2012-2013 report - Shade Tree Clinic
Transcription
2012-2013 report - Shade Tree Clinic
Shade Tree Clinic Report to the Community i Shade Tree Clinic 2012-2013 The Shade Tree Clinic Mission Statement Since 2004, students have played a pivotal role in transforming an ordinary doublewide trailer into the extraordinary primary care medical home for hundreds of patients. Through the Shade Tree Clinic, medical and nursing students from Vanderbilt and Meharry are able to enhance their medical education via practical “hands-on” experience, while simultaneously providing important health care and social services to a neighborhood in need. Shade Tree Clinic is a free health clinic run by Vanderbilt medical students. We strive to be the medical home for Nashville residents with limited resources by providing exemplary care for acute and chronic illnesses, social services and health education. Shade Tree Clinic 1223 Dickerson Pike Nashville, TN 37207 www.shadetreeclinic.org tel: 615.422.5262 fax:615.255.8224 1 Shade Tree Clinic From the Student Directors Dear Friends and Advocates, Shade Tree Clinic, Vanderbilt University's studentrun free clinic, has changed the lives of so many in the Nashville community. Our mission is simple— to provide a comprehensive medical home for the underserved while simultaneously training the next generation of health care providers in compassionate, socially conscious medicine. Our core clinical practice serves the uninsured and underinsured facing significant barriers to care. We seek to overcome these challenges and are excited to offer a diverse array of services—including medical, laboratory, social work and pharmacy—that have improved patient health and quality of life. During this past year, we introduced a formal Medical-Legal Partnership, recognizing the intersection between potential legal outcomes and patient health. We have also enhanced both the size and management of our pharmacy with the introduction of new professional software and collaborations with neighboring institutions, which will continue to ensure quality and improve patient knowledge. We also have made strides in the community at large through our outreach efforts. We had one of our most impressive years for our Homeless Vaccination Program, expanding to new sites and distributing a record number of flu immunizations. Additionally, we grew our Swim Safely Program that teaches pool safety and healthy lifestyles to children in the community surrounding our clinic. These efforts and accomplishments are a testament to the hard work of over 400 student volunteers from disciplines including medicine, nursing, pharmacy, dietetics and law, as well as over 100 faculty volunteers. In total, these individuals have contributed in excess of 15,000 volunteer hours. We are also tremendously grateful to the many advocates and donors who continue to support the clinic. The projects and outcomes described within this report are truly a team effort, and we thank all of those who have contributed and participated throughout the year! Bharat Kilaru and Matt Stier Co-Executive Directors, Shade Tree Clinic Vanderbilt University School of Medicine, Class of 2015 2 Shade Tree Clinic From the Medical Directors There is a general consensus that the changing medical landscape will give more people access to care and that patients and their providers will share increased responsibility to control health care costs. Vanderbilt University medical students, however, are not waiting for legislative changes to help the underserved. Improving access to care is why these ambitious students started Shade Tree Clinic. Learning how patient care relates to almost every other social issue and the overall economy may be the real lesson for students who volunteer. The more medical students work at Shade Tree, the more they recognize the need to not only improve access to medical care but to also