University of Wisconsin School of Medicine and Public Health

MED I C F ALL N EWSLETTER N OVEMBER 2011

C ELEBRATING MED I C’ S 20 Y EARS OF S ERVICE B Y : J ENNIFER C ISKE , MED I C P UBLIC R ELEATIONS

“Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has.” Margaret Mead In celebration of the 20th Anniversary of MEDiC, it is fitting to revisit the origins and evolution of this popular program of the School of Medicine and Public Health and reflect upon its many accomplishments. Expressing their desire to help heal the sick, and frustrated by the lack of those opportunities in Years I and II, medical students, including Michael Jach, Cathy Neilson, Sabrina Dunlap, Brett Whyte, Jason Hoppe, and Judy Angelini contacted Dr. Ted Goodfriend in 1990 seeking advice. Dr. Goodfriend was a logical choice because of his previous experience in the 1970’s supervising a student-run clinic for migrant farm workers in Waushara County. For five years medical students and physician volunteers provided basic medical services on weekends throughout the summer in the basement of a Wautoma church. As the program expanded and grew in popularity, medical students purchased a used school bus with the intention of providing medical care outside of Wautoma. After removing the seats, installing privacy dividers, and painting the bus blue, they drove throughout Waushara County attempting to provide care where the

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migrants were housed. After they were met with resistance from several farmers, they ingeniously decided to transform the bus into an STD clinic and deliver care to students on Mifflin Street. The “Blue Bus Clinic” was so successful that the University Health Services partnered with them and eventually absorbed the clinic. The WI Department of Public Health relocated the successful Waushara County Free Clinic to vacant physician offices in Wild Rose, WI and hired a full time clinic coordinator to oversee clinic activities. Local physicians and volunteers gradually replaced medical students and UW physicians, and the clinic became self-sustainable. Roughly twenty years later, when the aforementioned medical students contacted Dr. Goodfriend, he asked advice from Dr. Bennet Vogelman, whose contacts referred him to a shelter for homeless men, run by Porchlight services at Grace Episcopal Church on Madison’s Capitol Square. Dr. Goodfriend contacted Linda Kailiff, the social worker at the shelter, who believed the medical clinic could follow the example of a successful legal clinic operated through the UW Law School. As the appropriate steps were being completed to open the Grace Clinic, the medical students had to decide what services they were capable of providing. They believed their limited physical exam skills and overall medical knowledge prevented them from providing quality health care, so they initially decided Grace would simply be a MEDical Information Clinic (MEDiC). Shortly after the clinic opened at Grace in February Continue on Page 2

M EDIC V OUNTEERS OF THE M ONTH April 2011: Dr. Matthew Szadkowski May 2011: Dr. Juan Boriosi June 2011: Dr. James Svenson July 2011: Alexis Guzmán August 2011: Krsiti Welle and Scott Hogseth September 2011: Lisa Bell, RD, MPH

Congratulations to MEDiC Volunteer, Dr. Doug Dulli, for receiving the Group Health Cooperative Jefferson Award in May. To learn more about this prestigious award, please visit http:// www.wkow.com/Global/ story.asp?S=14629421 I NSIDE T HIS I SSUE Celebrating 20 Years of Service 1-2

