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Wisconsin AHEC Community Health INTERNSHIP Program a statewide summer 8-week paid opportunity to learn and work in a local public health setting 2016 Summary Report (June 6–July 29) Statewide CHIP: 66 students at 51 sites Milwaukee CHIP: 17 students at 10 sites

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Wisconsin AHEC

Community Health INTERNSHIP Program

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

2016 Summary Report (June 6–July 29)Statewide CHIP: 66 students at 51 sites • Milwaukee CHIP: 17 students at 10 sites

(Page 2) Wisconsin AHEC 2016 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...

I was able to shadow the primary care providers at Scenic Bluffs Community Health Center. My shadowing helped my application to medical school and made me more confident that I wanted to work in rural or underserved programs. This experience also gave me insight into the Hispanic, Amish, and rural farm life.

Rebekah FiersScenic Bluffs Community Health Center

Working with the Eau Claire City-County Health Department this summer has opened many doors of connections and opportunities for the future. From shadowing different health inspectors at restaurants and pools, independently monitoring beaches, and working closely with local farmers, I feel I have improved my skills in communication, education outreach, critical thinking, and problem solving. I never would have gained this experience from an in-class setting. Tristin Christopher

Eau Claire City-CountyHealth Department

My time with the Oneida County Health Department helped me learn about resources available in my community, which will help me as a future nurse to advocate for my patients. This internship gave me an opportunity to not only look at the patient’s health, but possible connections to the community’s health. I look forward to being a nurse in this region after graduation in December.

Beth MorsOneida County Health Department

NOTE: This Oneida County internship was financially supported by Aspirus.

I hope to one day work in the healthcare field, and seeing the local public health clinic has given me an insight into the many factors that impact health. One day, I hope to be a physician in rural Wisconsin. I will be able to take the knowledge I have learned at Barron County DHHS and use it to help my future patients.

Alex CuskeyBarron County Department of

Health and Human Services

NOTE: This Barron County internshipwas financially supported by the

Bremer Foundation.

Student evaluations indicate that after participating in CHIP…

100% learned how to identify factors that affect health and health equity within a community

98% learned strategies for responding to the needs of underserved populations

98% gained insight into how interprofessional teamwork and collaboration are adapted to serve a specific population

98% learned strategies for working effectively in an interprofessional team

96% increased their interest in working in health care shortage areas and with underserved populations

98% increased interest in social justice and health equity issues

100% 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

Wisconsin AHEC 2016 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 3, 2016)Interns and mentors participated in a day-long session hosted at the UW School of Medicine and Public Health.

Topics and activities included:• Mentoring relationships• Health equity and social determinants of health• Community engagement• 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 from experts in the field on national and local resources; public

health advocacy; health policy; leadership; health equity and the County Health Rankings & Roadmaps

• Sharing photographs, experiences, approaches to internship projects, emerging issues, and experiences working in host communities

• Interviewing public health professionals• Writing letters to legislators and op-ed articles• Discussions of factors that influence public health; evidence-based policy,

systems, and environmental changes that can impact health; and the role of power and partnerships in achieving community health

• Final presentations and digital stories• 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 • Community health workers

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 2016 Host Sites

Summer 2016 ProjectsProjects at each of the 61 sites 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 2016 Community Health Internship Program [CHIP] — Summary Report

Plac

emen

ts Placement History

Wisconsin AHEC’s statewide internship program has placed over 500 interns since 2002 in more than 60 health departments and 40 other agencies.

Milwaukee CHIP has placed over 450 students at Milwaukee-area sites since that program began in 2000.

2016 Totals byHost Site Type

40 Public Health Department

7 Community Organization

4 Hospital / Clinic

7 University

3 Tribal Health Department / Center

Stockbridge-Munsee Health & Wellness Center intern Kelly Loberger gathers information about the fresh produce

availability in local stores to help improve access to healthy, affordable,

and sustainable foods.

City of Milwaukee Health Department intern Rachel Haas provides educational materials to local children.

Austin Gerdes, intern with Public Health Madison & Dane County, speaks with State Representative Dave Considine on behalf of area tobacco control and prevention coalitions.