address social issues and manage cost. These skills serve them well in their professional career and help the citizens of Nashville at the same time. Vanderbilt students are talented, motivated and determined to deal with the complexity of medical and social challenges. In the earlier years of Shade Tree students developed protocols for managing chronic diseases such as diabetes and hypertension. Along with volunteer faculty, they followed standards of care and addressed social issues to minimize challenges which seemed to interfere with treatment. They applied for grants and enacted institutional review board approved protocols. And finally, they brought teaching points back to the university and have had a major impact on restructuring Vanderbilt’s formal medical school curriculum. This past year most of the students working at Shade Tree treated a patient population with increasingly complicated medical problems. While one group of students addressed medical problems, another group focused on patient social issues. This group of students created a partnership with the Vanderbilt Law School known as the Medical Legal Partnership. Patient issues including immigration, disability, obtaining medical insurance and domestic abuse were reviewed. As a result, many patients were successful in getting disability benefits, social security income and medical insurance. Helping patients obtain medical insurance created an opportunity to transition patients to other providers and allowed Shade Tree to accept more new uninsured patients. Transitioning patients to other providers proved to be surprisingly complicated, as many patients who had received care at Shade Tree did not want to transition to other settings. They were accustomed to a standard of care and attention at Shade Tree that most providers and clinics had difficulty providing. As medical directors we do not create the agenda for the clinic. This may be good, because neither one of us truly believes that we could have created a product superior to what Vanderbilt students have created. Thank you for your interest in this truly inspirational project. Michael Fowler, M.D. and Robert Miller, M.D. Medical Directors, Shade Tree Clinic From left to right: Dr. Michael Fowler and Dr. Robert Miller. 3 Shade Tree Clinic Clinic Governance CLINIC LEADERSHIP Executive Directors: Bharat Kilaru and Matt Stier Director of Operations: Richard Samade Director of Patient Health Education: Emily Zern Director of Pharmacy: Glynnis Garry Director of Social Work: Cooper Lloyd Director of Spanish Services: Sarah Eckhardt Director of Community Outreach: Patrick Kelly Director of Finance: India Reddy Medical Directors: Robert Miller, M.D. and Michael Fowler, M.D. Social Worker: Shannon Jordan, L.M.S.W. PAST EXECUTIVE DIRECTORS 2011-2012: Allison Ferreira and Paula Marincola 2010-2011: Benjamin Deschner and Ravi Patel 2009-2010: Adam Wegner and Jonathan Steer 2008-2009: Meredith Albin and Alon Peltz 2007-2008: Eve Henry and Caitlin Toomey 2006-2007: Sarah Dunn, Caroline Kim, Holly Hale, Megan Herceg, Caroline Knox 2005-2006: Dana Guyer and Sara Horvitz Co-Founders: Kristina Collins and Katie Cox ADVISORY BOARD Ben Deschner Robert Dittus, M.D., M.P.H. Allison Ferreira Shannon Jordan, L.M.S.W. Lewis Lefkowitz, Jr., M.D. Kim Lomis, M.D. Paula Marincola Morgan McDonald, M.D. Bonnie Miller, M.D. Robertson Nash, N.P., M.B.A. Ravi Patel Scott Rodgers, M.D. Jule West, M.D. Center for Community Health Services: Barbara Clinton Top row, left to right: Cooper Lloyd, Sarah Eckhardt, Richard Samade, India Reddy. Bottom row, left to right: Matt Stier, Pat Kelly, Glynnis Garry, Emily Zern, Bharat Kilaru. Shade Tree enables our student leaders to contribute earlier, during their clerkships and as residents, to fostering a culture of compassion and quality. Kim Lomis, M.D. Associate Dean for Undergraduate Medical Education 4 Shade Tree Clinic