TRANSITIONING FROM A HOSPITAL-SUPPORTED FREE CLINIC TO A

TRANSITIONING FROM A HOSPITAL-SUPPORTED FREE CLINIC TO A FREE STANDING STUDENT RUN CLINIC Eastern Virginia Medical School Terri Babineau, M. D. , FAAFP, Director Student Community Outreach, EVMS ; Keegan Ziemba, MPH, EVMS MIII; Christina Funari, MPH, EVMS MII; Rachel Hassenpflug, EVMS MII Obstacles to Overcome A Clinic in Need of Change • New Clinic Location • New administration, supplies • Proof of public need for a free clinic • Financial Support • Initial clinic in neighboring city • Local hospital provided financial, logistical support and administration • Patients unreliable in follow-up, some hesitancy in seeing students • Students- extreme commute to the clinic Acquiring a New Location Possibilities: • Local hospital outpatient clinics • Local medical practices • Local Public Health facilities Problems Encountered: • Difficulties sharing space with students • No foreseen need to provide care to indigent • Spaces not suitable for seeing patients A Typical Appt • 5: 00 pm- Patient checks in • 5: 15 - Patient triaged: vital Clinic signs, chief complaint Manager • 5: 30 - Clinician team sees Administrative the patient personnel • 6: 00 - Consults w/ attending physician, plan created and Senior Junior implemented. Clinician • 6: 15 - Patient checks out Additional Clinic Outreach Triage • Patient Education Attending Physician • Clinic Manager: 2 nd year MD or PA student • Admin: Any trained student • Triage: Med Master, any MD, PA students • Senior Clinician: MD 3/4 or PA 2 • Junior Clinician: MD 1/2 or PA 1 Community Health Programs • Management of Chronic Disease Screenings HTN, DM, Glaucoma , etc Other Resources (examples) • Nutrition and Exercise • Art therapy, physical therapy, social work (? affiliation with other local universities) • Alternatives sources for prescription medicine Incorporating E. M. R • Partnership with local hospital group’s EMR • Remotely accessible, minimal costs • Already used by EVMS students, residents, faculty • Enable coordination of specialty care Features • Individual patient records • Automated templates • Tracking clinical measurements over time • Enables easier clinical research Looking Beyond the Medical Community… • Nearby Church • Already active in outreach o Weekly soup kitchen, homeless winter shelter, medical mission trip and commitment to clinic o Adaptable Space