THE SOUTHWEST HIGH SCHOOL HEALTH CENTER: A COLLABORATIVE PARTNERSHIP Raúl Trejo, MD San Ysidro Health Center Scripps Family Medicine Residency Program
OVERVIEW Institutional Relationships Southwest HS overview Our patients A typical day at the clinic Challenges Contributors to our success
PARTNERSHIPS Sweetwater Union High School District – Southwest High School San Ysidro Health Center Scripps Family Medicine Residency Program
SOUTHWEST HIGH SCHOOL DEMOGRAPHICS 1717 Students 94% Hispanic or Latino 2% Filipino 1.2% non-Hispanic White 1.1% non-Hispanic African-American 1.4% 2 or more races 40% English-learners 74% Free & reduced price meals
OUR PATIENTS Referred by Self RN Teachers, School counselors School administrators Types of visits Acute symptoms/injuries Sports physicals Obesity Asthma Sexual Health Psychiatric
SOUTHWEST HS HEALTH CENTER Hours of operation 8:30-12:00 Mon-Thur Located at nurse’s office Staffed by: SWHS – school nurse, health clerk SYHC – medical assistant, patient access representative Scripps FM residency – teaching attending, residents Family Medicine/Psychiatrist 1 day a week Social work interns 2 days a week
MA desk PAR desk Nurse’s Office Exam Room 1 Exam Room 2 MD desk Health clerk Cot 1 Cot 2 Waiting Area Bathroom Vitals Area
CHALLENGES Parental consent Information Technology Space Complexity of partnerships Confidentiality
CONTRIBUTORS TO OUR SUCCESS Physician champion Supportive leadership Patience Good team communication Shared costs/benefits
SHARED BENEFITS Students and families On site, confidential medical care Connection to community health center resources High school Proactive care of struggling students Opportunities to improve pipeline into health careers Community health center Students and their families as new patients Public relations Residency program Improved skills in adolescent medicine Opportunities for learning community interaction skills Development of physician as community role model