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Dr. Michael Algus - Internal Medicine
Bennington, VT

Dr. Michael Algus
Dr. Algus operates this eight-year old private practice, located in the Medical Office building adjacent to the Southwestern Vermont Medical Center (SVMC) in Bennington. He has admitting and attending privileges at SVMC. Office hours are from 10 a.m. to 5 p.m., or 1 to 5 p.m. depending on rounds at SVMC.
Patients seen in the office generally present pulmonary-related concerns, twenty-five percent of which are sleep disorders and airway-related issues. All ages of patients are seen in the office, representing a broad spectrum of educational, social, economic, rural and urban backgrounds.

Dr. Algus is the Quality Assurance Director for SVMC and plays an important role in the community with hospital and local leaders to ensure that the hospital provides needed and quality services.

Southwestern Vermont Medical Center
Southwestern Vermont Medical Center, a facility of Southwestern Vermont Health Care and located in Bennington consists of a 125-bed hospital, which includes a Family-centered Birthing program, a cancer center and a Memory Disorders clinic.

Staff
A nurse and an office manager support Dr. Algus' medical practice. Dr. Algus, MD, practices Internal Medicine and is a specialist in Pulmonary Medicine.

Typical Day
Commonly, a day with Dr. Algus begins by joining him at SWMC for patient rounds in the ICU and moving to other patient areas. During rounds, Dr. Algus may receive calls for consults for his specialty in pulmonary medicine. The student will often conduct workups with newly admitted patients of Dr. Algus, with history taking, physical and write up, which then are presented to him. Dr. Algus uses these opportunities to provide feedback on the student's presentation and assessment skills. Time may also be spent in the radiology department with x-rays and CT scans for teaching on reading these films.

Returning to the clinic, new or follow-up patients are seen throughout the one half or two-thirds remainder of the day. Typically, the student individually meets a patient to up-date or take an initial history and conduct a complaint-focused physical exam. Presenting their findings and tentative plan and medication to the Preceptor, they together return to the patient to discuss a treatment plan. Preceptoring is patient-based, with assigned research and readings on particular patient complaints and topics. Commonly the student will utilize MD Consult and SVMC's medical library for subject research.

One day a week the student spends time at SVMC with specialists in their related departments of radiology, cardiology, GI and infections. There may also be opportunities to accompany Dr. Algus to town or hospital meetings to review the hospital services to the community. Being on call with the preceptor may also occur. Finally, occasions to observe minor surgically procedures such as bronchoscopy and pleural effusion taps are also likely.

Teaching Goals
Several overarching themes represent the teaching objectives for this internal medicine rotation. A primary goal is to provide the student with exposure to and experience in routine physical examinations with a concentration on pulmonary issues. Concurrently, the student gains familiarity with major pulmonary diagnosis such as: emphysema, asthma, pneumonia and sleep disorders. Also stressed is developing presentation skills related to history taking, follow-up diagnosis and write-ups. Additionally, students receive exposure to the Intensive Care Unit at SVMC and to taking and reading x-rays.

Student Housing
Housing in the Bennington area is available and arranged as needed.

The Community
Bennington is one of Vermont's oldest and most historic towns. It was chartered in 1749, the first town in the territory now known as Vermont, by Benning Wentworth, governor of New Hampshire, who characteristically named it for himself. Ethan Allen arrived in Bennington about 1769 and took leadership of a group of new settlers who needed to defend the lands against officials of New York, which claimed the same territory. These young settlers became the Green Mountain Boys, a citizen militia, that later played an important role in the American Revolution. Their victory at the Battle of Bennington on Aug. 16, 1777, was a prelude to the surrender of British General John Burgoyne at Saratoga, which led directly to the Revolution's success. Overlooking the town rises the 304-foot monument (built in 1891) commemorating the Battle of Bennington.

Bennington boasts three distinct areas of historic significance. There is an impressive "old" town of colonial era buildings, church and commons on the heights above the town proper, a Victorian section in the thriving downtown area and the three covered bridges in North Bennington. Famous 20th-century personages who have lived in or near Bennington include the primitive painter Grandma Moses, artist-illustrator Norman Rockwell, and poet Robert Frost.
A primary gateway to Vermont, Bennington is the third largest community in the State. Nestled between two beautiful mountain ranges, the Taconics on the west and the Green Mountains on the east, the beautiful Walloomsac River flows through the community. Mount Anthony (2,300 ft.) overlooks the town. These mountains and several state parks offer swimming, fishing, boating, nature, and hiking trails. The town is located adjacent to New York State, 14 miles from Massachusetts and roughly two and a half-hours south of Burlington. Population of the town is roughly 14,500, while the surrounding area encompasses nearly 35,000 residents.

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