Empowering Patients Through Education The Patient Health Education Program was established to improve continuity-of-care for Shade Tree Clinic's patients with chronic diseases, including diabetes, cardiovascular disease and respiratory conditions. A team of 20 first- and second-year medical student patient health educators (PHEs) serve as case managers for nearly 200 patients. The PHEs fill an educational role in-clinic-demonstrating insulin administration, encouraging progress with diet and exercise goals, and promoting medication compliance and health maintenance. The significance of the case manager system is most prominent in the out-of-clinic communication with patients, in which PHEs establish a personal relationship with their patients to communicate laboratory results, assist patients in scheduling appointments and promote continued health progress between clinic appointments. A Vanderbilt University medical student interacts with a Patient Health Education program patient. to Shade Tree in 2008 when, after 28 years working at a good job “Iwithstartedhealthcoming insurance, I found myself unemployed and uninsured. Having been diagnosed with type II diabetes and hypertension a few years earlier, I was afraid about what was going to happen to me. A good friend told me about Shade Tree Clinic where Vanderbilt medical students supervised by attending doctors would help me get medical care and medication. So I started going to Shade Tree and have had many students and doctors take care of me ever since. The social workers there helped me get food and file for disability. I have been taught how to take better care of myself. I am seen on a regular basis, and they also do my lab work and set up other preventative care appointments for me. When I have to be hospitalized, they always come to my room and visit me. They give me lots of encouragement along the way. Dr. Miller and the wonderful team at Shade Tree have taken good care of me. ” I thank God for Shade Tree Clinic every day. They have been a lifesaver for me. Pam Short,Shade Tree Patient 5 Shade Tree Clinic Beyond the Clinic - Community Outreach Swim Safely East Nashville! In Fall 2012 Shade Tree continued its Swim Safely East Nashville! Program aimed at promoting physical activity and healthy dietary choices to elementary school students. In this 8-week program, medical students lead a 45-minute nutrition class and 1.5-hour swim lesson each Saturday for fourth grade students from Caldwell Enhanced Option Elementary School, one of Shade Tree Clinic’s neighbors in East Nashville. The nutrition com- Vaccine Clinics This year Shade Tree Clinic held 16 outreach events focused on providing influenza vaccines to members of the Nashville community. Through collaborations with 11 different community organizations and multiple student groups, medical and nursing students administered 672 vaccines in less than 4 months! While the primary goal was to offer vaccines to the homeless population of Nashville, we were also able to serve the Latin American and immigrant communities as well as members of rehabilitation programs. The partnerships that we have formed as a result of this vaccine initiative will allow Shade Tree to reach further into the Nashville community to help underserved populations for years to come. 6 Shade Tree Clinic ponent of the program utilizes games, interactive discussion, and a variety of artistic media to teach kids how to identify healthy food choices and find ways substitute these choices into their own diet. By engaging kids with varying degrees of experience with swimming, this program was able to both familiarize novice students with the basics of water safety and simple strokes as well as hone the skills of more advanced swimmers. More than Medicine - Social Services at Shade Tree The Stephens family, from left to right: Terry Stephens, Jr., Terry Stephens and Tina Stephens. When