INTERNSHIP Program a Statewide Summer 8-Week Paid Opportunity to Learn and Work in a Local Public Health Setting

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 Wisconsin AHEC’s Community Health Internship Program (CHIP) What interns say about CHIP... links undergraduate and graduate student interns with health departments, community health centers, tribal health centers, and I was able to shadow the primary care community service agencies throughout Wisconsin to address a providers at Scenic Bluffs Community variety of public health issues. Health Center. My shadowing helped my application to medical school and made me more confident that I wanted Projects vary widely to suit interns’ interests and abilities, as well as to work in rural or underserved local needs. Interns are given opportunities to shadow a variety of programs. This experience also gave Overview public health professionals and participate in a web-based public me insight into the Hispanic, Amish, and health academic course (statewide CHIP) or weekly public health rural farm life. seminars (Milwaukee CHIP). Rebekah Fiers Scenic Bluffs Community Health Center On-site mentors provide technical support, assistance, and help interns gain an understanding and appreciation of the broad range Working with the Eau Claire City-County of public health activities undertaken at the local level. The program Health Department this summer has would not be possible without the dedication and commitment of opened many doors of connections these community health professionals, who enrich the educational and opportunities for the future. From shadowing different health inspectors experience for CHIP participants. at restaurants and pools, independently monitoring beaches, and working There is also a benefit to the communities where interns are placed. closely with local farmers, I feel I have Projects are proposed by the sponsoring agency or health depart- improved my skills in communication, ment and address local health priorities. Priority for placements is education outreach, critical thinking, given to local health departments and organizations working with and problem solving. I never would rural and underserved populations. have gained this experience from an in-class setting. Each intern’s work typically has an immediate, direct impact on the Tristin Christopher Eau Claire City-County local community or region, as highlighted in this report. Health Department

My time with the Oneida County Health Outcomes Department helped me learn about resources available in my community, Student evaluations indicate that after participating in CHIP… which will help me as a future nurse to advocate for my patients. This 100% learned how to identify factors that affect health and internship gave me an opportunity to health equity within a community not only look at the patient’s health, but possible connections to the community’s health. I look forward 98% learned strategies for responding to the needs of to being a nurse in this region after underserved populations graduation in December. Beth Mors 98% gained insight into how interprofessional teamwork and Oneida County Health Department collaboration are adapted to serve a specific population NOTE: This Oneida County internship was financially supported byAspirus.

98% learned strategies for working effectively in an I hope to one day work in the healthcare interprofessional team field, and seeing the local public health clinic has given me an insight into 96% increased their interest in working in health care shortage the many factors that impact health. One day, I hope to be a physician in and with underserved populations areas rural Wisconsin. I will be able to take the knowledge I have learned at Barron 98% increased interest in social justice and health equity issues County DHHS and use it to help my future patients. 100% felt that CHIP provided an opportunity to acquire skills and Alex Cuskey Barron County Department of knowledge that will be useful regardless of whether they decide Health and Human Services to work in public health NOTE: This Barron County internship was financially supported by the 100% had the opportunity learn about public health principles Bremer Foundation. and practice

(Page 2) Wisconsin AHEC 2016 Community Health Internship Program [CHIP] — Summary Report Curriculum

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@UW Throughout 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 Series Milwaukee 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.

Wisconsin AHEC 2016 Community Health Internship Program [CHIP] — Summary Report (Page 3) Summer 2016 Host Sites

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

2016 Totals by Host Site Type

40 Public Health Department 7 Community Organization 4 Hospital / Clinic 7 University 3 Tribal Health Department / Center

Summer 2016 Projects

Projects 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.

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

City of Milwaukee Health Stockbridge-Munsee Health & Wellness Department intern Rachel Center intern Kelly Loberger gathers Haas provides educational information about the fresh produce availability in local stores to help materials to local children. improve access to healthy, affordable, and sustainable foods.

