the Newsletter
Transcription
the Newsletter
InSight Cleveland Clinic Lerner College of Medicine Student-Run Free Clinic Offers Students Training, Life Lessons On a recent Saturday at the Student-Run Free Clinic, Josie Volovetz (’19) learned that the patient for which she was caring had been beaten unconscious at a party not long before. Although the woman hadn’t come to the clinic for issues related to that incident, Josie felt compelled to dig deeper. “I learned a lot of skills from working with the social work students at the clinic,” says Josie, who has spent nearly a year at the clinic as both a clinician and a case manager. As snippets of the story were uncovered — and based on some of the comments the patient made — Josie suspected the patient was suffering from psychological trauma and referred her to a counselor. Often this is the case. Patients come to the clinic for a specific issue, and an unaddressed concern, such as a psychological issue or domestic violence, is uncovered. In those cases, the students help educate patients and make referrals. Students vie for limited spots The Student-Run Free Clinic was founded and is operated by Case Western Reserve University School of Medicine students. Students from CCLCM and other Case schools, including nursing and social work, volunteer at the clinic, which is held every other Saturday. The student spots are highly competitive. Most students have the chance to volunteer at the clinic for only one, maybe two semesters. The clinic is located inside the Free Medical Clinic of Greater Cleveland and offers free care for acute issues to anyone who needs it. Most patients come to the clinic for physical exams for work or school. A clinic patient is first seen by an interdisciplinary team of students who conduct an interview and take vital signs. Next, the patient is moved to an exam room and seen by a junior or senior student clinician. After the exam, the student clinician presents the findings to the attending physician, who generally is an internal medicine or family practice physician from Cleveland Clinic, University Hospitals or MetroHealth Medical Center. With the exception of a few staff members, everyone at the clinic is a volunteer. January 2016 Senior students do double duty Stuart Zeltzer (’16), who began volunteering at the clinic as a senior clinician, is responsible not only for patient care, but also for teaching and mentoring the junior students. “As a senior, I’m responsible for knowing what the younger students need to learn. We’re trained in how to establish learning goals and engage in feedback and assessment — much the way we are learning in medical school.” For Stuart, serving as a senior clinician gives him the opportunity to take more responsibility with patients as well, such as creating a care plan patients can agree to. “We try to take as much responsibility with patients as possible, even when a situation becomes challenging. You don’t want to push a problem onto the attending,” says Stuart. Patients offer life lessons Providing healthcare to patients who may not otherwise receive it is the most rewarding part of the experience for Bob Sun (’19). He recently cared for a patient who came in for a physical, sporting one arm in a sling and another arm bandaged. When Bob inquired, he learned the patient had been shot a few weeks back during a fight. “It’s one thing to learn about racial, social and economic disparities in the classroom. It’s another thing altogether to be able to speak to those who are living it — to listen to the lived experiences of the marginalized and underserved,” says Bob. Students help fund the clinic The Student-Run Free Clinic complements the care provided at the Free Clinic during the week and essentially expands access for patients. Because nearly all the clinicians who man the clinic on Saturdays are volunteers, the cost to open those two extra days every month is nominal. Still, the students try to cover all the costs of operating their clinic, mainly through their annual benefit show called Doc Opera. Each year, Case and CCLCM students donate the proceeds from the show to both the Free Clinic and the Student-Run Free Clinic. Over the years, the students have raised thousands of dollars to benefit the clinics. This year, the show will be celebrating its 32nd anniversary. More than a place for underserved community members to receive free healthcare, the Student-Run Free Clinic allows students from various disciplines to forge collaborative relationships and work together to care for patients, just like in the “real world.” Students also gain crucial wisdom, ranging from clinical care to communication, and have an opportunity to test and refine their teaching skills. Perhaps most important, the students connect with people in the community, sometimes making an impact greater than they had imagined, and other times recognizing that they themselves are the ones who have been changed. View a short video on the Student-run Free Clinic. Cleveland Clinic Lerner College of Medicine InSight | 2 NEWS How Does CCLCM Rate? Most Faculty Feel a Sense of Pride in the CCLCM Program During late summer, 505 members of the professional staff who participated in teaching or assessment activities were surveyed using a web-based evaluation system to discover their perceptions about the Cleveland Clinic Lerner College of Medicine. More than 60 percent of the group (310 members) responded to the survey. The selection criteria for respondents included active participation during the 2014-15 curriculum year in one or more of these areas: •Preceptors, small group facilitators, seminar/journal club facilitators, thesis committee members or physician advisors. •Course directors, thread