Terry and Tina Stephens came to Shade Tree over two years ago, without health insurance and without a regular doctor, they needed not only medical assistance, but also assistance navigating social services in Nashville. They soon connected with social work team, who work with Shannon Jordan, L.M.S.W. to offer resources and guidance to patients on everything from mental health to vision care to food assistance. In the last two years, the social work team has helped the Stephens locate resources for rent assistance when they faced impending eviction. They have provided referrals to free and discounted dental services and have supported Tina in applying for SSI disability, a lengthy process of usually two or more years. Tina’s disability application, however, was approved within six months – a testament to the strength of her case. She now receives a monthly disability check, and with Terry Stephens currently out of work, she says, “It’s taken the pressure off financially.” Her ability to apply for and receive disability was made possible by having a regular doctor and a support team to provide medical records for her case. Since receiving disability, Tina has also received TennCare, the state’s Medicaid program. Now with insurance, she recently transitioned from Shade Tree to a new primary care physician, Dr. Kelly at United Neighborhood Health Services. The social work team summarized her care at Shade Tree for Dr. Kelly and worked to ensure as smooth a transition as possible. For Tina, the transition will provide the benefits of regular clinic hours and a steady relationship with one physician. Further, should anything significant happen to her health, Tina knows that her medical bills will be covered. And while both she and Shade Tree staff had a hard time saying goodbye, they also knew that Shade Tree, which has been unable to take new patients in several years, will be able to consider opening its 7 Shade Tree Clinic doors to new patients without insurance once again. As for Terry, he will remain a Shade Tree patient, and his son, Terry Stephens Jr., will join him as a patient as his stepmother transitions out. Even Tina won’t yet be a stranger – she has recently joined Terry in beginning a smoking cessation program set up by Shade Tree’s community outreach department. All of Shade Tree’s resources – both social and medical – have together impacted the Stephens family’s lives for the better. In reflecting on their time at Shade Tree, Terry stated, “When you come here, it’s like you’ve got a conglomeration of several different [people] who are truly interested and seriously care about it, you know…They’re trying to make a difference in other people’s lives…It means a lot. It means a whole lot.” When you come here... they’re trying to make a difference in other people’s lives... it means a lot. It means a whole lot. Terry Stephens Medical Legal Clinic While our patients have serious medical needs, it is often their socioeconomic circumstances that have prompted them to seek care. In 2012, Shade Tree Clinic and the Legal Aid Society of Middle Tennessee and the Cumberlands joined forces to address the social issues underlying many of the illnesses suffered by our patients. Through the Medical-Legal Partnership (MLP), we integrate poverty law with medicine. Attorney Chay Sengkhounmany and a team of Vanderbilt law students work in the clinic alongside our physicians and medical students to provide interdisciplinary care. When Faris Al-Jashami arrived at the clinic with chest pains, he was not having a heart attack, he was suffering from emotional distress. Originally born in Iraq, Al-Jashami came to Nashville in the 90s as a refugee of war. He began working in a local warehouse, where he met his wife Claudia, and they gave birth to their son, Moohamed. Claudia initially came to the United States without proper documentation, and in the spring of 