Nurturing the Next Generation of Social Entrepreneurs, Community Leaders, and Healthcare Advocates:

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Nurturing the Next Generation of Social
Entrepreneurs, Community Leaders, and Healthcare
Advocates The Indiana University School of
Medicine Experience
INDIANA UNIVERSITY SCHOOL OF MEDICINE OFFICE OF
MEDICAL SERVICE-LEARNING

• 2nd Annual International Symposium on Service
  Learning
• University of Indianapolis
• May 14, 2007

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Presenters from the IUSM Office of Medical
Service-Learning (OMSL)

• Brian Meek, 3rd year medical student
• Co-chair, Student Advisory Group
• Matt Zipse, 3rd year medical student
• Co-chair, Student Advisory Group
• Patricia Treadwell, MD
• Associate Director, OMSL
• Steve Kirchhoff, MHA
• Administrator, OMSL

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Workshop Overview

• Office of Medical Service-Learning (OMSL)
  Overview
• OMSL History
• OMSL Projects
• OMSL Student Advisory Group (SAG)
• OMSL Benefits

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Workshop Overview (cont.)

• IUSM Curriculum Links
• OMSL Philosophy
• OMSL Faculty Roles
• OMSL Finances/Administration
• Question and Answer Session

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OMSL Overview

• OMSL located on IUSM Indianapolis campus
• IUSM 2nd largest medical school in United States
• IUSM includes main campus in Indianapolis and 8
  regional centers
• IUSM hospitals provide access to diverse patient
  populations on campus and inner-city neighborhoods

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OMSL Mission

• The OMSL promotes a lifelong commitment to
  community service through innovative
  service-learning experiences.

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Service-Learning Defined

• As defined by Community-Campus Partnerships for
  Health
• Service Learning is a structured learning
  experience that combines community service with
  preparation and reflection.

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OMSL Service-Learning Model

• Service projects are voluntary rather than
  course-based
• Projects infused with key service-learning
  elements such as reflection, orientation, and
  evaluation

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Key OMSL Statistics

• 250 students per year (20 of those on the
  Indianapolis campus) participate in one or more
  of 16 student-initiated and student-led
  service-learning projects
• Over 8000 hours of service each year
• Growth from one to 16 projects in ten years

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OMSL History

• 1989Patricia Keener, MD, IUSM faculty, appointed
  medical director for Indianapolis Campaign for
  Healthy Babies initiative
• Two major changes resulted--
• IUSM became major provider of primary care in
  inner-city neighborhood based health centers
• IUSM curriculum reflected increased emphasis on
  cultural competency

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OMSL History (cont.)

• Curricular changes prompted medical students to
  get involved in the community
• Spring House Calls, the first student-led project
  was developed in 1996 and became the model for
  future projects
• Student Advisory Group formed in 1999 to serve as
  a forum for student discussion, policy making and
  leadership development.

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OMSL History (cont.)

• In 1999, Dr. Keener appointed as Assistant Dean
  for Medical Service-Learning
• In 1999, OMSL officially recognized by the IUSM
  administration

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OMSL Projects

• Student-initiated and student-led
• Voluntary and not course-based
• Very diverse in size and scope (see handout)
• Local, national, or international
• Offer a welcome break from rigors of medical
  school coursework

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• Create experiences that enrich student
  understanding of the world
• Spring House Calls
• Project Joy
• Helping Habitat
• International Spring Break
• Calnali

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• Develop influential leaders by enhancing student
  medical and social skills
• Diversity Week
• Medical Spanish
• Community Leadership Mentor Program
• Best Buddies

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• Impart the youth of Indianapolis with the
  knowledge to take care of themselves and others
• Reach out and Read
• Doctor Camp
• Safe Sitter
• Adolescent Substance Abuse Program
• Super Shot Saturday

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• Support children in need throughout Indianapolis
  and the country
• Rock for Riley
• Camp Boggy Creek

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OMSL Student Advisory Group (SAG)

• SAG serves as student policy-making body and
  provides a forum for discussion of issues of
  common concern and interest
• Meetings are student-led, providing a unique
  opportunity for student leadership and
  development.

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SAG Leadership

• Officers4th Year students
• Committee Chairs3rd Year students
• Project Chairs2nd Year students

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SAG Meetings--

• Monthly meetings attended by 20-25 students and
  chaired by SAG co-chairs
• Non-threatening and open environment for
  discussionnormally held in Directors home
• Training on leadership topics such as planning,
  volunteer recruitment, and fund-raising
• Updates presented and issues of common concern
  discussed

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SAG Meetings (cont.)

