Student-Run Free Clinics ANNUAL REPORT 2011 - University of ...
Student-Run Free Clinics ANNUAL REPORT 2011 - University of ...
Student-Run Free Clinics ANNUAL REPORT 2011 - University of ...
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MEDiC<br />
<strong>Student</strong>-<strong>Run</strong><br />
<strong>Free</strong> <strong>Clinics</strong><br />
<strong>ANNUAL</strong> <strong>REPORT</strong><br />
<strong>2011</strong><br />
MEDiC exists to improve the health <strong>of</strong> the<br />
underserved and to educate <strong>University</strong> <strong>of</strong><br />
Wisconsin health pr<strong>of</strong>essions students.<br />
ENHANCING EDUCATION<br />
SERVING OTHERS<br />
1
Table <strong>of</strong> Contents<br />
MEDiC Council and Vision<br />
Members 3<br />
Mission, Goals, and Accomplishments 4<br />
Committees 5<br />
MEDiC and the Wisconsin Idea 6<br />
MEDiC Spotlights<br />
20 th Anniversary 7<br />
MEDiC in the Media 8<br />
MEDiC Volunteers 9<br />
Volunteer Awards 10<br />
Honored Volunteers <strong>of</strong> the Month 11<br />
MEDiC Awards 12<br />
President Spotlight 13<br />
Noon Talks and Sports Physicals 14<br />
Clinic Renovations 15<br />
Where are They Now 16<br />
Clinic Reports<br />
Grace Clinic (1991) 34<br />
Salvation Army (1991) 38<br />
Southside (1992) 42<br />
Safe Haven (1996) 46<br />
Michele Tracy (1997) 50<br />
ARC House (2003) 52<br />
Salvation Army Dental Clinic (2009) 56<br />
Acknowledgements 60<br />
Full Media Articles 61-64<br />
Interdisciplinary Healthcare in Action<br />
The Interdisciplinary Way 17<br />
Nursing 18<br />
Pharmacy 19<br />
Physical Therapy 20<br />
UW-Dermatology Program 21<br />
Physician Assistant 21<br />
Turkey Bowl 22<br />
<strong>Run</strong>ning for a Cause 23<br />
Reach Out and Read 24<br />
Financial Reports<br />
Budget and Expenses 25<br />
Gifts, Fundraising, and Grants 26<br />
Allocation <strong>of</strong> Budget 27<br />
Estimated & Actual Value <strong>of</strong> Expenditures 28<br />
MEDiC Data Report<br />
Cumulative Report-Overall 29<br />
Cumulative Report-Demographics 30<br />
Cumulative Report-Medications 32<br />
Cumulative Report-Referrals 33<br />
Table <strong>of</strong> Contents<br />
2
Council Members<br />
Parker Hoerz<br />
President<br />
John Gamble<br />
Vice President-Finance<br />
Kathryn Zavala<br />
Vice President-Development<br />
Jennifer Ciske<br />
Public Relations<br />
Ben Ciske<br />
Data Project<br />
Kristin Ebert<br />
Safe Haven Clinic Coordinator<br />
Karlo Kovacic<br />
Grace Clinic Coordinator<br />
MEDiC Council and Vision<br />
3<br />
<strong>2011</strong>-12 MEDiC Council Members<br />
Micah Katz<br />
Grace Clinic Coordinator<br />
Stephanie Ziebarth<br />
South Side Administrative<br />
Coordinator<br />
Laura Shank<br />
South Side Administrative<br />
Coordinator<br />
Claire Flanagan<br />
South Side Clinic Coordinator<br />
Stephanie Treffert<br />
South Side Clinic Coordinator<br />
Alicia Sprecher<br />
Salvation Army Clinic<br />
Coordinator<br />
Daniel Hertel<br />
Salvation Army Clinic<br />
Coordinator<br />
Bonnie Garvens<br />
Salvation Army Intake<br />
Coordinator<br />
Johanna Streyle<br />
ARC House Clinic Coordinator<br />
Tom Garvey<br />
Michele Tracy Clinic<br />
Coordinator<br />
Laurel Bessey<br />
Michele Tracy Clinic<br />
Coordinator<br />
Andrew Stein<br />
Dental Clinic Coordinator<br />
Katie Munck<br />
Dental Clinic Coordinator<br />
Alice Jiang<br />
Community Resources<br />
Erin Peck<br />
Community Resources<br />
Kelli Pointer<br />
Community Resources<br />
Andrea Dale<br />
Referrals Coordinator<br />
Jillian Landeck<br />
Referrals Coordinator<br />
Jenna Ingersoll<br />
Referrals Coordinator<br />
Cali Campbell<br />
Physician Scheduler<br />
Trista Stankowski-Drengler<br />
<strong>Student</strong> Scheduler<br />
Kristina Bennwitz<br />
Drug Supply Coordinator<br />
Elizabeth Pieper<br />
Drug Supply Coordinator<br />
Jessica Johnson<br />
Drug Supply Coordinator<br />
Amanda Herder<br />
Pharmacy Volunteer<br />
Coordinator<br />
Julie Elliott<br />
Nursing Involvement<br />
Coordinator<br />
Amy Kopp<br />
Nursing Involvement<br />
Coordinator<br />
Sarah Youngbauer<br />
Nursing Involvement<br />
Coordinator<br />
Ashley Fenske<br />
NP Coordinator<br />
Bethany Hanke<br />
NP Coordinator<br />
Ryan Schouweiler<br />
Physical Therapy Coordinator<br />
Amanda Stinson<br />
Physical Therapy: SA/Grace<br />
Shelby Johnson<br />
Physical Therapy: SA/Grace<br />
Krista Ryan<br />
Physical Therapy: MT/ARC<br />
Miranda Beck<br />
Physical Therapy: MT/ARC<br />
Sarah Polenska<br />
Physical Therapy: South Side<br />
Grace Trabulsi<br />
Physical Therapy: South Side<br />
Janelle Burnham<br />
Physical Therapy: South Side<br />
Ryan Adams<br />
Physical Therapy:<br />
Statistics/Supplies<br />
Jessica Fedie<br />
PA Coordinator<br />
Joseph Strangfeld<br />
PA Coordinator
Mission & Goals<br />
The <strong>2011</strong> – 2012 MEDiC Council will strive to:<br />
• Serve the underserved populations in Dane County via health education, primary and preventive care, and<br />
specialist referrals<br />
• Provide health pr<strong>of</strong>essions students with clinical and multicultural education and experiences<br />
• Celebrate MEDiC’s 20 years <strong>of</strong> service by honoring our community partners, volunteers, and donors<br />
• Develop new relationships with the Madison community, focusing especially on recruiting additional<br />
physician volunteers<br />
• Expand on MEDiC’s infrastructure and ability to serve our patients through significant renovations to the<br />
ARC House and Dental clinics along with the implementation <strong>of</strong> an electronic patient encounter document<br />
• Develop a more streamlined transition process that better enhances the training and collaboration<br />
amongst the various health pr<strong>of</strong>essions programs represented on the MEDiC Council<br />
Goals Accomplished<br />
Council Improvements<br />
• Improved communication between the various health pr<strong>of</strong>essions schools represented on the MEDiC<br />
Council<br />
• Developed an improved transition process that facilitated better interdisciplinary communication and<br />
collaboration<br />
• Established MEDiC as a venue for health pr<strong>of</strong>essions students to learn about other health pr<strong>of</strong>essions<br />
programs<br />
• Celebrated MEDiC’s 20 years <strong>of</strong> service with volunteers, community partners, and UWSMPH faculty<br />
and staff<br />
• Launched the $20 for 20 years gift campaign<br />
Improvements in Patient Services<br />
• Finished the development and began implementation <strong>of</strong> an electronic Patient Encounter Document<br />
• ARC House expanded clinic to include a Nurse Practitioner allowing us to increase the number <strong>of</strong><br />
volunteer positions available and patients seen each month<br />
• Renovations to both Dental Clinic and ARC House leading to improved quality and capacity for patients<br />
and volunteers<br />
• Expanded availability <strong>of</strong> Spanish language intake forms<br />
Improvements in Volunteer Preparation and Education<br />
• Improved and standardized the format <strong>of</strong> orientation for students <strong>of</strong> the various health pr<strong>of</strong>essions<br />
programs<br />
• Recruited additional positions from Pharmacy and Nursing for the Council, initiating a transition to a<br />
truly more interdisciplinary council<br />
• Increased on-site education to student volunteers regarding the problems surrounding our patient<br />
population (expressing goals <strong>of</strong> both clinic skill enhancement as well as education about prevalence <strong>of</strong><br />
psychiatric disorders, varying levels <strong>of</strong> literacy in the homeless population, health disparities, etc.)<br />
MEDiC Council and Vision<br />
4
Committees<br />
Communications Committee Accomplishments:<br />
• Improved communication between the various health pr<strong>of</strong>essions schools<br />
represented on the MEDiC Council<br />
• Developed an improved transition processes, facilitating better interdisciplinary<br />
communication and collaboration<br />
• Established MEDiC as a venue for health pr<strong>of</strong>essions students to learn about other<br />
health pr<strong>of</strong>essions programs by providing overviews <strong>of</strong> each program’s curriculum<br />
Public Relations Committee Accomplishments:<br />
• Transitioned to an electronic newsletter, saving significant printing and postage<br />
costs<br />
• MEDiC's Facebook page went online<br />
• Celebrated MEDiC’s 20 years <strong>of</strong> service with volunteers, community partners, and<br />
UWSMPH faculty and staff with a anniversary reception and poster session<br />
• Compiled complete list <strong>of</strong> all volunteers <strong>of</strong> the month, improving institutional<br />
memory<br />
• Enhanced VOM certificate design<br />
Fundraising Committee Accomplishments:<br />
• Launched the $20 for 20 years campaign<br />
• Received record donations from MEDiC family and friends<br />
• Raised a record amount <strong>of</strong> money, adding to organizational sustainability<br />
MEDiC Spotlights<br />
Physician Recruitment Committee Accomplishments:<br />
• Began tracking volunteer physician contact information<br />
• Developed a recruitment letter and distributed it to physicians via their medical<br />
student mentees<br />
• Developed a database for volunteers - where they work, etc.<br />
• Increased physician awareness <strong>of</strong> the need for volunteers with MEDiC.<br />
• Added 10 new provider volunteers in <strong>2011</strong><br />
• Worked with current volunteers to improve the physician volunteer experience<br />
• Implemented a new physician scheduling process (December <strong>2011</strong>)<br />
5
MEDiC and the WI Idea<br />
Year <strong>of</strong> the Wisconsin Idea<br />
More than 100 years ago the concept <strong>of</strong> “The Wisconsin Idea” came into being, a<br />
phrase coined to express our collective values and UW-Madison’s unique commitment<br />
to collaborate with the people <strong>of</strong> Wisconsin, sharing knowledge and resources in<br />
order to improve lives everywhere.<br />
This idea has guided the university’s work, illustrating our commitment to the values <strong>of</strong> democracy, selfgovernance,<br />
egalitarianism, integrity, truth, and interpersonal connectedness.<br />
Although the concept reaches back into the 19 th century, the Wisconsin Idea was formally named in 1912<br />
when Charles McCarthy described the philosophy in a book by that name. The <strong>University</strong> <strong>of</strong> Wisconsin-<br />
Madison celebrated the Year <strong>of</strong> the Wisconsin Idea in <strong>2011</strong>-2012 to honor this longstanding commitment to<br />
providing service to the families, businesses and communities <strong>of</strong> Wisconsin and beyond.<br />
To read more about the Wisconsin Idea, please visit: http://go.wisc.edu/709o78<br />
MEDiC: Fulfilling the Wisconsin Idea<br />
Physicians and health pr<strong>of</strong>essions students work respectfully together with<br />
community partners to bring the Wisconsin Idea to life, and to share our resources,<br />
knowledge and skills with the people <strong>of</strong> Wisconsin. We believe that all Wisconsin<br />
families deserve access to high-quality, affordable health care. MEDiC's mission is to<br />
provide free health care to those in need, and provide meaningful educational<br />
experiences outside the classroom for health pr<strong>of</strong>essions students. With the help <strong>of</strong><br />
our community partners, we are able to realize the values <strong>of</strong> the Wisconsin Idea.<br />
MEDiC’s contributions to the Wisconsin Idea were acknowledged in a kind letter from<br />
UW-Madison Chancellor David Ward. The following is an excerpt from this letter:<br />
MEDiC Council and Vision<br />
6
20 th Anniversary<br />
On October 28, <strong>2011</strong> MEDiC celebrated its 20th anniversary with students,<br />
physicians, community partners and UW faculty and staff. The event allowed<br />
supporters <strong>of</strong> MEDiC, past and present, to honor the work <strong>of</strong> the clinics and look<br />
ahead towards another 20 years <strong>of</strong> service.<br />
Speakers included <strong>2011</strong>-2012 MEDiC President Parker Hoerz; Drs. Goodfriend and<br />
Katcher, MEDiC founders; SMPH Dean Robert Golden; Pam Brunk <strong>of</strong> the Salvation<br />
Army; Jill Watson, UW Foundation; and Jenny Ciske, <strong>2011</strong>-2012 MEDiC Public<br />
Relations Coordinator. The event was made possible through the generous support <strong>of</strong><br />
UW Health and the Wisconsin Medical Alumni Association.<br />
MEDiC Spotlights<br />
7<br />
MEDiC received the Presidential<br />
Service Award from President Barack<br />
Obama. The award was created as a<br />
way to thank and honor those who, by<br />
their demonstrated commitment and<br />
example, inspire others to engage in<br />
volunteer service. We were honored to<br />
have been nominated for this award by<br />
our partners at the Salvation Army.
