Fall 2006 - Cardinal Free Clinics

Fall 2006
Volume VI, Issue 1
Dr. Elizabeth Iida,
Mr. Winestone, Lena
Winestone, Mrs.
Winestone, Linda
Taoka, Yannis Paulus,
and Doris Garcia are
seated among dozens
of tables, waiting
for the Appreciation
Ceremony to begin.
4
CARDINAL FREE CLINICS
APPRECIATION DINNER
Arbor and Pacific Free Clinics
show appreciation for their
volunteers.
5
A REFLECTION FROM
ARBOR FREE CLINIC
Sixteen years in the making,
Arbor continues to make
significant improvements in
meeting the needs of its patients.
6
COMMUNITY OUTREACH:
CELEBRA LA VIDA CON
SALUD HEALTH FAIR
Success is met once again at the
joint Arbor and Pacific Screen
Team event in San Jose, CA.
7
PHYSICIAN SPOTLIGHT:
ALAN GIANOTTI, M.D.
A Cardinal Free Clinics volunteer
doctor dedicates tremendous
time to help bring quality health
care to underserved populations
domestically and internationally.
Cardinal Free Clinics Show
Appreciation for Volunteers
By CHRIS ADAMS, SMS IV
CFC CO-CHAIR
With a break in the April showers,
the sun was shining on over 150
guests as students, physicians,
and other supporters arrived at
the Vidalakis Dining Room for
the very first Cardinal Free Clinics
Appreciation Dinner.
Organized
through
a
collaboration of Cardinal Free
Clinics committee members and the
Office of Medical Development, the
dinner was conceived as a tribute
to the hundreds of individuals who
volunteer their time and money to
help make Stanford’s free clinics
succeed.
After cocktails and appetizers,
Stanford School of Medicine’s Dean,
Dr. Philip Pizzo, gave an opening
address which highlighted the need
for the Cardinal Free Clinics as well
as the organization’s contribution to
the community. Speaking of Arbor
and Pacific Free Clinics, Pizzo said
that the institutions were just one
way for, “opening a door that our
wealthy nation has yet to open.”
Finishing with his own note of
appreciation, Pizzo invited guests
to begin dining. After returning
to their tables with buffet plates
piled high, invitees sat for a trio of
presentations. Student managers
from Arbor and Pacific Free Clinics
told the audience of the clinics’
missions, achievements and goals;
statistics cited included the fact that
the clinics treated over 3,000 patients
during the 2005-06 academic year.
The students’ presentations
also paused to highlight the
efforts of several individuals who
have contributed in excess of
expectations. As a sign of the clinics’
gratitude, managers presented
engraved plaques to Pacific Free
Clinic medical director Dr. Rex
Chiu, Arbor Free Clinic medical
director Dr. Lars Osterberg, and
resident physician Dr. Ian Tong.
