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Shade Tree ClinicReport to the Community 2012-2013

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The Shade Tree Clinic Mission Statement

Shade Tree Clinic

1223 Dickerson PikeNashville, TN 37207

www.shadetreeclinic.org

tel: 615.422.5262fax:615.255.8224

Shade Tree Clinic is a free health clinic run by Vanderbilt medical students.

We strive to be the medical home for Nashville residents with limited resources by providing exemplary care for acute and chronic illnesses, social services and health education.

Since 2004, students have played a pivotal role in transforming an ordinary double-wide trailer into the extraordinary primary care medical home for hundreds of patients. Through the Shade Tree Clinic, medical and nursing students from Vanderbilt and Meharry are able to enhance their medical education via practical “hands-on” experience, while simultaneously providing important health care and social services to a neighborhood in need.

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Dear Friends and Advocates,

Shade Tree Clinic, Vanderbilt University's student-run free clinic, has changed the lives of so many in the Nashville community. Our mission is simple—to provide a comprehensive medical home for the underserved while simultaneously training the next generation of health care providers in compassionate, socially conscious medicine.

Our core clinical practice serves the uninsured and underinsured facing significant barriers to care. We seek to overcome these challenges and are excited to offer a diverse array of services—including medical, laboratory, social work and pharmacy—that have improved patient health and quality of life.

During this past year, we introduced a formal Medical-Legal Partnership, recognizing the intersection between potential legal outcomes and patient health. We have also enhanced both the size and management of our pharmacy with the introduction of new professional software and collaborations with neighboring institutions, which will continue to ensure quality and improve patient knowledge.

We also have made strides in the community at large through our outreach efforts. We had one of our most impressive years for our Homeless Vaccination Program, expanding to new sites and distributing a record number of flu immunizations. Additionally, we grew our Swim Safely Program that teaches pool safety and healthy lifestyles to children in the community surrounding our clinic.

These efforts and accomplishments are a testament to the hard work of over 400 student volunteers from disciplines including medicine, nursing, pharmacy, dietetics and law, as well as over 100 faculty volunteers. In total, these individuals have contributed in excess of 15,000 volunteer hours. We are also tremendously grateful to the many advocates and donors who continue to support the clinic. The projects and outcomes described within this report are truly a team effort, and we thank all of those who have contributed and participated throughout the year!

Bharat Kilaru and Matt StierCo-Executive Directors, Shade Tree ClinicVanderbilt University School of Medicine, Class of 2015

From the Student Directors

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There is a general consensus that the changing medical landscape will give more people access to care and that patients and their providers will share increased responsibility to control health care costs. Vanderbilt University medical students, however, are not waiting for legislative changes to help the underserved.

Improving access to care is why these ambitious students started Shade Tree Clinic. Learning how patient care relates to almost every other social issue and the overall economy may be the real lesson for students who volunteer. The more medical students work at Shade Tree, the more they recognize the need to not only improve access to medical care but to also address social issues and manage cost. These skills serve them well in their professional career and help the citizens of Nashville at the same time. Vanderbilt students are talented, motivated and determined to deal with the complexity of medical and social challenges. In the earlier years of Shade Tree students developed protocols for managing chronic diseases such as diabetes and hypertension. Along with volunteer faculty, they followed standards of care and addressed social issues to minimize challenges which seemed to interfere with treatment. They applied for grants and enacted institutional review board approved protocols. And finally, they brought teaching points back to the university and have had a major impact on restructuring Vanderbilt’s formal medical school curriculum. This past year most of the students working at Shade Tree treated a patient population with increasingly complicated medical problems. While one group of students addressed medical problems, another group focused on patient social issues. This group of students created a partnership with the Vanderbilt Law School known as the Medical Legal Partnership. Patient issues including immigration, disability, obtaining medical insurance and domestic abuse were reviewed. As a result, many patients were successful in getting disability benefits, social security income and medical insurance.

Helping patients obtain medical insurance created an opportunity to transition patients to other providers and allowed Shade Tree to accept more new uninsured patients. Transitioning patients to other providers proved to be surprisingly complicated, as many patients who had received care at Shade Tree did not want to transition to other settings. They were accustomed to a standard of care and attention at Shade Tree that most providers and clinics had difficulty providing.

As medical directors we do not create the agenda for the clinic. This may be good, because neither one of us truly believes that we could have created a product superior to what Vanderbilt students have created. Thank you for your interest in this truly inspirational project.