MEDiC in the Media<br />
Jefferson Award: Received by Dr. Doug Dulli–<br />
long time MEDiC volunteer<br />
WKOW- May 11, <strong>2011</strong><br />
Here at the South Side clinic, 99% <strong>of</strong> the nearly 800 patients do not have insurance.<br />
MEDiC works because area doctors, like Dr. Dulli, volunteer to oversee the students.<br />
"It's very habit forming," said Dr. Dulli. "Once I started to do it the more I did it the<br />
more I enjoyed it so why cut back.“<br />
(Full Article, Page 61)<br />
MEDiC Program Celebrates 20 Years <strong>of</strong> Service<br />
Hannah Kiddoo, Madison Commons-October 27, <strong>2011</strong><br />
For the homeless, uninsured and unemployed, proper health care is difficult to find,<br />
and co-pays, transport, and communication issues present significant barriers to<br />
health care access. Still, the need for health care is high for low-income families and<br />
individuals.<br />
(Full Article, Page 62)<br />
<strong>Student</strong>-run health program nets national<br />
accolade<br />
Hannah Filipiak, Badger Herald- November 27, <strong>2011</strong><br />
A <strong>University</strong> <strong>of</strong> Wisconsin student-run health program for community outreach and<br />
student education recently received an accolade for its volunteer effects with<br />
a prestigious award from the White House.<br />
(Full Article, Page 63)<br />
Editorial: UW Doctors - Honored & Needed<br />
Honored for service, but shortage feared<br />
Neil Heinen, Channel 3000- November 30, <strong>2011</strong><br />
Earlier this week, The UW School <strong>of</strong> Medicine and Public Health received a<br />
prestigious President's Volunteer Service Award from President Obama for its MEDiC<br />
program which has UW medical students providing free health care to folks at seven<br />
Madison clinics. A day later the Wisconsin Hospital Association released a report<br />
predicting a severe shortage <strong>of</strong> primary care physicians in Wisconsin within 20 years.<br />
What a stark contrast, yet clear connection.<br />
(Full Article, Page 64)<br />
MEDiC Spotlights<br />
8
MEDiC Volunteers<br />
289 or 52%<br />
<strong>of</strong> UW Medical <strong>Student</strong>s in the<br />
classes <strong>of</strong> 2014 and 2015<br />
volunteered at least once at a<br />
MEDiC clinic in <strong>2011</strong><br />
The dedication <strong>of</strong> the students and<br />
health pr<strong>of</strong>essionals involved in MEDiC is<br />
tremendous, and I am so inspired and<br />
thankful for their commitment. The<br />
relationships and friendships I have<br />
developed through volunteering in MEDiC<br />
have been an added reward to the work we<br />
do and something that I hadn't even<br />
anticipated going into this experience.<br />
Stephanie Ziebarth, South Side<br />
Administrative Coordinator<br />
UWSMPH Class <strong>of</strong> 2014<br />
Total <strong>Clinics</strong>: 218<br />
131 physicians<br />
volunteered to fill these<br />
clinic sessions, many <strong>of</strong><br />
whom volunteer multiple<br />
times a year<br />
MEDiC Spotlights<br />
MEDiC has been a fantastic<br />
organization to be involved<br />
with. It is extremely rewarding<br />
to have the privilege to help<br />
those in need and very inspiring<br />
to work with a group <strong>of</strong> caring<br />
individuals who give their time<br />
to assist others. Thanks MEDiC<br />
and all those who volunteer!<br />
9<br />
MEDiC Orientation<br />
Trista Stankowski-Drengler,<br />
<strong>Student</strong> Scheduler<br />
UWSMPH Class <strong>of</strong> 2014
Volunteer Awards<br />
This year, Dr. Doug Dulli was awarded the<br />
Jefferson Award for Public Service.<br />
Dr. Dulli was also the recipient <strong>of</strong> the Wisconsin<br />
Medical Society Physician Citizen <strong>of</strong> the Year.<br />
Ian Stormont, MEDiC President 2010-<strong>2011</strong> and<br />
Lane Benes, Physician Scheduler 2010-<strong>2011</strong>,<br />
nominated Dr. Dulli for the WMS Physician <strong>of</strong> the<br />
Year award for his outstanding service to MEDiC.<br />
Of all MEDiC’s dedicated physician volunteers, Dr.<br />
Dulli has volunteered an unprecedented number<br />
<strong>of</strong> times at several <strong>of</strong> our clinics.<br />
My service to MEDiC is strictly one <strong>of</strong> support and respect for your own service --<br />
all <strong>of</strong> you who work with this wonderful program. I can’t think <strong>of</strong> an educational<br />
initiative at SMPH that sharpens more the focus <strong>of</strong> what that school is about, and<br />
what a doctor is really about. It’s all <strong>of</strong> you that deserve the award, I’m just some<br />
guy in the audience!<br />
Dr. Doug Dulli<br />
Dr. Dipesh Navsaria, recipient <strong>of</strong> the<br />
Wisconsin Medical Society Young Physician<br />
award, was nominated by Stephanie Booms,<br />
MEDiC Reach Out and Read Coordinator,<br />
2010-<strong>2011</strong>, for his leadership <strong>of</strong> MEDiC's<br />
Reach Out and Read program.<br />
MEDiC Spotlights<br />
10<br />
10
Volunteers <strong>of</strong> the Month<br />
Each month, the MEDiC council nominates an outstanding volunteer for special recognition.<br />
MEDiC could not succeed without the generous support <strong>of</strong> all <strong>of</strong> the volunteers.<br />
Outstanding Physician <strong>of</strong> the Year: Dr. Claudia Reardon<br />
January: Dr. Alida Evans, for going beyond her duties as medical director <strong>of</strong> ARC Clinic and being eagerly involved in<br />
the ARC renovation project – attending several meetings, assisting with budgeting, and grant writing, and <strong>of</strong>fering<br />
invaluable advice as the project moved forward.<br />
February: Dr. Matt Kutz, for his exceptional dedication to serving at the Salvation Army Dental Clinic as well as<br />
providing free care to many <strong>of</strong> MEDiC’s dental referrals.<br />
March: Dr. Art Walaszek, for his dedication and willingness to go beyond his duties as a physician volunteer when<br />
there were emergency referrals on top <strong>of</strong> a full schedule. Dr. Waleszek was willing to stay late, and, most<br />
importantly, he did not rush through his patients and was very willing to answer questions.<br />
April: Dr. Matthew Szadkowski, for volunteering three out <strong>of</strong> the four April clinics and for serving as an excellent<br />
educator for students and a role model in both compassion and dedication.<br />
May: Dr. Juan Boriosi, for his role as a frequent volunteer at South Side clinic. Dr. Boriosi serves as a superior<br />
educator, discusses cases in depth, and allows students to hone clinical reasoning skills.<br />
June: Dr. James Svenson, for his exceptional commitment to Grace Clinic where he served as the sole physician,<br />
overcame the challenges <strong>of</strong> working alone, and effortlessly balanced high quality patient care with great teaching.<br />
July: Alexis Guzmán, UWSMPH Class <strong>of</strong> 2014, for spending almost every Saturday in July at the South Side Clinic<br />
where he served as both a student volunteer, working the front desk as an intake worker, and serving as<br />
translator. His hard work and compassion for patients provides a welcoming environment at South Side.<br />
MEDiC Spotlights<br />
August: Kristi Welle and Scott Hogseth, pre-dental student volunteers, who continuously arrive<br />
early and stay late at the Salvation Army Dental Clinic in order to make sure equipment stays in<br />
fine working order.<br />
September: Lisa Bell, RDH, MPH, for her constant dedication to and hard work at the Salvation<br />
Army Dental Clinic. Lisa has taken on the additional responsibility <strong>of</strong> scheduling referrals and<br />
patients, as well as successfully providing funding for the clinic through gifts and grants.<br />
October: Bob Stenberg, UWSMPH Class <strong>of</strong> 2015, for his outstanding service as interpreter for<br />
specialist referrals. Bob’s dedication allows patients to take advantage <strong>of</strong> referrals because there is<br />
an interpreter on site.<br />
November: Raandi Schmidt, NP, for graciously stepping in as the second provider at ARC clinic,<br />
which has allowed ARC to provide care to more patients than ever before.<br />
11<br />
December: Drs. Peter Newcomer and Cassandra Valmadrid, to mark the one-year anniversary <strong>of</strong><br />
their role <strong>of</strong> Physician Mentors for Michele Tracy Clinic – we look forward to year two!