2012, she returned to Mexico with their 12-year-old son to apply for legal status. But when she left the United States, she triggered a provision in the law that barred her from returning for ten years. The absence of Al-Jashami’s family caused the 8 Shade Tree Clinic symptoms of post-traumatic stress. The MLP provided the appropriate medical documentation to file for an extreme hardship exception in the immigration law and waived the 10-year wait period. On February 23, the family was reunited legally in the United States after a year-long separation. The family (pictured) visited Shade Tree just hours after Claudia and Moohamed returned to Nashville to thank the staff for reuniting their family. Patient Visits Medication Management 13% Lab Tests, Vaccinations and Education 6% Disease Management 81% Number of unique patients Number of completed patient visits Average number of visits per patient 9 Shade Tree Clinic FY 11 - 12 FY 10 - 11 362 1,985 5.48 384 1,945 5.07 ATTENDING PHYSICIANS Federica Angel Gautam Bhave Andrew Bryant Christina Cain-swope Jane Case Keri Cavanaugh Keith Churchwell Nathaniel Clark Jennifer Clune Robert Cronin Jan DeLozier Terence Dermody Neerav Desai Todd Doran Wes Ely Sergio Fazio Josh Fessel Reid Finlayson Michael Fowler Eitan Friedman Howard Fuchs Leslie Gewin Mark Glazer Thomas Golper Jennifer Green William Gregg Ray Harris Benjamin Heavrin Stephan Heckers Paula Herrmann Rich Hock Todd Hulgan Adriana Hung Susan Kroop Jon Kropski Lewis Lefkowitz MacRae Linton Andrew Michel Robert Miller Kayvon Modjarrad Allen Naftilan Robertson Nash John Newman Mickey Ott Don Park Brent Pennington Andrew Pfeffer Camiron Pfennig Lara Phillips James Powers VOLUNTEERS (MeHarry cont.) Kehinde Idowu Georgina Iyamu Sonia Jackson Nabilah Lari Jean Mbachu Babajide Osunsanmi Jenny Ousley Carlos Pacheco Jacob Palubicki JeNita Partridge Mattheus Ramsis Minoo Sarkarati Jamar Slocum JaMia Washington Deena Yousif NUTRITIONAL CARE PLANNERS Ina Ables Spencer Anderson Lauren Bradford Taylor Burnette Kimberly Connaher Nicole Famularo Augusta Hasse 10 Shade Tree Clinic Neil Herrington Kathryn Ignacki Lauren Jacoway Sarah Kraynak Andrea Liptak Ligia Lopes Jenna McClean Ashley Mueller Stephanie Murico Kate Przybycien Tiffany Schaefer Brittany Siler Elizabeth Sullivan Jacqueline Sullivan Lindsey VanDoornik Rachel Wall Samantha Yarolimek VOLUNTEERS AAdaugo Amah Hannah Berke Jillian Berkman Katherine Betke Beth Bourne Megan Breyer Italo Brown Jennifer Powers Jason Pritchett Scott Rodgers S. Trent Rosenbloom Tony Ross Neil Sanghani Elizabeth Sastre Shane Savage Douglas Sawyer Stacey Scheib Gerald Schulman John Sergent David Slosky Jeff Stovall Daniel Stover Oliver Stroeh Melanie Swift Cecelia Theobald May Thomassee Graham Towns Andrea Utz Mary Vu Roy Zent RESIDENT PHYSICIANS Rachel Apple Nick Burjek Justin Gregg Kelly Kohorst Conrad Myler Jamie Robinson Morgan Walls Michael Wolf NURSING STUDENTS Melody Castillo Alexa Clay Kathleen Danhausen Morgan Dirlam Lydia Elliott Brittany Estrada Justine Franko Lauren Hansen Eliza Claire Harper Stephanie Holcombe Laura Leatherman Shannon Morris Sarah Morrow Elizabeth Munoz Alison Peaper Abby Pfleiderer Stephenie Plowden Sarah Quirk Anne Richards Kathryn Roberts Kristi Royko Alicia Sattler Janell Senda Ali Sevilla De Cocco Sharon Shin Kaitlin Spangler Denean Walls Tanicia Washington Patria Wehrman Anne Westmoreland MEHARRY MEDICAL STUDENTS Nnenna Aginam Ayeetin Azah Rhae Battles Gwinyai Chikwava Cheryl Chun Lauren Cooper Dominique Culver Keylon Glawson Julian Hinson “What is even more important and significant... students have a d Scott Rodgers, M.D. ‘94, Associate Dean for Medical Student Aff Stephania Byrne Luis Calderon Koula Callahan Hanna Chapman Weihan Chen Zaid Choudhry Seth Christman Simon Chung Reaves Crabtree Shannon Crosby Leon Darghosian Alejandro De Feria Fiona Desland Michael Edwards Rachelle Falk Kristen Findley