Wisconsin AHEC 2016 Community Health Internship Program [CHIP] — Summary Report (Page 5)

E Ashland County Health and Human Services Environmental Health InternshipM W Aurora Sinai Medical Center Centering for Pregnancy Program RedevelopmentP Q W Aurora Walkers Point Community Clinic Creating a Plan for Helping People Access Health InsuranceE Barron County DHHS - Public Health Environmental Health in Barron County (2 interns)Q W Bread of Healing Clinic Database Development in and Exposure to the Bread of Healing ClinicE M N Q W Buffalo County Dept. of Health and Human Services Marketing and Promoting Public HealthM N Q S W Calumet County Public Health Activity and Nutrition Coalition/Reduce Excessive Alcohol CoalitionN W Chippewa County Department of Public Health Challenging Chippewa Through Changes in the Food EnvironmentEMNPQSW Clark County Health Department Welcome to local public health!N W CORE/El Centro Community Farm Outreach CoordinatorP Q Dodge County Human Services and Health Dept. Performance Management PlanQ W Eau Claire City-County Health Department Evaluating Outcomes of Health Department and Community Coalition WorkE Q Eau Claire City-County Health Department Environmental Health Experience: Beach Testing, Blue Green Algae and West Nile Virus ResearchE Fond du Lac County Health Department Environmental Health InternshipP Q W Fond du Lac County Health Department Using Data to Drive our Transition to a Population Health Focused Health DepartmentM N P Q S W Forest County Potawatomi Health & Wellness Center; Community Health Department Building a Healthier Forest County Potawatomi Community Q W Grant County Health Department Grant County Heat Stress Reduction ProjectEMNPQSW Green Lake County Dept of Health & Human Services Feeling a Little Green When it Comes to Public Health--Reach the Next Level in Green Lake CountyM N W Healthy Kids Collaborative of Dane County Healthy Kids Summer Project InternshipE W Iron County Health Department Iron County Environmental Health InternshipE W Jackson County Public Health Environmental Health in Jackson CountyM Q S W Juneau County Health Department Community Health AdvocateM W Kenosha County Division of Health Immunization Partner Assessment and OutreachE N P Q S W Lincoln County Health Department Empowering Our Community to Be Safe and HealthyN W Live54218 Building a Healthier Community in the Greater Green Bay AreaM W Medical College of Wisconsin Parent Education and Support NetworkM Q W Medical College of WI / All Saints Family Care Center Prevalence of Trauma in a Primary Care Setting and it’s Relationship to Healthcare UtilizationQ W Medical College of Wisconsin- Cancer Center Cancer Disparities Summer Training Program (4 interns)W Milwaukee Area Health Education Center Health Science Occupations Curriculum CoordinationQ W City of Milwaukee Health Department Use of Immunization Registries by Urban Independent Primary Care ClinicsM N W City of Milwaukee Health Department Milwaukee Health Department Wellness CommitteeQ W City of Milwaukee Health Department PREP Talk for Youth Program Outreach and Prep Talk for Youth Program EvaluationN Q W Monroe County Health Department Building a Healthier Monroe County E Q S W Oneida County Health Department Public Health Compliance, Policy Enforcement and Outreach InternshipN P W Outagamie County Public Health Division Putting Community Health Improvement into ActionE P W Ozaukee County Public Health Department Environmental Health/Community Coalition InternM W Pepin County Health Department Safe Sleep PromotionS W Polk County Health Department Impacting Unhealthy Alcohol Use in Polk CountyQ S W Public Health Madison Dane County Environmental Scan Project - Point of Sale Tobacco Advertising in Dane and Columbia