Health Center Visit Descriptions

Alcohol follow-up

Providers:      Davis Smith, MD (usually)

Duration:       20 minutes

Content:         Mandated by Dean’s office.  Review of incident, assessment of medical complications, screening for alcohol dependency, referral for other services if needed.

Homework:   Complete online alcohol assessment/print results and bring to appointment

Allergy Immunotherapy (Initial Consultation)

Provider:        Joan Ecklund, RN

Duration:        10-15 minutes

Content:         Review program and sign papers. Must be done at least one day prior to receiving shots.

Homework:   Bring allergy serum and associated papers with you.

Allergy Immunotherapy (Ongoing)

Provider:        Joan Ecklund, R.N.

Duration:        20-30 minutes

Content:         Shots administered followed by 20-30 minutes observation.

Homework:    N/A

CHOICES Alcohol Workshop
            Provider:        Joyce Walter, MS, CHES
            Duration:        90 minutes
            Content:         For students referred by SJB or Area Coordinator for harm reduction workshop
            Homework:   Complete online alcohol assessment and bring confirmation page to workshop

Contraceptive (Pill) Prescription

Providers:      Sandy Frimel PA-C, Emily Daponte, MD

Duration:       20 minutes

Content:        Provision of prescription for oral contraceptive pills.

Homework:   Completed copy of Wesleyan's Gyn form. 

Contraceptive (Pill) Dispense
            Provider:       Nurses
            Duration:      depends on request
            Content:       Dispensation of current oral contraceptive pill (Rx written by Health Center)

Dermatologic Procedures

Provider:      Davis Smith, MD; Emily Daponte, MD

Duration:      20-30 minutes

Content:       Wart treatment, removal or biopsy of skin lesions

Homework:  N/A

Diaphragm Fitting
            Provider:      Sandy Frimel, PA-C
            Duration:      60 minutes
            Content:       Fitting for diaphragm for contraception
            Homework:  N/A

Emergency Contraception (Morning After Pill)

Providers:   Walk-in Service

Duration:     N/A

Content:      Dispensation of Emergency Contracption pills (currently Plan B).  Note:  Most effective when taken ASAP, but may be effective up to 5 days after unprotected intercourse.

Homework:  N/A

Gyn/Pelvic Exam/Pap Smear/Annual Exam

Providers:     Sandy Frimel PA-C; Emily Daponte, MD

Duration:      40; 60 minutes if first exam ever

Content:       Physical exam, breast exam, pelvic exam, Pap smear, discussion regarding contraceptive options, discussion regarding STI’s

Homework:  Complete Gyn form; may need to provide urine specimen

Gyn Problem

Providers:     Sandy Frimel PA-C; Emily Daponte, MD

Duration:      20-30 minutes

Content:       Acute or chronic gynecologic problem including STI symptoms, new change in menstrual pattern.  Typically involves a pelvic exam.  A full Gyn visit may be recommended. 

Homework:  May need to produce a urine specimen; may need to bring copies of previous Gyn records (for care received elsewhere)

Health Education

Providers:    Joyce Walter, MS, CHES; Allison Knauerhase, MSW, MPH

Duration:     30-60 minutes

Content:       Individual support for smoking cessation, alcohol and other drug issues, sexuality concerns, stress management, body image and LGBTQQ support.

Homework:  N/A

Healthy Eating Program
            Provider:      Emily Daponte, MD
            Duration:     40 minutes
            Content:      Review of medical history for those students with an eating disorder. Discuss available services including medical, psychological and nutrition services.
                              May include subsequent follow up visits.

HIV Counseling and Testing 

Providers:   Davis Smith, MD; Emily Daponte, MD; Sandy Frimel, PA-C

Duration:    20 minutes by appointment

Content:     Overview of HIV counseling and testing process, detailed review and discussion of sexual history and HIV risk activity, appropriate risk reduction/safer sex education and support. 

Homework: N/A

Injury

Providers:   All

Duration:    N/A

Content:     Ideally by appointment, but as a walk-in if acute/emergency e.g. bleeding, possible need for X-Ray, possible need for hospital referral

Homework: N/A

Laboratory Work
            Provider:     Pearl Mack, Medical Assistant (Phlebotomist)
            Duration:     10 minutes
            Content:      Collection of blood for testing performed outside the Health Center.
            Homework: Bring insurance card/insurance information to Health Center.

