student run homeless clinic orientation 2011-2012
TRANSCRIPT
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, [email protected] 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) • [email protected]
• Gideon R. Gorit (Administrative Chief)• [email protected]
• Alexa Merz (Education Chief)• [email protected]
• Cindy Her (Scheduling Chief)• [email protected]