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Hear our ECHO I am passionate about ECHO because of its transition to care model. e transition to care model is founded on the ideal that a medical home is the optimal healthcare delivery mod- el. A medical home is a concept based in the interpersonal patient-provider relationship that incorporates the network of providers necessary to address all patient needs [1]. A medical home is associated with better diagnoses, improved medication adherence, and increased patient and physician satisfaction [2]. We are aware that ECHO’s capacity is limited: We are a student-run free clinic that operates one day each week with a rotating schedule of clinical teams. We therefore link our patients to a full time provider at the Institute for Family Health (IFH), who can provide continuous, reliable, optimal care. We limit our patients to two visits, and four to those with chronic conditions, and then ask patients to transition to the IFH’s clinic for permanent care. Not only does this model allow ECHO to accept new patients in need; it pro- vides current patients with a medical home and continuous primary care. ECHO’s core goal: a medical home for all patients Spring 2014 e Global Applications of ECHO: An Alumni Spotlight on Dr. Dan Kelly Dr. Dan Kelly, Einstein Class of ‘08, first entered the field of medicine be- cause of his passion to eliminate health disparities and to work with the under- served. Today, he is doing just that in Sierra Leone, where he has established a clinic to serve the healthcare needs of the local population through his orga- nization, Wellbody Alliance. His great- est challenge has been both under- standing the organization’s limitations and prioritizing whom to provide care for. He also faced the challenge of pro- viding quality care in a resource-lim- ited setting. Despite these limitations, the clinic grew from a primary care site to a hub of various subspecialties, now offering services in women’s health, mental health, pediatrics, and many others. Dr. Kelly attributes much of his success in establishing the clinic to his experience at ECHO. e ECHO clinic was in fact what initially attracted Dr. Kelly to Einstein. At the time, it was one of the pioneer schools in student-run clinics. Fol- lowing his acceptance to Einstein, Dr. Kelly began volunteering at ECHO the summer before his first year of medical school, working as a Span- ish translator, front desk volunteer, and physician shadow. He remained highly involved with ECHO through- out his first year, when he was elected Project Director. As Project Direc- tor, he and the ECHO Board accom- plished the major task of continuing and completing the task of transition- ing the medical records Dr. Dan Kelly and colleague don protective uniform at the Wellbody Alliance clinic in Sierra Leone. Lizelle Comfort ‘18 Weekly Coordinator Dahlia Norry ‘18 Weekly Coordinator ALUMNI, 2 HEALTHCARE, 2 In this Issue: Fundraisers: 5 Volunteer Spotlight: 4 ECHO Gala: 3-4 Follow us on twitter @echofreeclinic Find us on Facebook ECHO Free Clinic Join our LinkedIn group! Winter 2015 Community Partnerships : 6 Shout Outs!: 7 Message from the Exec Chair: 8

Hear our ECHO Newsletter - Winter 2015

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We are excited to share the winter 2015 edition of the Hear Our ECHO newsletter from the Einstein Community Health Outreach (ECHO) Free CLinic. In this issue you will find information on ECHO's community partnerships, updates on quality improvement and research projects, a spotlight on Dr. Dan Kelly, and much more!

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Page 1: Hear our ECHO Newsletter - Winter 2015

Hear our ECHOI am passionate about ECHO

because of its transition to care model. The transition to care model is founded on the ideal

that a medical home is the optimal healthcare delivery mod-el. A medical home is a concept based in the interpersonal patient-provider relationship that incorporates the network of providers necessary to address all patient needs [1]. A medical home is associated with better diagnoses, improved medication adherence, and increased patient and physician satisfaction [2].

We are aware that ECHO’s capacity is limited: We are a student-run free clinic that operates one day each week with a rotating schedule of clinical teams. We therefore link our patients to a full time provider at the Institute for Family Health (IFH), who can provide continuous, reliable, optimal care. We limit our patients to two visits, and four to those with chronic conditions, and then ask patients to transition to the IFH’s clinic for permanent care. Not only does this model allow ECHO to accept new patients in need; it pro-vides current patients with a medical home and continuous primary care.