MEDiC Awards<br />
This year, MEDiC recognized Dr. Claudia Reardon<br />
as the outstanding physician volunteer <strong>of</strong> <strong>2011</strong>.<br />
Dr. Reardon was nominated by Kristin Ebert,<br />
Safe Haven Co-coordinator who explained:<br />
Dr. Reardon has been absolutely wonderful in her help<br />
with Safe Haven this year. Not only has she volunteered<br />
on a regular basis, she has also been instrumental in the<br />
recruitment <strong>of</strong> new physician volunteers for Safe Haven.<br />
Dr. Reardon has also ensured that all psychiatry residents<br />
volunteer at Safe Haven. Thanks to her hard work, we<br />
have already had two new physicians volunteer, and there<br />
are more who have expressed interest. We thank her so<br />
much for her hard work!<br />
The Residents <strong>of</strong> the Year were: Dr. Anna Corey, Dr. Annie Wilson,<br />
Dr. Laura Sedig, Dr. Matthew Szadkowski, and Dr. Brian Kleker<br />
Jason Carr, UWSMPH Class <strong>of</strong> 2014 was<br />
recognized for serving as MEDiC’s most<br />
frequent student volunteer. His dedication and<br />
consistent desire to volunteer was invaluable to<br />
MEDiC’s successful year.<br />
MEDiC Spotlights<br />
12<br />
12
President Spotlight<br />
Parker and Henry Hoerz, 2012<br />
MEDiC Spotlights<br />
13<br />
One <strong>of</strong> the greatest surprises <strong>of</strong> being on the MEDiC Council has been the other<br />
Council members. Of course, I knew from the start that they were great people, but I<br />
never imagined the effect that this group <strong>of</strong> motivated, hardworking, and giving<br />
individuals would have on me. Throughout my training, I have been frustrated by the<br />
health care system’s inability to care for society’s most vulnerable. MEDiC is certainly<br />
no cure all solution for the issues that we face, but witnessing the MEDiC Council, the<br />
students, the volunteer pr<strong>of</strong>essionals, our advisors, and our community partners pour<br />
themselves into such a worthy cause—and to know that these individuals represent<br />
the future <strong>of</strong> the health care system—shows me that our efforts are not futile and<br />
renews my drive to improve the health <strong>of</strong> the underserved.<br />
Parker Hoerz, President<br />
UWSMPH Class <strong>of</strong> 2014
Noon Talks and<br />
Sports Physicals<br />
During the school year, the MEDiC Community Resources team organizes a series <strong>of</strong><br />
"noon talks" to educate UW health pr<strong>of</strong>essional students about the issues (medical<br />
and non-medical) facing MEDiC's patient population.<br />
This year's talks have encompassed a wide range <strong>of</strong> topics including dental health,<br />
homelessness, and mental illness.<br />
• Dr. Benjamin Farrow, who volunteers regularly with the Salvation Army Dental<br />
Clinic, reminded students about the important connection between oral health and<br />
the health <strong>of</strong> the body.<br />
• Steve Schooler (Porchlight, Inc.) and Tyler Schueffner (Briarpatch, Youth Services <strong>of</strong><br />
Southern Wisconsin) informed students about homelessness in Dane County and<br />
how their organizations are working to address the issue.<br />
• Most recently, Amy, a MEDiC patient, (last name omitted for privacy) spoke about<br />
her experiences living with schizophrenia.<br />
MEDiC is thankful to our wonderful speakers for taking the time to engage students<br />
and remind us <strong>of</strong> our commitment to addressing the needs <strong>of</strong> an underserved<br />
population.<br />
Every summer MEDiC holds a sports physical clinic, providing an opportunity<br />
for high school and middle school students who are uninsured to receive a<br />
free sports physical. The clinic is a collaborative effort between, nurses,<br />
athletic trainers, physicians, UW Department <strong>of</strong> Sports Medicine, and<br />
MEDiC.<br />
• This year the clinic occurred on Tuesday, August 9, <strong>2011</strong><br />
• The clinic provided 19 physicals for high school and middle school<br />
students.<br />
• We were able to partner with BadgerCare program staff, and register<br />
qualified families for insurance coverage.<br />
Although the clinic is only one evening each year, it not only provides the<br />
necessary physicals to allow students to participate in sports, it also ensures<br />
prolonged care by referring patients in need <strong>of</strong> ongoing health care.<br />
MEDiC Spotlights<br />
14
Renovations<br />
Dental Clinic underwent a total transformation between October<br />
and December <strong>of</strong> <strong>2011</strong>. Thanks to the Salvation Army donating the<br />
empty <strong>of</strong>fice next door, the clinic is now twice as big! The renovation<br />
was made passible by: Heartland Credit Union, the State <strong>of</strong> WI, Delta<br />
Dental, Sweeney Construction, and Holt Dental Supply. We were also<br />
able to add a new dental chair, five new computers, a printer,<br />
additional sterilization equipment, and a small waiting area. If you<br />
haven't seen our new space, feel free to stop by on Thursday nights<br />
and we'll treat you to the grand tour.<br />
Katie Munck, Salvation Army Dental Clinic Co-Coordinator<br />
UWSMPH Class <strong>of</strong> 2014<br />
This year, MEDiC received the Ira and Ineva Reilly Baldwin Wisconsin Idea<br />
Endowment Grant in order to enhance and expand ARC House Clinic. This expansion<br />
will allow for an increase in the number <strong>of</strong> patients served and student volunteers.<br />
The renovations began in February with a new door, steps, and a newly painted floor.<br />
MEDiC Spotlights<br />
15
Where are They Now<br />
Claudia Reardon served as Safe Haven Clinic <strong>Student</strong> Coordinator from 2003-2004. She is now the<br />
Associate Training Director <strong>of</strong> the UW Psychiatry Residency and<br />
MEDiC’s <strong>2011</strong> Outstanding Physician Volunteer <strong>of</strong> the Year.<br />
“UW through and through” is one way people <strong>of</strong>ten seem to describe me. I completed college, medical<br />
school, and psychiatry residency here at UW-Madison, and since completing residency in June 2010, I have<br />
been a UW psychiatry faculty member. MEDiC has been and continues to be an extremely important part <strong>of</strong><br />
my UW experience.<br />
When I was a Med-1, I remember the MEDiC leaders coming to talk to us at the beginning <strong>of</strong> the<br />
academic year to describe the different clinics. When Safe Haven volunteer psychiatry clinic was described,<br />
something about it immediately drew me in. The idea <strong>of</strong> sitting with patients during intense and<br />
emotionally-trying times <strong>of</strong> their lives seemed like it could both make a true difference in the lives <strong>of</strong> some<br />
<strong>of</strong> society’s most marginalized members, and could bring lifelong pr<strong>of</strong>essional satisfaction. In starting to<br />
volunteer at Safe Haven as a Med-1 shortly thereafter, I immediately fell in love with psychiatry as a career<br />
choice, and have never looked back.<br />
As a Med-2, I was lucky enough to be chosen as Safe Haven Clinic <strong>Student</strong> Coordinator. In that role, I<br />
was able to be the continuity for the patients seen at the Clinic. I also fondly recall trying my hand at<br />
teaching the Med-1 Safe Haven volunteers about psychopharmacology and psychiatric diagnosis, and I think<br />
that was probably my first inclination toward a career in medical education. In residency, I was dismayed to<br />
find a paucity <strong>of</strong> clinical volunteer opportunities. Fortunately, I was able to work with our Residency Training<br />
Director and the UW Hospital to arrange for malpractice insurance coverage that would allow our psychiatry<br />
residents to volunteer at Safe Haven. Our residents have been volunteering there ever since.<br />
Now as Associate Training Director <strong>of</strong> the UW Psychiatry Residency, one <strong>of</strong> my responsibilities is<br />
directing the community psychiatry curriculum for residents. As part <strong>of</strong> this curriculum, each <strong>of</strong> the residents<br />
spend at least one evening at the Safe Haven clinic. It warms my heart that many <strong>of</strong> them find the<br />
experience sufficiently gratifying that they return for more volunteer evenings. To optimize exposure to work<br />
with the underserved and severely mentally ill patients in community settings, such as those at Safe Haven, I<br />
have started a Community Psychiatry Track within our residency for residents with a particular heart for this<br />
kind <strong>of</strong> work. As a faculty member, my Safe Haven roles include organizing and orienting the residents in the<br />
Safe Haven experience, recruiting new faculty volunteers for the Clinic, and volunteering there myself.<br />
I am immensely grateful for all that I<br />
learned from MEDiC starting as a medical<br />
student. MEDiC gave me a passion for<br />
working with some <strong>of</strong> the most stigmatized<br />
and underserved patient populations. This<br />
has translated into a love for advocacy work<br />
on behalf <strong>of</strong> the mentally ill, for example, by<br />
serving on a national work group on mental<br />
health parity. MEDiC also is responsible for<br />
steering me toward the specialty that very<br />
clearly was the right choice for me. Finally, it<br />
fostered in me a strong desire to spend a<br />
significant part <strong>of</strong> my time teaching medical<br />
students and residents. Thank you, MEDiC.<br />
16<br />
MEDiC Spotlights
Interdisciplinary<br />
Healthcare in Action<br />
The spirit <strong>of</strong> the integrated “School <strong>of</strong> Medicine and Public Health” is<br />
reflected in MEDiC’s interdisciplinary student cooperation. <strong>Student</strong>s from<br />
the Physician Assistant, Physical Therapy, Pharmacy, Nursing (RN and NP),<br />
and MD programs are represented on the Council and volunteer in the<br />
clinics. During MEDiC’s clinics, students form interdisciplinary teams,<br />
encouraging the exchange <strong>of</strong> information and the appreciation <strong>of</strong> students’<br />
varied skill sets. MEDiC provides one <strong>of</strong> the only cross-discipline learning<br />
opportunities for students early in their education, a practice that we hope<br />
they will continue throughout their careers.<br />
Interdisciplinary Care<br />
17
UW School <strong>of</strong> Nursing<br />
With their strengths in patient education and advocacy, nursing students have added<br />
another beneficial dimension to the MEDiC team.<br />
Nursing students, organized by Raandi Schmidt, coordinated all <strong>of</strong><br />
MEDiC’s flu shot clinics this year.<br />
Once a month, women staying in the<br />
Single Women's Shelter are invited<br />
to participate in a MEDiC Health<br />
Talk, led by two UW Nursing<br />
<strong>Student</strong>s. During the hour we have<br />
with the small group <strong>of</strong> women, we<br />
present information pertinent to<br />
their health and provide them with a<br />
safe forum to express their<br />
knowledge, concerns, or confusion<br />
regarding the topic. This year we<br />
covered topics such as Personal<br />
Hygiene, Breast and Cervical Cancer,<br />
Nutrition, and Stress and<br />
Relaxation. Some <strong>of</strong> the women<br />
may just come for the prizes <strong>of</strong><br />
water bottles, gloves, or<br />
pedometers, but they leave having<br />
formed a stronger relationship with<br />
other women in the shelter<br />
and as better<br />
self-health advocates.<br />
My positive experiences with MEDiC<br />
through volunteering at clinics drew me to<br />
become more involved in not only representing<br />
the School <strong>of</strong> Nursing, but also learning more<br />
about the other health disciplines and how we<br />
might become better connected. I have never<br />
once regretted my council position with MEDiC as<br />
it has been one <strong>of</strong> the most rewarding<br />
experiences <strong>of</strong> my college years. Being privileged<br />
enough to be able to make a difference, progress,<br />
and learn with such a strong group <strong>of</strong><br />
dedicated, smart, friendly individuals has<br />
been special to me. MEDiC feels like a family<br />
to me. We are a team working together<br />
toward common goals and in the process<br />
reaping benefits we didn't even foresee. I<br />
look forward to the continued strength <strong>of</strong><br />
this organization through new leaders and<br />
teams in the years to come.<br />
Julie Elliott, Nursing Involvement Coordinator<br />
UW School <strong>of</strong> Nursing Class <strong>of</strong> 2012<br />
Interdisciplinary Care<br />
18
UW School <strong>of</strong> Pharmacy<br />
At clinics, pharmacy students are<br />
given an opportunity to practice their<br />
interviewing skills while interacting<br />
with patients.<br />
Using their pharmaceutical<br />
expertise, pharmacy students help<br />
increase other health pr<strong>of</strong>ession<br />
students’ knowledge <strong>of</strong> medications<br />
prescribed to patients.<br />
Interdisciplinary Care<br />
MEDiC <strong>of</strong>fered me and many other pharmacy students the<br />
opportunity to be able to help the Madison community, interact with<br />
other health pr<strong>of</strong>ession students, learn practical clinical information,<br />
and apply the knowledge we learned in classes. Volunteering with<br />
MEDiC has been an enjoyable and insightful experience. It has been a<br />
great honor to serve on the MEDiC council.<br />
19<br />
Amanda Herder, Pharmacy Volunteer Coordinator<br />
UW School <strong>of</strong> Pharmacy 2012
UW Physical Therapy<br />
Program<br />
Lisa Steinkamp, PT, MS, MBA, PT Program Director,<br />
established MEDiC’s Physical Therapy clinic in 2003<br />
and created the relationship between MEDiC and PT<br />
students. PT services are in high demand for many<br />
homeless patients who spend significant time<br />
walking and carrying their belongings.<br />
Prior to my first MEDiC experience, I really did not know what to expect and how I<br />
would be able to transfer what I had learned so far in the physical therapy curriculum to<br />
actual patients. I was somewhat confused about how I would be able to help patients<br />
who did not require physical therapy services. After my MEDiC experience I realized<br />
that even though a patient may not present with a physical therapy impairment, there<br />
were still many learning experiences that I appreciated. One valuable skill I improved<br />
upon was conducting a patient history evaluation.<br />
MEDiC not only provides the opportunity for interaction between different health<br />
pr<strong>of</strong>essional students, but a chance to learn from each other. MEDiC provides an<br />
opportunity for students to apply what they have learned in their courses and help the<br />
many people who are uninsured or underinsured.<br />
Ryan Schouweiler, Physical Therapy Coordinator<br />
PT Doctoral <strong>Student</strong> 2013<br />
Interdisciplinary Care<br />
PT sponsored Bucky’s Race for Rehab, a MEDiC fundraiser<br />
20
UW Physicians<br />
Assistant Program<br />
Physician Assistant students bring a unique set <strong>of</strong> skills to the MEDiC <strong>Clinics</strong><br />
when they volunteer, including significant clinical and patient care<br />
experience. Behind the scenes, PA students helped find sponsors for<br />
MEDiC’s third Annual Turkey Bowl Fundraiser and organized the first MEDiC<br />
clothing and donation drive to benefit Porchlight and the<br />
Community Action Coalition.<br />
We have truly enjoyed the various aspects <strong>of</strong> our role as Physician Assistant<br />
Coordinators, including our time with the MEDiC council, our interactions with our class,<br />
and our individual experiences at MEDiC clinics. An unexpected benefit to serving on the<br />
MEDiC council was sharing in our fellow classmates’ MEDiC experiences. Whether it was<br />
hearing a classmate tell <strong>of</strong> her discovery <strong>of</strong> a undiagnosed heart murmur, an explanation <strong>of</strong><br />
exactly how a KOH prep works, or reviewing the components <strong>of</strong> a neurological exam before<br />
a classmate’s first clinic experience, the stories gave practical application to our studies.<br />
We will miss serving on council next year, but we are looking forward to sharing our<br />
enthusiasm with the incoming class.<br />
Jessica Fedie and Joe Strangfeld, Physicians Assistant Coordinators<br />
UW Dermatology<br />
Training Program<br />
Interdisciplinary Care<br />
21<br />
The dermatology services <strong>of</strong>fered by the MEDiC <strong>Clinics</strong> began in 2005 as a vision <strong>of</strong><br />
Dr. William Aughenbaugh, a UW-SMPH alum and former MEDiC student volunteer. As a<br />
faculty member in the UW Dermatology program, he worked to create an opportunity<br />
to provide dermatology services to MEDiC free clinic patients, as well as to provide<br />
dermatology residents an opportunity to teach medical students and to serve a diverse<br />
population.<br />
This clinic allows patients with both minor and potentially life-threatening<br />
dermatological problems to receive appropriate specialty care, and it also provides an<br />
educational experience for medical students and residents. The UW dermatologists<br />
have provided in-depth follow-up care to some patients with complicated, sometimes<br />
debilitating dermatological problems.