(see APPRECIATION, page4)
Fall 2006
PACIFIC
FREE CLINIC
CLINIC CHRONICLE
Volume VI, Issue 1
Pacific Free Clinic
Arbor Free Clinic
Overfelt High School Health Clinic
1835 Cunningham Avenue
San Jose, CA 95122
http://pacific .stanford.edu
pacific@med.stanford.edu
Open Saturdays, 10AM - 2PM
Menlo Park VA Facility
795 Willow Road
Menlo Park, CA 94025
http://arbor.stanford.edu
arborclinic@stanford.edu
Open Sundays, 11AM - 2PM
Medical Director: Rex Chiu, MD
Assistant Medical Director: Danny Sam, MD
Medical Director: Lars Osterberg, MD
Steering Committee
Managers Asya Agulnik, Kimberly Montez, Candace
Pau, Shirin Zarafshar
Community Resources Eleni Greenwood, Katie
Pricola
Dermatology Specialty Clinic Ricky Tong
Financial Andrea Crowell
Follow-Up and Referrals Jamie Colbert, Mark Hsu,
Alekos Theologis, Lena Winestone
Fundraising and Public Relations John Shen
Interpreter Joey Lopez, Trini Solis
Optometry Specialty Clinic Juno Obedin-Maliver
Orthopedics Specialty Clinic Richard Silva
Patient Education Donnie Matsuda
Pharmacy Elena Garcia
Physician Staffing and Recruitment Paula Borges,
Chris Nguyen, Sara Stern-Nezer
Preclinical Training and Staffing Tessa Andermann,
Mike Pouliot
Screen Team Marissa Aillaud
Supplies JoAnn Czechowicz, David Feliciano
Ultrasound David Feliciano
Undergraduate/Patient Intake Amanda Johnson,
Anh Pham
Website and Database Jorge Caballero
Steering Committee
Managers Katherine Brooks, Ian Chua, Linda Huynh,
Yannis Paulus
Supplies and Equipment Helena Horak, Suzanne Dela
Cuesta
Financial Cindy Hwang
Fundraising Sravana Chennupati
Public Relations Julie Len
Database Walter Shen
Cardinal Free Clinics Elizabeth Chao
Interpreter Nga Du, Carly Gomes
Physician Staffing Peter Simon, Jessica Lin
Volunteer Staffing Emiley Chang
Specialty Clinics Tom Tsai
Community Resources Elizabeth Chao, Yohko Murakami, Katie Pricola
Patient Education Huy Ho, Nancy Wang
Screening and Outreach Tara Ramachandra
Referrals and Follow-Up Jaqueline Baras, Albert
Chiou, Kim Truong
RxAssist Michael Choi, Leon Hsu
Research and Operations Achal Achrol
Fall 2006
CLINIC CHRONICLE
Volume VI, Issue 1
from the managers
F
rom all the managers, we are looking forward to the upcoming year at PFC and Arbor. The previous
managers and steering committees have established a solid foundation upon which we will build. We
will continue our two-fold mission: to provide culturally competent healthcare for the underserved
and to provide a great learning environment for all volunteers.
Many things have changed in the past year at the clinics. Both clinics are working with the Stanford
Internal Medicine Residency program and the Stanford School of Medicine Practice of Medicine course
to integrate the clinics into their curriculums. At PFC, we have expanded our referral network to provide
more comprehensive care for our patients. PFC has also added several services: women’s clinic, dental
screenings, vision screenings, nutrition counseling, ultrasound, and diabetes management classes. We have
hosted several screening events to reach out to the community, increased our community partnerships, and
expanded our clinic to see 32 patients on average per clinic day in 2006.
Over the last year at Arbor, we have increased the community resources available to patients, including
having a Benefits Analyst from the San Mateo County Health Department present at the clinic each Sunday,
implementation of health insurance and community resources training for patient intake volunteers, and
improvements to our dental services referrals system. Arbor has also been awarded grants from the Leslie
Foundation to support ongoing clinic operations, and from the Health Trust to fund expansion of the
Orthopedics Clinic.
Both clinics have many projects that we plan to see to fruition in the coming year. We are working
to acquire social workers to connect our patient to psychosocial, legal, employment, and health insurance
opportunities. We are increasing the scope of our patient education program to empower our patients on
their own health and to serve as educators within their communities. Our community research opportunities
are expanding, and we are performing needs assessments to discern how to further serve our patients. We
are working on implementing electronic medical records and will continue to strengthen our bonds with
other community clinics. We look forward to updating you on our progress with these projects in the next
newsletter.
Thanks for your support!
STATISTICS: JAN 2006 TO AUG 2006
Total patient visits
Total number of patients
Average visits per day
Patients requiring an interpreter
Uninsured patients
Unemployed patients
UPCOMING EVENTS
PFC Arbor
1022 570
425
445
32
16
68% 28%
96% 81%
53% 57%
September 9: Cardinal Free Clinics
Community Physician Brunch
l
l
September 9: CompreCare Health Fair
l
October 15: Health Trust Open Air Health Fair
CLINIC CHRONICLE
Fall 2006
Volume VI, Issue 1
APPRECIATION
(continued from page 1)
At the close of the evening,
Osterberg formally announced the
kick-off of the new, Cardinal Free
Clinics organization. He explained
the need and the role for the parent
organization as one which would
serve to secure the future of the
clinics as well as to strengthen
cooperation.