ECHO’s core goal: a medical home for all patientsSpring 2014

The Global Applications of ECHO: An Alumni Spotlight on Dr. Dan Kelly

Dr. Dan Kelly, Einstein Class of ‘08, first entered the field of medicine be-cause of his passion to eliminate health disparities and to work with the under-served. Today, he is doing just that in Sierra Leone, where he has established a clinic to serve the healthcare needs of the local population through his orga-nization, Wellbody Alliance. His great-est challenge has been both under-standing the organization’s limitations and prioritizing whom to provide care for. He also faced the challenge of pro-viding quality care in a resource-lim-ited setting. Despite these limitations, the clinic grew from a primary care site to a hub of various subspecialties, now offering services in women’s health,

mental health, pediatrics, and many others. Dr. Kelly attributes much of his success in establishing the clinic to his experience at ECHO.

The ECHO clinic was in fact what initially attracted Dr. Kelly to Einstein. At the time, it was one of the pioneer schools in student-run clinics. Fol-lowing his acceptance to Einstein, Dr. Kelly began volunteering at ECHO the summer before his first year of medical school, working as a Span-ish translator, front desk volunteer, and physician shadow. He remained highly involved with ECHO through-out his first year, when he was elected Project Director. As Project Direc-tor, he and the ECHO Board accom-plished the major task of continuing and completing the task of transition-ing the medical records

Dr. Dan Kelly and colleague don protective uniform at the Wellbody Alliance clinic in Sierra Leone.

Lizelle Comfort ‘18Weekly Coordinator

Dahlia Norry ‘18Weekly Coordinator

ALUMNI, 2

HEALTHCARE, 2

In this Issue:

Fundraisers: 5 Volunteer Spotlight: 4 ECHO Gala: 3-4

Follow us on twitter@echofreeclinic

Find us on FacebookECHO Free ClinicJoin our LinkedIn

group!

Winter 2015

Community Partnerships : 6

Shout Outs!: 7

Message fromthe Exec Chair: 8

Page 2: Hear our ECHO Newsletter - Winter 2015

Rates for transitioning ECHO patients to long-term care. 50% of pa-tients who reached their limit of visits to ECHO scheduled an appoint-ment with IFH. Of those patients, 68% attended that appointment. Overall 34% of patients are successfully transitioned.

While the transition model is critical to ECHO’s commitment to providing optimal care, transitioning patients to the Institute has been challenging. An anal-ysis from January 30, 2013 to June 30, 2014 showed that 50% of all patients seen at ECHO made a future ap-pointment at the Institute clinic and only 68% of those patients attended that ap-pointment [3]. Overall only 34% of ECHO patients are successfully transitioned to long-term care [3].

The current board is actively working to better understand barriers that patients in the student-run free clinic network face and to promote their transition to a medical home. We are implementing a phone-in-tervention study for all pa-tients who have not transi-tioned from ECHO to the Institute. The goal of this research is to highlight bar-

riers to long-term care from a patient perspective and to elicit areas of improvement in the establishment of a medical home. This study will also demonstrate the efficacy of a phone call in-tervention in assisting stu-dent-run free clinic patients return to a healthcare facil-ity.

I believe that our research project will help us bet-ter serve ECHO’s patients because we are aiming to base future protocol chang-es on patients’ expressed needs and concerns, rather then our hypotheses. This project is also exciting be-cause it will be useful for free clinics throughout the country, as we will have more insight into the barri-ers faced by patients within the student-run free clinic network. I am looking for-ward to analyzing these re-sults, and am grateful to be working on a project that so closely impacts patients’ long-term care.

ECHO transitions patients to regular healthcare providers

The Global Applications of ECHO Continuedto an electronic-based system. His experience

as Project Director afforded him a deep understanding of the clinic op-erations that would later assist him in his endeavors as a physician.