Michael Fowler, M.D. and Robert Miller, M.D.Medical Directors, Shade Tree Clinic

From the Medical Directors

From left to right: Dr. Michael Fowler and Dr. Robert Miller.

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Clinic Governance

CLINIC LEADERSHIPExecutive Directors: Bharat Kilaru and Matt StierDirector of Operations: Richard SamadeDirector of Patient Health Education: Emily ZernDirector of Pharmacy: Glynnis GarryDirector of Social Work: Cooper LloydDirector of Spanish Services: Sarah EckhardtDirector of Community Outreach: Patrick KellyDirector of Finance: India ReddyMedical Directors: Robert Miller, M.D. and Michael Fowler, M.D.Social Worker: Shannon Jordan, L.M.S.W.

PAST EXECUTIVE DIRECTORS2011-2012: Allison Ferreira and Paula Marincola2010-2011: Benjamin Deschner and Ravi Patel2009-2010: Adam Wegner and Jonathan Steer2008-2009: Meredith Albin and Alon Peltz2007-2008: Eve Henry and Caitlin Toomey2006-2007: Sarah Dunn, Caroline Kim, Holly Hale, Megan Herceg, Caroline Knox2005-2006: Dana Guyer and Sara HorvitzCo-Founders: Kristina Collins and Katie Cox

ADVISORY BOARDBen DeschnerRobert Dittus, M.D., M.P.H.Allison FerreiraShannon Jordan, L.M.S.W.Lewis Lefkowitz, Jr., M.D.Kim Lomis, M.D.Paula MarincolaMorgan McDonald, M.D.Bonnie Miller, M.D.Robertson Nash, N.P., M.B.A.Ravi PatelScott Rodgers, M.D.Jule West, M.D.

Center for Community Health Services:Barbara Clinton

Shade Tree enables our student leaders to contribute earlier, during their clerkships and as residents, to fostering a culture of compassion and quality.

Kim Lomis, M.D.Associate Dean for Undergraduate Medical Education

Top row, left to right: Cooper Lloyd, Sarah Eckhardt, Richard Samade, India Reddy. Bottom row, left to right: Matt Stier, Pat Kelly, Glynnis Garry, Emily Zern, Bharat Kilaru.

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Empowering Patients Through EducationThe Patient Health Education Program was established

to improve continuity-of-care for Shade Tree Clinic's patients with chronic diseases, including diabetes, cardiovascular disease and respiratory conditions. A team of 20 first- and second-year medical student patient health educators (PHEs) serve as case managers for nearly 200 patients.

The PHEs fill an educational role in-clinic-- demonstrating insulin administration, encouraging progress

with diet and exercise goals, and promoting medication compliance and health maintenance. The significance of the case manager system is most prominent in the out-of-clinic communication with patients, in which PHEs establish a personal relationship with their patients to communicate laboratory results, assist patients in scheduling appointments and promote continued health progress between clinic appointments.

I started coming to Shade Tree in 2008 when, after 28 years working at a good job with health insurance, I found myself unemployed and uninsured. Having been diagnosed with type II diabetes and hypertension a few years earlier, I was afraid about what was going to happen to me. A good friend told me about Shade Tree Clinic where Vanderbilt medical students supervised by attending doctors would help me get medical care and medication.

So I started going to Shade Tree and have had many students and doctors take care of me ever since. The social workers there helped me get food and file for disability. I have been taught how to take better care of myself. I am seen on a regular basis, and they also do my lab work and set up other preventative care appointments for me. When I have to be hospitalized, they always come to my room and visit me. They give me lots of encouragement along the way. Dr. Miller and the wonderful team at Shade Tree have taken good care of me.

I thank God for Shade Tree Clinic every day. They have been a lifesaver for me.Pam Short,Shade Tree Patient

“

A Vanderbilt University medical student interacts with a Patient Health Education program patient.

”

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Beyond the Clinic - Community Outreach

Vaccine ClinicsThis year Shade Tree Clinic held 16 out-reach events focused on providing influ-enza vaccines to members of the Nashville community. Through collaborations with 11 different community organizations and multiple student groups, medical and nursing students administered 672 vaccines in less than 4 months! While the primary goal was to offer vaccines to the homeless population of Nashville, we were also able to serve the Latin Ameri-can and immigrant communities as well as members of rehabilitation programs. The partnerships that we have formed as a result of this vaccine initiative will al-low Shade Tree to reach further into the Nashville community to help underserved populations for years to come.

