4 UDSM Sample Outreach

U-District Street Medicine (UDSM) OUTREACH MODEL

TRAINING for student volunteers

For UDSM outreaches: all graduate student volunteers must have watched the UDSM Training Video on Canvas, and reviewed the Graduate/Professional Student Scope of Practice Outline and Welcome Letter prior to the first outreach. See the detailed outline of team responsibilities for more information.

Intake Team (2-3 students, can work in pairs depending on patient flow)

• Students who can participate: Any graduate health sciences students and ABSN/BSN students
• Purpose: Using a strengths-based approach, students will build rapport, set expectations, elicit information about the patient (on the patient’s terms), and align patient expectations/hopes with the services available.
• Process: The Intake team will be the first stop for people who are seeking care.

[See Intake Form for a detailed description of the process and approach]

• Provide a friendly and welcoming tone; introduce yourself and briefly get to know your patient
• Describe the purpose of the clinic and services available (script will be provided)
• Understand what the patient is hoping to be seen for
• Introduce yourself; get to know the patient (e.g., Who are you? What would you like us to know about you?)
• Elicit concerns
• Replay what you heard to be primary concerns, and check off appropriate boxes on the Services Checklist Form [need to develop]
• Walk patients over to the clinical area when the clinical team is ready to see them.  Introduce the patient to the clinical team and describe top concerns.

Clinical Care Team  (1-2 students will observe the preceptor and participate in care as appropriate and outlined below)

• Students who can participate: MD, PA, PT (with PT preceptor), RN, DNP, Pharmacy, Social Work (with SW preceptor)
• Purpose: To provide basic assessment and screening services to patients.
• Process: The Clinical Care/Triage team will gather a medical history and provide medical screenings and assessments alongside clinical preceptors.  The kinds of services offered will vary depending on who is precepting this group (e.g., if a licensed physical therapist is present, PT services will be offered; if a licensed social worker is present, harm reduction counseling may be offered).

Students may participate (with close oversight from the preceptor) in the following activities:

• Medical history: all clinical students, regardless of their year of study, if they have training in gathering a medical history
• Discipline-Specific Physical Exam: 2nd-year clinical students who have conducted physical exams in other clinical settings
• Motivational Interviewing related to client’s stated concerns: 2nd-year clinical students who have training and experience with motivational interviewing in other clinical settings
• Health Education: all clinical students, regardless of their year of study, if they have the appropriate knowledge
• Fingerstick/blood glucose: only trained students (e.g., UTest)

After clinical care/triage is complete, a student will walk the patient over to the referral team, introduce the patient, and describe details and needs as appropriate.

ONLY PRECEPTORS CAN DIAGNOSE AND TREAT. THIS INCLUDES DISTRIBUTING OTC AND PRESCRIPTION MEDICATIONS.  IF THE APPROPRIATE LEVEL OF CLINICAL STUDENT IS NOT AVAILABLE, THE PRECEPTOR WILL CONDUCT PHYSICAL EXAMS, MOTIVATIONAL INTERVIEWING, AND HEALTH EDUCATION WITH LOWER-LEVEL STUDENTS OBSERVING THOSE ELEMENTS OF CARE.

Resource Navigation Team (1-2 students, may also include students who also participate on the Intake Team)

• Students who can participate: Any graduate health sciences students and BSN students
• Purpose: Elicit information from patients about what follow-up might look like for them; help guide patients towards resources/referrals that are appropriate to meet their needs and intentions.
• Process: TBD. Develop Referral Form.