Student Run Homeless Clinic Orientation

SRHC History Started by UCLA Dept of Family Medicine in 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

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 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 2 nd & 4th Saturdays of every month, 9 am-12 pm 505 Olympic Blvd Santa Monica, CA Winter Shelter Clinics Dec 1-March 15 West Los Angeles National Guard Armory 1300 Federal Avenue, Los Angeles, CA Every Monday, 6-9 pm Glendale 220 E. Colorado Street, Glendale, CA 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 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: 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 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

Elective – MSIII & MSIV Period of Participation: MSIII: July June 2012 MSIV: July 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 Womens Health LGBT Dermatologic Issues in the Homeless Harm Reduction And others…

Scheduling If youre in the Selective/Elective – sign up on the website Web sign up: Clinics calendar : Both components will be transferred to our new website at: If youre not in the Selective/Elective – contact Scheduling Chief, Cindy Her, Cancellation Policy Must cancel by Sunday at midnight the week of clinic If fail to do so? 1 st offense: WARNING 2 nd offense: extra clinic 3 rd 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 Video Click herehere

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 2 nd, 3 rd, or 4 th 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 youre interested in becoming a Chief!

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)

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 (Find it under Training Medical Student Homeless Clinics) IMPORTANT CONTACTS Mary Marfisee, MD, MPH (Program Director) Gideon R. Gorit (Administrative Chief) Alexa Merz (Education Chief) Cindy Her (Scheduling Chief)