In Fall 2012 Shade Tree continued its Swim Safely East Nashville! Program aimed at promoting physical activity and healthy dietary choices to elementary school students. In this 8-week program, medical students lead a 45-minute nutrition class and 1.5-hour swim lesson each Saturday for fourth grade students from Caldwell Enhanced Option Elementary School, one of Shade Tree Clinic’s neighbors in East Nashville. The nutrition com-

ponent of the program utilizes games, interactive discus-sion, and a variety of artistic media to teach kids how to identify healthy food choices and find ways substitute these choices into their own diet. By engaging kids with varying degrees of experience with swimming, this pro-gram was able to both familiarize novice students with the basics of water safety and simple strokes as well as hone the skills of more advanced swimmers.

Swim Safely East Nashville!

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They soon connected with social work team, who work with Shannon Jordan, L.M.S.W. to offer resources and guidance to patients on everything from mental health to vision care to food assistance. In the last two years, the social work team has helped the Stephens locate resources for rent assistance when they faced impending eviction. They have provided referrals to free and discounted dental services and have supported Tina in applying for SSI disability, a lengthy process of usually two or more years. Tina’s disability application, however, was approved within six months – a testament to the strength of her case. She now receives a monthly disability check, and with Terry Stephens currently out of work, she says, “It’s taken the pressure off financially.” Her ability to apply for and receive disability was made possible by having a regular doctor and a support team to provide medical records for her case.

Since receiving disability, Tina has also received TennCare, the state’s Medicaid program. Now with insurance, she recently transitioned from Shade Tree to a new primary care physician, Dr. Kelly at United Neighborhood Health Services. The social work team summarized her care at Shade Tree for Dr. Kelly and worked to ensure as smooth a transition as possible. For Tina, the transition will provide the benefits of regular clinic hours and a steady relationship with one physician. Further, should anything significant happen to her health, Tina knows that her medical bills will be covered. And while both she and Shade Tree staff had a hard time saying goodbye, they also knew that Shade Tree, which has been unable to take new patients in several years, will be able to consider opening its

More than Medicine - Social Services at Shade Tree

When Terry and Tina Stephens came to Shade Tree over two years ago, without health insurance and without a regular doctor, they needed not only medical assistance, but also assistance navigating social services in Nashville.

The Stephens family, from left to right: Terry Stephens, Jr., Terry Stephens and Tina Stephens.

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doors to new patients without insurance once again. As for Terry, he will remain a Shade Tree patient, and his son, Terry Stephens

Jr., will join him as a patient as his stepmother transitions out. Even Tina won’t yet be a stranger – she has recently joined Terry in beginning a smoking cessation program set up by Shade Tree’s community outreach department.

All of Shade Tree’s resources – both social and medical – have together impacted the Stephens family’s lives for the better. In reflecting on their time at Shade Tree, Terry stated, “When you come here, it’s like you’ve got a conglomeration of several different [people] who are truly interested and seriously care about it, you know…They’re trying to make a difference in other people’s lives…It means a lot. It means a whole lot.”

While our patients have serious medical needs, it is often their socioeconomic circumstances that have prompted them to seek care. In 2012, Shade Tree Clin-ic and the Legal Aid Society of Middle Tennessee and the Cumberlands joined forces to address the social is-sues underlying many of the illnesses suffered by our patients.

Through the Medical-Legal Partnership (MLP), we integrate poverty law with medicine. Attorney Chay Sengkhounmany and a team of Vanderbilt law students work in the clinic alongside our physicians and medical students to provide interdisciplinary care.

When Faris Al-Jashami arrived at the clinic with chest pains, he was not having a heart attack, he was suffering from emotional distress.

Originally born in Iraq, Al-Jashami came to Nashville in the 90s as a refugee of war. He began work-ing in a local warehouse, where he met his wife Claudia, and they gave birth to their son, Moohamed. Claudia initially came to the United States without proper doc-umentation, and in the spring of 2012, she returned to Mexico with their 12-year-old son to apply for legal sta-tus. But when she left the United States, she triggered a provision in the law that barred her from returning for ten years.

The absence of Al-Jashami’s family caused the

Medical Legal Clinic

symptoms of post-traumatic stress. The MLP provided the appropriate medical documentation to file for an extreme hardship exception in the immigration law and waived the 10-year wait period. On February 23, the family was reunited legally in the United States af-ter a year-long separation. The family (pictured) visited Shade Tree just hours after Claudia and Moohamed returned to Nashville to thank the staff for reuniting their family.