(Page 4) Wisconsin AHEC 2016 Community Health Internship Program [CHIP] — Summary Report 2016 Project Topics: E Environmental Health & Laboratory Sciences Q Quality/Health Improvement Assessments, Research / M Maternal & Child Health Evaluation & Information Technology N Nutrition, Obesity Prevention, & Physical Activity S Substance Use Prevention P Policy, Planning, and Accreditation W Wellness, Health Education, Outreach & Safety Host Site Project Title E Ashland County Health and Human Services Environmental Health Internship M W Aurora Sinai Medical Center Centering for Pregnancy Program Redevelopment P Q W Aurora Walkers Point Community Clinic Creating a Plan for Helping People Access Health Insurance E 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 Clinic E M N Q W Buffalo County Dept. of Health and Human Services Marketing and Promoting Public Health M N Q S W Calumet County Public Health Activity and Nutrition Coalition/Reduce Excessive Alcohol Coalition N W Chippewa County Department of Public Health Challenging Chippewa Through Changes in the Food Environment EMNPQSW Clark County Health Department Welcome to local public health! N W CORE/El Centro Community Farm Outreach Coordinator P Q Dodge County Human Services and Health Dept. Performance Management Plan Q W Eau Claire City-County Health Department Evaluating Outcomes of Health Department and Community Coalition Work E Q Eau Claire City-County Health Department Environmental Health Experience: Beach Testing, Blue Green Algae and West Nile Virus Research E Fond du Lac County Health Department Environmental Health Internship P Q W Fond du Lac County Health Department Using Data to Drive our Transition to a Population Health Focused Health Department M 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 Project EMNPQSW 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 County M N W Healthy Kids Collaborative of Dane County Healthy Kids Summer Project Internship E W Iron County Health Department Iron County Environmental Health Internship E W Jackson County Public Health Environmental Health in Jackson County M Q S W Juneau County Health Department Community Health Advocate M W Kenosha County Division of Health Immunization Partner Assessment and Outreach E N P Q S W Lincoln County Health Department Empowering Our Community to Be Safe and Healthy N W Live54218 Building a Healthier Community in the Greater Green Bay Area M W Medical College of Wisconsin Parent Education and Support Network M 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 Utilization Q W Medical College of Wisconsin- Cancer Center Cancer Disparities Summer Training Program (4 interns) W Milwaukee Area Health Education Center Health Science Occupations Curriculum Coordination Q W City of Milwaukee Health Department Use of Immunization Registries by Urban Independent Primary Care Clinics M N W City of Milwaukee Health Department Milwaukee Health Department Wellness Committee Q W City of Milwaukee Health Department PREP Talk for Youth Program Outreach and Prep Talk for Youth Program Evaluation N 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 Internship N P W Outagamie County Public Health Division Putting Community Health Improvement into Action E P W Ozaukee County Public Health Department Environmental Health/Community Coalition Intern M W Pepin County Health Department Safe Sleep Promotion S W Polk County Health Department Impacting Unhealthy Alcohol Use in Polk County Q S W Public Health Madison Dane County Environmental Scan Project - Point of Sale Tobacco Advertising in Dane and Columbia County P Q S W Public Health Madison Dane County Retail Food Program Standards Internship E 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 Internship E W Rock County Health Department Childhood Lead Poisoning Prevention Program Assessment E W Rusk County Public Health Department Environmental Public Health Intern M N Q W Sauk County Health Department Multi-faceted Public Health Activities Internship M Q W Sawyer County Health & Human Services Public Health Sawyer County/LCO Adolescent Health Friendly Communities M W Scenic Bluffs Community Health Centers Rural Health Care Specialist N P Q W Shawano-Menominee Counties Health Department Community Needs Assessment / Enagement on Food Security in Shawano & Menominee Counties Q W Sheboygan County Division of Public Health Using Innovative Strategies to Transform Sheboygan County into a Dementia-friendly Community Q W Sheboygan County Division of Public Health Reducing Sexually Transmitted Diseases (STDs) through Provider Education E Q W South Central Environmental Health Consortium Taking Action with Data: Use of Statistics to Define Areas of Concern for Groundwater Contaminants E W St Croix County Public Health Department Environmental Health Internship P 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 Specialist P Q W UW Center for Community and Nonprofit Studies Research and Evaluation Intern for Obesity Prevention Initiative P Q W UW Extension Cooperative Extension Creating Healthy Communities Internship N W UW Extension Iron County Iron County Summer Youth Program Coordinator N Q W UW Extension Rock County Health Promotion Internship M N P W UW Extension Walworth County Summer Community Internship N Q W Walworth County Division of Public Health Nutrition Promotion and Intervention in Walworth County N P Q W Watertown Department of Public Health Engaging in Public Health Accreditation and Community Health Improvement E N Q W Watertown Department of Public Health Practical Application of Environmental Health Theory E W Waupaca County Public Health Environmental Health Internship E W Waushara County Health Department Environmental Health Assistant E West Allis Health Department Environmental Health Internship N P Q S W Winnebago County Health Department Community Health Promotion, Outreach, and Engagement P Q Wisconsin Alliance for Women’s Health Providers and Teens Communicating for Health (PATCH) Program Evaluation Internship M Q W Wisconsin Division of Public Health Statewide Adolescent Health Quality Improvement Communications Internship N P Q W Wisconsin Division of Public Health Wisconsin Chronic Disease Prevention Program Q S W Wisconsin Division of Public Health Tobacco Disparities Prevention Intern Q W Wisconsin Division of Public Health Well Woman Program Internship P 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 WI E Q W Wisconsin Division of Public Health Tracking in the Classroom & Building Resilience Against Climate Effects P Q W Wisconsin Division of Public Health Supporting Public Health Practice in Wisconsin Local and Tribal Health Departments M N W Wisconsin Rapids Family Center Providing Health Services to Survivors of Domestic Abuse and Sexual Assault M N W Wood County Health Department Healthy & Safe Wood County E W Wood County Health Department Risk Based Food Safety Training Initiative

