A SFSU & UCSF Collaboration Providing Free Health Care in the Mission since 2007
CMB in Partnership with:
Before philosophizing about life, we must ensure life itself. – Igancio Martín-Baró
Copyright © 2012 Clínica Martín-Baró All rights reserved
TABLE OF CONTENTS Who We Are The Name’s Sake Our Roles Our Stories How to Join
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WHO WE ARE ClĂnica MartĂn-BarĂł is a collaboration between SF State and UCSF students, working together to provide accessible and primary health care. It is a volunteer based and student-run clinic that funds itself through community organized benefits in order to maintain its autonomy. The clinic provides free medicine, labs and consultations while also providing referrals to free or low cost services. CMB currently operates on Saturdays in the heart of the Mission District. While our goal is to provide the most dignifying services for our patients, we also recognize our need to empower ourselves as emerging community 6
leaders and physicians. Our goal is to act as a support system for one another in order to heal ourselves from intergenerational experiences that resemble that of our patients, and during that process emerge as leaders. The main focus of the clinic is the patients’ humanizing and humble experience, where their medical and social stories are handled with the utmost dignity we feel that they deserve. What separates us from other clinics is our vision to attend to the medical and social needs of our patients; where the end goal is for the patient to become active agents of their struggle. We transform the concept of the traditional waiting room into a community circle
where we have patient education regarding nutritional health, public education, immigration, civil rights, traumas and amongst many others. These topics occur within the community circle through collective dialogue. As Clínica Martín-Baró it is our social aspirations that bring us together with our community so that we may continue to create a safe space for all.
THE NAMESAKE “It seems to me that Martín-Baró was describing the kind of medicine and psychology that we are attempting to put into practice at Clínica: the conscious use of health to promote human dignity and social justice. We don’t pretend to resolve all the needs of our patients. 90% of the volunteers are Latinos with similar experiences as those we serve. We don’t look for high risk behaviors in our patients, rather at the high risk conditions in which they live and work. We are not improvising. There is more than 30 years of experience in the search for alternatives and models that address health inequities. Liberating modes of psychosocial intervention aim to empower those people so they can become full citizens with access to society’s services, exerting rights and duties, and enjoying the same opportunities while contributing to changing, sustaining, developing, and maintaining that society. This is possible through dialogue—generating relationships where different voices are heard, different ideas are discussed, and transformation projects are jointly created with the people and groups with which work is being carried out. Liberation Psychology/Medicine implies caring, compassion and humility — three 8
qualities too seldom seen in clinical medicine or in the training of health professionals. The patient wants to know how much you care before they care how much you know. The caring relationship requires nurturing the patient and caring about what happens to them. Compassion means “suffering with.” The best doctors feel as their own the suffering of their patients and the patients’ loved ones. Participating is key in Psychology of Liberation because it allows the voice of the excluded to be heard and to contribute to the organization, to be involved in decision making, to reflect about outcomes, to assess needs and resources, to give opinions, and to be responsible for one’s own achievements.” Félix Salvador Kury Founder, Program Director & Faculty Advisor Clínica Martín-Baró, SFSU-UCSF
ROLES OF LA CLÍNICA Clínica Martín-Baró was founded by University of California-San Francisco (UCSF) and San Francisco State University (SFSU) students. It is sponsored by the UCSF Department of Family and Community Medicine. Through the clinic, undergraduate students from SFSU, health professions students from UCSF and physicians affiliated with UCSF will collaborate to provide primary care to uninsured members of the Mission District community. Clínica is based on a horizontal structure where all volunteers are given the opportunity to educate themselves in all necessary positions to run the clinic.
It is the responsibility of the monitor as supervisor of the clinic to work very closely with all other personnel and to ensure a smooth and efficient clinic. The monitor must be knowledgeable in all aspects of the clinic including protocols for the undergraduate positions including but not limited to: the role that both doctors and medical students play at Clínica MartínBaró, where supplies and medications are kept, all laboratory procedures, and policies regarding patients, referrals and emergencies.
The receptionist is the first person that our patients see when they come to Clínica Martín-Baró. Therefore, receptionists must maintain courtesy and respect to all of our patients at all times. The Clinic Manager can quickly become inundated with several tasks and hence depends on good communication with the receptionists, so keep him or her informed of what’s going on at the window (number of patients, emergencies, etc.)
Intakers are truly the backbone of clinic operations. After receiving one day of thorough training, you will be seeing patients. As an Intaker you get the most student-patient interaction of all the undergraduates, so prepare yourself well and represent Clínica Martín-Baró with poise and confidence. Keep in mind, your hard work directly relates to the efficiency and stamina of the staff.
