Alpha Omega Alpha Honor Medical Society

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National Office
12635 E. Montview Blvd., Suite 270
Aurora, CO 80045
P: (720) 859-4149
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E: info@alphaomegaalpha.org

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2017 Medical Student Service Leadership Project Award winners

Alpha Omega Alpha is committed to preparing future leaders in medicine and health care. Leadership is about making a positive difference, and is learned through education, observation, and experience, and working with leader mentors. Service leadership may develop an excellent opportunity for students to develop as servant leaders. The most effective leaders are well grounded in and committed to positive professional values.

AΩA developed this award to support leadership development for medical students through mentoring, observation, and service learning.

Amount of the award: $5000 for the first year, $3000 for the second year, $1000 for the third year


The winners of this year's award are:

click on the title for a summary of each project.

Leadership in Medicine
FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE

  • Student leader Keith Kincaid
  • Student leader Stephanie B. Tran (AΩA, Florida State University, 2018)
  • Student leader Devan Patel
  • Student leader Farnoosh Shariati
  • Student member D’andre Williams
  • Student member Ryan Earwood
  • Student member Taylor Maramara
  • Student member Morrisa Taylor
  • Student member Kevin Gil
  • Mentor Leader Christopher P. Mulrooney, MPS PhD
  • Mentor Alma Littles, MD (AΩA, Florida State University, 2016)
  • Mentor Paul McLeod, MD (AΩA, University of Wisconsin School of Medicine and Public Health, 1960)
  • Mentor Christienne Alexander, MD
  • Mentor Jonathan Appelbaum, MD
  • Mentor Leslie Beitsch, MD JD
  • Mentor Daniel Van Durme, MD MPH
  • Mentor Suzanne Bush, MD (AΩA, Florida State University, 2011)
  • • Laura Osteen, PhD

Pursuing Leadership in Street Medicine: Developing Medical Student Innovators Through UB HEALS
UNIVERSITY AT BUFFALO, The State University of New York JACOBS SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES

  • Student leader Moudi Hubeishy
  • Student member Nicole Dodge
  • Student Member Lindsay Kosinski (AΩA, Jacobs School of Medicine and Biomedical Sciences at the University of Buffalo, 2016)
  • Student member Bryan Fregoso
  • Student member Timothy Hansen
  • Student member Mattie Rosi-Schumacher
  • Student member Daniil Khaitov
  • Student member Amanda Sherman
  • Student member Matthew McGuire
  • Student member Jillian Smith
  • Student member Emily Benton
  • Student member Natasha Borrero
  • Student member Laura Reed
  • Student member Connor Arquette
  • Student member Joseph Iluore
  • Student member Dylan Constantino
  • Mentor leader David Milling, MD
  • Mentor Nancy Nielson, MD PhD
  • Mentor Gale Burstein, MD MPH (AΩA, Jacobs School of Medicine and Biomedical Sciences at the University of Buffalo, 1990)
  • Mentor Alan Lesse, MD (AΩA, Jacobs School of Medicine and Biomedical Sciences at the University of Buffalo, 2015)
  • Mentor Phillip Glick, MD MBA
  • Mentor Daniel Sheehan, MD PhD
  • Mentor Christian DeFazio, MD

Leadership in Medicine

Contextual History and Purpose

The Florida State University College of Medicine (FSUCOM) is dedicated to developing exemplary physician-leaders who are equipped with the skillset necessary to effectively address modern-day health care issues. Through a systems-based integrated curriculum with immediate patient exposure, students receive comprehensive clinical education in Tallahassee during the first two years, including many opportunities for service leadership. During the third and fourth years, students are placed in community-based rotations based at one of six regional campuses throughout Florida where they work directly with physicians, many of whom are leaders in their communities. In creating this Leadership in Medicine program, we aim to advance this culture of leadership at FSUCOM by providing students with an unprecedented, formalized leadership development program.

To provide context, students from our school applied unsuccessfully for this grant last year. They proposed the development of a longitudinal family care program that incorporated an interprofessional approach. Ultimately, this proposal was unsuccessful as it lacked a significant leadership component. This feedback allowed us to take a step back and identify the need for a leadership program at FSUCOM. After conducting a survey that included responses from the majority of students at FSUCOM’s main campus, 81% of students are interested in a formalized leadership training program and 62% indicated that they have leadership goals that extend beyond patient care. To directly address this need, our team has developed the Leadership in Medicine (LIM) program.