Wisconsin AHEC 2016 Community Health Internship Program [CHIP] — Summary Report (Page 5) Most students selected for the program are RURAL HEALTH college juniors or seniors, first-year health pro- UW Extension - Iron County fessions graduate students, or other graduate and Iron County Health Department students with a strong interest in public health. Mandi Simes and Mariano Maniscalo interned at UW In 2016, over 200 applications were received and Extension - Iron County and the Iron County Health a total of 83 interns were placed: 78 undergrads, Department this summer. Aspirus Health Foundation and 1 graduate student (MPH), and 4 medical students. 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 Academic Majors / Disciplines county summer camps where they spent time providing free fitness Medical School 4 opportunities to Iron County children. Graduate School 1 Mandi loved being able to work Biochemistry 7 on the preventive side of the Biology, Microbiology, Molecular Sciences, health spectrum, especially Neuroscience 25 when working with kids. Communication Sciences, Speech Pathology, She was able to utilize her and Audiology 2 leadership skills and serve as a Community and Nonprofit Leadership 2 role model for the children who Community Health & Education 6 came to summer camp. Mandi Student Participants Student Health Communications 3 is confident that this experience Dietetics & Nutritional Science 4 will serve her greatly as she Economics 1 grows as a health professional. Entomology 1 Environmental Health 8 Mariano also had the Gender and Women’s Studies 1 opportunity to volunteer at Genetics 2 a mobile food pantry serving many families in Iron County. Health and Society 2 Mariano believes that his Healthcare Administration 2 experiences with AHEC and in International Studies 1 Iron County have shaped how Kinesiology & Physical Education 2 he views patient care and Mathematics 1 medicine. He plans to attend Nursing 2 medical school in Wisconsin. Pharmacology and Toxicology 1 Psychology & Rehabilitation Psychology 4 Spanish 2 COMMUNITY HEALTH & COLLABORATION Colleges and Universities Spring 2016 enrollments of interns Winnebago County Health Department