CountyP Q S W Public Health Madison Dane County Retail Food Program Standards InternshipE Racine (City of ), Health Dept. Laboratory Assessment of Recreational Water Quality for the Protection of Public Health (Milwaukee, Racine & Kenosha Counties)E M Q S W Red Cliff Community Health Center Community Health InternshipE W Rock County Health Department Childhood Lead Poisoning Prevention Program AssessmentE W Rusk County Public Health Department Environmental Public Health InternM N Q W Sauk County Health Department Multi-faceted Public Health Activities InternshipM Q W Sawyer County Health & Human Services Public Health Sawyer County/LCO Adolescent Health Friendly CommunitiesM W Scenic Bluffs Community Health Centers Rural Health Care SpecialistN P Q W Shawano-Menominee Counties Health Department Community Needs Assessment / Enagement on Food Security in Shawano & Menominee CountiesQ W Sheboygan County Division of Public Health Using Innovative Strategies to Transform Sheboygan County into a Dementia-friendly CommunityQ W Sheboygan County Division of Public Health Reducing Sexually Transmitted Diseases (STDs) through Provider EducationE Q W South Central Environmental Health Consortium Taking Action with Data: Use of Statistics to Define Areas of Concern for Groundwater ContaminantsE W St Croix County Public Health Department Environmental Health InternshipP Q Stockbridge-Munsee Community Assist with gathering data for Community Health Assessment (2 interns)N W University of Wisconsin-Whitewater Campus Garden Education and Outreach SpecialistP Q W UW Center for Community and Nonprofit Studies Research and Evaluation Intern for Obesity Prevention InitiativeP Q W UW Extension Cooperative Extension Creating Healthy Communities InternshipN W UW Extension Iron County Iron County Summer Youth Program CoordinatorN Q W UW Extension Rock County Health Promotion InternshipM N P W UW Extension Walworth County Summer Community InternshipN Q W Walworth County Division of Public Health Nutrition Promotion and Intervention in Walworth CountyN P Q W Watertown Department of Public Health Engaging in Public Health Accreditation and Community Health ImprovementE N Q W Watertown Department of Public Health Practical Application of Environmental Health TheoryE W Waupaca County Public Health Environmental Health InternshipE W Waushara County Health Department Environmental Health AssistantE West Allis Health Department Environmental Health InternshipN P Q S W Winnebago County Health Department Community Health Promotion, Outreach, and EngagementP Q Wisconsin Alliance for Women’s Health Providers and Teens Communicating for Health (PATCH) Program Evaluation InternshipM Q W Wisconsin Division of Public Health Statewide Adolescent Health Quality Improvement Communications InternshipN P Q W Wisconsin Division of Public Health Wisconsin Chronic Disease Prevention ProgramQ S W Wisconsin Division of Public Health Tobacco Disparities Prevention InternQ W Wisconsin Division of Public Health Well Woman Program InternshipP Q W Wisconsin Division of Public Health Enhancing Access to Health Care in Underserved Areas (2 interns)P Q Wisconsin Division of Public Health Making A Great Health Dept Better: Achieving National Voluntary Public Health Accreditation in WIE Q W Wisconsin Division of Public Health Tracking in the Classroom & Building Resilience Against Climate EffectsP Q W Wisconsin Division of Public Health Supporting Public Health Practice in Wisconsin Local and Tribal Health DepartmentsM N W Wisconsin Rapids Family Center Providing Health Services to Survivors of Domestic Abuse and Sexual AssaultM N W Wood County Health Department Healthy & Safe Wood CountyE W Wood County Health Department Risk Based Food Safety Training Initiative