Meal Plan

Providers:    Davis Smith, MD (usually)

Duration:     20minutes

Content:      Review of medical data supporting request for modification of meal plan.

Homework: Bring any documents supporting your diagnosis, especially ones which detail dietary restrictions specific to you.

Medical Record Review/Accommodation Request

Providers:   Davis Smith, MD; Emily Daponte, MD

Duration:    20 minutes

Content:     Review of past medical history for those students with a complicated diagnosis or otherwise likely to benefit from close relationship with the Health Center or requesting accommodations.

Homework: Bring any documents which support and explain your diagnosis.

Men’s Health

            See Wellness and Sexual Health

Nutritionist

Providers:   Sue Gebo, Registered Dietitian

Duration:     Initial 60 minutes; follow-up 30 minutes

Content:      Nutritional assessment (intake vs. needs); meal planning; nutrition education and counseling.  Please note a $25 fee is assess for no-show appointments.

Homework: 3-day food record, including times and amounts

Physical (Full)

Providers:   All

Duration:    40-60 minutes (Please discuss with office staff any forms at time of making appointment)

Content:     Complete medical history and physical exam.  Typically indicated for an application for work or travel, but occasionally as a wellness visit.

Homework: Know medical history of self and immediate family. Complete any patient sections of form before arrival.

Prescription refill

Providers:   All

Duration:    10-20 minutes

Content:     Provision of prescription for medications taken on a regular or occasional basis.  Note:  ADD/ADHD and Psychiatric medications are typically prescribed by OBHS.

Homework: Name of medication and dose (ideally empty tube or bottle), duration of therapy, contact information for prior prescriber.

Sexually Transmitted Infection (STI) Check (no symptoms)

            See Wellness and Sexual Health

Sexually Transmitted Infection (STI) Symptoms or Exposure

Providers:   All

Duration:    20 minutes

Content:     Evaluation and treatment of STI symptoms or for STI exposure.  If you wish to be tested for all STI’s, please schedule a Wellness and Sexual Health visit instead.

                     If  Pap is needed too, please schedule a Gyn exam (see Gyn/Pap Visit).

Homework:   N/A

Sick visit 

Providers:    All

Duration:     20

Content:      Evaluation and treatment of acute or chronic condition.

Homework: N/A

Smoking Cessation
           Provider:      Joyce Walter, MS, CHES
           Duration:      30-45 minutes
           Content:       click for more information
           Homework:  N/A

Study Abroad Form

Providers:    All

Duration:      20 minutes

Content:       Brief review of health history. 

Homework:  Bring a copy of your form with patient section completed.

Suture Removal

Providers:     Nurses

Duration:      N/A

Content:       Removal of sutures or staples placed here or elsewhere.

Homework:  N/A

Travel Consult

Providers:     All

Duration:      40 minutes (60 minutes for complex itineraries)

Content:        Ideally 6-8 weeks prior to travel.  Review preventable illnesses relevant to your planned trip, provide recommendations and prescriptions for anti-malarials, vaccines, etc.

Homework:   Know destinations and dates as well as vaccine history (particularly those received elsewhere since coming to Wesleyan.  Bring your Yellow Book if you have one. Please note there is a $25 fee for this consultation service.

Travel Immunizations

Provider:       Jeanine Hanlon, R.N.

Duration:      20 minutes

Content:       Read/sign permission; receive immunizations. Shots administered followed by 20-30 minutes observation.

Homework:  Must have had Travel Consult first; bring yellow international vaccine card if you have it.

Travel Physical

Providers:     All

Duration:      40-60 minutes depending on complexity of form (Peace Corps and Fulbright = 60 minutes)

Content:       Exam and testing as required by your study abroad program.

Homework:  Bring all relevant forms, complete your sections.

Wart Treatment
            Providers:    All Clinicians
            Duration:     20 minutes
            Content:       Liquid nitrogen treatments and follow-up procedures (Fee: $15 1st with $5 follow up)
            Homework:  N/A  

Wellness and Sexual Health 

Providers:     All

Duration:      40 minutes

Content:       Designed for all students irrespective of sexual or gender identity, this visit includes:  brief review and discussion of health topics relevant to your age group, detailed review of sexual history, risk appropriate education and counseling, exam, risk-appropriate testing, intervention as directed. 

Homework:  Complete Pre-Visit Survey and bring it with you.  Don’t urinate for at least one hour before the visit.

Edited on February 12, 2010