Turkey Bowl<br />
Total Funds Raised: $1,201.35<br />
On November 21, <strong>2011</strong> MEDiC hosted their<br />
third annual MEDiC Turkey Bowl fundraiser.<br />
On a frosty evening this November, over 50<br />
students converged on the rugged terrain <strong>of</strong> the<br />
Ubay fields for flag football, for glory, and<br />
for…MEDiC. While some students and families<br />
found their fun in bean-bag games, Frisbee, or as<br />
sideline supporters, others found their flags and<br />
took to the turf. As darkness closed in, it seemed as<br />
if the elder team (M2s, upper level PT, nursing, and<br />
pharmacy students) would win the hotly contested<br />
game. But in a final valiant play, the rookie “first<br />
year health pr<strong>of</strong>essionals team” won the day.<br />
All was not lost, however, as both teams and their<br />
supporters joined each other afterward for the<br />
warmth <strong>of</strong> good food and good times in the HSLC.<br />
Turkey Bowl brought together a variety <strong>of</strong> health<br />
science students for a much-needed break, gave<br />
some M1s an opportunity to take on leadership<br />
roles within MEDiC, and raised valuable funds for<br />
the organization.<br />
Bonnie Garvens, Salvation Army Intake Coordinator<br />
UWSMPH Class <strong>of</strong> 2014<br />
Interdisciplinary Care<br />
22
<strong>Run</strong>ning for a Cause<br />
Bucky's Race for Rehab<br />
This annual 5K run/walk is sponsored by<br />
Phi Theta, the UW Madison Doctor <strong>of</strong><br />
Physical Therapy student organization. All<br />
proceeds from the event go to support<br />
MEDiC.<br />
75 people participated this year and<br />
raised more money than ever before.<br />
Total Funds Raised: $1,399.28<br />
Interdisciplinary Care<br />
23<br />
Movin’ for MEDiC<br />
On October 15 th the pharmacy<br />
student organization, Wisconsin<br />
Society <strong>of</strong> Pharmacy <strong>Student</strong>s, put<br />
on their second annual Movin’ for<br />
MEDiC, a 5k run/walk to raise<br />
money for both WSPS and MEDiC.<br />
This year, 62 runners and walkers<br />
registered and helped get the<br />
event <strong>of</strong>f to a strong start. This<br />
year’s event represents a 62%<br />
increase in funds raised over last<br />
year.<br />
Total Funds Raised: $467.89
Reach Out and Read<br />
Reach Out and Read (ROR) is a national non-pr<strong>of</strong>it organization<br />
that aims to teach parents about the importance <strong>of</strong> reading to their children<br />
and to introduce children to the joy <strong>of</strong> reading.<br />
At two <strong>of</strong> the MEDiC clinics, Salvation Army and Southside, student volunteers read to<br />
children before clinic and give a brand new book to every child seen in clinic.<br />
Volunteers encourage parents to spend time reading<br />
with their child and even give parents a “Prescription<br />
for Reading,” which advises them to read to their<br />
child every day.<br />
Through the dedication <strong>of</strong> these volunteers,<br />
MEDiC’s ROR program has given more than 200<br />
books to children in the Madison community<br />
in the past year.<br />
This year our organization received<br />
sustainability packs <strong>of</strong> books from ROR<br />
National Center and donations <strong>of</strong> 350 books<br />
from community members. Additionally, our<br />
site was awarded 100 books when pediatrics<br />
resident, MEDiC Council member 2004-2006,<br />
Dr. Kirstin Nackers’ story <strong>of</strong> her ROR<br />
experience at MEDiC won ROR National’s first<br />
ever story contest! We currently have over<br />
900 books, but are still in need <strong>of</strong> more<br />
Spanish and bilingual books, as well as books<br />
for the older children that we see at clinic.<br />
MEDiC’s ROR volunteers and our donors<br />
deserve many thanks for their commitment to<br />
improving child literacy in our community.<br />
Dr. Dipesh Navsaria, ROR Medical Director<br />
Interdisciplinary Care<br />
24
Budget & Expenditures<br />
<strong>2011</strong> Projected Budget: $9450 Prescription Medications<br />
$400 $100<br />
$500<br />
$200 $100<br />
Medical Supplies (Clinic Supplies, Flu<br />
shots, Drug Cabinet)<br />
Printing (Invitations, Posters)<br />
$600<br />
$450<br />
$100<br />
$4,500<br />
Food - Other<br />
VOM Celebration<br />
Food - Michelle Tracy<br />
Transportation (Bus Passes, Taxi)<br />
$4,500<br />
Misc.<br />
Internet at Southside<br />
Charity<br />
<strong>2011</strong> MEDiC Total Expenditures: $27,108.24 ARC Rennovations<br />
$414.97<br />
$767.45<br />
$1,136.46<br />
$165.80 $74.25<br />
$63.08<br />
Prescription Medications<br />
MEDiC Merchandise/Fundraising<br />
$1,201.79<br />
$7,200.00<br />
20th Anniversary<br />
Medical Supplies (Clinic Supplies, Flu<br />
shots, Drug Cabinet)<br />
$1,921.41<br />
SA Talks<br />
Printing (Invitations, Posters)<br />
$2,103.24<br />
Food - Other<br />
Financial<br />
$2,392.60<br />
$3,375.67<br />
$6,291.52<br />
VOM Celebration<br />
Food - Michelle Tracy<br />
Transportation (Bus Passes, Taxi)<br />
Misc.<br />
25<br />
Internet at Southside
Gifts & Fundraising<br />
<strong>Student</strong> Fundraising and Grant Efforts<br />
•T-shirts: $1,552<br />
•Bucky’s Race for Rehab: $1,399.28<br />
•Turkey Bowl: $1,045<br />
•Medical Society Grants: $2,000<br />
•Movin’ for MEDiC: $467.89<br />
•20 th Anniversary Event<br />
•Grant from UW Health: $1500<br />
•Grant from WI Medical Alumni Association: $500<br />
•ARC Renovations<br />
•Ira & Ineva Reily Baldwin Wisconsin Idea Endowment: $12,108<br />
•Kohl’s Foundation: $500<br />
•UW Madison Anatomy Department: $5,000<br />
TOTAL: $26,072.17<br />
Gifts and Support<br />
•UW School <strong>of</strong> Medicine & Public Health Account Support: $1,721<br />
•Gifts to MEDiC via the UW Foundation: $18,161.56<br />
•Other Donations: $500<br />
TOTAL: $20,382.56<br />
Total Fundraising, Grants, and Gifts: $46,454.73<br />
Being a member <strong>of</strong> the MEDiC council has been a very rewarding experience. I have learned a<br />
great deal about the administrative aspects <strong>of</strong> running a program effectively and successfully. My<br />
time on the council has taught me a lot about leadership and the importance <strong>of</strong> working together<br />
as a team to overcome the many barriers to providing a high level <strong>of</strong> care to our patients. I feel<br />
very fortunate to have had the opportunity to work with such a committed group <strong>of</strong> individuals, all<br />
motivated by the desire to serve a population in need.<br />
John Gamble, VP-Finance<br />
UWSMPH Class <strong>of</strong> 2014<br />
Financial<br />
26
Budget Allocation<br />
Total Expenditures: $27,108.24<br />
Allocation <strong>of</strong> Expenditures<br />
This year’s operational costs<br />
were atypical due to the<br />
costs <strong>of</strong> the 20 th Anniversary<br />
Celebration and the<br />
ARC renovations.<br />
Operational expenses<br />
include charity,<br />
internet, <strong>of</strong>fice<br />
supplies, postage, and,<br />
special events and<br />
renovations.<br />
Operational<br />
Service<br />
63%<br />
Direct<br />
Service<br />
37%<br />
Direct service expenses<br />
include medical<br />
supplies, patient<br />
transportation,<br />
prescription<br />
medications, medical<br />
services, Salvation<br />
Army health education<br />
programs, and food for<br />
Michele Tracy Clinic.<br />
<strong>Student</strong> Fundraising Efforts Cover all Operational Expenses<br />
•Operational Expenses: $16,996.25<br />
•Gifts and Support: $20,382.5<br />
•Direct Service Expenses: $10,111.99<br />
•<strong>Student</strong> Fundraising(fundraising and grants): $26,072.17<br />
Total unspent funds added $19,346.49 to the MEDiC Endowment<br />
100% <strong>of</strong> MEDiC’s operational costs were covered by student<br />
fundraising, and 100% <strong>of</strong> patient care costs were covered<br />
through donations!<br />
Financial<br />
27
Estimated & Actual<br />
Value <strong>of</strong> Expenditures<br />
Value <strong>of</strong> Expended<br />
Value <strong>of</strong> Medications Provided: $ 69,552.78<br />
Value <strong>of</strong> Patient Medical Visits: $ 87,120.00<br />
Value <strong>of</strong> Dental Clinic Services: $93,272.00<br />
Total Value <strong>of</strong> Services Provided: $ 249,944.78<br />
Actual Cost per Patient: $10.69<br />
Financial<br />
Cost per patient excludes the costs <strong>of</strong> the<br />
20 th Anniversary Event and the ARC<br />
Renovations since these expenses were<br />
covered by specific grants and gifts.<br />
28
MEDiC Cumulative Data<br />
Total Patients: 1639<br />
Most Common Diagnoses<br />
