A Year of Quality Improvement at Midvale Student-Run Clinic

Student-run clinics (SRCs) offer an unparalleled experience for medical students to grow their clinical and leadership skills, engage in a patient-first approach to medical care, and cultivate a deeper understanding of the needs of their underserved populations. Here we provide an overview of the projects completed under the leadership of the 2022-2023 Midvale Student Co-Directors and Student Clinic Managers. Collaboration with community health workers and Midvale CBC staff provided necessary insight into our patients' needs. This ultimately informed and directed the improvement projects, which aimed to better both clinical care and community health. Themes for these improvement projects included the following: expansion of specialty medical services and laboratory capabilities, collaboration with the HCI Mobile Mammography Bus to establish quarterly visits, integration of Midvale CBC's social work capabilities into clinic visits, launch of a Vaccines for Children program, and development of an expanded leadership structure to meet the approaching needs of MedEdMorphosis. Through our experience we found that 1) Collaborating with community stakeholders is essential to inform SRC growth decisions and 2) Actively identifying and/or collaborating with local resources allows for a more holistic response to our patient's medical and non-medical needs.

A Year of Quality Improvement at Midvale Student-Run Clinic David Hoyt, Christina Necessary, Robert Weatherford, Michelle White, Daniel Dupont Midvale Community Building Community Clinic Introduction Student-run clinics (SRCs) offer an unparalleled experience for medical students to grow their clinical and leadership skills, engage in a patient-first approach to medical care, and cultivate a deeper understanding of the needs of their underserved populations. The Midvale CBC Clinic connects patients with medical students and physicians four days a week, providing care in 8 different specialties in addition to addressing dental, physical therapy, and social needs. Here we provide an overview of the projects completed under the leadership of the 2022-2023 Midvale Student Co-Directors and Student Clinic Managers. Results With the help of the Midvale Clinic staff, SFESOM faculty, and community partners we: ➢ Offered health screenings at several health fairs across Salt Lake and Tooele counties ➢ Implemented a patient satisfaction survey to better understand and address patient concerns ➢ Visited Vanderbilt’s premier SRC (Shade Tree Clinic) and increased collaborations with SRCs across the nation ➢ Recruited the HCI Mobile Mammography Bus to provide free mammograms at the Midvale Clinic every 3 months ➢ Facilitated learning opportunities for an average of 90 student volunteers every month ➢ Initiated efforts to establish a medication dispensary through Dispensary of Hope Conclusions Through our experience we found that: Objectives In our efforts at the Midvale Clinic, we aimed to: ➢ Led a SRC leadership series for first year medical students to better understand the structure and challenges of SRCs ➢ Ensure the highest quality of healthcare delivery ➢ Improve access to preventative health screenings and vaccines ➢ Garner community support and resources for the Midvale Clinic ➢ Connect patients with community resources ➢ Added specialty clinics in gastroenterology, ophthalmology, gynecology, and dermatology ➢ Expand capacity to treat more patients and involve more students ➢ Launched a Vaccines for Children program and hosted several COVID vaccination events ➢ Expanded the student leadership team from 5 students to 14 students to meet the needs of SRC integration into the curriculum ➢ Formalized an in-house interpreter training program ➢ Hosted food banks, health fairs, and vaccination events at the Midvale CBC ➢ Increase access to specialty care ➢ Are in the process of recruiting The Wellness Bus ➢ Prepare for a smooth transition into the new medical school curriculum ➢ Created social media accounts, brochures, and a promotional video and blog to increase awareness about what the clinic has to offer ➢ Presented to the Midvale City Council Methods Putting patients first is our top priority. Collaboration with community health workers and Midvale CBC staff provided necessary insight into our patients' needs. Collaboration with MedEdMorphesis (the medical school curriculum team) and University of Utah faculty helped us move towards formal integration into the medical curriculum and university system. Collaboration with other SRCs and community leaders helped us identify community needs that were going unmet and ensure adherence to standards of care. As a liaison between these interested parties, we strove to find the balance where the needs of patients, trainees, and the community were met in harmony. RESEARCH POSTER PRESENTATION DESIGN © 2019 www.PosterPresentations.com ➢ Started a longitudinal diabetes prevention class for patients with prediabetes 1. Collaborating with community stakeholders and patients is essential to informing SRC growth decisions. 2. Actively identifying and/or collaborating with local resources allows for a more holistic response to our patient’s medical and non-medical needs. 3. Prioritizing health equity and the continued delivery of quality care to our patients is essential in SRC integration into MedEdMorphosis. Acknowledgements A massive thank you to the following for their generous contributions: Midvale CBC staff: Mauricio Agramont, Cathay Mullaly, Myrna Molina, Steve Bass, Magali Velasco, and many others MS2025 Clinic Managers Midvale Clinic Medical Directors University of Utah Health faculty and resident volunteers Patients and friends of the Midvale CBC City of Midvale Student-led clinics video ➢ Expanded in-house lab services and screening ➢ Implemented mental health and social needs screenings as part of the intake process ➢ Standardized HbA1c tracking for patients with diabetes ➢ Ran a summer pilot program to envision the role SRCs will play in the new medical school curriculum Facebook Page