In this manner, according to
Pizzo, the clinics will be part of
a larger effort to, “find ways of
helping to transform American
medicine into a health care system
that makes sense.” q
(LEFT) Stanford University School of Medicine Dean, Dr. Phil Pizzo, congratulates and
thanks the volunteers of Cardinal Free Clinics at the Volunteer Appreciation Dinner.
(RIGHT) Dr. Rex Chiu thanks PFC volunteer physician, Dr. Russell Pachynski, for his
commitment and dedication.
Q&A Cardinal Free Clinics: An Introduction
By ELIZABETH CHAO, BIOCHEM YEAR IV, and GRAHAM WALKER, SMS IV
CFC CO-CHAIRS
What is Cardinal Free Clinics?
In 2005, Dr. Phillip Pizzo, Dean of the Stanford School of Medicine, announced the unification of Arbor
Free Clinic and Pacific Free Clinic under a new parent organization called Cardinal Free Clinics (CFC),
an affiliate of Stanford University School of Medicine. CFC considers its history to be that of its member
clinics, which includes nearly 20 years of combined operation.
Why was Cardinal Free Clinics created?
Having in the past relied primarily on short-term grants, Arbor and Pacific have recently begun to struggle
with fundraising while still trying to both provide and expand their health care services to an increasing
number of patients. CFC was established for two purposes: one, to provide the free clinics with a stable
and secure long-term financial future; two, to foster collaboration and synergy between the student-run
clinics to help ease the strain on individual clinic fundraising, marketing, and public relations.
What has Cardinal Free Clinics accomplished?
The CFC leadership has been successful in recruiting new physicians to the clinics, obtaining Continuing
Medical Education credits for volunteer physicians, streamlining the Adjunct Faculty status appointments
for volunteer physicians, and raising funds for both clinics through private donations and foundation
grants.
What are the future plans for Cardinal Free Clinics?
In the upcoming year, CFC is collaborating with the Office of Community Health in applying for large
foundation grants, publicizing CFC to the local community through various media venues, establishing
a CFC Advisory Board, and working with the Office of Medical Development in fundraising, all with the
ultimate goal of establishing a CFC endowment.
The success of CFC depends on the passion of volunteer physicians, the energy of student volunteers,
and the generosity of individual donors. Together, we can help change the face of health care.
For more information, please visit http://cfc.stanford.edu.
CLINIC CHRONICLE
Fall 2006
Volume VI, Issue 1
An Arbor Reflection
By JOHN SHEN, UNDERGRADUATE
ARBOR FUNDRAISING AND PUBLIC RELATIONS CHAIR
T
he Arbor Free Clinic was improve and increase health services orthopedics, and, soon, mental
founded
by
Stanford at the clinic. Particularly successful health. The clinic has also secured
medical students in 1990 has been the development of a long term location to provide its
as a community service
services on Sundays from
project through the Medical
the Menlo Park Veterans
Scholars Program. Students
Affairs facilities. As a result
had identified the lack of free
of a regular established
healthcare for the homeless
healthcare service, Arbor
as a major problem in
has more than doubled its
the local community. The
weekly patient population
primary goal of the initial
since the clinic’s inception.
clinic was thus to provide
The Pacific Free Clinic
healthcare access for those in
cultivated a program with a
need, while offering a unique
similar mission to serve an
and active experience for
unmet medical need in the
first year medical students.