When you come here... they’re trying to make a difference in other people’s lives... it means a lot. It means a whole lot. Terry Stephens

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FY 11 - 12 FY 10 - 11Number of unique patients 362 384Number of completed patient visits 1,985 1,945Average number of visits per patient 5.48 5.07

Patient Visits

Disease Management

81%

MedicationManagement

13%

Lab Tests,Vaccinations and

Education6%

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ATTENDING PHYSICIANSFederica AngelGautam BhaveAndrew BryantChristina Cain-swopeJane CaseKeri CavanaughKeith ChurchwellNathaniel ClarkJennifer CluneRobert CroninJan DeLozierTerence DermodyNeerav DesaiTodd DoranWes ElySergio FazioJosh FesselReid FinlaysonMichael FowlerEitan FriedmanHoward FuchsLeslie GewinMark GlazerThomas Golper

Jennifer GreenWilliam GreggRay HarrisBenjamin HeavrinStephan HeckersPaula HerrmannRich HockTodd HulganAdriana HungSusan KroopJon KropskiLewis LefkowitzMacRae LintonAndrew MichelRobert MillerKayvon ModjarradAllen NaftilanRobertson NashJohn NewmanMickey OttDon ParkBrent PenningtonAndrew PfefferCamiron PfennigLara PhillipsJames Powers

Jennifer PowersJason PritchettScott RodgersS. Trent RosenbloomTony RossNeil SanghaniElizabeth SastreShane SavageDouglas SawyerStacey ScheibGerald SchulmanJohn SergentDavid SloskyJeff StovallDaniel StoverOliver StroehMelanie SwiftCecelia TheobaldMay ThomasseeGraham TownsAndrea UtzMary VuRoy Zent

RESIDENT PHYSICIANS

Rachel AppleNick BurjekJustin GreggKelly KohorstConrad MylerJamie RobinsonMorgan WallsMichael Wolf

NURSING STUDENTSMelody CastilloAlexa ClayKathleen DanhausenMorgan DirlamLydia ElliottBrittany EstradaJustine FrankoLauren HansenEliza Claire HarperStephanie HolcombeLaura LeathermanShannon MorrisSarah MorrowElizabeth MunozAlison PeaperAbby Pfleiderer

Stephenie PlowdenSarah QuirkAnne RichardsKathryn RobertsKristi RoykoAlicia SattlerJanell SendaAli Sevilla De CoccoSharon ShinKaitlin SpanglerDenean WallsTanicia WashingtonPatria WehrmanAnne Westmoreland

MEHARRY MEDICAL STUDENTSNnenna AginamAyeetin AzahRhae BattlesGwinyai ChikwavaCheryl ChunLauren CooperDominique CulverKeylon GlawsonJulian Hinson

VOLUNTEERS “What is even more important and significant... students have a desire to serve others. For many students, this is why they came to Vanderbilt in the first place.” Scott Rodgers, M.D. ‘94, Associate Dean for Medical Student Affairs

(MeHarry cont.)Kehinde IdowuGeorgina IyamuSonia JacksonNabilah LariJean MbachuBabajide OsunsanmiJenny OusleyCarlos PachecoJacob PalubickiJeNita PartridgeMattheus RamsisMinoo SarkaratiJamar SlocumJaMia WashingtonDeena Yousif

NUTRITIONAL CARE PLANNERSIna AblesSpencer AndersonLauren BradfordTaylor BurnetteKimberly ConnaherNicole FamularoAugusta Hasse

Neil HerringtonKathryn IgnackiLauren JacowaySarah KraynakAndrea LiptakLigia LopesJenna McCleanAshley MuellerStephanie MuricoKate PrzybycienTiffany SchaeferBrittany SilerElizabeth SullivanJacqueline SullivanLindsey VanDoornikRachel WallSamantha Yarolimek

VOLUNTEERSAAdaugo AmahHannah BerkeJillian BerkmanKatherine BetkeBeth BourneMegan BreyerItalo Brown

Stephania ByrneLuis CalderonKoula CallahanHanna ChapmanWeihan ChenZaid ChoudhrySeth ChristmanSimon ChungReaves CrabtreeShannon CrosbyLeon DarghosianAlejandro De FeriaFiona DeslandMichael EdwardsRachelle FalkKristen FindleyJohn FoleyLaura Ashley FranklinSam FriedmanEllie GalimbertiVrinda GoelWilliam HaberstrohJanet HannaAmber HardemanCorey HassellTamanna Huda

