Project: Resources for Uninsured Patients, PharmFree Campaign
Fellow: Ellen Selkie
Mentor: Alan Schwartzstein
Team: Meghan Pesko, Luxme Hariharan
Agency: MEDIC

Fellow Bio:
I am from Mukwonago, WI, but did my undergraduate at Denison University in Granville, OH where I was an English literature major. Some community service experience in Ohio included running a children's program at a transitional housing facility in Newark, Ohio, as well as organizing numerous peer educational activities about local and global hunger/homelessness issues.

Project Description:

I'm currently working on two different projects for the LOCUS program. The first, my summer project, is in collaboration with Meghan Pesko and Lux Hariharan and involves several services involving the uninsured patients at our MEDIC clinics. While Lux and Meghan will be focusing on strategies for educating medical students (possibly through MEDIC) about issues of uninsurance, my part of the project involves creating a series of handouts for students and patients about different forms of medical assistance, their eligibility requirements, and ways to become enrolled in the programs. Inputs for the project include advice from local health professionals and MEDIC council members, and my own personal research. Short term outcomes would include education of both students and patients as to different options for medical assistance that are available; long term outcomes might be increased utilization of medical assistance programs, resulting in improvements to individu al and community health, or an increased knowledge among health professionals about medical assistance might result in proposed changes to the current system.

My other project, for which I'm partnering with Branden Pfefferkorn, is the PharmFree Campaign. This is part of a larger national campaign launched two years ago by the American Medical Student Association (AMSA)--the PharmFree campaign is an initiative to educate medical students and physicians about the current practice of pharmaceutical marketing and its biases. We have addressed these issues through a series of talks and a pledge drive encouraging students not to accept gifts from drug reps as they become physicians. In the future, we hope to continue our educational programming and launch a counterdetailing campaign, in which medical students work with local physicians to encourage evidence-based, not marketing-based, prescribing practicies.

Project Goals:

My project goals for the summer were to first research sources of medical assistance for Dane County residents and the enrollment processes for these programs. The next goal was to then compile the information I had gotten into a series of educational handouts for student workers at UWMS MEDIC clinics, as well as a separate series of handouts for patients at MEDIC clinics about medical assistance. The last goal of my project was to develop a screening or benefits counseling process to be available to our MEDIC patients, which would hopefully help people become aware of and begin accessing those programs for which they would be eligible.
My goals remain as stated previously and above.

Accomplishments:

The first part, researching medical assistance programs, was done mainly by my own personal research on the internet and by calling various help lines and community agencies (such as Health and Human Services) to determine exactly what medical assistance is available to uninsured persons, and where they should go to find out if they are eligible and how to apply. The rest of my project time was spent meeting with various professionals in the Madison community to ask about the logistics of screening MEDIC patients for medical assistance programs, as well as barriers to starting a benefits counseling program at the clinics. Bobby Peterson of ABC for Health was a valuable resource in this regard, as were Dr. Dick Anstett and Nancy Rodriguez of the Wingra Clinic as far as discussing the social work aspects of such an undertaking. In addition, I met with several other students on the MEDIC council, namely Ariel Chairez, Meghan Pesko, Luxme Hariharan, and Mike Curley, to discuss different strategies for patient screening and student education on these issues. At this point, the handouts for students at MEDIC clinics about the different forms of medical assistance are forthcoming.

Challenges and Solutions:

The patient screening and enrollment aspects of the project have proved to be more difficult to untangle. One option that has been explored is to bring students from the UW School of Social Work to the clinics to provide their services; however, the structure of the MSW program and its policies for student field work have so far proved to be barriers to this option. One alternative is to have the current student workers do the screening themselves, and I will be investigating this possibility with other MEDIC members. An excellent resource for screening would be the WI Access website; however, due to the limited computer and internet access of MEDIC clinics and patients, I think it would be better to design a written list of screening questions like those of the website to have on hand at the clinics instead.



Next Steps:
Locus Project Objectives and Key Tasks Target Date for Completion
Distribute handouts to MEDIC council for approval September 2005
Collaborate with other LOCUS fellows for a talk on medical assistance and uninsured patients Fall & Spring Semester 2005

Resource Needs:

For now, only the continued support of the LOCUS program and other students.

Last update:

September 6, 2005

Graduation Requirements Progress Chart

If you complete the requirements outlined below, you will graduate as a LOCUS fellow.

A check indicates the item has been completed.

Completed When What On-line
check Year 1: Beginning of Semester 2 New Project Report Submit Report
  Year 2: Beginning of Semester 1 Project Update Submit Update
  Year 2: Beginning of Semester 2 Project Update Submit Update
  Year 3: Beginning of third year Project Update Submit Update
  Year 4: August of fourth year 2-3 page final summary of project that includes a reflective evaluation of the project process N/A
  Ongoing Participate in program evaluation (written and/or focus group) View Options
  By the end of fourth year Select poster, presentation, paper, creative option or your own idea View Options

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