San Jose area. Together,
As the program involved
the two clinics have evolved
more students and attracted
the Cardinal Free Clinics
more patients, the clinic also
initiative, a project to
gained dedicated support
sustain the two community
and funding from the Dean’s
clinics with a continuous
Walt Newman, MD, reviews a patient chart with Ricardo
Office, Stanford Hospital,
stream of funding. This
Pollitt (SMS 1).
and School of Medicine.
new venture, on behalf of
Over the past decade and a half, specialty clinics at Arbor. Currently, both clinics, creates an opportunity
the students and physicians leading there are extensive services available for more efficient and effective
Arbor have sought to steadily in
optometry,
dermatology, collaboration. q
SERVICES
SERVICES
Pacific Free Clinic
Arbor Free Clinic
• Medical care for adults and children
• Screenings for TB, diabetes, cholesterol, and
hypertension
• Sexual health services including pap smears, STD,
and pregnancy testing
• On-site interpretation services in Spanish
• Medications
• Dermatology, Optometry, and Musculoskeletal
specialty clinics
• Eye exams and vouchers for free glasses for
Optometry patients
• Referrals to primary and specialty care clinics,
social services, and emergency dental care
• On-site county benefits analyst
• Health education and counseling
• Medical care for adults
• Screenings for diabetes, cholesterol, hypertension,
and hepatitis B
• Sexual health services including pap smears, STD,
and pregnancy testing
• On-site interpretation services in Spanish,
Vietnamese, and Mandarin Chinese
• Free medications
• Free lab tests
• Referrals to primary and specialty care clinics and
social services
• Health education
• Women’s Specialty Clinic
• Dental Specialty Clinic
• Ultrasound
CLINIC CHRONICLE
Fall 2006
Volume VI, Issue 1
COMMUNITY OUTREACH
Screen Team Success at Celebra La Vida Con Salud
By MARK CHAO, SMS III
CFC VOLUNTEER
n October 23rd, 2005,
the Arbor and Pacific
Free Clinic Screen Team
participated in delivering free
health screening services to the
San Jose community-sponsored
event “Celebra la Vida Con Salud”
(Celebrating Life with Health).
The one day event, sponsored
by the Department of Health and
Human Services, was a community
health fair aimed at raising health
awareness in the primarily Latino
region of the San Jose community
by providing public health
information on disease prevention,
O
diet and lifestyle modification, as
well as free health screenings.
Over eight separate organizations
participated
including
the
National Institutes of Health, local
community clinics, and the screen
teams from Arbor and Pacific Free
Clinics.
Twenty-two volunteers from the
Arbor-PFC screen team provided
free blood pressure, diabetes, and
cholesterol screenings for over 500
people during the event, most of
whom were uninsured or did not
have a primary care physician.
Over 150 were positively screened
for hypertension, diabetes, or
hypercholesterolemia in which
over 30 were newly screened cases
and referred to a community clinic
for follow up.
The Arbor and Pacific Free
Clinic Screen Team is an off-site
clinic service that provides free
health screenings to disadvantaged
and under-insured communities
in the Bay area. Comprised of
undergraduate
and
medical
student volunteers, Screen Team
provides approximately nine
health screenings a year, screening
over 1000 people annually. q
Fall 2006
CLINIC CHRONICLE
Volume VI, Issue 1
PHYSICIAN SPOTLIGHT
Alan Gianotti, M.D.
Stanford Emergency Medicine physician,
advocate for social justice, and dedicated
physician volunteer at Cardinal Free Clinics
By ELIZABETH CHAO, BIOCHEM YEAR IV
PFC COMMUNITY RESOURCES CHAIR,
CFC CO-CHAIR
Volunteers regroup with Dr. Gianotti to review patient charts.
“V
olunteering at Arbor and the
Pacific Free Clinic is my way
of receiving the same sense
of satisfaction that I receive when
volunteering in the mountains of
Nepal,” says Dr. Alan Gianotti,
a physician in the Emergency
Department at Stanford University
Hospital. “There is an excitement
in volunteering abroad, but there
is as great a need in our own back
yard, and the potential to enjoy the
same sense of satisfaction.”