Beloit College 3 Taylor Neis is a recent Kinesiology graduate from the Carleton College 1 University of Wisconsin - Oshkosh. Taylor spent her Carthage College 1 summer interning with the Winnebago County Health Macalester College 1 Department. As a CHIP intern, she participated in Medical College of Wisconsin 3 numerous projects and learned about a wide range of Nicolet College 1 public health topics throughout her time with the health department. Northern Michigan University 1 Ripon College 1 Taylor’s main projects included collaborating with local law enforcement St. Norbert College 1 on youth tobacco initiatives and improving recreational access and safety Tufts University 1 in the county for bicyclists and pedestrians. University of Southern California 1 Taylor says, “It has been incredibly rewarding to see all of the projects University of Virginia 1 coming together to generate change and focus on prevention.” University of Wisconsin - Eau Claire 7 University of Wisconsin - Green Bay 1 Taylor plans to pursue University of Wisconsin - La Crosse 7 a graduate degree in University of Wisconsin - Madison 33 Occupational Therapy University of Wisconsin - Milwaukee 4 and believes that her University of Wisconsin - Oshkosh 3 experiences collaborating University of Wisconsin - Parkside 1 in this community will be University of Wisconsin - Platteville 3 incredibly useful as she University of Wisconsin - Sheboygan 1 works to improve the health University of Wisconsin - Stevens Point 4 of her patients throughout University of Wisconsin - Whitewater 2 her career. Wartburg College 1 Taylor with her CHIP mentor, Anna Carpenter.

(Page 6) Wisconsin AHEC 2016 Community Health Internship Program [CHIP] — Summary Report TRIBAL HEALTH COMMUNITY ADOLESCENT HEALTH ASSESSMENT Forest County Potawatomi Wisconsin Alliance for Health and Wellness Center - Monroe County Women’s Health Community Health Dept. Health Department Tia Ramirez is a recent graduate Ian Jasso began college at Lee Vang is completing her from the University of Wisconsin UW-Sheboygan and transferred Master’s in Public Health from - Madison. This summer, Tia to UW-Madison. He is an Army veteran, the University of Wisconsin - La interned at the Wisconsin Alliance for Women’s deployed to Afghanistan in 2013. During his Crosse, where she received her undergraduate Health where she worked with the Providers internship at the Health and Wellness Center, degree in Community Health Education. and Teens Communicating for Health (PATCH) his main duties were to partner with other program. PATCH is a statewide initiative Forest County Potawatomi Departments to This summer, Lee interned at the Monroe that is currently focused in ten counties that plan and implement a youth day camp. The County Health Department. Lee primarily have increased teen pregnancy and sexually day camp’s lesson plans focused on nutrition, worked on an assessment of the food pantries physical activity, bike safety, transmitted infection rates. PATCH aims to and gardening, while still and food access in Monroe County. She also impact these health measures by increasing instilling important cultural had the opportunity to work on projects communication between teens, parents and aspects of the Potawatomi to impact the county’s worksite wellness healthcare providers. Tribe with the youth. programs. This fall, another AHEC intern will Before starting this continue much of Lee’s work from the summer. The most rewarding part for Tia has been internship, Ian knew that he With the help of her mentor, she was able seeing how public health can affect so many wanted to practice medicine explore her many interests in Public Health and aspects of a person’s life in a positive way. in a rural community, but encouraged to focus on her career goals. this experience convinced him to pursue Because of Tia’s experience as a CHIP intern, practicing in a tribal community. Ian says: “I As an intern, she plans to was welcomed into the community and was Lee was able incorporate able to participate in sweat lodges, learn from to capitalize on a Masters tribal elders, observe a medicine man, and even opportunities of Public pick up some of the Potawatomi language. I that helped her Health into believe that in order to impact health in a tribal to hone her her Medical community, one must learn the culture and professional Degree. build respectful bonds with tribal members,” and leadership which is exactly what he aims to do as a Tia noted, skills while future physician. Ian plans to take the public “I learned learning more health and cultural lessons that he learned that public health works to achieve equity in about public over the summer with him throughout his communities and is truly the solution to not health in her local medical career and beyond. This internship was only illness but also bias, inequity, and injustice.” supported by Aspirus Health Foundation. community. STATEWIDE HEALTH INITIATIVES

