1. THE SOUTHWEST HIGH SCHOOL HEALTH CENTER: A COLLABORATIVE PARTNERSHIP Raúl Trejo, MD San Ysidro Health Center Scripps Family Medicine Residency Program

2. OVERVIEW  Institutional Relationships  Southwest HS overview  Our patients  A typical day at the clinic  Challenges  Contributors to our success

3. PARTNERSHIPS  Sweetwater Union High School District – Southwest High School  San Ysidro Health Center  Scripps Family Medicine Residency Program

4. 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

5. OUR PATIENTS  Referred by  Self  RN  Teachers,  School counselors  School administrators  Types of visits  Acute symptoms/injuries  Sports physicals  Obesity  Asthma  Sexual Health  Psychiatric

6. 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

7. 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

8. CHALLENGES  Parental consent  Information Technology  Space  Complexity of partnerships  Confidentiality

9. CONTRIBUTORS TO OUR SUCCESS  Physician champion  Supportive leadership  Patience  Good team communication  Shared costs/benefits

10. 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