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

2. 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

3. 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

4. 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

5. 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 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