Dr. Gianotti has been volunteering
at both free clinics for over three
years and also serves as a physician
for clinics in Nepal. He plans to
return to the Himalayan Rescue
Association at Mount Everest base
camp for another three months in
2008. Furthermore, he has lectured
and volunteered in Mexico, Egypt,
India, Tibet, Ecuador, Bosnia,
Uzbekistan and Pakistan.
Dr.
Gianotti’s
longstanding
interest in international medicine
are guided and fueled by his
experience as a Fulbright Scholar
in Kathmandu, Nepal. “It was
while living in Nepal that I met
other mentors who helped steer
my current career path,” says Dr.
Gianotti.
When asked why he decided
to enter Emergency Medicine, he
explains: “Emergency Medicine is
one of only a couple of residencies
that provides a very broad based,
hands-on approach to medicine. It
was my goal to have the where-withall to handle any medical situation
that could present itself. Of course,
no one specialty is capable of that
- we all depend on each other.
Emergency Medicine however, did
offer the type of training I wanted,
and I really couldn’t imagine doing
anything else.”
Since completing
his
residency
at
Stanford University,
Dr.
Gianotti
has
dedicated
a
tremendous amount
of time and energy
in helping to rectify
social inequalities and
bring quality health
care to underserved
patient populations
through the Cardinal
Dr. Gianotti with Balti porters holding clinic hours during a Free Clinics.
“The
climbing expedition in northern Pakistan.
teaching along the
way reinforces medical issues, but
more importantly instills a sense
of social justice that is otherwise
absent in our medical training,”
says Dr. Gianotti.
Upon describing his most
rewarding experiences with the
Cardinal Free Clinics, Dr. Gianotti
says that he enjoys working with
former officers of the South
Vietnamese army at the Pacific Free
Clinic. “They came without knowing
our customs, without knowing
our language and generally have
had a very difficult time finding
worthwhile employment. It is no
wonder that their blood pressure is
high, their cholesterol is higher and
depression is rampant…Yet they are
proud people and rarely mention
their personal sacrifices.”
Dr. Gianotti’s dedication and
service to the community extends
even further. Every summer, Dr.
Gianotti volunteers with the Painted
Turtle summer camp in Los Angeles,
one of the Hole in the Wall Gang
camps started and sponsored by
the actor Paul Newman for children
with life-threatening illnesses.
According to Dr. Gianotti, “nothing
could be more worthwhile than to
help these kids feel ‘normal’ for a
week or two out of the year.”
When asked for last words of
advice, Dr. Gianotti explains how we
can support the causes we believe
in, even at the supermarket: “Buy
Newman’s Salad Dressing!” q
CLINIC CHRONICLE
Fall 2006
Pacific Free Clinic Acknowledgements
Pacific Free Clinic is a program of the Stanford University
School of Medicine and the School Health Clinics of Santa
Clara County. PFC would like to thank The Health Trust,
California HealthCare Foundation, Kaiser Permanente,
Blue Shield of California Foundation, Chanwell Medical
Group, Nancy Chen, Asian American Recovery Services,
Asian Staff Forum, Washington Mutual, and Huong Lan
Sandwiches for their support.
Volume VI, Issue 1
Arbor Free Clinic Acknowledgements
Arbor Free Clinic is a program of the Stanford
University School of Medicine. Arbor would like to
thank the Peninsula Community Foundation, the
California Wellness Foundation, the Health Trust, the
Kimball Foundation, the Leslie Family Foundation,
Starbucks, Subway, and Noah’s Bagels for their
support.
To donate to Pacific, please click on the “Donations”
link at http://pacific.stanford.edu.
To donate to Arbor, please visit
http://arbor.stanford.edu
and click on the “How Can I Help?” link.
If you are interested in joining the Pacific
team, e-mail pacific@med.stanford.edu.
If you are interested in joining the Arbor
team, e-mail arborclinic@stanford.edu.
Cardinal Free Clinics would like to thank the
following for their continued support:
The Health Trust
Blue Shield of California Foundation
Cardinal Free Clinics
Stanford University School of Medicine
251 Campus Drive, MSOB x3C43
Stanford, CA 94305-5404