As the Wellbody Alliance clin-ic in Sierra Leone was expanding in size and in services, it also faced the healthcare needs of the recent Ebola virus epidemic. The clinic responded to the outbreak through the incorpo-ration of a diagnostics machine, hold-ing center and protocols, additional protection gear during routine OB/GYN care, and more.

This new healthcare concern had set back the expansion of routine health-care. The clinic had never seen Ebola before, and was thus unprepared to face the new need for infectious dis-ease control. Therefore the clinic has had to evolve its approach to provide optimal patient care depending on current patient needs. As the clinic has become more experienced with controlling the epidemic through treatment and patient education, Dr. Kelly hopes that Wellbody Alliance can return to expanding its longitudi-nal services for the local population.

Dr. Kelly demonstrates that ECHO is not an isolated healthcare enti-ty. The basis of care that is offered at ECHO can be applied to other clin-ics locally and globally. As changes in healthcare arise, such as the Ebola epidemic in Sierra Leone, it is up to the operating clinics to adapt to the dynamic healthcare needs of the un-derserved population. For Wellbody Alliance, the recent partnership with Partners of Health provides further opportunity for growth through the building of a “5-star” public hospital.

HEALTHCARE, 1

ALUMNI, 1

2

Transition rates by demographic factors. Overall transition rate for all patients is 34%. Rates exceed 40% for undocumented patients, patients with chronic illness, and patients over the age of 50 years old.

References:1. Gulliford M, Naithani S, Morgan M. What is ‘continuity of care’? J Health Serv Res Policy. 2006; 11(4): 248-250.2. Gray, DP, Evans P, Sweeney K, Lings P, Seamark D, Seamark C, Dixon M. Towards a theory of continuity of care. J R Soc Med. 2003; 96(4): 160-166.3. Clain EL, Wilcox A, Santos D, Patel V, Aksel S, Nosal S, Cortijo A. Assessment of success in transitioning pa-tients from a student-run free clinic to a consistent primary care provider. Society for Student-Run Free Clinics Annual Conference. Atlanta, GA, USA. February 2015.

Pa#ent  Schedules  Appointment  at  IFH  

N=114  

Pa#ent  A7ends  Appointment  at  IFH  

N=77  

Pa#ent  Considered  Transferred  

Pa#ent  Reached  Visit  Limit  N=228  

50% 68%

Page 3: Hear our ECHO Newsletter - Winter 2015

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On September 26th, 2015, thirteen Einstein students rep-

resenting ECHO attended the 2015 New York City Student Run Free Clinic (NYC SRFC) Regional Conference. Wei-ll Cornell Community Clinic hosted this year’s conference, titled “Collaboration and Multidisciplinary Approaches.” Medical students, nursing students, social workers, and phy-sicians from 10 local student-run free clinics worked togeth-er on how to have an integrative approach to patient care and clinic management. The day began with small group breakout sessions on multiple topics regarding patient care and clinic man-agement, two of which were led by members from ECHO. ECHO Project Director Elizabeth Guevara led a session on undocumented patients and facilitated conversation about the limitations in healthcare for undocumented individuals and the roles of student-run free clinics in caring for this population. ECHO Weekly Coordinators Dahlia Norry and Lizelle Comfort led a session on community and social re-sources. They presented their group with several challeng-ing clinical scenarios and discussed the resources available to clinics to manage such situations. Patient education ini-tiatives, Women’s health, quality improvement and research were just a few more topics covered in the other sessions. After the breakout sessions, Dr. Duane M. Smith, the Associate Medical Director for the Center of Special Studies, delivered an inspirational keynote speech describing