Host Site Project Title

E Environmental Health & Laboratory SciencesM Maternal & Child HealthN Nutrition, Obesity Prevention, & Physical ActivityP Policy, Planning, and Accreditation

Q Quality/Health Improvement Assessments, Research / Evaluation & Information TechnologyS Substance Use PreventionW Wellness, Health Education, Outreach & Safety

2016 Project Topics:

(Page 6) Wisconsin AHEC 2016 Community Health Internship Program [CHIP] — Summary Report

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

In 2016, over 200 applications were received and a total of 83 interns were placed: 78 undergrads, 1 graduate student (MPH), and 4 medical students.

Academic Majors / DisciplinesMedical School 4Graduate School 1Biochemistry 7Biology, Microbiology, Molecular Sciences, Neuroscience 25Communication Sciences, Speech Pathology, and Audiology 2Community and Nonprofit Leadership 2Community Health & Education 6Health Communications 3Dietetics & Nutritional Science 4Economics 1Entomology 1Environmental Health 8Gender and Women’s Studies 1Genetics 2Health and Society 2Healthcare Administration 2International Studies 1Kinesiology & Physical Education 2Mathematics 1Nursing 2Pharmacology and Toxicology 1Psychology & Rehabilitation Psychology 4Spanish 2

Colleges and UniversitiesSpring 2016 enrollments of interns

Beloit College 3Carleton College 1Carthage College 1Macalester College 1Medical College of Wisconsin 3Nicolet College 1Northern Michigan University 1Ripon College 1St. Norbert College 1Tufts University 1University of Southern California 1University of Virginia 1University of Wisconsin - Eau Claire 7University of Wisconsin - Green Bay 1University of Wisconsin - La Crosse 7University of Wisconsin - Madison 33University of Wisconsin - Milwaukee 4University of Wisconsin - Oshkosh 3University of Wisconsin - Parkside 1University of Wisconsin - Platteville 3University of Wisconsin - Sheboygan 1University of Wisconsin - Stevens Point 4University of Wisconsin - Whitewater 2Wartburg College 1

Stud

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UW Extension - Iron Countyand Iron County Health Department

Mandi Simes and Mariano Maniscalo interned at UW Extension - Iron County and the Iron County Health Department this summer. Aspirus Health Foundation and the Otto Bremer Trust supported both students.

Mandi and Mariano worked collectively with UW Extension on a number of community-based projects. The focus of their work was the county summer camps where they spent time providing free fitness opportunities to Iron County children.

Mandi loved being able to work on the preventive side of the health spectrum, especially when working with kids. She was able to utilize her leadership skills and serve as a role model for the children who came to summer camp. Mandi is confident that this experience will serve her greatly as she grows as a health professional.

Mariano also had the opportunity to volunteer at a mobile food pantry serving many families in Iron County. Mariano believes that his experiences with AHEC and in Iron County have shaped how he views patient care and medicine. He plans to attend medical school in Wisconsin.

Winnebago County Health Department

Taylor Neis is a recent Kinesiology graduate from the University of Wisconsin - Oshkosh. Taylor spent her summer interning with the Winnebago County Health Department. As a CHIP intern, she participated in numerous projects and learned about a wide range of public health topics throughout her time with the health department.

Taylor’s main projects included collaborating with local law enforcement on youth tobacco initiatives and improving recreational access and safety in the county for bicyclists and pedestrians.

Taylor says, “It has been incredibly rewarding to see all of the projects coming together to generate change and focus on prevention.”

Taylor plans to pursue a graduate degree in Occupational Therapy and believes that her experiences collaborating in this community will be incredibly useful as she works to improve the health of her patients throughout her career.

Taylor with her CHIP mentor, Anna Carpenter.

RURAL HEALTH

COMMUNITY HEALTH & COLLABORATION

Wisconsin AHEC 2016 Community Health Internship Program [CHIP] — Summary Report (Page 7)

Forest County Potawatomi Health and Wellness Center - Community Health Dept.

Ian Jasso began college at UW-Sheboygan and transferred to UW-Madison. He is an Army veteran, deployed to Afghanistan in 2013. During his internship at the Health and Wellness Center, his main duties were to partner with other Forest County Potawatomi Departments to plan and implement a youth day camp. The day camp’s lesson plans focused on nutrition,

physical activity, bike safety, and gardening, while still instilling important cultural aspects of the Potawatomi Tribe with the youth. Before starting this internship, Ian knew that he wanted to practice medicine in a rural community, but

this experience convinced him to pursue practicing in a tribal community. Ian says: “I was welcomed into the community and was able to participate in sweat lodges, learn from tribal elders, observe a medicine man, and even pick up some of the Potawatomi language. I believe that in order to impact health in a tribal community, one must learn the culture and build respectful bonds with tribal members,” which is exactly what he aims to do as a future physician. Ian plans to take the public health and cultural lessons that he learned over the summer with him throughout his medical career and beyond. This internship was supported by Aspirus Health Foundation.

Monroe CountyHealth Department

Lee Vang is completing her Master’s in Public Health from the University of Wisconsin - La Crosse, where she received her undergraduate degree in Community Health Education.

This summer, Lee interned at the Monroe County Health Department. Lee primarily worked on an assessment of the food pantries and food access in Monroe County. She also had the opportunity to work on projects to impact the county’s worksite wellness programs. This fall, another AHEC intern will continue much of Lee’s work from the summer. With the help of her mentor, she was able explore her many interests in Public Health and encouraged to focus on her career goals.

As an intern, Lee was able to capitalize on opportunities that helped her to hone her professional and leadership skills while learning more about public health in her local community.

Wisconsin Alliance forWomen’s Health

Tia Ramirez is a recent graduate from the University of Wisconsin - Madison. This summer, Tia interned at the Wisconsin Alliance for Women’s Health where she worked with the Providers and Teens Communicating for Health (PATCH) program. PATCH is a statewide initiative that is currently focused in ten counties that have increased teen pregnancy and sexually transmitted infection rates. PATCH aims to impact these health measures by increasing communication between teens, parents and healthcare providers.