State of Wisconsin — Department of Health Services

A cohort of eight interns worked on a number Martin Martinez, an intern in Office of Policy and Practice Alignment, aims to attend medical of statewide initiatives at the Department of school and believes that, “It is crucial for a physician to approach medicine holistically with a strong Health Services (DHS) in Madison, including understanding of public health.” He was able to connect with epidemiologists, policy makers, and projects focused on health disparities, primary care physicians through his internship and these connections have allowed Martin to better accreditation, tobacco prevention, primary understand the many factors that impact the quality of care that a patient receives. care, cancer screening, adolescent health and climate effects. 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 Summer 2016 DHS interns inlcuded: Alexandra Carl, Chariesse Ellis, Ruth Gebremedhin, to witness the importance of interdisciplinary collaboration to support the health of our Mamawa Konuwa, Samuel Park, Martin Martinez, Erik communities. Her internship experience has pushed her to pursue a career where she can advocate Sanson, and Natalie Schmitz. and work among interdisciplinary partnerships.

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

Funding • Barron County DHHS - Public Health • City of Milwaukee Health Department • City of Racine, Health Department Laboratory 2017 • Dodge County Human Services and Health Department Program Dates • Eau Claire City-County Health Department • Fond du Lac County Health Department • Grant County Health Department • Green Lake County Dept of Health & Human Services June 5-July 28: Internships • Healthy Kids Collaborative of Dane County Friday, June 2: Orientation • Jackson County Public Health • Kenosha County Division of Health • Lincoln County Health Department Host site proposals / intern requests • Medical College of Wisconsin • Monroe County Health Department accepted beginning in October 2016 • Oneida County Health Department (early submission encouraged) • Ozaukee County Public Health Department • Pepin County Health Department • Polk County Health Department • Public Health Madison Dane County Intern applications due • Rock County Health Department • Sauk County Health Department mid-February 2017 • Shawano-Menominee Counties Health Department • Sheboygan County Division of Public Health • South Central Environmental Health Consortium Host site and student internship • Stockbridge-Munsee Community • University of Wisconsin-Whitewater applications are online at: • UW Center for Community and Nonprofit Studies • UW Extension Cooperative Extension www.ahec.wisc.edu • UW Extension Walworth County • Walworth County Division of Public Health • Watertown Department of Public Health • Waupaca County Public Health • Waushara County Health Department CHIP is a competitive program. Successful • West Allis Health Department • Winnebago County Health Department applicants are typically advanced under- • Wisconsin Alliance for Women’s Health graduates or graduate students. In addition • Wisconsin Division of Public Health • Wood County Health Department to having an interest in community and public health, candidates must be Wisconsin residents or attending a college or university The CHIP stipend is $2,400 / summer. Interns work 40 hours/week for 8 weeks. in Wisconsin, have a GPA of 3.0 or higher, and Sponsorship opportunities be a U.S. citizen or permanent resident. Wisconsin AHEC welcomes financial support to sustain CHIP stipends. Please contact us at 608-265-6323 or [email protected]. For more information, contact:

About Wisconsin AHEC The 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. 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 partnerships to promote cooperative solutions to local health problems. The Wisconsin AHEC System consists of seven regional centers located in Manitowoc, Milwaukee, Beloit, Cashton, Courtney Saxler, MPH Wausau, Ashland, and Rhinelander, along with a statewide program office, located in the University of Wisconsin School of Medicine and Public Health. AHEC Internship Coordinator 608-265-6323 [email protected]

Wisconsin AHEC Program Office University of Wisconsin School of Medicine & Public Health 750 Highland Ave, 4th floor HSLC Madison, WI 53705

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