John Foley Laura Ashley Franklin Sam Friedman Ellie Galimberti Vrinda Goel William Haberstroh Janet Hanna Amber Hardeman Corey Hassell Tamanna Huda James Hughes Jessica Islam Elizabeth Jackson Ciara Johnson Claudine Jones Florencia Kantt Elizabeth Kelley-Swift Lisa Koenig Lauren Kolski Joe Laakman Katie Lee Sean Lee Tian Lee Angel Lin Sam Linton Matthew Lotz Megan Lynch Monique Marshall Colin Martyn Jeannette Mathieu Anna McGrew Amanda McKinney Kimberly McKissack Margaret Mirro Mina Mousa Azim Munivar Shyam Murali Jakela Neal Caroline Nebhan Francisco Ochoa-Vargas Michelle Park Ryan Colby Passaro Ajun Pillai Taylor Pitt Ryan Planchard Sara Post Kevin Qin Andy Rainer Rajesh Ramakrishna Tara Ramaswamy Mackenzie Richardson Lauren Rouse Tommy Saborido Laura Salvatore Rachael Saporito Malvi Savani Katrina Singh Ajan Sivaramamoorthy Elizabeth Smith Jason Smith Taryn Smith Tina Tian (Volunteers cont.) Elli Trousdale Kati Turner Erica Von Stein Gerald Wakefield Tulani Washington Rachel Williams Thomas Williams Charlies Xie Park Yuna Lichun Zhou VUSM 2012 Gabriela Andrade Katie Ayers Emily Cooperstein Christian Fuchs Rimal Hanif Brad Lindell Carol Logan Zurabi Lominadze David Marcovitz Jolene Mariotti Emily Maston Samit Patrawala Alon Peltz Mazeyar Saboori Adam Shpigel Jenna Sopfe Erin Toaz Adam Wegner VUSM 2013 Suzanne Alfano Natalie Ausborn Brian Barnett Joshua Bilsborrow Michael Casner Katie Collins Ben Deschner Anjali Deshmukh Brent Evans Anna Fahy Suzanne Fox David Friedlander Ryan Fritz Erin Fulchiero Pamela Giacalone Everett Gu Everett Gu Scott Hagan Amanda Harris Laila Hassam-Malani Dustin Hipp Vanessa Johnson Katherine Kudyba Ryan Lang Alana Lewis Neil Manus Lauren Mioton David Moore Natalie Nesmith Van Nguyen Kathy Niu Ravi Patel Klint Peebles Michael Pelster Laura Peterson Natalia Plotnikova Sarah Proffitt Craig Sheedy David Silvestri Lakshmi Sivarajan Billy Sullivan Taylor Sundby Brittany Taylor Tyler Winders Victoria Wurster Audrey Ye Zach Yoneda Amy Zhai Li Zhou VUSM 2014 Annie Ahn Jonathan Andereck Nkiruka Arinze Laura Ballenger Rachel Bloch Magda Bokiej Frances Cheng Isaac Chocron Javier Cifuentes Matthew Clark Jordan Cohen Mary DeAgostino Kathleen Doherty Allison Ferreira Anna Garcia Phillip Gorrindo Kimberly Grelli Joshua Gutierrez Grace Ho Vanessa Hux Karola Jering Charissa Kahue Natasha Kassim Carmela Kiraly Harish Krishnamoorthi Anupam Kumar Haerin Lee Yan Li Paula Marincola Nicholas Markham Ryan McGrath Andrew Medvecz Rachna Patel Marta Perez Walker Plash Cristin Quinn Quentin Reuter Nishma Sachedina Sina Salehi Omran Sarah Scott Monique Simpson Shannon Skinner Nicholas Smith Ilana Stol Daniel Sun Russell Sundby desire to serve others. For many students, this is why they came to Vanderbilt in the first place.” ffairs (VUSM 2014 cont.) Analise Thomas James Tsahakis Carla Valenzuela Prakash Vempati Jonathan Wolfe Brian Wright VUSM 2015 David Amsalem Daniel Arteaga Daniel Balikov Nathaniel Bloodworth Kelly Bouquet Jana Bregman Vanessa Buie Brian Cash Jeremy Chan Sean Chester Sarah Coggins Monica Da Silva William Davis Gadini Delisca Andrew Dornan Stephen Dorner Stessie Dort 11 Shade Tree Clinic Magdalena Dorvil Adeline Dozois Hillary Drexler Sarah Eckhardt Gretchen Edwards Cristina Farkas Shanik Fernando Stephen Gadomski Glynnis Garry Zain Gowani Elizabeth Green Fayrisa Greenwald Katie Guess Melissa Harintho Brendan Hayes Brian Heiniger Catherine Higham Merla Hubler Tenisha James Lillian Johnson Deepa Joshi Daniel Kashima Rebecca Kasl Patrick Kelly Lucy Boyce Kennedy Bharat Kilaru Shannon Koh Rosalynne Korman Gregory Lachaud Travis Ladner Danielle LaMorte Richard Latuska Margot Lazow Young Lee Cooper Lloyd Michael Maggart Jasia Mahdi Benjamin McCormick Ian McGuinness Monique McKiever Ashley Morgan Clinton Morgan Samaiya Mushtaq Matt Ning Mobola Oyefule Trisha Pasricha Daniel Pipilas Daniel Pomerantz Edward Powers Matthew Puccetti Mythri Reddy