, pictures and organization styles for websites, educational pamphlets, clinic presentations and online modules.

“I am surprised at the variety of skills, passions, and interests different employees bring to Second Harvest, and how much these specialties come out in everyday work. For instance, my mentor was the HungerCare Coalition coordinator, but she brought her passion for politics and root causes into play by reaching out to public health workers and community members to get their support on the coalition.”

Funding The program is sustained through funding from the State of Wisconsin and from federal and other grants, as well as through support from some of the placement sites.

Thank you to the host sites that provided stipend support in 2015:

• Adams County Health and Human Services Department

• Ashland County Health and Human Services Department

• Bayfield County Health Department

• Childhood Obesity Prevention Collaborative of Dane County

• Eau Claire City-County Health Department

• Green Lake County Department of Health and Human Services

• Ho-Chunk Nation Health Department

• Lincoln County Health Department

• Oneida County Health Department

• Polk County Health Department

• Public Health Madison Dane County

• Sheboygan County Health and Human Services

• Watertown Department of Public Health

• Waushara County Health Department

• Winnebago County Health Department

• Wisconsin Division of Public Health

The CHIP stipend is $2,400 / summer. Interns work 40 hours/week for 8 weeks.

Colleges and UniversitiesSpring 2015 enrollment of interns Total: 84(Remaining interns have already graduated)

Bellin College 1Beloit College 2Carroll University 2Carthage College 1Colorado School of Public Health 1Edgewood College 2Johns Hopkins University 1Macalester College 1Marian University 1Marquette University 3Medical College of WI 1Saint Louis University 1St. Norbert College 1University of Minnesota 1University of Nebraska 1

Sponsorship opportunitiesWisconsin AHEC welcomes financial support to sustain CHIP stipends. Please contact us at 608-265-6323 or [email protected].

University of Oklahoma 1University of Pennsylvania 2University of Wisconsin - Eau Claire 3University of Wisconsin - Green Bay 1University of Wisconsin - La Crosse 5University of Wisconsin - Madison 27University of Wisconsin - Milwaukee 5University of Wisconsin - Oshkosh 1University of Wisconsin - Parkside 5University of Wisconsin - Platteville 4University of Wisconsin - Stevens Point 5University of Wisconsin - Stout 2University of Wisconsin - Whitewater 1Viterbo University 1Winona State University 1

(Page 8) Wisconsin AHEC 2015 Community Health Internship Program [CHIP]

2016Program Dates

June 6-July 29: InternshipsFriday, June 3: Orientation

Host site proposals / intern requests accepted beginning in October 2015

(early submission encouraged)

Intern applications dueFebruary 15, 2016

Host site and student internship applications are online at: www.ahec.wisc.edu

CHIP is a competitive program. Successful applicants are typically advanced under-graduates or graduate students. In addition to having an interest in community and public health, candidates must be Wisconsin residents or attending a college or university in Wisconsin, have a GPA of 3.0 or higher, and be a U.S. citizen or permanent resident.

For more information, contact:

Courtney Saxler, MPH AHEC Internship Coordinator

[email protected]

Wisconsin AHEC Program OfficeUniversity of Wisconsin

School of Medicine & Public Health750 Highland Ave, 4th floor HSLC

Madison, WI 53705

About Wisconsin AHECThe Wisconsin Area Health Education Center (AHEC) program is a health professions education and outreach program supported by the State of Wisconsin, federal grants, the state’s health professions training programs, and local communities. It is part of a nationwide network of programs for improving accessibility and quality of primary health care. The national pro-gram was designed to encourage universities and educators to look beyond their institutions to form partnerships that meet community health needs, working toward the goal of decentralizing health professions training and linking communities with academic health centers in partnerships to promote cooperative solutions to local health problems.

The Wisconsin AHEC System consists of seven regional centers located in Manitowoc, Milwaukee, Beloit, Cashton, Wausau, Superior, and Marinette. Each center operates under the direction of its own governing board. A statewide program office, located in the University of Wisconsin School of Medicine and Public Health, administers state and federal contracts to the centers and maintains several statewide programs.

Wisconsin AHEC programs serve all the health professions programs in the state. Over the last 25 years, project partnerships have included (in addition to the two medical schools) over 20 BSN nursing programs, eight advanced degree nursing programs, three physician assistant programs, three social work programs, the UW School of Pharmacy, the MPH programs, and a range of allied health and preprofessional programs at the 13 UW System campuses, 21 private colleges, two tribal colleges and 13 UW System two-year campuses. Wisconsin AHEC Centers collaborate regionally with the Wisconsin Technical College System (16 colleges with 47 campuses and numerous outreach centers) particularly the campuses offering associate degree nursing programs and a variety of other health professions technical training programs. Wisconsin AHEC has also worked with family practice residencies sponsored by the UW SMPH, Medical College of Wisconsin and La Crosse-Mayo programs, with a particular focus on the rural training track programs.

Program areas include the following:• Enhancing the learning experience for all health professions students at

community-based sites, with an emphasis on interdisciplinary programs, developing cultural effectiveness, and technology support;

• Supporting health careers recruitment in underserved rural and urban areas, to assist high school and college students from underrepresented populations prepare for entry into health professions schools;

• Supporting faculty mentors and preceptors at community-based training sites with continuing education, technology support and other services to enhance the practice environment and maximize the ability of health professionals in underserved communities to provide high quality health care; and

• Partnering with local organizations in a variety of outreach activities to improve the health of the community.