1. Broadening the Scope of a Family Medicine Residency Program to include community outreach to a fishing village in rural Nicaragua
AAFP Global Health conference Sept 13, 2014
Danielle Richardson PGY3
Lauren Gaw MA
Marianne McKennet MD
Kendra Brandstein MPH

2. Activity Disclaimer ACTIVITY DISCLAIMER
It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest (COI), and if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity.
Danielle Richardson, Lauren Gaw, Marianne McKennett, and Kendra Brandstein have indicated they have no relevant financial relationships to disclose.

3. Background of Scripps Family Medicine Residency
We are small community program south of san diego.

4. Background of Scripps Family Medicine Residency
Our patient population is made of medically underserved communities along the California and Baja California border region
Our curriculum focuses on border health issues and community medicine
Our training is based on the COPC model
Continuity clinic in FQHC

5. Scripps Family Medicine Residency in Chula Vista, CA

6. Scripps Family Medicine Residency in Tijuana, Mexico

7. Scripps Family Medicine Residency in San Quintin, Baja California

8. Scripps Family Medicine Residency’s Global Health Goals
Train and inspire family physicians to care for underserved populations locally in Chula Vista, across the US-Mexico Border, and internationally

9. Scripps Family Medicine Residency’s Global Health Goals
Broaden residents’ knowledge about global health issues
Create a collaborative partnership with other organizations serving this population
Support an international community clinic

10. Playa Gigante, Nicaragua

11. Playa Gigante, Nicaragua

12. Community Background
Playa Gigante is a small fishing community on the south western coast of Nicaragua.
It is very isolated but is quickly becoming known for its proximity to superior surfing and beautiful landscape.
The majority of people live on $3-7 USD/day.
79% of the population has no greater than a 6th grade education.
The average age of residents is 26 years old.

13. Variety of housing, use wells and latrines

15. Background of Project WOO
Project Wave of Optimism was created in 2006 by two avid surfers that served as Peace Corps volunteers in Central America.
Their mission is “to facilitate community-driven development in Latin American surf travel destinations.”
by Nick Mucha, and Adam Monaghan,

16. Vision
Project Woo’s vision is to build positive relationships within the community
Encourage local empowerment
Help raise awareness of local issues and promote local participation and leadership.

17. Community Meeting

18. Needs Assessment
The results of a 2012 needs assessment showed the overwhelming need and desire for a local health clinic
80% of the people involved rated it as their top priority and need.
Residents of Gigante also highlighted health education as a key issue that they would like to see addressed.

19. The Playa Gigante Community Health Center
The 850 square foot community health center opened in Playa Gigante in early 2014.

20. The Playa Gigante Community Health Center
Run by the local Comité de Salud
Staffed by a full time physician and a clinic manager

21. Our work together thus far
Pediatric Screenings and Nutrition Assessments
Explain how we discovered prob of anemia and junk food

22. Our work together thus far
Community Outreach and Education

23. Our work together thus far
Anemia Initiative:
Screen and treat all children under 5 y/o
Start a community spinach garden
Community nutrition classes
Work with schools to create a healthier learning environment

24. Future joint projects might include
HTN and Diabetes Brigades
Woman’s Health
Water and Sanitation
Nutrition

25. Next Steps
Strengthen our relationship with WOO, other NGOs, and the MINSA
Develop formal curriculum that includes longitudinal resident involvement
Faculty preceptors travel to Nicaragua with the residents
Integrate this project into our community medicine month

26. Challenges
Explore ways to financially support the community health center as well as our partnership
Longitudinal funding for resident and faculty travel
Evaluation of outcomes

27. Discussion
Experience among participants who have established longitudinal global health experiences