The Patient Advocate reflects the mission of Clinica MartinBaro and is a crucial component of the work we do. Always keep in mind that what patients do to survive does not define who they are. When patients refer to personal troubles, be careful not marginalize their stories by reverting to the chief complaint. The goal of the patient advocate is to empower the patient through attentive listening and tactful dialogue, to listen to the entire story of the patient with compassion and humility (modelo de escuchar).
This position attends to the specific needs of the patients. Because Clínica Martín-Baró does not provide anything beyond primary care (i.e. dental, eyes, dermatology, etc) we refer patients to specialists who would attend to their particular medical needs.
This position within the clinic requires the completion necessary paper work in order to provide patients with free perscriptions to local pharmacies that Clínica Martín-Baró is in conjunction with.
Working in the laboratory takes, among many qualities, organization skills. Therefore, to perform the laboratory position well, you must adhere to the protocols, complete all necessary forms, and pay close attention to detail.
MEDICAL STUDENT COORDINATOR
Medical student coordinator works closely with the guest Preceptor from UCSF. They attend to the other volunteer medical students and oversees the patient flow alongside with the monitor. They also have the responsibility of acting as a liason among within the clinic, so that we continue to push for transparency when communicating ideas or concerns among active members.
OUR STORIES ClĂnica MartĂn-BarĂł has not only fostered solidarity among residents of the Mission District, it has also trained and supported the development of community leadership among each student volunteer. The clinic is designed to encourage its membership of using empathy and social consciousness to empower their patients; and while doing so the students gain valuable lessons in the art of listening.
A current undergraduate who attends San Francisco State University as a Sociology major. Angelina learned about Clínica Martín-Baró through the LTNS 210 course, where she began to learn about health issues that are detrimental to the Latina/o community. Being a Latina from San Francisco, she felt that she has been witnessing the fatalities of the health care system within the Mission for years. Her experience in being a part of the clinic has enhanced her educational career while empowering herself as an advocate for public health.
As of now Allen is a medical student from University of California, San Francisco and is also born and raised in the Bay Area. Allen first learned about the clinic through the faculty advisor from UCSF, Dr. Salazar. Allen eventually became a part of the clinic and has been inspired by its holistic and interpersonal practices with their patients. He aspires to use the valuable life lessons from the clinic and to apply them towards his practice.
HOW TO JOIN Students are the foundation and the promise of Clínica Martín-Baró’s longevity. In order to apply you will need to contact the volunteer coordinator and they will ask you to complete a questionnaire and to create a written personal statement explaining why you see yourself being a member of Clínica. Additionally, as volunteers of Clínica, we are also students and we must remember that your priorities must lie first in your academics; therefore do not over commit yourself. We are here to serve the community. Through the exchange of service and education, you will benefit personally as well as develop into a stronger leader in your respective career of choice.
GATEWAY CLASSES FOR PROSPECTIVE APPLICANTS LTNS 210 (SFSU): Latina/o Health Care Perspectives Diseases and health conditions that are prevalent in underserved populations; socio-economic, political, racial, cultural, and environmental factors that influence conditions in Latina/o communities in the U.S. This professionally supervised field experience course provides exposure to primary health care delivery within a local family practice clinical setting. The course is split into two facets, the classroom and the clinic. LTNS 500 (SFSU): Latina/o Community Mental Health Mental health services throughout the Bay Area: determine whether these services are relevant to the Raza community. How the Raza student views him/herself and relationships with others in and outside the culture. LTNS 510 (SFSU): Latino Family Narratives The psychological structure of the family; psychodynamics of family relationships in light of particular subcultural influences characteristic of La Raza ethnic background. Sex-role delineations. 18
LTNS 680 (SFSU): Latina/o Community Organizing Raza and community organizing; mobilization and action toward the resolution of community problems; elements and techniques of organizing; development of leadership and community resources; acquisition and direction of power; analysis of the existing organizations and their definitions of community priorities and goals. FCM 184 (Department of Family and Community Medicine at UCSF): This is 1-unit course open to all UCSF graduate programs. The course will be offered every Winter quarter at UCSFâ€™s Parnassus campus. Topics covered may include the following: the migratory history of Latinos in the U.S.; the social and demographic profiles of Latinos including the great racial and ethnic diversity that exists. The growing anti-immigrant sentiment in California as reflected by a recent push for English Only and the dismantling of educational opportunity programs designed to level the playing field. The structural processes that impede progress and the cultural and familial processes that enhance intergenerational adaptation and resiliency; cultural incongruence within a dominant society; and cross-generational acculturation patterns and racism.
CONTACT US: SFSU Faculty Advisor: FĂŠlix Kury, email@example.com UCSF Faculty Advisor: Dr. Rene Salazar, firstname.lastname@example.org Volunteer Coordinator: email@example.com 3013 24th St (at Harrison) San Francisco, CA 94110