Enhancing Education Serving Others

Reflections from the Council

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Letter From the President

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How You Can Help

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C ELEBRATING MED I C’ S 20 Y EARS OF S ERVICE 1991, it was deemed appropriate to provide shelter residents with more than just medical information. MEDiC then began recruiting physicians volunteers, and soliciting pharmaceutical, medical, and monetary donations. Information about MEDiC spread rapidly throughout the community and medical school. Within a matter of months, Dr. Goodfriend recruited pediatrician Dr. Murray Katcher to assist in the development and implementation of the Salvation Army clinic. This clinic also opened in 1991 and it continues to serve the homeless families and single women. Medical students’ enthusiasm created demand for new volunteer opportunities. At the same time, the UW Family Medicine Department desired a clinic where their residents and medical students would have an opportunity to work with a marginalized patient population. Under the direction of Dr. Cindy Haq, South Side Clinic opened in 1992. With increased awareness of the prevalence of mental illness in MEDiC patients and the lack of mental heath services available to them, Dr. Ron Diamond created the Safe Haven Clinic at the Porchlight Safe Haven shelter in 1996. In 1997, medical students Elizabeth Bahn and Michele Tracy began organizing students in order to provide health education and outreach to the residents of Porchlight's Brooks Street residential community, so they might assume a stronger role in meeting their individual health care needs. In the fall of 1999, the project was formally adopted as a MEDiC Clinic. It was given the name Michele Tracy Project in memory of Michele Tracy, of the UW Medical School Class of 2002,was tragically killed during an outreach trip to Africa. This unique clinic continues to provide educational and emotional

support for Porchlight residents with the intention of improving their self-advocacy skills so they better meet their individual health care goals. . MEDiC continued to expand as Dr. Alida Evans founded the ARC House Clinic in 2003. She designed this clinic to provide assessment, treatment, and continuity of care for the chronic health concerns of the ARC House residents. Most recently, Lisa Bell, RD, MPH, the Chief Dental Hygienist for the State of Wisconsin, in collaboration with Dr. Matthew Kutz and Dr. Laura Tills, established the MEDiC Salvation Army Dental Clinic in 2009 to help address oral health concerns of Dane County's homeless population. Besides expanding to new clinic locations, MEDiC also increased the number of services provided by partnering with the UW Schools of Pharmacy, Nursing, and Physical Therapy, the Physician Assistant and Nurse Practitioner Programs. Students and faculty from these schools and programs now routinely volunteer for MEDiC. Although the volunteers and the services MEDiC provides have changed throughout the past 20 years, the mission remains constant. MEDiC continues to provide quality patient care to the underserved in Madison. Students derive satisfaction from helping those in need, receive important medical training, enhance their cultural competency, and often develop a desire to someday practice medicine in underserved communities. The positive impact MEDiC has created these past 20 years is extensive and real. True to Margaret Mead’s words, a small group of motivated medical students indeed changed our corner of the world.

$20 for 20 Years is MEDiC’s fundraising campaign in honor of our 20th Anniversary of contributing to the advancement of the Wisconsin Idea and providing free medical care to the uninsured. To Donate by Check: Please make checks payable to the University of Wisconsin Foundation. In the Memo, please write “MEDiC Fund (12581558)” and mail to: UW Foundation US Bank Lockbox PO Box 78807 Milwaukee, WI 53278-0807

Online donations via credit card at: http://supportuw.org/giveto/medic, as well as the donation of medical services or medication are all graciously accepted. If you would like to donate or have any questions about donating, please e-mail us at: [email protected]. What can MEDiC do with $20? 1.) Buy 5 patients each one month worth of a generic brand prescription medication 2.) Provide medical care to 2 to 3 individual patients 3.) Buy 6 children’s books for our Reach Out and Read Program

$20 for 20

MEDiC Fall Newsletter

P AGE 3 Below: Salvation Army presents MEDIC with the President’s Volunteer Service Award from Barack Obama. In this photo (left to right), Salvation Army Clinic Co-Coordinator Dan Hertle, Salvation Army Evening Supervisor Pam Brunk, Salvation Army Clinic Co-Coordinator Alicia Sprecher, and MEDiC President Parker Hoerz.

Above: Michele Tracy Clinic Co-Coordinator Tom Garvens (left), and MEDiC Physician Volunteer Dr. Doug Dulli (right) share MEDiC stories.

Above (left to right): UW School of Medicine and Public Health Dean Robert Golden, and MEDiC’s Medical Director Dr. Don Schalch chat about MEDiC.

Below: Salvation Army Dental Clinic Co-Coordinator Katie Munck entertains guests with her musical performance.

Below: MEDiC Founder Dr. Ted Goodfriend smiles next to a poster about Grace Clinic, the first MEDiC clinic that he began in 1991.