his path to his career in HIV and AIDS care. He described how effective HIV and AIDS treatment requires addressing the physical, emotional, social, and spiritual needs of the pa-tients, a process requiring a multidisciplinary team effort. Later, a poster session gave students the opportunity to present research on various aspects of their clinics. Stu-dents from ECHO presented two posters regarding rates of transitioning patients to long-term care. Einstein students were able to discuss these issues with others working at clin-ics that function under a similar transition-to-care model, such as the NYC Free Clinic. The day concluded with a panel of medical directors from different free clinics that discussed their careers in primary care. The New York City Student Run Free Clinic Board organizes the NYC SRFC Regional Conference. Former members of the ECHO Pre-Clinical board, Jessica Faiz and Daniel Santos, initiated the NYC Student Run Free Clinic Board in 2014. The board includes representatives from major SRFCs in the NYC area with the goals of exchanging advice about challenges the clinics face, collaborating on in-ter-clinic events, and holding an annual NYC SRFC Region-al Conference. Student run free clinics are highly important in pro-viding underserved and uninsured populations with quality medical care. Through the NYC SRFC Board and the NYC SRFC Regional Conference, members can learn from each other and collectively strengthen the functionality of their free clinics.

Kelsey Wilson-Henjum ‘18Communications Officer

NYC SRFC Regional Conference promotes inter-clinic collaboration

2015 Evening with ECHO Gala raised over $19,000 for women’s healthPooja Sheth ‘18Community Outreach Coordinator

Volunteers put forth a great effort to celebrate 16 wonder-ful years of The ECHO Free Clinic with the 2nd annual Evening with ECHO Gala. The event was held to celebrate ECHO and its volunteers, bring together students and alumni alike, and raise funds for women’s health in the clinic setting. Jessica Faiz, a second year medical student and ECHO Communications Officer at the time, put together a creative and dedicated team to plan the different components of the Gala, ranging from a catering committee to a decoration team that designed posters highlighing ECHO’s accomplishments. Under her leadership, the Gala culminat-ed in wonderful night that raised $19,026! GALA, 4 Photograph by David Molho.

Page 4: Hear our ECHO Newsletter - Winter 2015

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On any given Saturday, you are likely to find Lester Bayona hard at work at the ECHO Free Clinic. Lester, a pre-medical student, has been a reg-ular fixture at the clinic since Septem-ber 2014. His commitment to serving at ECHO nearly every Saturday has impressed and inspired his fellow vol-unteers throughout the past year.

Lester initially discovered ECHO after researching ways to shadow pri-mary care physicians. According to Lester, “I am very ... thankful to Dr. Cortijo, because as busy as she always is, she personally introduced me to her team, and I have been at ECHO since then.”

Lester’s time at the clinic has given him the chance to learn while volun-teering. He explained that he always takes notes while seeing the patients and researches his questions afterward. The medical students and attendings “are always willing to help” with his questions as well. Lester, who now is in the process of applying to medical school, has gained insight into “how important the role of family doctors is… in a healthy community,” espe-cially through patient education. He has also seen first-hand the way the doctor-patient relationship “doesn’t end once the patient leaves the doc-tor’s office.”

For Lester, “meeting great profes-sionals and great people” – medical students, attendings, nurses, social

workers, and the patients themselves – has been a particularly meaningful part of his experience volunteering with ECHO. “The fact that I have the chance to learn basic clinical skills at ECHO is just the icing on the cake.”

However, for Lester, “The thing that I like most about ECHO is the fact that ECHO patients get the service they de-serve… because at the end of the day, that is what really matters.”

Volunteer Spotlight: Lester Bayona

Fundraising for the Gala took place through

ticket sales, donations, and a silent auc-tion. Student volunteers worked very hard to reach out to alumni, friends, and family members to receive donations. The fundraising would not have been as successful without the generous gifts from the extended Einstein family. Part of these donations included items for a silent auction at the Gala. For example, an Einstein student, Theresa Tharakan, donated ballroom dance lessons to the highest bidder. Guests were able to bid on the donated items and proceeds from the auction went towards the funds for women’s health. Together, these efforts

culminated in the phenomenal total.Many people and businesses gave time

and effort to contribute to the Gala’s suc-cess. Students went to local restaurants near the Albert Einstein College of Med-icine to ask for catering donations. Many were happy to be involved, including Lubin Dining Hall, Scaglione’s Bakery, Emilio’s Pizza, Ann Clair’s Salumeria, Morris Park Bake Shop, Captain’s Pizza, Burger Time, Good To Go, and Pine Bar & Grill.

