Pony Express Capital of Nebraska Gothenburg, ne Pony Express Capital of Nebraska

Demographics Population: 3,558 Most people are employed in agriculture, Baldwin filters, the Frito Lay company, and the railroad Primarily Caucasian (Swedish) Home of the Pony Express museum, the Sod House museum and the Wild Horse Golf Course Demographics

Preceptor (Dr. Shackleton) is very willing to allow you to do most of the procedures, patient interviews, and make important decisions for patient care There is a fair bit of freedom to spend time with other providers including the general surgeon, OB/GYN, and orthopedic surgeon (especially if there is a slow day in clinic or if it’s one of the patients you saw in clinic or emergency department) Many of the providers are very willing to teach and will grab you if they have an interesting patient Preceptor is very accommodating if you need to leave town for other activities Experiences

Skills I learned Delivered babies Performed circumcisions Injections, skin biopsies, suturing Scrubbed into C-sections, cholecystectomies, I&D’s, various orthopedic procedures, and endoscopies Writing notes and orders for patients Learned about the impressive extent of facilities as well as the limitations of a critical access hospital Inpatient and nursing home rounding Skills I learned

The attending also functions as the Medical Director and so does not have clinic during one day out of the week (which can be used to study or spend time with other providers) The attending sees 10-12 patients daily (mostly women) on average giving you more time to talk with the patients and develop report with them as well as discuss topics with the doctor You take call about every 4-5th day with your preceptor You stay with the preceptor at her house (basically have free reign of the upstairs) Can use kitchen at preceptor’s home freely but all meals can be provided for free at the hospital if desired Currently undergoing a hospital expansion project to be able to support more patients and expand care Logistics