hypertension<br />
depression<br />
asthma<br />
dental - extraction<br />
anxiety<br />
back - pain<br />
headache - migraine<br />
dental - filling<br />
dental - cleaning<br />
acid reflux / GERD<br />
prescription refill<br />
pain - tooth/teeth/toothache<br />
back - pain<br />
respiratory - cough - general<br />
leg - pain - knee<br />
skin - rash<br />
healthcare - check up - blood pressure<br />
headache<br />
hypertension<br />
asthma<br />
depression<br />
0 20 40 60 80 100 120 140<br />
Most Common Presenting Concerns<br />
MEDiC Report<br />
29<br />
This year<br />
MEDiC also<br />
distributed<br />
over 45 flu<br />
vaccines.<br />
0 20 40 60 80 100 120 140 160<br />
187<br />
282<br />
Patient Visits<br />
106<br />
74<br />
63<br />
315<br />
612<br />
Southside<br />
Grace<br />
Salvation Army<br />
Salvation Army Dental<br />
Clinic<br />
Arc House<br />
Safehaven<br />
Michele Tracy
Demographics<br />
450<br />
400<br />
350<br />
300<br />
250<br />
200<br />
150<br />
100<br />
50<br />
0<br />
Patient Ages<br />
0-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80<br />
Patient Ethnicity<br />
Languages Spoken<br />
50 37 13 1<br />
0%<br />
0%<br />
679<br />
Caucasian<br />
4%<br />
353<br />
486<br />
African American<br />
Latino<br />
Other<br />
Asian<br />
Native American<br />
Hmong<br />
19%<br />
English<br />
Spanish<br />
Other<br />
Chinese<br />
Hmong<br />
77%<br />
Health Insurance<br />
19%<br />
1%<br />
Uninsured<br />
Public<br />
Male<br />
49%<br />
Gender<br />
Female<br />
51%<br />
MEDiC Report<br />
Private<br />
80%<br />
30
Demographics<br />
Employment Status 2008<br />
31%<br />
69%<br />
Before the economic crisis many MEDiC<br />
patients were employed, although still<br />
without insurance. The percentage <strong>of</strong><br />
unemployed patients increased<br />
dramatically between 2008 and 2009 and<br />
has stayed consistently high for the past<br />
three years.<br />
Employment Status 2009<br />
28%<br />
Employment Status 2010<br />
24%<br />
72%<br />
76%<br />
MEDiC Report<br />
Employment Status <strong>2011</strong><br />
2%<br />
23%<br />
Employed<br />
Unemployed<br />
Unknown<br />
75%<br />
31
Medications<br />
Funding free medications is critical<br />
to caring for patients living in<br />
poverty. Medications, however,<br />
also constitute our major financial<br />
expense. MEDiC strives to insure<br />
our fiscal sustainability through<br />
careful efforts to control<br />
medication expenses. Through<br />
partnerships with area<br />
pharmacies, we are able to<br />
purchase many medications in<br />
bulk, and are able to cover other<br />
prescription costs at reduced rates.<br />
Finally, we use discount formulary<br />
programs <strong>of</strong>fered by some large<br />
national retailers.<br />
56<br />
271<br />
53<br />
Medication Sources<br />
27<br />
1<br />
328<br />
Drug cabinet stock bottles<br />
Drug cabinet samples *<br />
Medic stamp Rx<br />
Patient Paid<br />
Dental drug cabinet<br />
Salvation Army front <strong>of</strong>fice<br />
drug cabinet<br />
*Drug samples donated by Access Community Health Centers and volunteer physicians.<br />
MEDiC does not accept donations from pharmaceutical or medical device companies.<br />
I have really enjoyed my experience this past year serving as Drug and Supplies Coordinator. It has<br />
provided me with the opportunity to work together with students from all health care pr<strong>of</strong>essions to serve<br />
the underserved in the Madison area. This past year I also had the opportunity to be a part <strong>of</strong> the<br />
Communications Committee. I believe that this committee will help to establish interpr<strong>of</strong>essional teamwork<br />
that will lead to positive outcomes for our patients. Words can't express the value <strong>of</strong> these experiences, and I<br />
look forward to staying involved with MEDiC for many years to come.<br />
Kristina Bennwitz, Drug and Supplies Coordinator<br />
UW School <strong>of</strong> Pharmacy Class <strong>of</strong> 2014<br />
Most Commonly Prescribed Medications<br />
ibupr<strong>of</strong>en<br />
acetaminophen<br />
hydrochlorothiazide (HCTZ)<br />
trazadone<br />
lisinopril<br />
naproxen<br />
citalopram<br />
loratidine<br />
0 20 40 60 80 100 120 140 160<br />
MEDiC Report<br />
32
Referrals<br />
Referrals coordinators provide stewardship <strong>of</strong> our relationships with our referral partners, and<br />
connect patients to the follow-up specialty and primary care they need. Without our referral<br />
team, our ability to meet patient needs would be significantly compromised.<br />
Most Common Patient Referrals<br />
Labwork (St. Mary's)<br />
BSP Clinic<br />
Dental (Dr. Kutz)<br />
PT (Southside)<br />
Dermatology (Southside)<br />
UW Specialty <strong>Clinics</strong><br />
Wingra Clinic<br />
Access Community Health Center<br />
Health Hut<br />
Safehaven<br />
Planned Parenthood<br />
Dr. Kutz<br />
Salvation Army Dental<br />
Private Dental Clinic<br />
X-ray (St. Mary's)<br />
Eye Clinic<br />
ER<br />
Northeast Clinic<br />
Children's Dental Center<br />
PT (Salvation Army)<br />
Psychology (UW counseling psychology services)<br />
Odana Atrium Clinic<br />
Gift <strong>of</strong> Sight<br />
Dane County Mental Health<br />
Well Women<br />
Dermatology (UW Direct)<br />
Public Health Department<br />
Blue Buss<br />
Ultrasound (St. Mary's)<br />
Dean asthma clinic<br />
Our Lady <strong>of</strong> Hope<br />
Access Dental Sun Prairie<br />
Lenscrafters - one sight<br />
Center for Patient Partnerships<br />
Hope Haven<br />
Educational Psychology Counseling Program<br />
MEDiC Report<br />
My experience with MEDiC has been one <strong>of</strong> the most<br />
meaningful experiences I have had thus far in medical<br />
school. I have learned how crucial it is for health care<br />
providers to advocate for patients and seen how<br />
rewarding it is to help patients in our community get<br />
connected to the care they need. While it is an ongoing<br />
frustration that so many people are left out <strong>of</strong> our current<br />
health care system, I am continuously encouraged and<br />
amazed by how many people can be helped through the<br />
efforts <strong>of</strong> a small group <strong>of</strong> caring individuals. I am very<br />
grateful to have had the opportunity to serve on the<br />
MEDiC council this past year and to work with so many<br />
dedicated students and faculty.<br />
Jillian Landeck, Referrals Coordinator<br />
UWSMPH Class <strong>of</strong> 2014<br />
33<br />
0 10 20 30 40 50 60 70 80
Grace Clinic<br />
Medical Director: Dr. Doug Kutz<br />
315<br />
Total<br />
Patients<br />
Every week I am grateful for the opportunity to work with<br />
homeless men who would otherwise be unable to access<br />
medical services. Through my interactions with the men at the<br />
shelter I know they appreciate our compassion and dedication.<br />
Recently one man approached me, and, although he was in good<br />
health, said it lifts his heart to know that caring clinicians are<br />
available in case his health falters. Encounters like this remind<br />
me <strong>of</strong> the importance <strong>of</strong> health, interpersonal connections, and<br />
service, especially in underserved communities.<br />
Micah Katz, Grace Clinic Co-Coordinator<br />
UWSMPH Class <strong>of</strong> 2014<br />
Grace was the first<br />
MEDiC Clinic to be<br />
founded, in 1991,<br />
under the guidance<br />
<strong>of</strong> Dr. Ted<br />
Goodfriend.<br />
Grace operates out<br />
<strong>of</strong> three classrooms<br />
in the Porchlight,<br />
Inc.’s Men’s<br />
Drop-In Shelter.<br />
92% <strong>of</strong> patients served at Grace<br />
Clinic in <strong>2011</strong> were uninsured.<br />
The top diagnosis at Grace in <strong>2011</strong><br />
was hypertension.<br />
Many people assume those<br />
experiencing homelessness are<br />
unemployed. A portion <strong>of</strong> the<br />
homeless patients (6%) work full or<br />
part time.<br />
34
Demographics<br />
70<br />
Patient Ages<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
0-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80<br />
Patient Ethnicity<br />
0% 1% 2%<br />
Employment Status<br />
Employed 6%<br />
58%<br />
Clinic Reports<br />
35<br />
4%<br />
35%<br />
Native American<br />
Asian<br />
Other<br />
African American<br />
Caucasian<br />
Latino<br />
Health Insurance<br />
7%<br />
1%<br />
92%<br />
Private<br />
Uninsured<br />
Public<br />
Unemployed<br />
94%<br />
Many homeless<br />
individuals with insurance<br />
are not able to access<br />
services due to co-pay<br />
requirements and<br />
transportation barriers.