Guests also had the privilege of hear-ing from keynote speaker, Dr. Linda Prine. Dr. Prine is a family physician and advocate for women’s reproductive health access. In her practice and research, she

provides the full scope of reproductive care to her patients, as a part of general family medicine practice. Dr. Prine is the founder and director of the nonprofit, Reproductive Health Access Project, that trains family physicians. Dr. Prine gave a great keynote address and was an hon-ored guest as the proceeds were directed towards women’s health.

Thanks to the students and generous donors, the 2nd annual Evening with ECHO Gala was a night to remember!

We are currently planning the 3rd annual Evening with ECHO Gala which will be held on Thurs, Feb. 11th! Look out for your invitation!

2nd Annual Evening with ECHO Gala ContinuedGALA, 3

Alyssa Ammazzalorso ‘19Labs Volunteer

Photographs from the 2nd annual Evening with ECHO Gala by David Molho

Page 5: Hear our ECHO Newsletter - Winter 2015

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ECHO holds several student-run fundraising functions throughout the year to help raise money for patient care at the clinic. These fun events not only allow us to support the clinic, but also help build camaraderie among volunteers. The first event this year was a textbook sale. Upperclassmen donated books for the sale, which was held around the start of fall classes. All proceeds went to ECHO, so in essence donating a book was like donating to ECHO! In addition, students got a head start on buying their books for the year at very reasonable prices. The next event was the ECHO Halloween party, held on October 24 at Overlook Bar in Manhattan. ECHO volunteers and their friends came out in very creative costumes and had a great time dancing and hanging out. Top costumes were: a group dressed as the characters from Inside Out, a Na’vi from Avatar, and Woody from Toy Story. On November 15, ECHO held a 5K run/walk starting and ending right outside campus. We had chilly, but good running weather, music, snacks, t-shirts, Well-Med water bottles, and some very fast finishing times. Congratulations Nick Morano and Teresa Pelletier, the fastest male and female runners! A huge “Thanks” goes to the NYPD for blocking off the course for us and stationing themselves along the route to keep us safe, as well as to the Einstein Running Club for provid-ing snacks and to WellMed for the waterbottles! This year, ECHO has raised over $2,400 from these events! We greatly ap-preciate the enthusiasm and participation in these fundraising efforts!

ECHO raised over $2,400 at 2015 FUNdraisers

Top: Pictures from the 2015 ECHO Halloween Costume Party.

Left: Pictures from the 2015 ECHO 5K.

Rachel Stadelmaier ‘18Development Officer

Page 6: Hear our ECHO Newsletter - Winter 2015

Each year, ECHO partners with local organizations to provide education and access to healthcare. Last year, our clini-cal director, Dr. Cortijo, set up a meeting between members of the ECHO pre-clin-ical board and the Violence Intervention Program (VIP), an organization that sup-ports victims of domestic abuse, led by-Cecilia M. Gastón, Executive Director at VIP. We expected to discuss healthcare with underserved women; we did not ex-pect how much we, in turn, would learn about caring for one of our city’s most vulnerable populations.

VIP provides services to women who have suffered from domestic abuse. This organization advocates for these wom-en while providing a safe space for them and their children. The ultimate goal for these women is to lead violence-free lives and to regain their independence. In the words of Ms. Gastón, Executive Direc-tor at VIP, it works to “serve the invisible women who by their immigration status are not eligible for any benefits. They are also the most vulnerable and exploited

as they try to earn a living off the books while raising the children.”

