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					SRHC Orientation 2007-2008

The clinics
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Samoshel – Santa Monica, alt Saturdays from 9am-12pm Westwood Transitional – Westwood, sort of. One Saturday/month 9am-12pm Mobile Clinic – West Hollywood, every Wednesday 6-9pm

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Your role
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Take the history Perform the physical exam Grab one of the MS3’s or MS4’s for help if you need it Present to the attending Write a note co-signed by the attending

Santa Monica StudentRun Homeless Clinic Sites
The “Virtual Tour”
-Jeanne

Chung (Samoshel) and Mona Rohit (Westwood) -Santa Monica and Westwood SRHC Scheduling Chiefs 2007-2008

First, some background …
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Santa Monica Shelter = “Samoshel”
505 Olympic Blvd Santa Monica, CA 90401 Phone 310-581-9825 Fax 310-581-9314 email: ________@opcc.net (depending on case manager) www.opcc.org

Samoshel “Factoids”

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The Samoshel clinic focuses on providing free health care services to the adult homeless population by offering:
- general physicals, basic primary care treatment, and preventive health services  referrals to appropriate facilities for additional testing, imaging, and treatment

More Factoids …
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The Samoshel homeless shelter became a part of the OPCC (formerly Ocean Park Community Center) in September 2005.
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Established in 1994 by the Salvation Army to provide homeless men and women an alternative to living on the streets and to help them obtain jobs and permanent housing. On-site services include: case management, counseling, 12-step meetings, housing referrals and employment assistance.

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Overall “gestalt” of clinic pts
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As Samoshel provides emergency and transitional housing for 110 homeless adults, a steady stream of patients and a variety of medical concerns are serviced at Samoshel clinics:  Most common symptoms range from upper respiratory infections to dermatologic complaints.

(Yes, there is an aquarium on-site and this is not just a random picture. )

Westwood Transitional Village
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Single parent families Pediatric and adult medicine History & Physical Immunizations 1-2 clinics/month MS1/2 paired with MS3/4

Westwood Transitional Village
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Common conditions:
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allergies, URIs, HTN, GERD, IBS, DM, musculoskeletal & dermatologic (acne, eczema, dermatitis) manifestations

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Family planning Referrals to VFC, LAFC, short-term housing, domestic violence shelters, and Salvation Army programs

Mobile Clinic
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Corner of Sycamore and Romaine
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Every Wednesday night - rain or shine!
Will be held in October Contact Marcus Urey murey23@gmail.com for more information

Separate Orientation
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And now … the “Virtual Tour”
Role of Clinic Chiefs:

-To help everything at clinics run smoothly
-Help set-up, sign up patients, assign cases, act as your secretaries, see patients as necessary, and organize teaching sessions.

Social History Note
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When undergraduate volunteers are available at clinics:
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Assist with initial patient encounter Fill out a more detailed Social history form before medical student begins medical H&P

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Provided option of shadowing medical student or seeing another patient

Intake H&P and Progress Note

Sometimes …
Sometimes you’re buddied up with someone – either another medical student or an undergraduate.

You can tag-team the encounter and also take time to do some teaching.

Sometimes … you’re all alone.

But, judging from Tiffany’s smile, it’s not too bad. 

Sometimes …

… you’ll be going beyond a basic H&P to give flu shots

… the clinic will be busy so you’ll be searching for your own meds

Usually: Clinic chiefs try to help you with finding meds and keeping the medication logs up-to-date (less paperwork for you = happy volunteer )

Sometimes …

Lots of meds!

The chief complaint is short and sweet … other times pts are complicated.

Most of the time …

… presentations are fun and full of good teaching points … wait, make this pretty much all of the time. 

… further detailed patient communication after the initial interview is helpful.

But, hopefully, ALL the time …
You leave smiling and your patients leave smiling too. 

Hope to see you at our Clinics!

… and at our meetings, where there’s free food! 

SRHC Selective/Elective Requirements

Selective: MSI & MSII
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Period of Participation:
October 2007 - June 2008

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Fulfills requirements for one selective done in either the first or the second year

Selective: MSI & MSII
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Orientation Session & Vaccination Training Mobile Clinic Orientation (if volunteering at Mobile Clinic) 5 clinics 1 evening seminar Attendance at the wrap up session or a 1-2 page reflective paper on an experience at a clinic All requirements must be completed by June 1, 2008

Elective: MSIII & MSIV
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Period of Participation:
MSIII: July 2007 - June 2008 MSIV: July 2007 - May 2008

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FP253.03: Provides One week of 200-level credit for your fourth year

Elective: MSIII & MSIV
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Orientation Session & Vaccination Training Mobile Clinic Orientation (if volunteering at Mobile Clinic) 7 clinics 2 evening lectures/seminar Attendance at the wrap up session or a 1-2 page reflective paper on an experience at a clinic MSIII: All requirements must be completed by June 1, 2008 MSIV: All requirements must be completed by May 1, 2008

Lecture Series
(all lectures in room 63-105 from 6-8pm)
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Tuesday 9/25/07: SOAP notes and H&Ps for homeless patients - SRHC Chiefs Wednesday 10/17/07: Barriers to healthcare for homeless patients - Dr. Gelberg Wednesday 11/14/07: Dental health for homeless patients - Dr. Sung Thursday 1/10/08: LGBT homeless patients special needs and concerns - Dr. Riley

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More talks to be scheduled later. . .

Further Opportunities
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In your 4th year you can become a Clinic Chief Opportunities to be involved in clinic leadership Diverse chief positions let you focus on your area of interest Help carry on a valuable resource for the clients and the medical students Provides one week of 100-level credit and one week of 200-level credit More information about this will be provided later in the year

Questions
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For more information see:
http://fm.mednet.ucla.edu/comm-outreach.html

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Please address any questions not answered at this session to: Paula Josephson Shulman: pshulman@ucla.edu or Jo Marie Janco: jjanco@ucla.edu


				
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