Data Report<br />
Most Common Diagnoses<br />
hypertension<br />
asthma<br />
prescription refill<br />
skin - tinea pedis<br />
COPD<br />
acid reflux / GERD<br />
diabetes mellitus<br />
skin - tinea<br />
skin - eczema<br />
respiratory - possible URI<br />
arthritis<br />
ulcer - gastric<br />
0 5 10 15 20 25 30 35<br />
healthcare - check up - blood pressure<br />
asthma<br />
hypertension<br />
Most Common Presenting Concern<br />
pain - shoulder<br />
skin - rash<br />
prescription refill<br />
pain - knee<br />
foot - pain<br />
athlete's foot<br />
Clinic Reports<br />
cough - general<br />
headache<br />
0 5 10 15 20 25<br />
36
Data Report<br />
Most Commonly<br />
Prescribed Medications<br />
ibupr<strong>of</strong>en<br />
acetaminophen<br />
albuterol<br />
ventolin<br />
Tylenol<br />
aspirin<br />
lisinopril<br />
loratidine<br />
flovent<br />
hydrochlorothiazide (HCTZ)<br />
0 10 20 30 40 50 60<br />
Referrals<br />
Medication Source<br />
3%<br />
18%<br />
8%<br />
71%<br />
Patient paid for Rx<br />
Drug cabinet samples<br />
Medic stamp Rx<br />
Drug cabinet stock bottles<br />
Dental (Dr. Kutz)<br />
BSP Clinic<br />
ER<br />
Dane County Mental Health<br />
Clinic Reports<br />
Our Lady <strong>of</strong> Hope<br />
Blue Buss<br />
Dermatology (Southside)<br />
Health Hut<br />
X-ray (St. Mary's)<br />
Eye Clinic<br />
Labwork (St. Mary's)<br />
37<br />
UW Specialty <strong>Clinics</strong><br />
0 1 2 3 4 5 6 7 8
Salvation<br />
Army Clinic<br />
Medical Director: Dr. Murray Katcher<br />
My participation in MEDiC has opened my eyes and invigorated<br />
me. The impact <strong>of</strong> each Salvation Army experience is truly<br />
remarkable. Some things are more obvious than others, like the<br />
care we provide for our patients. We, as students, also have the<br />
opportunity to hone our basic clinical skills and remind ourselves<br />
why many <strong>of</strong> us have chosen a career in medicine. Perhaps less<br />
obvious, but to me even more consequential, is what we learn<br />
about people. We have the privilege <strong>of</strong> serving an incredible group<br />
and meeting many inspiring individuals. My outlook on society and<br />
the role <strong>of</strong> medical care has been positively redefined. There is no<br />
doubt that I will be a more effective physician - and a more<br />
compassionate person - because <strong>of</strong> my experience with MEDiC and<br />
the Salvation Army.<br />
282<br />
Total<br />
Patients<br />
The Salvation<br />
Army Clinic<br />
opened in 1991<br />
under the<br />
guidance <strong>of</strong> Dr.<br />
Murray Katcher,<br />
and provides a<br />
wide variety <strong>of</strong><br />
services to<br />
homeless women<br />
and children.<br />
Dan Hertel, Salvation Army Clinic Co-Coordinator<br />
UWSMPH Class <strong>of</strong> 2014<br />
38<br />
88% <strong>of</strong> patients served at Salvation<br />
Army Clinic in <strong>2011</strong> were female.<br />
10% <strong>of</strong> patients seen at Salvation<br />
Army in <strong>2011</strong> were employed.<br />
50% <strong>of</strong> patients seen<br />
at Salvation Army in<br />
<strong>2011</strong> had public<br />
health insurance.<br />
38
Demographics<br />
Patient Ages<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
0-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80<br />
Patient Ethnicity<br />
Gender<br />
1% 3%<br />
8%<br />
Native American<br />
Male<br />
12%<br />
Other<br />
39%<br />
49%<br />
African American<br />
Caucasian<br />
Latino<br />
Female<br />
88%<br />
Clinic Reports<br />
Employment Status<br />
Employed 10%<br />
Health Insurance<br />
1%<br />
Private<br />
50%<br />
49%<br />
Uninsured<br />
Public<br />
39<br />
Unemployed<br />
90%
Data Report<br />
Most Common Diagnoses<br />
asthma<br />
depression<br />
back - pain<br />
hypertension<br />
respiratory - unspecified URI (upper respiratory tract…<br />
respiratory - cold - unspecified<br />
pregnancy<br />
pain - back<br />
skin - bite - insect<br />
viral URI (upper respiratory tract infection)<br />
headache - migraine<br />
acid reflux / GERD<br />
psych - anxiety<br />
0 5 10 15 20 25<br />
Most Common Presenting Concern<br />
back - pain<br />
prescription refill<br />
cold symptoms - unspecified<br />
asthma<br />
cough - general<br />
foot - pain - ankle<br />
skin - rash<br />
Clinic Reports<br />
pain - knee<br />
fever<br />
cold symptoms - chest<br />
0 5 10 15 20 25<br />
40
Data Report<br />
Most Commonly Prescribed<br />
Medications<br />
ibupr<strong>of</strong>en<br />
acetaminophen<br />
albuterol<br />
amoxicillin<br />
naproxen<br />
Clotrimazole<br />
hydrochlorothiazide (HCTZ)<br />
diphenhydramine<br />
hydrocortisone (cream)<br />
ventolin<br />
Tylenol<br />
loratidine<br />
0 5 10 15 20 25 30<br />
Medication Source<br />
8%<br />
27%<br />
46%<br />
19%<br />
Patient paid for Rx<br />
Drug cabinet samples<br />
Medic stamp Rx<br />
Drug cabinet stock bottles<br />
Referrals<br />
Clinic Reports<br />
BSP Clinic<br />
PT (Southside)<br />
PT (Salvation Army)<br />
Health Hut<br />
Planned Parenthood<br />
ER<br />
Eye Clinic<br />
Patient paid<br />
Dean asthma clinic<br />
Wingra Clinic<br />
Northeast Clinic<br />
Psychology (UW counseling psychology services)<br />
Gift <strong>of</strong> Sight<br />
Well Women<br />
Salvation Army Dental<br />
Safehaven<br />
Blue Buss<br />
X-ray (St. Mary's)<br />
Labwork (St. Mary's)<br />
41<br />
0 1 2 3 4 5 6
South Side<br />
Clinic<br />
612<br />
Total<br />
Patients<br />
Medical Director: Dr. Anne Eglash<br />
The South Side Clinic<br />
was established in<br />
November <strong>of</strong> 1992<br />
under the guidance <strong>of</strong><br />
Dr. Cindy Haq.<br />
The South Side Clinic<br />
provides healthcare<br />
services to uninsured<br />
residents <strong>of</strong> the lowincome,<br />
racially and<br />
culturally diverse<br />
neighborhood <strong>of</strong> South<br />
Madison.<br />
My Saturday mornings have been changed forever. As I pass through<br />
the South Side MEDiC clinic doors, I see a group <strong>of</strong> patients and<br />
volunteers who, in many ways, inspire me to be a dedicated student and<br />
a compassionate, mindful physician.<br />
Many <strong>of</strong> the patients face financial, language, transportation,<br />
literacy, or cultural barriers to accessing care, yet the South Side clinic is<br />
<strong>of</strong>ten at capacity because they are willing to overcome such obstacles in<br />
order to place their health at a premium. I have been continually inspired<br />
throughout my MEDiC experience to match these patients’ dedication to<br />
healthcare in my own dedication to provide the highest quality care,<br />
regardless <strong>of</strong> patients’ resources. Additionally, the patients at Southside<br />
provide ongoing reminders <strong>of</strong> the immeasurable value <strong>of</strong> the skills we<br />
are gaining in our classes, and it has led me to redouble my efforts to<br />
master the challenging material <strong>of</strong> our medical school curriculum.<br />
The imprint that the patients, student volunteers, and physician<br />
volunteers have left on my Saturday mornings will remain a part <strong>of</strong> me<br />
long after my role is completed.<br />
Claire Flanagan, South Side Clinic Co-Coordinator<br />
UWSMPH Class <strong>of</strong> 2014<br />
42<br />
99 % <strong>of</strong> patients served at<br />
South Side Clinic in <strong>2011</strong><br />
were uninsured.<br />
46% <strong>of</strong> patients seen at South<br />
Side in <strong>2011</strong> were employed.<br />
This clinic also houses two specialty<br />
clinics: Physical Therapy and<br />
Dermatology.<br />
42
Demographics<br />
Patient Ages<br />
200<br />
150<br />
100<br />
50<br />
0<br />
0-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80<br />
Patient Ethnicity<br />
0% 1%<br />
Language Spoken<br />
1%<br />
5%<br />
6%<br />
Hmong<br />
48%<br />
12%<br />
Native American<br />
Asian<br />
Other<br />
African American<br />
48%<br />
41%<br />
Chinese<br />
English<br />
Other<br />
28%<br />
Caucasian<br />
Latino<br />
10%<br />
Spanish<br />
Clinic Reports<br />
Employment Status<br />
Employed<br />
36%<br />
Unemployed<br />
64%<br />
Health Insurance<br />
1% 1% 1%<br />
Private<br />
Uninsured<br />
Public<br />
Unknown<br />
99%<br />
43<br />
Many patients at South Side are employed but are undocumented residents<br />
ineligible for health insurance.
Data Report<br />
Most Common Diagnoses<br />
hypertension<br />
depression<br />
diabetes mellitus<br />
acid reflux / GERD<br />
back - pain<br />
skin - acne<br />
sinusitis<br />
muscle strain<br />
urinary tract infection<br />
hypothyroid<br />
skin - tinea<br />
pneumonia<br />
dental caries<br />
back - pain (muscular origin)<br />
0 10 20 30 40 50 60<br />
Most Common Presenting Concern<br />
back - pain<br />
prescription refill<br />
pain - tooth/teeth/toothache<br />
cough - general<br />
pain - knee<br />
headache<br />
skin - rash<br />
chest - pain<br />
sore throat<br />
neuro - numbness / tingling<br />
abdomen - pain<br />
check up - blood pressure<br />
hypertension<br />
Clinic Reports<br />
0 10 20 30 40 50 60 70<br />
44
Data Report<br />
Most Commonly Prescribed<br />
Medications<br />
lisinopril<br />
ibupr<strong>of</strong>en<br />
hydrochlorothiazide (HCTZ)<br />
amoxicillin<br />
acetaminophen<br />
naproxen<br />
metformin<br />
ranitidine<br />
doxycycline<br />
Cephalexin<br />
azithromycin<br />
0 5 10 15 20 25 30<br />
Medication Source<br />
23%<br />
14%<br />
32%<br />
29%<br />
Patient paid for Rx<br />
Medic stamp Rx<br />
Drug cabinet samples<br />
Drug cabinet stock bottles<br />
Patient Paid<br />
2%<br />
Most Common Referrals<br />
Clinic Reports<br />
BSP Clinic<br />
Labwork (St. Mary's)<br />
Dental (Dr. Kutz)<br />
PT (Southside)<br />
Dermatology (Southside)<br />
Wingra Clinic<br />
UW Specialty <strong>Clinics</strong><br />
Health Hut<br />
Dr. Kutz<br />
Safehaven<br />
Planned Parenthood<br />
X-ray (St. Mary's)<br />
Access Community Health Center<br />
Northeast Clinic<br />
Salvation Army Dental<br />
Eye Clinic<br />
Psychology (UW counseling psychology services)<br />
ER<br />
Public Health Department<br />
Gift <strong>of</strong> Sight<br />
Dermatology (UW Direct)<br />
45<br />
0 10 20 30 40 50 60
Safe Haven<br />
Clinic<br />
74<br />
Total<br />
Patients<br />
Medical Director: Dr. Ron Diamond<br />
I always knew I enjoyed working with people with mental<br />
illness; before medical school, I worked as a social worker with<br />
people with severe and persistent mental illness. However, Safe<br />
Haven has given me the opportunity to work with and learn<br />
about this population in a medical setting. I love working with<br />
MEDiC because I am able to serve and learn at the same time.<br />
The Safe Haven<br />
Psychiatry Clinic was<br />
started in August<br />
1996 by UW medical<br />
students under the<br />
guidance <strong>of</strong> Dr. Ron<br />
Diamond.<br />
Kristin Ebert, Safe Haven Clinic Coordinator<br />
UWSMPH Class <strong>of</strong> 2014<br />
Safe Haven is a 14<br />
bed home serving<br />
homeless men and<br />
women who have<br />
severe and persistent<br />
mental illness.<br />
46<br />
Safe Haven has expanded its<br />
volunteer base with the addition<br />
<strong>of</strong> psychiatry residents thanks to<br />
the efforts <strong>of</strong> Dr. Claudia<br />