Charles Rodriguez-Feo Meredith Rogers Pooyan Rohani Tulsi Roy Richard Samade Chelsea Samson Vasanth Sathiyakumar Calvin Sheng Arnie Silverberg Ciaran Smolinsky Matt Stier Kenneth Taubenslag Matthew Taussig Robert Turer Ato Wallace Lulu Wang Kat Weber Kelly Williamson Denise Ye Emily Zern Lilly Zhu VUSM 2016 Chike Abana Ryan Adams Abraham Alvarado Ishan Asokan Diego Aviles Fadi Azer Courtney Baker Caitlin Bell Monica Bhutiani Joseph Boyle Geoffrey Casimir Katie Charles John Chen Paul Cohen Perrin Considine Matthew Correia Jaime De La Fuente Deanna Dickerman Daren Diiorio Mana Espahbodi Cherie Fathy Deirdre Finnegan Catherine Garvey Rachana Haliyur DeAngelo Harris Nicholas Harris Neil Holby Benjamin Hooe Kristen Hovis Ashlee Hurff (VUSM 2016 cont.) Rivka Ihejirika Ebone Ingram Kelli Jarrell Daniel Johnson Hannah Johnson Laura Kaufman Harrison Kay Vanessa Kennedy Jonathan Knowlton Krystian Kozek Emily Krainer Sanah Ladhani James Lee Eleonor Leger Robert Lentz Michael Litt Shawn Love 12 Shade Tree Clinic MariaSanta Mangione Mary Masterman Emily Merkel Victoria Migdal Laura Murphy Aaron Noll Malena Outhay Lindsey Parks Kensey Pease Kelly Pekala Alec Petersen Eric Rafla-Yuan Nida Safdar Nicholas Saltarelli Nicholas Shelburne Jared Shenson Anne Smith Justin Smith John Stokes Eszter Szentirmai Brittany Tielbur Taylor Triana Allison Umfress Lucy Unger Cameron Upchurch Mary Van Meter Leonela Villegas Jennifer Watchmaker Gabrielle White-Dzuro Isa Wismann-Horther Kelly Wolenberg George Yang Tiffany Yang Aaron Yengo-Kahn Lily Yu Chi Zhang Larry Zhang Sophie Zhao MSTP Laura Armstrong Courtney Campbell Elana Feingold-Link Kate Gurba Mary Ellen Koran Kevin Kumar Scott McCall Catherine Meador Kelli Money India Reddy Matthew Surdel Pratik Talati Maria Tamborski Pedro Teixeira “Shade Tree Clinic provides the unique opportunity to master practical clinical skills and learn about complex diseases processes from some very effective teachers: the patient themselves.” Kelli Jarrell, VUSM Class of 2016 Fundraising and Future Directions Shade Tree is a free clinic. It is an enterprise made possible by the support of our partners and our volunteers. It is continually humbling and encouraging to see the overwhelming support of students and faculty, as well as our institutional partners. It is a true testament to our mission and to the value of compassion and moral inclusivity among our health care community in Nashville. We want to thank all of our volunteers, supporters and advocates. It has been a pleasure working with you, and we are eager to see your future contributions to the Shade Tree effort! Shade Tree Trot Now in its fifth year, the Shade Tree Trot is the largest community fundraising event for the Shade Tree Clinic. Each spring, this 5K race/walk around Vanderbilt University campus brings together members of the greater Nashville community. The morning of the race is full of excitement as champions of community and health celebrate the mission of the clinic. Through this event, all participants and many local businesses have the opportunity to support Shade Tree through valuable contributions as race sponsors, individual donors and registrants. With more than 600 registrations and raising over $25,000 in 2012, the Shade Tree Trot is well on its way to becoming a signature Nashville event. Professional chip timing, live entertainment, and meet and greets with current Shade Tree patients provide a wholesome familyfriendly event that keeps racers coming back year after year. Additionally, students engaged in this initiative walk away with improved skills in fundraising, marketing and public speaking that will be an asset to them as future physicians. Patients in need are the ultimate beneficiaries as 100 percent of the proceeds go to the clinic. 13 Shade Tree Clinic 1223 Dickerson Pike Nashville, TN 37207 www.shadetreeclinic.org 14 Shade Tree Clinic tel: 615.422.5262