• New Business discussed and voted on or resolved
  by consensus
• Financial reports presented as needed
• New projects presentedmust address OMSL Project
  Criteria (see handout Project Criteria)
• Project co-chairs provide updates and raise
  issues where help needed
• Meetings always end on timemax. 90 minutes

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OMSL Benefits

• Fosters well-rounded future leaders of healthcare
  in Indiana
• Establishes IUSM as source of doctors with a
  strong social consciencean important recruiting
  tool
• Serves as a platform for student leadership in
  community engagement by cultivating a culture of
  service

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OMSL Benefits (cont.)

• Provides an avenue for students and faculty to
  work together outside the classroom and clinical
  setting
• Creates stable and enduring relationships with
  communities where projects are carried out year
  after year
• Enhances connections with IUSM regional center
  campuses

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Liaison Committee on Medical Education
Accreditation Standard

• Medical schools should make available sufficient
  opportunities for medical students to participate
  in service-learning activities and should
  encourage and support student participation.
• OMSL is a primary means for IUSM to meet this
  standard

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Competency-based Curriculum

• IUSM has competency-based curriculum with 9
  (nine) required competencies
• Students must achieve basic and intermediate
  proficiency in all 9 areas and advanced
  proficiency in 3 areas.

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Competencies

• Effective Communication
• Basic Clinical Skills
• Using Science to Guide Diagnosis, Management,
  Therapeutics, and Prevention
• Lifelong Learning
• Self-awareness, Self-Care Personal Growth

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Competencies (cont.)

• Social Community Contexts of Health Care
• Moral Reasoning Ethical Judgment
• Problem-solving
• Professionalism and Role Recognition

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OMSL Curriculum Link

• OMSL projects reinforce achievement of these
  competencies
• Students also have opportunity to directly
  achieve Level 3 competency in Social and
  Community Contexts competency through OMSL
  projects.

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Level 3 AchievementCommunity and Social Contexts
Competency

• Participate in Approved Population Advocacy
  Experience, e.g., Kenya Rotation or Alternative
  Spring Break
• Reflection or Research Paper on Advocacy
  Experience
• Mastery of Competency VI Knowledge Base (refer to
  handout)

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OMSL Philosophy

• Medical educators have responsibility to nurture
  and develop extraordinary intellectual gifts and
  philanthropic spirit of medical students
• A well-educated physician is both competent and
  caring
• Medical education must take place in the real
  world as well as the lecture hall and clinical
  exam room

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OMSL Philosophy (cont.)

• Caring supportive environment facilitates the
  development of caring supportive physicians.
• Good works must be habits and not special events.

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Faculty Roles

• Director and Associate Director attend all SAG
  meetings and provide support for all
  issues/concerns that arise during the year
• Faculty Advisors20 members who volunteer to
  serve as role models, provide community contacts,
  and nurture the philanthropic spirit of students

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Faculty Advisor Roles

• To serve as mentors and advocates for students
  and serve as a sounding board for new student
  projects and ideas.
• To champion the OMSL cause and raise campus
  awareness
• To support OMSL fund-raising initiatives
• (See handout Faculty Advisor
  Roles/Responsibilities)

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Key Principles for Faculty Advisors

• Always respect and support the philosophy of
  student-owned and student-directed programs!
• Embrace the belief that interacting with students
  is professionally rewarding and fun for faculty
  members too!

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Staff Roles

• Help maintain continuity from year to year so
  that good ideas not lost when student graduates
• Support students with financial, planning,
  marketing, budgeting, fund-raising expertise
• Maintain all financial records and ensure
  projects follow accepted accounting principles
• Work behind the scenes to help ensure projects go
  smoothly

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Project Finances

• Co-chairs are expected to identify and secure
  financial support for their projects.
• Securing long-term financial support for
  administrative infrastructure remains a major
  challenge

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Current Budget Information

• OMSL Budget-- 375,000
• Project budgets range from 1000 to 260,000
  (Rock for Riley)

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Project/OMSL Funding Sources

• Variety of campus and external sources of funding
  (including Rock for Riley)
• IUSM Endowment Fund 7
• IUSM/Campus Support-- 13
• Corporate/Individual Donations68
• Grants 2
• Fees/Other Income10

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Closing Reflection

• I cannot know what your destiny will be, but
  one thing I do know is that the truly happy among
  you will be those who have learned to serve.
• Albert Schweitzer