The most rewarding part for Tia has been seeing how public health can affect so many aspects of a person’s life in a positive way.

Because of Tia’s experience as a CHIP intern, she plans to incorporate a Masters of Public Health into her Medical Degree.

Tia noted, “I learned that public health works to achieve equity in communities and is truly the solution to not only illness but also bias, inequity, and injustice.”

A cohort of eight interns worked on a number of statewide initiatives at the Department of Health Services (DHS) in Madison, including projects focused on health disparities, accreditation, tobacco prevention, primary care, cancer screening, adolescent health and climate effects.

Summer 2016 DHS interns inlcuded: Alexandra Carl, Chariesse Ellis, Ruth Gebremedhin, Mamawa Konuwa, Samuel Park, Martin Martinez, Erik Sanson, and Natalie Schmitz.

TRIBAL HEALTH ADOLESCENT HEALTHCOMMUNITYASSESSMENT

STATEWIDE HEALTH INITIATIVES

Martin Martinez, an intern in Office of Policy and Practice Alignment, aims to attend medical school and believes that, “It is crucial for a physician to approach medicine holistically with a strong understanding of public health.” He was able to connect with epidemiologists, policy makers, and primary care physicians through his internship and these connections have allowed Martin to better understand the many factors that impact the quality of care that a patient receives.

Ruth Gebremedhin also spent her summer at DHS working on accreditation and quality improvement. Ruth had numerous opportunities to learn and shadow staff at DHS, which enabled her to explore different areas of public health. Exposure to all of her interests has allowed her to witness the importance of interdisciplinary collaboration to support the health of our communities. Her internship experience has pushed her to pursue a career where she can advocate and work among interdisciplinary partnerships.

State of Wisconsin — Department of Health Services

(Page 8) Wisconsin AHEC 2016 Community Health Internship Program [CHIP]

2017Program Dates

June 5-July 28: InternshipsFriday, June 2: Orientation

Host site proposals / intern requests accepted beginning in October 2016

(early submission encouraged)

Intern applications duemid-February 2017

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 educa-tion and outreach program supported by the State of Wisconsin, federal grants, the state’s health professions training programs, and local communities. The national program 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 part-nerships to promote cooperative solutions to local health problems. The Wisconsin AHEC System consists of seven regional centers located in Manitowoc, Milwaukee, Beloit, Cashton, Wausau, Ashland, and Rhinelander, along with a statewide program office, located in the University of Wisconsin School of Medicine and Public Health.

The program is sustained through funding from the State of Wisconsin; from federal and other grants; and support from some of the local placement sites.

Thank you to organizations that awarded grants for stipend support in 2016:• Otto Bremer Foundation — supported 13 students at 11 sites• Aspirus Health Foundation — supported 12 students at 9 sites

Thank you to the host sites that provided stipend support in 2016:• Ashland County Health and Human Services • Aurora Walkers Point Community Clinic • Barron County DHHS - Public Health • City of Milwaukee Health Department • City of Racine, Health Department Laboratory • Dodge County Human Services and Health Department • Eau Claire City-County Health Department • Fond du Lac County Health Department • Grant County Health Department • Green Lake County Dept of Health & Human Services • Healthy Kids Collaborative of Dane County • Jackson County Public Health • Kenosha County Division of Health • Lincoln County Health Department • Medical College of Wisconsin • Monroe County Health Department • Oneida County Health Department • Ozaukee County Public Health Department • Pepin County Health Department • Polk County Health Department • Public Health Madison Dane County • Rock County Health Department • Sauk County Health Department • Shawano-Menominee Counties Health Department • Sheboygan County Division of Public Health • South Central Environmental Health Consortium • Stockbridge-Munsee Community • University of Wisconsin-Whitewater • UW Center for Community and Nonprofit Studies • UW Extension Cooperative Extension • UW Extension Walworth County • Walworth County Division of Public Health • Watertown Department of Public Health • Waupaca County Public Health • Waushara County Health Department • West Allis Health Department • Winnebago County Health Department • Wisconsin Alliance for Women’s Health • Wisconsin Division of Public Health • Wood County Health Department

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

Fund

ing

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