James HughesJessica IslamElizabeth JacksonCiara JohnsonClaudine JonesFlorencia KanttElizabeth Kelley-SwiftLisa KoenigLauren KolskiJoe LaakmanKatie LeeSean LeeTian LeeAngel LinSam LintonMatthew LotzMegan LynchMonique MarshallColin MartynJeannette MathieuAnna McGrewAmanda McKinneyKimberly McKissackMargaret MirroMina MousaAzim Munivar

Shyam MuraliJakela NealCaroline NebhanFrancisco Ochoa-VargasMichelle ParkRyan Colby PassaroAjun PillaiTaylor PittRyan PlanchardSara PostKevin QinAndy RainerRajesh RamakrishnaTara RamaswamyMackenzie RichardsonLauren RouseTommy SaboridoLaura SalvatoreRachael SaporitoMalvi SavaniKatrina SinghAjan SivaramamoorthyElizabeth SmithJason SmithTaryn SmithTina Tian

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(Volunteers cont.) Elli TrousdaleKati TurnerErica Von SteinGerald WakefieldTulani WashingtonRachel WilliamsThomas WilliamsCharlies XiePark YunaLichun Zhou

VUSM 2012Gabriela AndradeKatie AyersEmily CoopersteinChristian FuchsRimal HanifBrad LindellCarol LoganZurabi LominadzeDavid MarcovitzJolene MariottiEmily MastonSamit PatrawalaAlon Peltz

Mazeyar SabooriAdam ShpigelJenna SopfeErin ToazAdam Wegner

VUSM 2013Suzanne AlfanoNatalie AusbornBrian BarnettJoshua BilsborrowMichael CasnerKatie CollinsBen DeschnerAnjali DeshmukhBrent EvansAnna FahySuzanne FoxDavid FriedlanderRyan FritzErin FulchieroPamela GiacaloneEverett GuEverett GuScott HaganAmanda Harris

Laila Hassam-MalaniDustin HippVanessa JohnsonKatherine KudybaRyan LangAlana LewisNeil ManusLauren MiotonDavid MooreNatalie NesmithVan NguyenKathy NiuRavi PatelKlint PeeblesMichael PelsterLaura PetersonNatalia PlotnikovaSarah ProffittCraig SheedyDavid SilvestriLakshmi SivarajanBilly SullivanTaylor SundbyBrittany TaylorTyler WindersVictoria Wurster

Audrey YeZach YonedaAmy ZhaiLi Zhou

VUSM 2014Annie AhnJonathan AndereckNkiruka ArinzeLaura BallengerRachel BlochMagda BokiejFrances ChengIsaac ChocronJavier CifuentesMatthew ClarkJordan CohenMary DeAgostinoKathleen DohertyAllison FerreiraAnna GarciaPhillip GorrindoKimberly GrelliJoshua GutierrezGrace HoVanessa Hux

Karola JeringCharissa KahueNatasha KassimCarmela KiralyHarish KrishnamoorthiAnupam KumarHaerin LeeYan LiPaula MarincolaNicholas MarkhamRyan McGrathAndrew MedveczRachna PatelMarta PerezWalker PlashCristin QuinnQuentin ReuterNishma SachedinaSina Salehi OmranSarah ScottMonique SimpsonShannon SkinnerNicholas SmithIlana StolDaniel SunRussell Sundby

“What is even more important and significant... students have a desire to serve others. For many students, this is why they came to Vanderbilt in the first place.” Scott Rodgers, M.D. ‘94, Associate Dean for Medical Student Affairs

(VUSM 2014 cont.)Analise ThomasJames TsahakisCarla ValenzuelaPrakash VempatiJonathan WolfeBrian Wright

VUSM 2015David AmsalemDaniel ArteagaDaniel BalikovNathaniel BloodworthKelly BouquetJana BregmanVanessa BuieBrian CashJeremy ChanSean ChesterSarah CogginsMonica Da SilvaWilliam DavisGadini DeliscaAndrew DornanStephen DornerStessie Dort

Magdalena DorvilAdeline DozoisHillary DrexlerSarah EckhardtGretchen EdwardsCristina FarkasShanik FernandoStephen GadomskiGlynnis GarryZain GowaniElizabeth GreenFayrisa GreenwaldKatie GuessMelissa HarinthoBrendan HayesBrian HeinigerCatherine HighamMerla HublerTenisha JamesLillian JohnsonDeepa JoshiDaniel KashimaRebecca KaslPatrick KellyLucy Boyce KennedyBharat Kilaru