leaders, PBL case writers, CAPP graders, OSCE raters or CCLCM administrators. •Members of the Basic Core Committees, Basic Science Education Committee, Clinical Education Committee, Curriculum Steering Council, Foundations of Clinical Medicine Committee, Medical Student Promotion and Review Committee or Research Education Committee. There were many positive takeaways from the survey. Nearly all respondents believe the CCLCM program enhances the reputation of Cleveland Clinic, and 93 percent of respondents said they enjoy teaching medical students and have a sense of pride in the CCLCM program. “CCLCM is a great medical school. I am excited to serve another year with CCLCM,” said one faculty member. Some key findings from this survey include: •95 percent of faculty agreed that the CCLCM program enhanced the Cleveland Clinic’s overall reputation. •Faculty indicated they were intellectually stimulated by their CCLCM work (92 percent) and contributed to implementation of CCLCM program (70 percent). •83 percent indicated that they improved their ability to give trainees targeted, constructive feedback. •81 percent of respondents indicated their department chairs valued their CCLCM activities. •74 percent of respondents indicated that they hold a faculty appointment, the second highest amount over the previous six years. •74 percent of respondents think the CCLCM program helps to attract “academic” staff recruits and residents/fellows. Cleveland Clinic Lerner College of Medicine •The majority of faculty surveyed planned to maintain (71 percent) or increase (19 percent) their involvement with the CCLCM program next year. •64 percent agreed that CCLCM appropriately recognized faculty for their contributions to the CCLCM program — an 11-percentage point decrease compared to the 2013 faculty survey. •The 61 percent response rate in 2015 exceeded the rate obtained for the 2013 survey by 20 percent. •52 percent of respondents indicated more formal communication is needed about the CCLCM program. •Faculty reported having significant (29 percent), moderate (41 percent), or minimal (29 percent) involvement with the CCLCM program during the past year. Faculty offered numerous positive comments regarding the CCLCM program, many of which centered on the students. “One of the great privileges of my life has been my association with the CCLCM.” “I very much enjoy my participation in the CCLCM program. I find it very challenging and rewarding.” “The school is a trust asset to Cleveland Clinic and working with these students is a true pleasure.” “It is a great program and I always felt proud to describe our program to my fellow scientists at other universities.” Evaluation Manager Michaela Stiber organized the survey and Senior Evaluation Manager Jeffrey Shivak, MEd, reported the findings. We appreciate receiving feedback from our faculty about the CCLCM program. This input helps us improve the educational program and monitor important institutional outcomes. A full copy of the report is available to anyone wishing to view it. Please contact Director of Evaluation Beth Bierer, PhD, or Evaluation Managers Jeffrey Shivak, MEd, or Michaela Stiber with your request. InSight | 3 Get Engaged! If you are a young professional (between the ages of 21 and 40) in Cleveland, consider getting involved in Engage! Cleveland (E!C). This new organization helps young professionals connect to various organizations, nonprofits, events, businesses and others to help them become better integrated into the city. E!C is not a membership organization; they invite all young professionals to come out and get engaged as they please. The group hosts many events throughout the year including those involving the arts, sports and culture. A few upcoming events include a Tasting & Tour Event at Hofbrauhaus, Cleveland Cavaliers game and the 3rd Annual Cleveland Young Professionals Week. View a full calendar of events and learn how you can get involved! CCLCM Faculty: Three Questions Leonard Calabrese, DO Director, Foundations of Clinical Medicine Seminars 3 and 4/5 Q: What inspires you to teach? I love doing this because I learn so much! Teaching, especially humanities, has given me an opportunity to cultivate my own reflective practices. Also, I can tell you how much I have learned from hearing the stories of life and medicine from the students and my colleagues. Q: What’s one lesson you wish you would have learned in college/ medical school? Wow, hard question. I feel so lucky and feel so much younger now than I did 10 or 20 years ago (at least intellectually but also in terms of my Real Age, with credit to Dr. Mike Roizen). If I try to analyze why, I think that I have come to learn that less is more, that faster is not always better and that simplicity in life is energizing. I hope I can keep it up. Q: If I weren’t a physician at Cleveland Clinic and a faculty member at CCLCM, I would be …. Can’t answer this question. I was born to do this. Cleveland Clinic Lerner College of Medicine InSight | 4 ACCOLADES Faculty Members Work Toward Becoming Exceptional Educators Distinguished Educator Level I Certificate The following faculty members have completed all the requirements for the Distinguished Educator Level I Certificate Program during the program year ending December 2015. These faculty participated in “Essentials Program for Health Professions Educators” sessions on teaching, learning and assessment; completed a pre- and post-observation reflection; and participated in an observed educational session with feedback: Jeffrey Brown, DO Do Gyun Kim, MD Darlene Lobel, MD Vinni Makin, MD Jinesh Patel, MD Marina Perez-Fournier, MD Jane Wey, MD Distinguished Educator Level II Certificate This program is designed for professional