The partnership between VIP and ECHO has allowed participating wom-en to understand their reproductive and contraceptive options as well as gain access to free healthcare. Members of

ECHO have had three meetings with VIP and their clients, during which we dis-cussed the importance of taking care of one’s body and planning for the future. We aimed to give these women tools to regain control of their health by discuss-ing age-appropriate screenings for wom-en, such as mammography and colonos-copy, as well as various contraception

options. Varieties of birth control such as the pill, the patch, IUDs, and other long-acting reversible contraception are all options that empower these women to have more control over their bodies.

ECHO has also helped VIP clients gain control of their futures and bodies through access to healthcare. Many of these women have successfully scheduled and attended appointments at the Satur-day ECHO clinic. VIP has worked hard to ensure the women can attend their ap-pointments by arranging transportation to the clinic.

I could not have been prouder of the partnership we have built with VIP as when I received the following mes-sage from Ms. Gastón: “On behalf of all the women you have been serving I thank you and your team, for otherwise they would not have been able to access not only the services, but the learning and empowerment that came with your kindness. ” At ECHO, we are thankful for incredible examples of resilience and courage within the VIP clients and hope to continue to serve as a first step towards long term healthcare.

Currently serving hundreds of un-insured patients every year, the team here at ECHO is reaching even fur-ther. ECHO serves a vital role with-in the community by providing the uninsured with free healthcare and linking patients to long-term care providers at the Institute for Family Health and other clinics in the NYC area. Traditionally, information about ECHO and its services has spread by word of mouth and the experiences of patients. Recently, ECHO has had the pleasure of expanding its connections within the community and spreading the word about the services ECHO of-fers through outreach events.

One such outreach event was with the Gurdwara Sikh Temple Society in Queens, NY. Tejpreet Singh, a premed-

ical volunteer at ECHO, recognized many members of the Temple were uninsured and had foregone medical care for years. After being connected with members from the Gurdwara community, volunteers from ECHO held an informational session at the Temple. Initially, there was uncertain-ty about how members would react. Lizelle Comfort, a Weekly Coordina-tor at ECHO, said, “… we went with the expectation that we would maybe have a dozen or two dozen people in-terested in making appointments, but we were … shocked to have over 60 people express interest in making an appointment!” The community was overwhelmingly receptive, as many have found it prohibitively challeng-ing to get access to healthcare. Fortu-nately, ECHO has become the starting point for greater access to care for the

community. Singh regards one particular expe-

rience as a representation of ECHO’s impact: “a patient had taken multi-ple buses and trains all the way from Queens to come to the clinic… I was moved by how far he had travelled … he explained to me how he wasn’t able to afford [other care] and lived with his debilitating pain. [Additionally] it affected his ability to put food on his table for his family. He was over-whelmed and ecstatic that he was receiving proper care and attention from the clinic and thanked me pro-fusely when he left.”

ECHO aims to further its involve-ment in the community in order to fulfill the mission to provide acces-sible, high-quality healthcare to the uninsured.

Partnership with VIP increases access to women’s healthcare

Building connections through community outreach events

6

Elizabeth Tubirdy ‘18Women’s Health Coordinator

Cyril Abraham ‘19Front Desk Volunteer

The partnership between VIP and ECHO has allowed participating women to un-derstand their reproductive and contraceptive options as well as gain access to free healthcare.

Page 7: Hear our ECHO Newsletter - Winter 2015

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Sarah ParkClass of 2019Referrals Volunteer “...being a part of the dy-namic team of people who work together to get the patients the care that they need, from the beginning to the end of their clinic appointment. As a Refer-rals volunteer in particular, I find it meaningful to help the patients navigate to the next step in their care, in what can be a very confus-ing system. It’s a privilege to be in a position where I can help patients access care, even though I’m only an MSI.”

Garred GreenbergClass of 2019Community Outreach/Front Desk Volunteer“Volunteering for ECHO has been a great way for me to learn more about the Bronx and connect with the community.”