The purpose of LIM is to provide purposeful and immersive leadership development opportunities for students interested in careers that transcend clinical medicine. As a physician’s responsibility continues to evolve in a dynamic health care climate, this program aims to prepare students for the inevitable leadership roles they will have in their future careers. This goal will be accomplished by nurturing a culture of purpose-driven medical students, equipping them with fundamental leadership competencies, and exposing them to a variety of leadership domains in medicine. Further, the unique mission, location, and relationships at FSUCOM will provide an unprecedented level of training in health leadership domains for medical students.

Program Description - Alumni Discussion Series

During the first year (M1) of medical school, students will be exposed to core leadership competencies and will receive first-hand experience in various domains of leadership in medicine. Since FSUCOM begins classes in the summer, we will begin the program with an alumni discussion series during the M1 summer. This is a series of three events in which we will bring in exemplary recent graduates. These alumni will be individuals who not only excelled academically, but also made significant extracurricular achievements while in medical school. At each of these meetings, a faculty member will facilitate a discussion regarding topics such as finding multiple mentors and overcoming hardship. The aim of these discussions will be to inspire students to pursue their passions and to ensure that they do not lose sight of their long- term goals while in the midst of medical school. Since many of our students are interested in career leadership roles, we strongly believe LIM will provide an avenue for our students 1) to cultivate the passions they brought to medical school, 2) to emphasize the bigger picture of their academic journey, and 3) to find support through a formalized program as they pursue their career aspirations and goals.

Core Competency Training

In the M1 Fall, students will learn about core leadership competencies. In collaboration with The Center for Leadership and Social Change on FSU’s campus, we will host three workshops that will equip students with fundamental leadership skills. Topics for these workshops include defining leadership and leadership in medicine, discussing the importance of communication for strong leadership, understanding individual leadership strategies, and preparing for medical writing and public speaking opportunities. Both the Core Competency Training and Alumni Discussion Series are open to all students. Due to limited resources, however, a selection process at the end of M1 Fall will identify 12 students to continue in LIM.

Specialized Leadership Training

Next, the selected students will have the opportunity to engage in specialized leadership training during the M1 Spring. This semester will begin with a round-table discussion led by role model physicians in several domains of leadership in medicine. These domains include academic medicine, executive medicine, community medicine, and public health/policy. This event will be an engaging opportunity for students to learn about the day-to-day responsibilities of individuals in different areas of medicine. Following this meeting, each student will be assigned a mentor in one of the leadership domains, with whom the student will work for the reminder of the semester (e.g. on a weekly basis). By participating in this preceptorship experience, the student will learn about leadership in medicine in the context of one of the aforementioned domains. Further, we will encourage students to identify a question, problem, or area of improvement during their preceptorship experience. The identification of this question or problem will be the basis of the capstone project as detailed below.

Capstone Project

To round out the first two years of LIM, students will complete a capstone project based on their experience in the specialized leadership training. As there are no curricular requirements during the summer between M1 and M2, students may elect to use this time to begin their project and continue into the M2 Fall semester if necessary. Others may elect to complete the entire project during the M2 Fall semester. The purpose of this capstone project will be to address the question, problem, or area of improvement they identified during their preceptorship experience. Students will complete their capstone project under the supervision and mentorship of a faculty mentor. Findings and results of their project will be presented at an open-invitation FSUCOM Grand Rounds session at the end of the M2 Fall semester. No formal activities have been designed for the M2 Spring semester as students will be preparing for USMLE Step 1 that students take in late March – early April.

Professional Experience

The final component of the LIM program is an immersive, professional experience in each of the leadership in medicine domains. The FSUCOM curriculum has built-in elective time during the M3 and M4 years. All students, including those not in the 12-student cohort, may take advantage of this elective time to complete four-week rotations in one of the four leadership domains. Students will play an active role in the daily responsibilities of the preceptor with whom they are working. For example, an academic medicine rotation may include facilitating small group discussions for preclinical students.

Recognition of Achievement

The cohort of 12 students who successfully complete all components of the program will be eligible for an official “Leadership in Medicine” certificate that will serve as a special distinction on their academic transcript and diploma. We are working with the COM’s chief academic officer, to establish this formal certificate program. Those who complete the program will also be recognized at their class awards ceremony prior to graduation. Furthermore, participants will be given the opportunity to write meaningful reflections throughout the program. During the M4 year, those students who successfully complete all components of the program will be asked to write a final reflection piece on their experience and growth through the program. This reflection piece will be included in one of FSUCOM’s publishing outlets, the HEAL magazine (Humanism Evolving through Arts and Literature).

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Pursuing Leadership in Street Medicine: Developing Medical Student Innovators Through UB HEALS

Objective:

To demonstrate a focus on advancing the UB HEALS Program through the development of a Leadership Track component to complement the acquisition of a medical van.