Reardon, Safe Haven Clinic<br />
Coordinator from 2003-2004.<br />
100% <strong>of</strong> patients served at Safe<br />
Haven Clinic in <strong>2011</strong> were<br />
uninsured.<br />
The top diagnoses at Safe Haven<br />
in <strong>2011</strong> was depression.<br />
46
Demographics<br />
25<br />
Patient Ages<br />
20<br />
15<br />
10<br />
5<br />
0<br />
0-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80<br />
Patient Ethnicity<br />
Gender<br />
5%<br />
27%<br />
African American<br />
Caucasian<br />
Latino<br />
Male<br />
38%<br />
68%<br />
Female<br />
62%<br />
Clinic Reports<br />
Health Insurance<br />
Uninsured<br />
100%<br />
Employment Status<br />
Employed<br />
28%<br />
47<br />
Unemployed<br />
72%
Data Report<br />
Most Common Diagnoses<br />
depression<br />
anxiety<br />
mood disorder - NOS<br />
post traumatic stress disorder (PTSD)<br />
medication - telephone prescription refill<br />
bipolar disorder - no type specified<br />
schizoaffective disorder<br />
unspecified<br />
obsessive compulsive disorder (OCD)<br />
bipolar disorder - Type 2<br />
insomnia<br />
0 10 20 30 40 50 60<br />
Most Common Presenting Concern<br />
medication - prescription refill<br />
depression<br />
medication - management<br />
anxiety<br />
fatigue<br />
insomnia<br />
telephone prescription refill<br />
medication - reaction<br />
panic disorder<br />
mood disorder<br />
mania<br />
anger<br />
sleep difficulties<br />
Clinic Reports<br />
0 5 10 15 20 25<br />
48
Data Report<br />
Referrals<br />
Medication Source<br />
23%<br />
Labwork (St. Mary's)<br />
37%<br />
Patient paid for Rx<br />
Drug cabinet samples<br />
Medic stamp Rx<br />
0 2 4 6<br />
1%<br />
39%<br />
Drug cabinet stock bottles<br />
Most Commonly Prescribed Medications<br />
trazadone<br />
Clinic Reports<br />
lexapro<br />
citalopram<br />
mirtazapine<br />
abilify<br />
lithium<br />
wellbutrin<br />
49<br />
Gabapentin<br />
effexor<br />
seroquel<br />
0 2 4 6 8 10 12 14 16 18
Michele<br />
Tracy Clinic<br />
Medical Directors:<br />
Dr. Cassandra Valmadrid and<br />
Dr. Peter Newcomer<br />
Working with MEDiC over the past year has been one <strong>of</strong><br />
the highlights <strong>of</strong> my medical education. I treasure the<br />
continuity that I have with the patients at our clinic and will<br />
miss them greatly when I leave. Time in the council has also<br />
helped me to better know my classmates and develop new<br />
friendships. I am grateful to MEDiC for keeping me grounded<br />
and reminding me why I put in the long hours studying: to<br />
serve those in need.<br />
Tom Garvey, Michele Tracy Clinic Co-Coordinator<br />
UWSMPH Class <strong>of</strong> 2014<br />
63<br />
Total<br />
Patients<br />
The Michele Tracy<br />
Clinic, first<br />
coordinated in 1997,<br />
was adopted as a<br />
MEDiC clinic under<br />
the guidance <strong>of</strong> Dr.<br />
Greg Sheehy. The<br />
clinic is named in<br />
honor <strong>of</strong> Michele<br />
Tracy, the medical<br />
student who was<br />
establishing this clinic<br />
when she died<br />
tragically in an<br />
accident in 1999.<br />
The Porchlight, Inc.<br />
facility is home to<br />
over 100 residents<br />
who have been<br />
affected by alcohol<br />
use, drug abuse, or<br />
mental illness.<br />
50<br />
40% <strong>of</strong> patients served at Michele<br />
Tracy Clinic in <strong>2011</strong> were<br />
employed.<br />
85% <strong>of</strong> patients seen at Michele<br />
Tracy had public health insurance.<br />
The Michele Tracy Clinic focuses<br />
on providing health education<br />
and prevention information for<br />
the residents <strong>of</strong> Porchlight’s<br />
Brooks Street House.<br />
50
Demographics<br />
25<br />
Patient Ages<br />
2%<br />
Patient Ethnicity<br />
20<br />
15<br />
Native American<br />
10<br />
3% 1% 2%<br />
30%<br />
Asian<br />
5<br />
0<br />
0-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80<br />
Gender<br />
62%<br />
Other<br />
African American<br />
Caucasian<br />
Latino<br />
Employment Status<br />
Female<br />
48%<br />
Male<br />
52%<br />
Employed<br />
40%<br />
Unemployed<br />
60%<br />
Clinic Reports<br />
Health Insurance<br />
6%<br />
9%<br />
Private<br />
Uninsured<br />
Public<br />
Michele Tracy residents are<br />
typically eligible for medical<br />
assistance. Michele Tracy is<br />
a health education clinic and<br />
doesn’t <strong>of</strong>fer medical care.<br />
51<br />
85%
ARC House<br />
Clinic<br />
106<br />
Total<br />
Patients<br />
Medical Director: Dr. Alida Evans<br />
The ARC House<br />
Clinic, established<br />
in 2003 under the<br />
guidance <strong>of</strong> Dr.<br />
Alida Evans<br />
provides health<br />
care for residents<br />
<strong>of</strong> ARC House.<br />
MEDiC has provided me with a place where I have been able to learn<br />
and grow while making a difference in other peoples’ lives. It has allowed<br />
me to expand upon and solidify facts and figures presented in class as I<br />
merged them with human stories heard at clinic. As the clinic coordinator<br />
at ARC, I have had the privilege <strong>of</strong> forming relationships with patients who<br />
come to be seen for their chronic health conditions monthly. This unique<br />
opportunity has allowed me to see the rewards and challenges <strong>of</strong> providing<br />
care to patients with chronic health issues.<br />
MEDiC has also allowed me to be part <strong>of</strong> a multidisciplinary team <strong>of</strong><br />
individuals dedicated to improving the health <strong>of</strong> others. I have been<br />
humbled by the continued dedication, knowledge, and passion that Dr.<br />
Evans has shared with patients and volunteers alike at ARC. She has both<br />
supported and inspired me through my tenure as I developed my<br />
leadership and communication skills. I will be forever grateful for my time<br />
spent with MEDiC. It has truly allowed me to engage in medicine in its<br />
human form.<br />
Johanna Streyle, ARC House Clinic Coordinator<br />
UWSMPH Class <strong>of</strong> 2014<br />
27% <strong>of</strong> patients served at ARC<br />
House Clinic in <strong>2011</strong> were<br />
employed.<br />
100% <strong>of</strong> patients seen at ARC<br />
House were uninsured.<br />
These residents <strong>of</strong> ARC House<br />
are women transitioning out <strong>of</strong><br />
incarceration and/or recovering<br />
from additions.<br />
52
Demographics<br />
45<br />
40<br />
35<br />
30<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
Patient Ages<br />
0-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80<br />
Patient Ethnicity<br />
3%<br />
24%<br />
Employment Status<br />
African American<br />
73%<br />
Caucasian<br />
Latino<br />
2%<br />
25%<br />
No<br />
Unknown<br />
Yes<br />
Clinic Reports<br />
Health Insurance<br />
73%<br />
Uninsured<br />
100%<br />
53
Data Report<br />
Most Common Diagnoses<br />
depression<br />
hypertension<br />
asthma<br />
anxiety<br />
headache - migraine<br />
bipolar disorder - no type specified<br />
hepatitis C<br />
back - pain<br />
insomnia<br />
sleep problems<br />
0 5 10 15 20 25 30 35 40<br />
Most Common Presenting Concern<br />
prescription refill<br />
headache - migraine<br />
back - pain<br />
pain - tooth/teeth/toothache<br />
hypertension<br />
diabetes mellitus<br />
headache<br />
anxiety<br />
Clinic Reports<br />
asthma<br />
dental - chipped tooth<br />
0 10 20 30 40 50 60 70<br />
54
Data Report<br />
Most Commonly<br />
Prescribed Medications<br />
Medication Source<br />
ibupr<strong>of</strong>en<br />
trazadone<br />
1% 4%<br />
propranolol<br />
hydrochlorothiazide (HCTZ)<br />
clonidine<br />
albuterol<br />
acetaminophen<br />
cyclobenzaprine<br />
venlafaxine<br />
69%<br />
8%<br />
18%<br />
Dental drug cabinet<br />
Patient paid for Rx<br />
Drug cabinet samples<br />
Medic stamp Rx<br />
Drug cabinet stock bottles<br />
valproic acid<br />
ultram - tramadol<br />
0 5 10 15 20 25 30<br />
Referrals<br />
Labwork (St. Mary's)<br />
Dental (Dr. Kutz)<br />
Clinic Reports<br />
BSP Clinic<br />
Salvation Army Dental<br />
Odana Atrium Clinic<br />
Safehaven<br />
Ultrasound (St. Mary's)<br />
Lenscrafters - one sight<br />
UW Specialty <strong>Clinics</strong><br />
55<br />
0 2 4 6 8 10 12 14 16 18 20
Salvation Army<br />
Dental Clinic<br />
187<br />
Total<br />
Patients<br />
Medical Directors: Matt Kutz, DDS, Laura Tills, DDS<br />
Educational Director: Benjamin Farrow, DDS<br />
Working as the one <strong>of</strong> the Dental Clinic Coordinators for<br />
the past year has been an exciting and unique opportunity. I<br />
had the chance to see the dental clinic transform from a<br />
storage closet to a true dental <strong>of</strong>fice with new dental units,<br />
chairs, and supplies right at the beginning <strong>of</strong> my term. These<br />
renovations really provided a more comfortable place for<br />
dentists, volunteers, and patients to interact in order to<br />
provide the best possible care for each patient.<br />
Overall, MEDiC has provided me with a unique<br />
opportunity to interact with multiple healthcare<br />
pr<strong>of</strong>essional disciplines while providing care to the poor and<br />
homeless <strong>of</strong> the Madison area. This year I have seen people<br />
come to clinic in extreme pain (which <strong>of</strong>ten prevents them<br />
from working), and I have had the pleasure to see them<br />
leave free <strong>of</strong> pain and ready to tackle the world.<br />
Andrew Stein, Salvation Army Dental Clinic Co-Coordinator<br />
UWSMPH Class <strong>of</strong> 2014<br />
The Salvation Army Dental<br />
Clinic was founded in<br />
2009, by Lisa Bell, RD,<br />
MPH, and area dentists<br />
Dr. Matt Kutz and<br />
Dr. Laura Tills.<br />
Establishing the SA dental<br />
clinic was made possible<br />
by both a grant for set-up<br />
costs and equipment as<br />
well as collaboration with<br />
the Salvation Army, the<br />
MEDiC Salvation Army<br />
Clinic, the Madison Dental<br />
Initiative, and the<br />
Morgridge Center for<br />
Public Service.<br />
The Dental Clinic would<br />
like to make a special<br />
thank you to Delta<br />
Dental, the Morgridge<br />
Center for Public Service,<br />
and Heartland Credit<br />
Union for their financial<br />
support this year.<br />
56<br />
33% <strong>of</strong> patients served at<br />
Salvation Army Dental Clinic in<br />
<strong>2011</strong> were employed.<br />
48% <strong>of</strong> patients seen at Dental<br />
Clinic were uninsured.<br />
The clinic is set up to do x-rays,<br />
simple fillings, extractions, root<br />
canals, stainless steel crowns for<br />
kids, fluoride varnish applications,<br />
and pulpotomies (baby tooth root<br />
canals).<br />
56
Demographics<br />
70<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
0-10 11-20 21-30 31-40 41-50 51-60 61-70 71-80<br />
Patient Ethnicity<br />
1%<br />
Patient Ages<br />
Gender<br />
9%<br />
Other<br />
Male<br />
27%<br />
African American<br />
33%<br />
57%<br />
Caucasian<br />
Latino<br />
Female<br />
73%<br />
Clinic Reports<br />
Employment Status<br />
18%<br />
15%<br />
No<br />
Unknown<br />
Yes<br />
1%<br />
51%<br />
Health Insurance<br />
48%<br />
Private<br />
Uninsured<br />
Public<br />
67%<br />
57<br />
Even with public health insurance, access to dental care is extremely limited as many<br />
dental practices do not accept public insurance.