Ricki KorffClass of 2019 Research (QI) Volunteer“I love the diversity of ex-periences... As I help with the triage process in the morning, I can connect with patients one-on-one. In the afternoon, I get a broad view of the clin-ic’s patient population as I help quantify how well ECHO is serving their pa-tients. Meeting a patient who had previously not seen a physician in over a decade made me feel espe-cially lucky to be part of an organization that provides such a vital service to my community.”

Alon MazoriClass of 2019Interpreter Volunteer“Every person at ECHO brings to life a whole-hearted resolve to do for our patients everything we can, to the best that we can. Although some Saturdays it’s hard for us to shake off that morning slumber, each new day at clinic starts with the promise of potential--the potential to better our-selves as future physicians, to be inspired by our pa-tients’ resilience, to make a difference, however small, in the community around us. We at ECHO take this potential in stride, and the resulting camaraderie in-vigorates and inspires like nothing else.”

ECHO Volunteer Shout Outs!First year volunteers are vital to making the clinic run smoothly. These are some

volunteers that stood out for their dedication to ECHO. We asked them, “What’s your favorite part of volunteering at ECHO?”

Page 8: Hear our ECHO Newsletter - Winter 2015

For the past four years, I have had the privi-lege to be a part of an organi-zation that e m b o d -ies every aspect of

medicine I value; one that places patient care above all else, while seamlessly inte-grating teaching, mentorship, and com-munity outreach. It is an honor and a pleasure to reflect on the past four years and how much both ECHO and I have grown.

I began volunteering at the ECHO Free Clinic as a first year medical stu-dent. I wanted to work with an under-served population because I believe healthcare is a right and no individual is more deserving of quality care. I was ready to dive in as a “Patient Advocate” and counsel every patient on the im-portance of exercise, nutrition, smok-ing cessation, and safe sexual practices; however, I quickly discovered that every patient has her own story and each pa-tient-encounter must be tailored to the unique individual.

As a second year student, I joined the ECHO Preclinical Board as one of the Weekly Coordinators with the goal of ensuring the clinic operated smoothly through coordination with labs, refer-rals, and the clinical board. Beyond the management of clinic flow, I learned how to empower and excite volunteers and board members, and to work as a team to achieve a common goal.

In my third year, I had the opportu-nity to rotate through ECHO during my Family Medicine rotation, and I saw the clinic with an entirely new perspective. I finally started to learn the art of med-icine and how various relationships be-

tween patient and student-doctor, stu-dent and attending, student and student all exist with the goal of providing the best care for each patient.

Throughout my first three years with the clinic, the organization also expe-rienced significant development and growth. In order to prepare ECHO for the effects of the Affordable Care Act, we worked with the case managers and social workers at the Institute for Family Health (IFH) to determine how to en-roll our patients in the health exchange. Transitioning our patients to full-time continuous care became a priority, and we developed a system to transition pa-tients to IFH clinics after 2 or 4 visits depending on the complexity of their needs. We revived the New England Regional Society for Student Run Free

Clinics Conference, which brought to-gether 149 students from 12 different clinics to share visions and ideas in the halls of Einstein. We also worked to re-vamp our referrals program because many of our patients were not attending their specialty-care appointments for fear of the cost. We held the first ever “Evening with ECHO” Gala to celebrate the clinic’s 15th anniversary and raised $14,000 to pay for our patients’ specialty care. Women’s Health has also become a focus of care at ECHO. We partnered with the OB/GYN and Family Planning departments at Einstein to provide ed-ucation, preventive screenings, family planning, and contraceptive manage-ment, now providing both IUDs and implants, for our women patients. And these are just a few of the highlights!