staff who have already obtained the DE Level 1 Certificate and wish to build on that experience by designing and implementing a scholarly project. The DE II certificate is awarded after successful completion of a four- to six-month mentored project, which can include creating an educational research proposal; developing and implementing a needs assessment; reviewing scholarly literature on a topic of interest; and developing a scholarly paper or book chapter. Congratulations to: Renato Samala, MD REALL Resident Development Award The REALL Resident Development Award is presented to faculty who have participated in the Resident Educator And Life-long Learner (REALL) Program and implemented at least three REALL modules for their residency programs. These modules instruct residents on key aspects of being teachers and life-long learners. Topics that are reviewed include Giving Feedback, Observation Skills, Clinical Teaching and Self Regulation. Congratulations to this year’s awardee: Rita Pappas, MD Please congratulate these physicians for their dedication toward becoming exceptional educators. Learn more about faculty development opportunities. Cleveland Clinic Lerner College of Medicine InSight | 5 ROUND UP ! n o i t i d E l l a b Foot A group of CCLCM students and faculty went to the Ravens v. Browns game on Nov. 30. Even though the Browns lost – but by only six points! – the group enjoyed the mild weather, camaraderie and cheering for the home team. From left: Jacob Christ (’18), Vishnu Ganesan (’17), Michael Tee (’17), Anne Runkle (’17), Clare Landefeld (’18), James Young, MD, Kathryn Lavelle, PhD, Jessica Ray (’17) and Christopher Loftus (’16). Back row: Thomas Hurst (’16), Fabrizio Galimberti (’16), Marina Li (’16), Aaron McBride (’19), Albert Feeny (’20), James Young, MD, and Brett Graham (’20). Front row: Michael Tee (’17), Vishnu Ganesan (’17), Elizabeth Shay (’20), Kika Clore-Gronenborn (’20) and Caroline Franke (’20). Back row: Clare Landefeld (’18), James Young, MD, Rebecca Achey (’18), Jacob Christ (’18), Daniel Li (’18) and Anna Faris (’19). Front row: Christopher Loftus (’16), Rachel Baird (’19), Bob Sun (’19) and Alex Chaitoff (’19). A group of medical students from the class of 2020 and CCLCM faculty tried to stay focused on metabolic liver diseases, but it was game day for Ohio State v. Michigan State, and football fever had already taken hold. Showing off school colors. Cleveland Clinic Lerner College of Medicine From left, Janet Adegboye, Anthony Tavill, MD, Bret Lashner, MD, Stella Bell, Rob Borden, Nikhil Gupta, Kaitlin Keenan and Anne Kim. InSight | 6 ALUMNI NEWS Alumni Match to Prestigious Programs Two alumni return to Cleveland Clinic We’re delighted to report that several of our CCLCM alumni have matched to prestigious training programs around the country, and two are returning to Cleveland Clinic to train in cardiology. George Cater, MD (’13) matched to the University of Pittsburgh for cardiology. Robert Koeth, MD (’12) matched to Cleveland Clinic for cardiology. Jake Decker, MD (‘13) will be the primary care chief medical resident at Beth Israel Deaconess Medical Center in Boston for 2016-17. Preethi Mani, MD (’13) matched to Cleveland Clinic for cardiology. Dr. Mani is excited to be returning to Cleveland Clinic to strengthen the relationships she built as a medical student and to hopefully give back to CCLCM, she says. Peter Hanna, MD (’13) matched to the University of California, Los Angeles for cardiology. He writes that he matched into the UCLA Specialty Training and Advanced Research (STAR) program and is hoping to pursue a PhD in genetics. He has been impressed by and learned a lot from his co-residents and the faculty at University of California, San Francisco. “I remain very thankful for the opportunity to have trained at CCLCM and believe I was well-prepared for residency,” he says. Dennis Hsu, MD (‘13) matched to Memorial Sloan Kettering Cancer Center for hematology/oncology. Cleveland Clinic Lerner College of Medicine Brian Nolan, MD (‘13) matched in pediatric rheumatology at Children’s Hospital of Philadelphia, his top-ranked program. “None of this would be possible without having been granted the opportunity to learn and grow at CCLCM, and I’m overwhelmed at the debt of gratitude I have towards the faculty and my colleagues. I look back with only the fondest of memories, and somewhat in awe, still, at how my education was prioritized and personalized in my time at CCLCM,” he says. InSight | 7 ALUMNI UPDATE Alumnus Touts Benefits of Plant-based Lifestyle CCLCM alumnus Sara Lappé MD, MS (’09), recently published “Why Cutting Back on Red Meat Is Good for You – and Your Kids” on U.S. News Health, touting the numerous health benefits of a adopting a plant-based lifestyle. Following her pediatric residency at Duke University Children’s Hospital, Dr. Lappé joined Cleveland Clinic, where she serves as the medical director of the Be Well Kids Clinic, a weight management clinic at Cleveland Clinic Children’s. She and her husband, Jason (’09), a cardiology fellow at Cleveland Clinic, have two daughters. MARK YOUR CALENDAR March 3, 2016 Annual Education Retreat CWRU, Tinkham Veale Center March 21-24, 2016 OSCEs for Year Twos Alumni: Share Your News We’d like to hear about what you’ve been doing since graduation. If you have news to share (maybe you’re involved in an interesting research project or you recently returned from a global health mission), please email Laura Greenwald at greenwl@ccf.org. Laura R. Greenwald, MBA, Managing Editor Kathryn Eurich, Writer Thomas A. Fenn, Art Director © Cleveland Clinic Foundation 2016 Cleveland Clinic Lerner College of Medicine InSight | 8
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