Should UM (Founding Campus) Start a Student Run Health Clinic in West Baltimore? Richard P. Barth Presented to the IPE Task Force Committee September 8, 2011

The SHAC Prototype: Structure 40 years old—student run, faculty guided Operates every Wednesday night out of a community health clinic Students from all programs participate—faculty from corresponding schools must be on site or on call – DOFM faculty is on site No cost to patient (fund raising and in-kind donations support clinic: budget is about 40K/year)

Activities Student Health Action Coalition… – Screening, referral, and short-term primary care HIV testing and screening Mental health services Sports physicals Dermatology Opthamology Primary care Pharmacy – Habitat for Health (build a house a year) – Students plan a demonstration of one interprofessional case per year with confederate/simulated patients – Other outreach programs (e.g. Mobile SHAC)

Challenges Space Leadership (DOFM and other schools give workload credits) UNC SOM has a service requirement (Dentistry has it’s own SHAC) Social Work gets too many volunteers (and there is sometimes not enough to do) Making sure that each of the student groups understands the role of each other and referrals do not all come through one path (i.e., family medicine) Faculty leadership needed to consult with students so that they make wise, safe decisions about outreach, etc. Financing—SOM does most of the development work