As I entered my fourth year, I couldn’t

imagine spending the last year of my medical education without ECHO at the forefront. I was elected as ECHO’s Exec-utive Clinic Chair and have had the op-portunity to learn so much about myself as a leader, mentor, and future physician. I have learned to draw on experience to critically think and to incite a commu-nity of enthusiasm, respect, and part-nership amongst ECHO’s student lead-ership. I have started to consider “big picture,” system-wide issues that affect clinical care and have worked closely with the ECHO board, our medical di-rectors, and Einstein to try to minimize these gaps in patient care.

This year at ECHO we have focused many of our efforts on student growth, incorporating more teaching and men-torship into our clinic day. We created a case-based learning curriculum to in-spire active participation among medi-cal students and to train our fourth year students how to be effective teachers and mentors. We have also expanded our connections in the community through outreach programs with local organiza-tions, including the Violence Interven-tion Program (VIP) and the Gurdwara Sikh Temple. ECHO has become the face of health equity and community by participating in social movements, in-cluding #WhiteCoatsForBlackLives and #MedStudents4Mizzou, and we contin-ue to advocate for our patients for racial equality and equal access to health care.

In the past four years, ECHO and I have reached many important mile-stones, and I will always feel that we accomplished them together. Being a part of ECHO truly defined my medical school experience. Because of ECHO, I’ve met lifelong friends, mentors, in-spiring physicians, and unforgettable patients; I’ve become a better teach-er, leader, patient advocate, and future physician; I’ve become integrated into a larger community. As I approach grad-uation, I feel forever indebted to this organization and to every patient I have had the privilege to treat.

Reflections from the Executive Chair: four years with ECHOLauren Tannenbaum ‘16Executive Clinical Chair

8

Because of ECHO, I’ve met lifelong friends, mentors, in-spiring physicians, and unfor-gettable patients; I’ve become a better teacher, leader, patient advocate, and future physician; I’ve become integrated into a larger community.

Page 9: Hear our ECHO Newsletter - Winter 2015

ECHO 2015-2016 Pre-clinical and Clinical Board Members

Clinical BoardExecutive Clinical Chair

Lauren TannenbaumChairs for Clinical Volunteers

Sarah Palsen and Andrew JoelsonChairs for Clinical Teams

Evan Tamura and Jordan ElmanContinuity ChairMarika Osterbur

Clinical Flow Director Rebecca Mahn

Back of House DirectorNicholas Wilcox

Medical DirectorDr. Amarilys Cortijo

Assistant Medical DirectorDr. Sarah Nosal

Dr. Cortijo and Dr. Nosal are physicians at the Institute for Family Health.

Pre-clinical BoardProject Director

Elizabeth GuevaraWeekly Coordinators

Lizelle Comfort and Dahlia NorryCommunications OfficerKelsey Wilson-Henjum

Development OfficerRachel Stadelmaier

Financial OfficerMayand Vakil

Referrals CoordinatorsDaniel Childs and Stanley Kalata

Patient Advocate CoordinatorsNiketh Bhashyam and Susmit

TripathiWomen’s Health Coordinator

Elizabeth TubridyHIV Counselor Coordinator

Clara Bertozzi-VillaLabs Coordinators

Daniel Nathan and Lyle NolascoFront Desk Coordinators

Joshua Kent and Stephen LorenzenInterpreter Coordinator

Amanda RizzoPre-Clinical and Scheduling Coor-

dinatorErica Chung

Quality Improvement CoordinatorMadeline DiLorenzo

Community Outreach CoordinatorHeena Purswani and Pooja Sheth

Meet the ECHO Board! Thank You Thank you to everyone who contributed to the 2015 Winter edition of the Hear Our ECHO newslet-ter. This issue would not have been possible with-out the writers, editors and designers who dedicated time, creativity, and atten-sion to detail.

ECHO Newsletter Committee

Writers:Alyssa AmmazzalorsoCyril AbrahamDaniel ChildsLizelle ComfortDahlia NorryPooja ShethRachel StadelmaierLauren TannenbaumElizabeth TubridyKelsey Wilson-Henjum

Editor:Kelsey Wilson-Henjum