1. + Coaching for Control Medical Students Changing Chronic Disease Outcomes Alex Friedman Feinberg School of Medicine MD Candidate, Class of 2014 Chicago Area Schweitzer Fellow, 2011-2012

2. + What do we know… Diabetes prevalence: overall Disproportionate burden: AA and Hispanic Easily modifiable by lifestyle change

3. + But... 60% of patients with diabetes do not have good control of their disease! Knowing = Doing Saydah, S.H., J. Fradkin, C.C. Cowie. “Poor Control of Risk Factors for Vascular Disease Among Adults with Previously Diagnosed Diabetes.” JAMA 2004;291:335 – 342.

4. + “Difficult Patients”

5. + Peter Griffin Overweight (BMI of… ) Diabetes “Diet? Exercise? You mean driving through the fast-food restaurant doesn’t count? Pills? I actually have to take them?

6. + You are his doctor… what do you do?

7. + Get angry?

8. + Smile and say the same things, knowing nothing will change?

9. + What if it were even more COMPLICATED: Peter couldn’t afford his medication? Did not know what foods were healthy? Had no safe place to exercise? Did not understand why taking care of his Diabetes was important? Did not trust his doctor would take care of him? Had to worry about having enough to eat, not just eating the right things?

10. + Facing difficult patients Image of patient and doctor Image of patient with insurmountable walls Patients facing barriers

11. + Coaching for Control Observations Behavior change is difficult, especially for underserved patients who face greater barriers to care. Idea First year medical students have the time, compassion, and enthusiasm to encourage and counsel patients. Students want and need to learn how to effectively promote behavior change Support Schweitzer Fellowship PCC Austin MSSRP

12. + Research Medical Students Meaningful Service Skill Building 2-4 hours/week Patients Motivational support Personal connection Bimonthly calls + group visits Providers Education!

13. + YOU and Health Coaching 8 hours of training Basic diabetes knowledge Complication prevention Motivational Interviewing Program Tools Orientation Meet your patient Initial Evaluation Bimonthly phone calls (20-60 minutes) 3 in person group sessions (3 hours/month) Bimonthly training (1 hour/week)

14. + Why ME? Learn about the most rapidly growing chronic illness Practice behavior modification not covered in our curriculum Learn about determinants of health first hand Establish strong bonds with a cohort of your peers Provide an irreplaceable service for patients Become a more valuable asset for patients you work with now, and will see in the future.

15. + What now? Reply online Applications will be due Sept. 1 No experience is necessary; only enthusiasm and dedication! Questions? Alex Friedman Mary-Friedman@fsm.northwestern.edu 803-479-7653