MEDiC’s 20th Anniversary Celebration October 28, 2011

Below: MEDiC clinic and program posters were available for viewing through the hard work of (left to right) Sarah Haydostian, Justine Marcus, and Hannah Kiddoo, UW School of Medicine and Public Health Community Service Program Assistants .

Below: Dr. Ted Goodfriend (left) listens to Dr. Murray Katcher (right) discuss MEDiC’s history. Doctors Goodfriend and Katcher established MEDiC in 1991.

Above (left to right): UW School of Medicine and Public Health Dean Dr. Robert Golden, and MEDiC President Parker Hoerz enjoy the celebration.

This event was made possible through the generous support of UW Health and the Wisconsin Medical Alumni Association.

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Reflections from MEDiC Council Members "MEDiC has offered such a valuable learning experience- not only in terms of patient carebut also in understanding the barriers that prevent an unfortunately large portion of our population from receiving the care they need. I think this understanding is the first step health professions students can take to begin to break these barriers down.” Andrea Dale Referrals Coordinator 2011-2012

“MEDiC has been a fantastic organization to be involved with. It is extremely rewarding to have the privilege to help those in need and very inspiring to work with a group of caring individuals who give their time to assist others. Thanks MEDiC and all those who volunteer!” Trista Stankowski-Drengler Student Scheduler 2011-2012

“MEDiC has provided me with a unique opportunity to interact with multiple healthcare professional disciplines while providing care to the poor and homeless of the Madison area. This year I have seen people come to clinic in extreme pain (which often prevents them from working), and I have had the pleasure to see them leave free of pain and ready to tackle the world.” Andy Stein Salvation Army Dental Clinic Coordinator 2011-2012

“The mentorship that occurs within the context of patient care is a crucial part of MEDiC's success. Not only does it train future doctors, nurses, and pharmacists how to be compassionate clinicians, it also gives us an opportunity to teach and collaborate with our colleagues. I am honored to be part of this organization and be involved in furthering its mission of patient care and student education.” Laura Shank Southside Clinic Co-Administer 2011-2012

“Coordinating the Salvation Army Dental Clinic has been an invaluable learning experience. My understanding of the disadvantaged community and the obstacles they face to access even the most basic health care has been greatly deepened. The impact of my new awareness on my future medical career is obvious: did I ask a chronic no-show patient whether they have access to transportation or child-care? Is a patient not taking their medication because I neglected to ask whether they could afford to fill the prescription? The volunteer dentists, as well as the doctors volunteering at the other six MEDiC clinics, have also been fantastic role models. Our unique skill set affords us the ability make a large positive impact with a relatively small time donation. Because I have seen the difference one doctor can make in one evening at clinic, I plan on continuing to volunteer my time with Dental Clinic even after I’ve gradruated from UW-Madison School of Medicine and Public Health is over. Thanks to Dental Clinic, I have no doubt I will be a more empathetic, conscientious doctor.” Katie Munck Salvation Army Dental Clinic Coordinator 2011-2012

“MEDiC is what put the icing on the cake for UWSMPH. My undergraduate experience at Marquette University is what solidified my commitment to working with marginalized communities. The opportunity to be a clinic coordinator at Southside has allowed me to work one on one with patients and to step outside the world of studying. Dealing with challenges of the healthcare system and the uninsured has renewed my passion to practice medicine in these communities in the future. While we are not solving the Badgercare system single-handedly, stories like the one I am about to tell represent the improvements in patients' and students' lives that we are making. Over the summer we had a patient with hypertension and high cholesterol. They fit the mold of the typical patient at our clinic. With the help of a very eager volunteers and physicians that were willing to try patient education, we were able to convince the patient to change their diet and exercise routines. A month later the patient returned to clinic, had lost weight, and was extremely proud of the health status accomplishments. Without the opportunity to work at Southside, I may not have realized the impact that medicine outside of medications and tests can have on a population. Stephanie Treffert Southside Clinic Co-Coordinator 2011-2012

