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Student Run Homeless Clinic Orientation 2011-2012

Student Run Homeless Clinic Orientation 2011-2012. SRHC History . Started by UCLA Dept of Family Medicine in 1989 22 nd 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.

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Student Run Homeless Clinic Orientation 2011-2012

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  1. Student Run Homeless Clinic Orientation 2011-2012

  2. 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

  3. 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

  4. SRHC Objectives • Assess and develop treatment plans for a 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

  5. 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

  6. 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 • case management • counseling • 12-step meetings • housing referrals • employment assistance

  7. 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

  8. Our Role • The Samoshel clinic focuses on providing free health care services: • 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

  9. SRHC Selective/Elective Requirements

  10. 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

  11. 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

  12. 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

  13. Elective Requirements • 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

  14. 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…

  15. 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, cher11@ucla.edu • 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

  16. Old Website

  17. New Website

  18. What CAN I do as a Medical Student?

  19. 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

  20. 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

  21. 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

  22. Intake H&P and Progress Note

  23. Seeing Patients Flu shots available during flu season Med Supply Drawers

  24. Flu Vaccine Video Click here

  25. Presenting to the Attending … presentations are fun and full of good teaching points … …Great time to practice presentations in a LOW STRESS environment….

  26. 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 ORone week of 200-level creditfor MSIVs • New Chiefs usually start in April Let us know during the year if you’re interested in becoming a Chief!

  27. Chief Positions • 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)

  28. 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

  29. Questions? OUR WEBSITE http://fm.mednet.ucla.edu/ (Find it under ‘Training’  ‘Medical Student’  ‘Homeless Clinics’) IMPORTANT CONTACTS • Mary Marfisee, MD, MPH (Program Director) • mmarfisee@mednet.ucla.edu • Gideon R. Gorit (Administrative Chief) • ggorit@mednet.ucla.edu • AlexaMerz (Education Chief) • amerz@mednet.ucla.edu • Cindy Her (Scheduling Chief) • cher11@ucla.edu

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