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

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 studentsTo 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

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

round2nd & 4th Saturdays of every month, 9 am-12 pm505 Olympic Blvd Santa Monica, CA 90401

Winter Shelter Clinics — Dec 1-March 15West Los Angeles National Guard Armory1300 Federal Avenue, Los Angeles, CA 90025Every Monday, 6-9 pm

 Glendale220 E. Colorado Street, Glendale, CA 91205Every 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 • case management• counseling• 12-step meetings• housing referrals • employment assistance

Winter Shelters

2 Winter Shelters in the Los Angeles AreaLAHSA –Los Angeles Homeless Services AuthorityEIMAGO – 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:

•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

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 Session6 clinicsAttendance at least 2 noon-lectures Attendance at the Mid-Year (January) and end of year (May) Reflection SessionsAll requirements must be completed by June 1, 2012

Elective – MSIII & MSIV

Period of Participation:MSIII: July 2011 - June 2012MSIV: July 2011 - May 2012

FP253.03: Provides one week of 200-level credit for your fourth year electives

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

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, cher11@ucla.edu Cancellation Policy

• Must cancel by Sunday at midnight the week of clinic• If fail to do so?

1st offense: WARNING2nd offense: extra clinic3rd offense: 2 extra clinic sessions & review of

possible failure of Selective

Old Website

New Website

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

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 VideoClick 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 Number can vary from year to year Applications due mid-Feb Additional week of Elective credit Positions

AdministrativeSupplies (2) EducationSchedulingDevelopmentWinter 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 WEBSITEhttp://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

• Alexa Merz (Education Chief)• amerz@mednet.ucla.edu

• Cindy Her (Scheduling Chief)• cher11@ucla.edu