Presented by: Dr. Susan Cochella and the 4 th St. Clinic Managers.

Presented by: Dr. Susan Cochella and the 4th St. Clinic Managers

Supervisor: Dr. Susan CochellaTammy Nguyen, MD/PhD CandidateJillian Wong, MSIISandhya Ravichandran, MSIIHenry Tran, MSIIChris Rees, MSIIAlex Meier, MSIICody Martin, MSIIKatherine Poruk, MSIIBreton Yates, MSIIGiang Tran, MSII

A nonprofit organization that works to end homelessness by providing comprehensive health care and support services to homeless Utahns.

For many of their patients, they are the first and only chance at proper diagnosis and treatment.

Fourth Street Clinic is a full-service health home that offers coordinated primary care, behavioral health and pharmacy services.

Forty staff members, 35 in-house medical volunteers and over 200 off-site specialists who see patients on a pro bono basis and serve nearly 6,000 patients each year.

The Saturday Student

Clinic!

The Saturday Student Clinic

• Each Saturday, Medical Students are allowed to staff the clinic.

• Made up of primarily MS1 and MS2 students who, along with a volunteer physician, treat homeless patients.

• Clinic runs each Saturday from 9:00 am to approximately 12:00 pm.

What do we do?

• Vital Signs• Patient history• Physical Exams• Write and present SOAP note to attending

physician• Observe physician diagnose and treat patient• Dispense any treatment necessary

What do we see?

• We see adults with a variety of illnesses:– Colds/Respiratory Ailments– Cardiovascular Problems– UTIs– GI ailments– Diabetes related problems– Headaches, Ear aches, Muscle aches– And other general primary health concerns.

The Benefits• Opportunity to work with at need populations

in the Salt Lake Valley. • For many, it is the only opportunity to get

hands on experience with patients. • Allows students to practice skills such as

taking a patient history, writing a SOAP note, and performing a physical exam before starting 3rd year rotations.

• Meet local physicians

The 4th Street Schedule and

How to Sign Up

Red = Clinic FullBlue = Can Sign Up

Things to

Remember!!!

• You are only allowed to sign up and attend 2 clinics per month!

• If you find you cannot attend a date you signed up for and it is within one week of the clinic, you must find a replacement!

What to wear?

• Dress professionally!• Men: – Nice shirt and slacks– tie optional

• Women: – Skirt or nice slacks

• No Jeans!

What to bring?

• Stethoscope• Name tag• Pen• You do not need your white coat.

Recognition:• If you attend 8 clinics in between now and

August 2010, it will go on your Dean’s Letter.• You can have it listed on your Dean’s Letter

for both MS1 and MS2, provided you attend 8 clinics each year.

• We will look for new managers in Spring 2010.

Questions?

S.O.A.P. Note with Dr. CochellaWriting S.O.A.P. Notes Chief Complaint – in patient’s own words S = SUBJECTIVE: (What the patient tells you.)History of Present Illness

Onset, Duration, SeverityAssociated SymptomsWhat Worsens?/Improves?Treatments?/Outcome? (including alternative and OTC)

Past Medical HistoryIllnesses, Operations, Allergies, MedicationsPreventive Health UpdateOB-GYN for Women (including FP/BC)

Family HistorySocial History

Living Situation/FamilyAlcohol, Tobacco, Drugs

Occupational History – Jobs, Exposures, etc.Review of Systems

S.O.A.P. Note with Dr. Cochella0 = OBJECTIVE: (What you document.)Physical ExaminationLaboratory, X-raysSpecial Procedures/TestsConsultation Results/Reports A = ASSESSMENT: (Problems Identified/Presumed Diagnosis[es]) P = PLAN: (What you [and the patient] plan to do – note the

three distinct areas)1. Further Diagnostic Evaluations (Studies/Tests/Referrals)2. Patient/Family Education3. Treatment:a. Non-Pharmacologic (rest, exercises, diet change, weight loss,

heat/cold, etc.)b. Pharmacologic (both prescription and OTC)c. Preventive (age appropriate recommendations: counseling,

screening, Rx, etc.)