Transcript Orientation - Department of Family Medicine

Student Run Homeless Clinic
Orientation
2011-2012
SRHC History
 Started by UCLA Dept of Family Medicine in
1989
 22nd year
 Over 10,500 patients seen
 Salvation Army West Los Angeles
Transitional Housing 1989
 Samoshel 1993
 Winter Shelters 2008
 Society of Student-Run Free Clinics 2009
The SRHC Mission and Goals
 Mission
To provide respectful and compassionate high
quality healthcare services to homeless men,
women, and children
 Goals
To provide a Community Service Learning
opportunity for medical students
To provide free medical care to a most vulnerable
population with little or no access to health services
SRHC Objectives
• Assess and develop treatment plans for a
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population with little resources to manage their
health
Learn about medical and social issues unique to
the homeless population
Develop preventive healthcare interventions for
vulnerable populations
Provide hands-on clinical learning opportunities
for MSI/IIs
Provide advanced practice and teaching
opportunities for MSIII/IVs
Develop interdisciplinary strategies
The Three Clinics
 Santa Monica Shelter, aka “Samoshel” – year round
2nd & 4th Saturdays of every month, 9 am-12 pm
505 Olympic Blvd Santa Monica, CA 90401
 Winter Shelter Clinics — Dec 1-March 15
West Los Angeles National Guard Armory
1300 Federal Avenue, Los Angeles, CA 90025
Every Monday, 6-9 pm
 Glendale
220 E. Colorado Street, Glendale, CA 91205
Every other Thursday, 6-9 pm
Samoshel
 Part of the Ocean Park Community Center-OPCC since
September 2005 (formerly Salvation Army, Step Up on
Second)
 Approximately 110 residents
 On-site services
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case management
counseling
12-step meetings
housing referrals
employment assistance
Winter Shelters
2 Winter Shelters in the Los Angeles Area
 LAHSA –Los Angeles Homeless Services
Authority
 EIMAGO – subsidiary of Union Rescue Mission
Dec 1 – March 15
Most destitute of the homeless
A cot and hot meal for the night
SRHC will expand number of WS sites THIS YEAR
Our Role
The Samoshel clinic focuses on
providing free health care services:
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General physical exams
Basic primary care treatment
Preventive health services
Referrals to appropriate facilities
for additional testing, imaging,
and treatment
The most common complaints?
URI, dermatological issues, hypertension, asthma
Medications available?
Antibiotics, antiHTN, asthma/allergy, antacids, NSAIDs, topical creams
SRHC
SELECTIVE/ELECTIVE
REQUIREMENTS
Selective – MSI & MSII
 16 students
 Period of Participation: September 2011 - June
2012
 Fulfills requirements for one selective in either
the first or the second year
Selective Requirements
Orientation Session
6 clinics
Attendance at least 2 noon-lectures
Attendance at the Mid-Year (January) and
end of year (May) Reflection Sessions
 All requirements must be completed by June 1,
2012
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Elective – MSIII & MSIV
 Period of Participation:
MSIII: July 2011 - June 2012
MSIV: July 2011 - May 2012
 FP253.03: Provides one week of 200-level
credit for your fourth year electives
Elective Requirements
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Essentially 40 hrs of credit
Orientation Session
7 clinics
1 Educational Activity
• Present to MSI/IIs on-site - skin infections, onychomycosis,
alcoholism, diabetes, etc.
• Teach MSI/IIs on-site – H&P notes, presentation, assessment
• Facilitate a smoking cessation session
 Attendance at mid-year (January) and end-of-year
(May) Reflection Sessions
 Can fulfill MSIV Primary Care College requirement
Lecture Series
(all lectures from 12-1pm)
Topics
 Dispensary 101
 H&P Notes
 Homeless Women’s Health
 LGBT
 Dermatologic Issues in the Homeless
 Harm Reduction
 And others…
Scheduling
 If you’re in the Selective/Elective – sign up on the website
 Web sign up: http://fm.mednet.ucla.edu/clinic-signup.asp
 Clinics calendar : http://fm.mednet.ucla.edu/clinic-calendar.asp
 Both components will be transferred to our new website at:
http://fm.mednet.ucla.edu/
 If you’re not in the Selective/Elective – contact Scheduling Chief,
Cindy Her, [email protected]
 Cancellation Policy
• Must cancel by Sunday at midnight the week of clinic
• If fail to do so?
1st offense: WARNING
2nd offense: extra clinic
3rd offense: 2 extra clinic sessions & review of possible failure
of Selective
Old Website
New Website
WHAT CAN I DO AS A
MEDICAL STUDENT?
Take histories
Perform physical exams
Present to attendings
Write a note co-signed by the
attending
 Dispense medications under
supervision of the attending
 Administer flu vaccines
 Grab an older student if you need help
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Role of Clinic Chiefs
 Run the clinics
 Set-up, sign-up, case
assignment
 Organize and dispense
medications & referrals
 Liasons with national
organizations and
conferences
See patients as necessary
Social History Note
• To be filled out for each
first-time patient
encounter
• How patients got to be
where they are today
• Learn how to ask the
“tough” HEADSS
questions
Intake H&P and Progress Note
Seeing Patients
Flu shots available during flu
season
Med Supply Drawers
Flu Vaccine Video
Click here
Presenting to the Attending
… presentations are fun and
full of good teaching points …
…Great time to practice
presentations in a LOW STRESS
environment….
Wanna be a Chief?
 You can become a Clinic Chief in your 2nd,
3rd, or 4th year
• Student-run clinic leadership
• 12 diverse chief positions
• One week of 100-level credit OR one week of 200-
level credit for MSIVs
 New Chiefs usually start in April
Let us know during the year if you’re
interested in becoming a Chief!
Chief Positions
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Number can vary from year to year
Applications due mid-Feb
Additional week of Elective credit
Positions
Administrative
Supplies (2)
Education
Scheduling
Development
Winter Shelters (4)
Samoshel (2)
Other Plans
 National Conference of Society of Student-Run
Free Clinics 2012
 Long Beach, CA
 February 4, 2012
 Inter-disciplinary connections – School of
Nursing, Physical Therapy programs, UCLA
Volunteer Center, Sports Teams, Dental…..
 Fundraising events
 Supply collections – clothing, hygiene, soaps,
socks, shoes
Questions?
OUR WEBSITE
http://fm.mednet.ucla.edu/
(Find it under ‘Training’  ‘Medical Student’  ‘Homeless Clinics’)
IMPORTANT CONTACTS
• Mary Marfisee, MD, MPH (Program Director)
• [email protected]
• Gideon R. Gorit (Administrative Chief)
• [email protected]
• Alexa Merz (Education Chief)
• [email protected]
• Cindy Her (Scheduling Chief)
• [email protected]