Data Report<br />
Most Common Diagnoses<br />
extraction<br />
filling<br />
cleaning<br />
healthcare - education - dental<br />
dental - check up<br />
tooth decay<br />
tooth - cavity<br />
dental - tooth - unspecified problems<br />
floride - F varnish treatment<br />
tooth abcess<br />
0 10 20 30 40 50 60 70<br />
pain - tooth/teeth/toothache<br />
broken/cracked tooth<br />
Most Common Presenting Concern<br />
cleaning<br />
cavity<br />
dental - check up<br />
chipped tooth<br />
missing filling<br />
tooth - decay<br />
Clinic Reports<br />
tooth - sensitive<br />
pain - gums<br />
loose tooth<br />
0 20 40 60 80 100 120<br />
58
Data Report<br />
Most Commonly<br />
Prescribed<br />
Medications<br />
Medication Source<br />
3% 4%<br />
ibupr<strong>of</strong>en<br />
amoxicillin<br />
clindamycin<br />
acetaminophen<br />
Penicillin (liquid)<br />
93%<br />
antihistamine<br />
Tylenol<br />
Dental drug cabinet<br />
Patient paid for Rx<br />
0 5 10 15<br />
Salvation Army front <strong>of</strong>fice drug<br />
cabinet<br />
Referrals<br />
Clinic Reports<br />
Private Dental Clinic<br />
Access Community Health Center<br />
0 5 10 15 20 25 30<br />
59
Acknowledgements<br />
MEDiC would like to thank the following groups and individuals for<br />
their outstanding contributions to the underserved <strong>of</strong> Madison.<br />
UW Foundation<br />
UW School <strong>of</strong> Pharmacy<br />
UW School <strong>of</strong> Nursing<br />
UW Health<br />
UW—SMPH Faculty, Staff, and <strong>Student</strong>s<br />
UW—SMPH Academic Affairs<br />
UW-SMPH Department <strong>of</strong> Family Medicine<br />
UW—SMPH Physician Assistant Program<br />
UW—SMPH Physical Therapy Program<br />
UW—SMPH Dermatology Program<br />
Access Community Health Center<br />
ARC Community Services, Inc.<br />
The Salvation Army<br />
St. Mary’s Hospital<br />
Heartland Credit Union<br />
Madison Dental Initiative<br />
UW—Morgridge Center for Public Service<br />
Delta Dental<br />
Benevolent Specialist Project<br />
Porchlight, Inc.<br />
Reach Out and Read<br />
Dr. Matthew Kutz, DDS.<br />
Health Hut<br />
Juli Aulik, Director, Community Relations WWHC<br />
Ira and Ineva Reilly Baldwin Wisconsin Idea Endowment<br />
Most especially, we extend our deepest<br />
gratitude to all <strong>of</strong> the remarkable people who<br />
volunteer their time and talents, allowing<br />
MEDiC to fulfill our service mission.<br />
Acknowledgements<br />
60
61<br />
Jefferson Award: Dr. Doug Dulli<br />
MADISON (WKOW)-- With so many people losing their jobs over the last<br />
couple <strong>of</strong> years having healthcare coverage is not a given.<br />
So what do you do if you get sick One option is called MEDiC. It's studentrun<br />
and doctor led. We meet one <strong>of</strong> those physicians who volunteers his<br />
own time to help others.<br />
It makes Dr. Doug Dulli this month's Jefferson Award recipient.<br />
Dr. Doug Dulli is a Neurologist at UW-Hospital. He's been there for 17<br />
years.<br />
"I think it is a gift to be able to practice medicine," said Dr. Dulli<br />
But today he's not at the UW or seeing his usual patients. He's teaching medical students.<br />
"They're enthusiastic too and we feed <strong>of</strong>f each other that way," said Dr. Dulli.<br />
MEDiC is a <strong>University</strong> <strong>of</strong> Wisconsin School <strong>of</strong> Medicine and Public Health program. It's a student-run,<br />
free clinic. The program <strong>of</strong>fers free medical care for people who do not have insurance. But it also<br />
gives Med students real hands-on experience.<br />
Stephanie Ziebarth is a 1st year medical student.<br />
"We obviously can't treat the patients but we are building our skills and seeing how we can make a<br />
difference in the community with those skills," said Stephanie.<br />
MEDiC started in the 1990's. Today there are 7 clinics around Madison and along with the need, the<br />
program continues to grow.<br />
"I never come away from this clinic without the students teaching me stuff," said Dr. Dulli.<br />
Patients have a wide variety <strong>of</strong> backgrounds but have a lot in common.<br />
"Very desperate circumstances for many <strong>of</strong> the patients but almost uniformly grateful," said Dr. Dulli.<br />
Here at the South Side clinic, 99% <strong>of</strong> the nearly 800 patients do not have insurance. MEDiC works<br />
because area doctors, like Dr. Dulli, volunteer to oversee the students.<br />
"It's very habit forming," said Dr. Dulli. "Once I started to do it the more I did it the more I enjoyed it so<br />
why cut back.“<br />
Dr. Dulli started volunteering in 1997.<br />
"I get much more than I give and I think anyone who does this would agree with that," said Dr. Dulli.<br />
Dr. Dulli isn't the only one volunteering, the students donate their time as well.<br />
"Dr. Dulli is a really good role model for us," said Stephanie. He really takes the time to explain things.<br />
You can see in his patient encounters he's a really kind person and he takes time to talk to the<br />
patients. So, I think for all <strong>of</strong> us he's a really good person we can look up to and learn a lot from.“<br />
"You take away the feeling that first <strong>of</strong> all you have accomplished something," said Dr. Dulli. "But also<br />
you have had fun doing it. You have actually used the gift that you were given and give it back.“<br />
MEDiC opens its doors not only because <strong>of</strong> the volunteering doctors and students but also because<br />
<strong>of</strong> donations.
MEDiC Program Celebrates 20 Years <strong>of</strong><br />
Service<br />
62<br />
By Hannah Kiddoo<br />
Madison Commons<br />
10/27/11<br />
For the homeless, uninsured and unemployed, proper health care is difficult to find, and<br />
co-pays, transport, and communication issues present significant barriers to health care<br />
access. Still, the need for health care is high for low-income families and individuals.<br />
In February <strong>of</strong> 1991, Dr. Ted Goodfriend, a faculty physician at the <strong>University</strong> <strong>of</strong><br />
Wisconsin School <strong>of</strong> Medicine joined with students in taking a step toward addressing<br />
these issues by establishing a free clinic for homeless men at Porchlight Men’s Shelter<br />
at Grace Episcopal Church.<br />
The success <strong>of</strong> the program inspired the creation <strong>of</strong> six other Medical Information<br />
Centers (MEDiCs) throughout Madison.<br />
MEDiC free clinics are staffed by volunteers from the <strong>University</strong> <strong>of</strong> Wisconsin School <strong>of</strong><br />
Medicine and Public Health. <strong>Student</strong>s get an opportunity to apply their skills outside the<br />
classroom as they provide care for patients. They work with physicians and community<br />
partners to bring the Wisconsin Idea to life, sharing resources, knowledge and skills with<br />
the people <strong>of</strong> Wisconsin.<br />
The program also includes students from the UW-Madison School <strong>of</strong> Pharmacy, School<br />
<strong>of</strong> Nursing, Doctor <strong>of</strong> Physical Therapy Program, Physician Assistant Program, and<br />
Nurse Practitioner Program.<br />
Each month, MEDiC <strong>of</strong>fers a total <strong>of</strong> 22 clinic sessions for the city’s undeserved. In<br />
2010, MEDiC clinics saw a total <strong>of</strong> 1,837 patients, providing treatment, prevention and<br />
referrals.<br />
MEDiC free clinics include health care centers for homeless men, women and children,<br />
and specialty clinics for preventative care, dental treatments, mental health, physical<br />
therapy, and women transitioning out <strong>of</strong> incarceration.<br />
On Oct. 28, a private celebration for MEDiC volunteers and sponsors will take place at<br />
Memorial Union South to celebrate the 20 th year <strong>of</strong> the program.<br />
“MEDiC serves as a wonderful example <strong>of</strong> the benefits <strong>of</strong> service learning,” said UW<br />
Interim Chancellor David Ward in a congratulatory letter to the program.
<strong>Student</strong>-run health program nets national accolade<br />
By Hannah Filipiak<br />
Sunday, November 27, <strong>2011</strong><br />
A <strong>University</strong> <strong>of</strong> Wisconsin student-run health program for community outreach and student<br />
education recently received an accolade for its volunteer effects with a prestigious award<br />
from the White House.<br />
MEDiC, a student-run clinic founded in 1991 at Grace Episcopal Church, received the<br />
President’s Volunteer Service Award just one year after the idea was fully implemented at<br />
UW, according to a statement from the UW School <strong>of</strong> Medicine and Public Health.<br />
MEDiC clinics provide services such as general medical care, physical therapy, dental and<br />
mental health care to people with less than adequate health insurance for free, according<br />
to the MEDiC website said.<br />
The program serves the greater Madison area out <strong>of</strong> seven clinics, spread across a<br />
variety <strong>of</strong> locations, the website said. These locations include the Salvation Army, the<br />
Safehaven Mental Health Clinic and the ARC House Clinic.<br />
In addition, the statement said the program allows approximately 400 students in health<br />
fields to investigate how to overcome the shortcomings <strong>of</strong> health care across the country<br />
while functioning to serve a need in the community — an example <strong>of</strong> exercising the<br />
Wisconsin Idea in the community.<br />
“The MEDiC program exists for two reasons: to help those in need in our city and to<br />
enhance the education <strong>of</strong> UW medical students,” said Sharon Younkin, director <strong>of</strong> the<br />
community service <strong>of</strong> the school, said in a statement. “This is another example <strong>of</strong> the<br />
Wisconsin Idea in action, and a way to create future doctors who understand the current<br />
limits <strong>of</strong> our health care system.”<br />
MEDiC clinics treat approximately 1,800 people per year and more than 50 faculty doctors<br />
volunteer their time to help those seeking treatment, the website said.<br />
According to the award’s website, the President’s Volunteer Service Award is given to<br />
individuals, groups or families who have accomplished a certain amount <strong>of</strong> volunteer<br />
hours over a 12-month period or lifetime.<br />
The program works with more than 80 different leadership organizations and 28,000<br />
certifying organizations to bestow more than 1.5 million awards to deserving groups, the<br />
website said.<br />
“Now more than ever, volunteers are renewing their commitment to helping others and<br />
making new connections that bring us closer together as families, as neighbors, as<br />
communities and as a nation,” the President’s Volunteer Service Award website said.<br />
63
Editorial: UW Doctors - Honored & Needed<br />
Honored for service, but shortage feared.<br />
By Neil Heinen<br />
Editorial Director<br />
11/30/11<br />
Earlier this week, The UW School <strong>of</strong> Medicine and Public Health received<br />
a prestigious President's Volunteer Service Award from President Obama<br />
for its MEDiC program which has UW medical students providing free<br />
health care to folks at seven Madison clinics. A day later the Wisconsin<br />
Hospital Association released a report predicting a severe shortage <strong>of</strong><br />
primary care physicians in Wisconsin within 20 years. What a stark<br />
contrast, yet clear connection.<br />
Clearly we have to address the need for more primary care Docs for a<br />
growing elderly population and emphasis on primary care. Special<br />
incentives are needed to attract interested students and keep them in<br />
Wisconsin. And then we need to recognize how important public service<br />
and outreach are and what a good job the UW Medical School is doing in<br />
providing that service.<br />
Good people, good training and good jobs seem like a combination worthy<br />
<strong>of</strong> our attention and investment.<br />
64
Enhancing Education<br />
Serving Others<br />
For more information on MEDiC, please visit us online at:<br />
www.med.wisc.edu/medic