UB HEALS Mission Statement:

UB HEALS (Homeless health, Education, Awareness, and Leadership in Street medicine) aims to be a sustainable SUNY at Buffalo Jacobs School of Medicine and Biomedical Sciences (JSMBS) Street Medicine outreach initiative. The specific aims are: (1) to reintegrate the homeless population into the healthcare system of the Greater Buffalo area by establishing trusting relationships with the UB HEALS medical team and (2) to influence medical education at JSMBS through leadership education and experience. Founded in January 2016, UB HEALS aims to address the unique medical and psychosocial needs of the homeless population and provide a valuable educational leadership experience for medical students, residents, and faculty. Medical students, residents, and faculty from the JSMBS participate in direct street outreach to the homeless population and work together to bridge access, trust, and utilization gaps between the homeless and the medical community. By building a relationship between medical students and a severely underserved population, UB HEALS aims to graduate future physicians motivated to join the ranks of service-oriented healthcare professionals locally and nationwide.

Background

The complexity of the homeless population provides a unique lens through which the flaws and effectiveness of our healthcare system can be assessed. The services currently available to homeless individuals in the Buffalo area, while inclusive of several social domains, do not sufficiently address healthcare concerns. The recent Annual Report on the State of Homelessness in the Erie-Niagara Metropolitan Area documented 6,126 individuals who experienced homelessness in Erie County between 2013 and 2014. In Erie County, 43% of the homeless population has one or more disabling condition while 97% have a mental health problem. Further, current research now indicates that homelessness is an independent risk factor for mortality. Acknowledgment of the deficiencies in the current healthcare system and an honest attempt to bridge the gap can create the basis for an effective connection based on mutual respect. This common ground may serve to empower homeless individuals towards the long- term improvement of their health through the utilization of a multitude of healthcare providers.

UB HEALS Street Medicine Outreach Rounds

UB HEALS began street medicine outreach rounds in March of 2016 and has operated with consistency since that date. The street outreach rounds are held three times a week in the evenings. The team is composed of two social workers from a homeless outreach community center (referred to as our community partner), two UB HEALS leaders (acting as street round facilitators), two medical student volunteers, and one to two UB faculty physicians or residents.

The group begins at a downtown bus station and travels on foot or, when available, by our community partner’s vehicle to various known areas of homeless residence to provide medical care, encourage health and wellness, and build a relationship with the homeless individuals that are met.

Interactions commonly begin with casual conversation and sharing stories. The team then moves towards a discussion of the individual’s health and current needs, followed by a discussion of their housing status and social services. The team members carry stethoscopes and medical supplies along with backpacks filled with food, water, and clothing to hand out. All medical care is administered under physician supervision in a HIPAA compliant fashion.

A private UB HEALS computer will ensure that patient information is confidentially stored in a HIPAA compliant manner. Recording and logging patient information into a uniform EMR will allow the team to ensure a standard of care and continuity between street rounds. Tracking patient information and conducting data surveys will be crucial to the Medical Care Initiatives and Medical Record Review leadership track, described below.

Current Leadership and Mentorship

The UB HEALS program has strong support from the JSMBS faculty. The program’s primary mentor, Dr. David Milling, has worked with the founding leaders of the UB HEALS team since its inception, regularly accompanying the team on street rounds and offering instruction in service learning and medicine. Under the guidance of Dr. Milling, UB HEALS Leaders facilitate post-round reflections with the medical students and faculty to debrief on the work and experiences of the night.

To broaden the scope of our mentorship and understand the use of the Emergency Department (ED) by the homeless, we recruited Emergency Medicine (EM) Program Director, Dr. Christian DeFazio. Students are now paired directly with EM faculty and residents on street rounds. Under this mentorship, students will build their clinical examination skills and medical proficiency. By counseling homeless patients on opportunities for healthcare in a Federally Qualified Health Center that accepts referrals from the UB HEALS program, student leaders address some of the underlying factors contributing to ED overcrowding and work towards the development of a more sustainable method of meeting their healthcare needs.

Motivation

Our team has seen the astounding progress and development that is possible when students and physicians unite in an exploration of leadership, and thus far we have benefited from great mentorship. The team has come to recognize that the next stage in the expansion of our vision in street medicine necessitates the use of a medical van. This is a responsibility we have invested great measures towards to ensure its success. As such, we have set out to support our goals with a corresponding growth in mentorship and leadership. To this aim, we have developed a new component to UB HEALS, a structured leadership track in which action, team- building, didactic lectures, and reflections will foster skills relevant and effective in a wide variety of contexts - our program, university, community, professional associations, and public policy/advocacy. The budget demonstrated below, reflects our described intentions.

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Updated on November 2, 2017.


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