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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

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