Shannon KohRosalynne KormanGregory LachaudTravis LadnerDanielle LaMorteRichard LatuskaMargot LazowYoung LeeCooper LloydMichael MaggartJasia MahdiBenjamin McCormickIan McGuinnessMonique McKieverAshley MorganClinton MorganSamaiya MushtaqMatt NingMobola OyefuleTrisha PasrichaDaniel PipilasDaniel PomerantzEdward PowersMatthew PuccettiMythri ReddyCharles Rodriguez-Feo

Meredith RogersPooyan RohaniTulsi RoyRichard SamadeChelsea SamsonVasanth SathiyakumarCalvin ShengArnie SilverbergCiaran SmolinskyMatt StierKenneth TaubenslagMatthew TaussigRobert TurerAto WallaceLulu WangKat WeberKelly WilliamsonDenise YeEmily ZernLilly Zhu

VUSM 2016Chike AbanaRyan AdamsAbraham AlvaradoIshan Asokan

Diego AvilesFadi AzerCourtney BakerCaitlin BellMonica BhutianiJoseph BoyleGeoffrey CasimirKatie CharlesJohn ChenPaul CohenPerrin ConsidineMatthew CorreiaJaime De La FuenteDeanna DickermanDaren DiiorioMana EspahbodiCherie FathyDeirdre FinneganCatherine GarveyRachana HaliyurDeAngelo HarrisNicholas HarrisNeil HolbyBenjamin HooeKristen HovisAshlee Hurff

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(VUSM 2016 cont.)Rivka IhejirikaEbone IngramKelli JarrellDaniel JohnsonHannah JohnsonLaura KaufmanHarrison KayVanessa KennedyJonathan KnowltonKrystian KozekEmily KrainerSanah LadhaniJames LeeEleonor LegerRobert LentzMichael LittShawn Love

MariaSanta MangioneMary MastermanEmily MerkelVictoria MigdalLaura MurphyAaron NollMalena OuthayLindsey ParksKensey PeaseKelly PekalaAlec PetersenEric Rafla-YuanNida SafdarNicholas SaltarelliNicholas ShelburneJared ShensonAnne SmithJustin Smith

John StokesEszter SzentirmaiBrittany TielburTaylor TrianaAllison UmfressLucy UngerCameron UpchurchMary Van MeterLeonela VillegasJennifer WatchmakerGabrielle White-DzuroIsa Wismann-HortherKelly WolenbergGeorge YangTiffany YangAaron Yengo-KahnLily YuChi Zhang

Larry ZhangSophie Zhao

MSTPLaura ArmstrongCourtney CampbellElana Feingold-LinkKate GurbaMary Ellen Koran

Kevin KumarScott McCallCatherine MeadorKelli MoneyIndia ReddyMatthew SurdelPratik TalatiMaria TamborskiPedro Teixeira

“Shade Tree Clinic provides the unique opportunity to master practical clinical skills and learn about complex diseases processes from some very effective teachers: the patient themselves.”

Kelli Jarrell, VUSM Class of 2016

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Fundraising and Future Directions

Now in its fifth year, the Shade Tree Trot is the largest community fundraising event for the Shade Tree Clinic. Each spring, this 5K race/walk around Vanderbilt University campus brings together members of the greater Nashville community. The morning of the race is full of excitement as champions of community and health celebrate the mission of the clinic. Through this event, all participants and many local businesses have the opportunity to support Shade Tree through valuable contributions as race sponsors, individual donors and registrants.

With more than 600 registrations and raising over $25,000 in 2012, the Shade Tree Trot is well on its way to becoming a signature Nashville event. Professional chip timing, live enter-tainment, and meet and greets with current Shade Tree patients provide a wholesome family-friendly event that keeps racers coming back year after year. Additionally, students engaged in this initiative walk away with improved skills in fundraising, marketing and public speaking that will be an asset to them as future physicians. Patients in need are the ultimate beneficia-ries as 100 percent of the proceeds go to the clinic.

Shade Tree Trot

Shade Tree is a free clinic. It is an enterprise made possible by the support of our partners and our volunteers.

It is continually humbling and encouraging to see the overwhelming support of students and faculty, as well as our institutional partners. It is a true testament to our mission and to the value of compassion and moral inclusivity among our health care community in Nashville. We want to thank all of our volunteers, supporters and advocates. It has been a pleasure working with you, and we are eager to see your future contributions to the Shade Tree effort!

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1223 Dickerson PikeNashville, TN 37207

www.shadetreeclinic.orgtel: 615.422.5262