When he makes the drive from Kalamazoo to Hartford to volunteer at Holy Family Healthcare, Michael Chavarria, a third-year student at ĢĄĶ·Ģõapp, says he is quickly reminded of why he decided to become a doctor.
The pediatric clinic, located near downtown Hartford, operates under the leadership of Dr. Don Bouchard and serves as a holistic resource for medical care, food and clothing for the children and families of rural migrant workers in Van Buren County.
Since the summer of 2017, Chavarria and several other ĢĄĶ·Ģõapp students have volunteered at the clinic, providing care for patients and learning under the wing of Dr. Bouchard and Dr. Cheryl Dickson, the medical schoolās associate dean for Health Equity and Community Affairs.Ģż
The clinic, which opened in 2014, is one of two where ĢĄĶ·Ģõapp students and the medical schoolās Student Physician Engagement Clinics student interest group (SPEC) are getting a chance to volunteer their time while improving their clinical skills and ā more importantly ā learning the value of service and giving back to the community.
āItās definitely a great skill builder,ā said Chavarria, who leads the Latino Medical Student Association (LMSA) at ĢĄĶ·Ģõapp. āBut I think you could get a lot of that without coming here. What I tell students is theyāre going to get good grades, youāre going to study hard, youāre going to do well on tests, thatāsā always going to happen, but you donāt need to put off being a good person ā¦ This is the best thing Iāve done at this school. It is what I want to do with the rest of my life.ā
LMSA has partnered with SPEC to coordinate studentsā twice-a-month visits to the clinic in Hartford. Members of SPEC, under the guidance of Dr. Dickson, also volunteer twice a month at the Medicine-Pediatrics Clinic at ĢĄĶ·Ģõappās Oakland Drive Campus.
At Holy Family Healthcare, up to eight ĢĄĶ·Ģõapp students are volunteering their time during one Friday and one Saturday a month. On a recent Saturday in October, the group consisted of first-, second-, third- and fourth-year students from the medical school.Ģż
The time at the clinic for the students provides a chance for an in-depth experience and interactions with patients that will serve them well, especially during their third-year clerkships and fourth-year rotations. First- and second-year students are tasked with compiling patient histories under the eye of third- and fourth-year students and then present their findings to the attending physicians, Dr. Bouchard and Dr. Dickson.
The experience is much the same for students who are volunteering at the Med-Peds Clinic at the Oakland Drive Campus two Wednesdays a month. First-year students greet and show patients to their room, take vitals and ask about a patientās chief complaint.
Theyāre followed by a second-year student who conducts the patient history and physical under the leadership of a third- or fourth-year student. The more senior students then assist one another with presenting the patientās case to the attending physicians, either Dr. Dickson or Dr. Joseph DāAmbrosio, ĢĄĶ·Ģõappās associate dean for Clinical Affairs.
āI think the most valuable thing is I got to learn a lot from the M2s, M3s and M4s about what questions to ask during a physical exam, what kinds of questions to consider in terms of a patient assessment and plan,ā said Anna Trinh, a first-year student who recently volunteered for the first time at the clinic in Hartford. āI feel good that Iām helping out. I want to be able to help people as much as I can during my education.
āI donāt want it to be just about me, I want it to be about the people Iām serving.ā
The opportunities for ĢĄĶ·Ģõapp students to volunteer at the Med-Peds Clinic at the Oakland Drive Campus and the clinic in Hartford came about through the work of students that began in 2015 with the idea of starting a student-run clinic at ĢĄĶ·Ģõapp.
Students from SPEC were pivotal in establishing a structure for students to be able to volunteer and gain experience in a clinic setting. By the summer of 2017, students began volunteering at both clinic sites.
The leadership board of SPEC is made up of M3 Sulin Wu, who is the programās director, as well as Patricia Choi (M4), Rohan Kedar (M4), David Lee (M3), Grace Parikh-Walter (M3), Amy Rechenberg (M3), Ana Villalobos (M4), and Sam Yost (M4).
āThe great thing is that from their diversity they just bring this wealth of knowledge, this wealth of approaches to things,ā Dr. Bouchard said of the students who have volunteered at Holy Family Healthcare. āThat the school is allowing them, but also that the students have the initiative on their own to enrich their education and their lives by enriching the lives of others who are less fortunate, is amazing.ā
Dr. Bouchardās clinic in Hartford began as a mobile medical unit in 2012 before he opened the clinic at its current location in Hartford in 2014. The venture followed what was a 25-year career for him in contemporary healthcare and a vision of providing what he said was a more holistic approach to patient care.
The clinic focuses on providing healthcare to the children and families of migrant workers in Van Buren County. In the summer, the county boasts the highest per capita rate of migrant workers of any county in the state of Michigan, Dr. Bouchard said.
āThis is the population I wanted to serve,ā Dr. Bouchard said.
In addition to providing pediatric care, the clinic in Hartford boasts a food pantry and patients in need can also find clothing to wear and other items. On a recent Saturday in October, Chavarria arrived with numerous things to donate, including clothes, bicycles and a toaster oven.
āIāve been impressed with the level of compassion, the level of understanding and the level of global thinking with the students and their understanding of where they are in relation to others,ā Dr. Bouchard said. āTheyāre very insightful.ā
Dr. Dickson said the skills that students are practicing and learning during their time at the two clinics will serve them well while in medical school and later in residency. At both sites, she said students are also getting an opportunity to treat ā and to give back ā to patient populations that, historically, are underserved and plagued by health disparities.
āI think itās important because they learn in the classroom about vulnerable populations and to actually have experience working with an underserved population helps them understand some of those needs,ā Dr. Dickson said. āEvery community has populations that are underserved, so this experience is something they need to have.
āIt also provides a level of empathy we want all students to have,ā Dr. Dickson added. āItās that empathy that gets embedded early enough and it helps them know that part of their charge is service and thatās what being a physician is, being of service to others and being of service to those who have a need.ā
Wu, who began pushing for a student-run clinic when she arrived at the medical school in 2015, said the time she and other students are spending at the two clinics is valuable because of the educational aspects of the experience, as well as the connections students get to make with the community and with each other. She said the experience students gain also serves to rejuvenate them and remind them ā much like Chavarria ā of the reasons why they decided to go to medical school.
āFor us, as M2s, this is going to be great for us as we move into third year,ā said Jamil Khondker, a second-year student who volunteered on a recent Wednesday in November at the Med-Peds Clinic with Wu, Patricia Choi and fellow M2 Robert Cai. āI think each level of student can have a role here ā¦ I really think this is good practice.ā
Dr. DāAmbrosio said he thinks the experience is valuable for students because it gives them an opportunity to work closely with medical school faculty.
āMedicine is still an apprenticeship,ā Dr. DāAmbrosio said. āThe way doctors learn is by seeing patients and the more you see, the better trained you are. It also helps them to see that thereās not a script for everything.
āI think this is an opportunity to up their game.ā
Ģż
Ģż
Ģż