The Urban Health Scholars have worked with Geisel School of Medicine to establish two elective opportunities for 3rd and 4th year students interested in working with urban and underserved communities. In addition to these electives which were initiated by scholars, Geisel students may also take part in other rotations based in urban settings including Manchester, Hartford, San Francisco, and other sites.
Lemuel Shattuck Urban Health Sub Internship
This course will emphasize patient care in a multifaceted approach treating physical and mental illness concomitantly with support for addiction, disease, and for emotional needs and sufferance. The rotation consists of four weeks in which a patient will be longitudinally followed from each of the above mentioned perspectives. The medical student will work with medical providers, social workers, psychologist, and addiction specialists to follow patients. Primary care and specialty clinics, group meetings, hospital floors, shelters, and group homes will be used as teaching sites.
Objectives & Goals
- Diagnose disease and formulate plan of care for geriatric illnesses, HIV, and TB infections, post-acute care rehabilitation and end of life care;
- Evaluate for history of mental illness and when to refer to specialists;
- Identify patients at need for substance abuse treatment services;
- Distinguish between clinical interventions and supportive services ensuring patient stability upon discharge
- Recognize the notion of spirituality and sufferance, and the need of creating emotional support in patient recovery;
- Identify barriers in placement and the work needed to ensure safe discharge in community;
- Work with multidisciplinary team;
- Understand the medical, psychiatric, emotional and spiritual needs of hospitalized correctional patients.
Greater Lawrence Family Health Center
This clinical rotation provides an introduction to Family Medicine in both the inpatient and ambulatory settings. The students see patients in one of the Health Center's four sites under the supervision of a clincian or senior resident. Students are also paired with physician/resident teams on the Adult Medicine and OB services. The rotation may also include didactic sessions, as well as homevisits and shelter visits accompanied by a HC physician. Students are required to have a background in medical Spanish.
Objectives & Goals
- Provide an experience in confronting the challenges of providing care to an underserved urban population and becoming aware of cultural differences in attitudes and practices regarding health and illness.
- Experience the full range of family medicine including adult medicine, women's health, pediatric care, prenatal care and preventive health care.
Medical students will learn the importance of effective communication across barriers i.e. race, socioeconomic status, sexual orientation, gender, and more. Good health and health care begins with communication between professional and patient, between patient and the system, and among members in a community. When this communication is limited because of differences in cultures, values or language, health and wellbeing can be compromised. To improve the quality of health care for people of various ethnic and linguistic backgrounds, the Harvard Pilgrim Health Care Foundation operates Culture InSight (CIS).
What does the Culture InSight do?
- CIS provides training for providers in culturally competent care and for medical interpreters.
- CIS consults with health care organizations and institutions to design professional development programs to meet their specific requirements.
This elective provides an opportunity for students to be immersed in the activities of the Culture Insight Team and work with them to analyze data or explore resources that are beneficial to the team. This relationship would be an exciting, unique opportunity for our medical students to engage in the training of providers in culturally competent care, learn about utilizing medical interpreters and consult with health care organizations and institutions in the Boston area to meet their diverse needs.
This elective also provides an opportunity for students to learn by working in The MetroWest Free Medical Program (MWFMP) in Sudbury and Framingham, MA. MWFMP is a volunteer-physician led program providing free health care services to the medically underserved in the communities of Boston's MetroWest region. Through the dedication of 35 volunteer physicians and more than 150 volunteers, it is the mission of MWFMP to serve as an entry point to the health care system for those in MetroWest who are uninsured/insufficiently insured by:
- Providing general medical and specialty care to meet their immediate health care needs;
- Connecting them with social services, health insurance and a medical home;
- Engaging with community partners;
- Advocating for policy changes that assure good health for all people.
MWFMP provides care through walk-in clinics and scheduled appointments during our Tuesday and Thursday evening and Friday afternoon programs. The Program is open each Tuesday evening to offer general medical care as well as specialty care in Diabetes, Dermatology, Psychiatry, Orthopedics, and Asthma Care. In 2008, the Program opened a second site at the First Parish church in Framingham to offer expanded women's health services as well as Vision care. Last year, MWFMP provided 1575 patient care visits, representing 1115 distinct patients, an increase of more than 30% from 2008.
Objectives - At the end of this elective the student will be able to:
- Describe the relevance, role, and training of medical interpreters.
- Bring what they learned back to DMS by leading a seminar or workshop for their peers upon their return.
- Summarize their clinical experience in a final report