Undergraduate Roles in a StudentRun Free Clinic Kaitlyn

Undergraduate Roles in a Student-Run Free Clinic Kaitlyn Jacobs 1, Sean Taasan 1, Sofia Gabrilovich 2 University of Florida 1, University of Florida College of Medicine 2 Introduction The Equal Access Clinic Network at the University Of Florida College Of Medicine is a free clinic located in Gainesville, Florida, organized and funded entirely by student volunteers. The network consists of four primary care clinics, with a different location each night, Monday through Thursday, along with specialty clinics that provide services such as physical therapy and women’s health. Each primary care clinic is staffed by undergraduate, medical, and pharmacy students. In the past year, upwards of 1500 patients visited our clinics. Undergraduate volunteers are members of the Health Outreach Quality Improvement program (HOQI). At three of the sites, volunteers apply through HOQI and are supervised by a single site officer at each location. This poster will primarily focus on the Main Street location, which is unique in that it is run in conjunction with the UF Premed American Medical Student Association. Undergraduate volunteers with HOQI are responsible for performing in-clinic roles (processing patient intake and taking vitals) and care coordination (entering patient information into a database and making follow-up calls). Volunteers at Main Street through UF Premed AMSA are also responsible for raising funds for the clinic, primarily through the annual Equal Access Clinic Network 5 K. A. Intake a. Contact information, screening questions, mental health and domestic violence screening, social history, and chief complaint B. Vital signs a. Height, weight, temperature, pulse, respirations and blood pressure C. Patient presentation to the medical students a. Preparation format similar to what medical students are expected to present D. HIV screening E. Shadowing medical students F. Translator when appropriate RESEARCH POSTER PRESENTATION DESIGN © 2012 www. Poster. Presentations. com Future Directions Volunteers are responsible for performing the following care coordination with patients: EACN is funded through grants and personal fundraising efforts from undergraduate and medical students. A. Patients are assigned to individual undergraduate volunteers B. Enter patient visit data into Red. Cap, an electronic database used to capture information for research purposes C. Follow-up phone calls with each patient within a few weeks after their visit: a. Identify any possible changes in condition b. Check status of lab orders and prescriptions c. Patient satisfaction survey d. All of the information documented in Red. Cap e. Schedule the patient for a return appointment to the clinic if necessary D. Checking voicemails and handling miscellaneous office tasks a. Especially critical as the clinic is entirely student-run, and does not have any full-time employees available to answer the phone E. Process medical records requests Undergraduate requirements include: A. Fundraise at least $250 in total throughout an academic year via local business or personal fundraisers organized by the student B. Recruit runners for the annual Equal Access Clinic Network 5 K. Care Coordination Totals 2014 Calendar Year In-Clinic Roles Fundraising Care Coordination Steps 1, 534 Equal Access Clinic Network 5 K: A. Largest fundraising event for the school year B. Currently in its 18 th consecutive running year C. In 2014, raised $5, 000+ in funds for the clinic, the highest net profit the race has raised to date D. Volunteer responsibilities include pre-race, race-day, and post-race tasks including: A. Advertising through local radio stations B. Soliciting donations from local supermarkets for race-day food C. Soliciting local businesses to provide prizes for winners All funds raised by the undergraduates are used directly for patient care including replenishing regularly used supplies (A 1 Cs, blood glucose testing strips, and urinalysis test strips), purchasing new supplies to upgrade the clinic, patient labs, etc. Total successful follow-ups Fig. 1: A summary of the total number of patient visits at the clinic along with the total number of successful follow-ups as part of care coordination responsibilities. A successful follow-up is defined as entering patient information into Red. Cap for research purposes and either a) contacting the patient and resolving any issues they may have or b) attempting three follow-up calls without being able to reach the patient. Conclusion As illustrated by these three areas, undergraduate volunteers can play a crucial role in operating a studentrun free clinic. By using undergraduate volunteers, medical students can utilize their more specialized skills on tasks that specifically require them. Additionally, undergraduates’ schedules enable them to perform tasks such as care coordination and fundraising in a way that may be more difficult given the intensive schedule of most medical students. 1, 360 Undergraduate Fundraising 2013 -2014 Academic Year Total patient visits Changes in protocol implemented within the past year have helped improve efficiency and learning at Main Street: A. Implementation of reverse triage-based system decreasing intake time and efficiency B. Using Google documents to facilitate communication between medical student and undergraduate officers C. Assigning patients to medical student volunteers prior to completion of intake allows students to review patient charts thereby improving efficiency D. Undergraduate volunteer presentations to medical students has facilitated further learning opportunities and experiences that can later be used in medical school and prepares medical students to patient’s immediate needs $2, 792 $2, 133 $752 5 K total Donations total Fundraisers total Fig. 2: A breakdown of funds raised by undergraduates during the 2013 -2014 academic year. The 5 K total includes money raised by entrance fee to the raise. The donations total includes money donated by businesses. The fundraisers total includes money raised through volunteers’ personal fundraisers. Acknowledgements We would like to especially thank Austin Reed for his support, particularly with obtaining data used to summarize care coordination efforts.