Check out the Madison Dental Initiative video on the UW School of Medicine and Public Health Community Service Programs homepage! You can view it by visiting this website: http://www.med.wisc.edu/education/md/community-service/main/148

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L ETTER F ROM T HE P RESIDENT This fall marks MEDiC’s 20th year of service to the Madison community. MEDiC has come a long way since its beginnings as a small medical information center (from which MEDiC derives its name) at the Grace homeless men’s shelter, but has remained true to its original roots as it aims to improve the health of the underserved in the Madison area and educate University of Wisconsin health professions students. As a network of seven student-run free clinics, MEDiC now provides care for over 1,800 patients every year and offers volunteer opportunities to students in the Physician Assistant, Physical Therapy, Pharmacy, Nursing, and MD programs. As Chancellor David Ward pointed out in a letter congratulating MEDiC on its 20th anniversary, “it is fitting that MEDiC celebrates this milestone as UW-Madison celebrates the 100th anniversary of the Wisconsin Idea,” the principle that the university should improve people’s lives beyond the classroom. Likewise, I would like to thank the community—volunteers, donors, and community partners—that have helped the program grow into what it is today. While a successful past is certainly something to celebrate, the MEDiC Council has seized this year as an opportunity to set its sights on the future. With major renovations planned for our ARC House and Salvation Army Dental clinics and the roll out of our electronic Patient Encounter Document, the program is showing no signs of wavering from its history of steady, sustainable growth. Other ongoing projects include the upcoming Turkey Bowl fundraiser, efforts to improve council communication, and preparation for the upcoming transition to a new group of student leaders. Over the past eight months in my role, I have been inspired by the tremendous amount of dedication, time, and effort that the Council pours into supporting these initiatives. I would also like to extend a special thank you to all of our physician volunteers, especially those who are volunteering with MEDiC for the first time this fall. It is truly moving to work with such an enthusiastic group of teachers and role models with a passion for caring for the uninsured and underserved. Thanks to our generous donors, MEDiC continues to enjoy a comfortable financial situation, allowing us to continue to serve the growing needs of a patient population struggling in the midst of the national and global economy. We are especially grateful to UW Health and the Wisconsin Medical Alumni Association, who have generously offered funding for our upcoming 20 th anniversary celebration. On behalf of the 2011-2012 Council, thank you for supporting MEDiC’s mission. Together we can ensure that MEDiC’s next 20 years are just as bright as its’ past. Parker Hoerz, 2011-2012 MEDiC Council President

H OW Y OU C AN H ELP ? Making a Gift: Your gift will allow us to continue our mission of providing health care to those most in need in our community while enhancing practical educational opportunities for health professions students. For information on how to make a gift, please visit our website at medic.uwmedstudents.com To discuss philanthropic opportunities please contact Jill Watson Director of External Relations and Development University of Wisconsin Foundation (608) 263-3173

University of Wisconsin School of Medicine and Public Health MEDiC 4234 Health Sciences Learning Center 750 Highland Avenue Madison, WI 53705 Phone: 608-265-4972 Fax: 608-265-8560 MEDIC.UWMEDSTUDENTS.COM

Donating Medications: We greatly appreciate donations of medications listed on MEDiC’s formulary. Due to our inability to monitor and follow most patients with chronic conditions, many chronic care medications are not useful in our clinics, especially those second line medications that would be too costly for our uninsured patients to continue using. Our current policies allow us to distribute pharmaceuticals that are less than 2 years past their expiration date, but we ask that liquid medications are less than 3 months past their expiration date. No surgical equipment or accessories are used in the MEDIC Clinics. We are not able to accept any medications that have been prescribed to a patient. We are also unable to accept donations from pharmaceutical or medical device companies. If you are interested in donating medications to MEDiC, please contact the MEDiC office at :

(608) 265-4972 [email protected]

Physician Volunteers: MEDiC is always looking for physician volunteers! We currently do not have an adequate number of volunteer physicians. While MEDiC provides primary care, physicians from all specialties are encouraged to volunteer. If you’re