2014-2015 Project Sustained
Omar AbdelBaky and Christopher Walker, UNC School of Dentistry
BCBSNC Foundation Fellows
Academic Mentor: Dr. Lewis Lampiris
Site Mentor: Dr. Edward Swift, Jr.
Site: UNC School of Dentistry and Gillings School of Public Health
Omar and Christopher created the Oral Wellness and Nutrition (OWN) Program to help diabetic patients manage their disease by providing reduced fee dental services and free nutritional counseling by dental students and registered dietician students during their dental visits. Patients with diabetes were selected from a pool of existing dental patients in the school’s Preventative Recall section. These patients were all past due on their dental recall visits and were not currently assigned to a dental student for comprehensive care.
Of the 22 enrolled OWN program patients, 20 completed the RD-MPH counseling sessions until the end of the school’s clinic year and maintained work on their individual goals. Examples of goals patients set:
- Decrease portion size
- Discontinue/modify sugar-sweetened beverage intake
- Discontinue/modify cariogenic snack intake
- Increase physical activity
The reduced dental fees and free nutritional counseling resulted in a total savings of $3,081 in addition to the savings patients receive from the already reduced dental fees from the School of Dentistry Clinic.. Patients from the OWN program will remain in the dental student’s family of patients for continued comprehensive care.
The Fellows were able to institute a practice change to collect anthropometric measurements and BMI for OWN patients. One adjunct faculty member also instituted these measurements into her dental practice. The Fellows were also able to institute a policy change by adding a module in record keeping software to monitor patient progress.
Two UNC School of Dentistry students were awarded 2015-16 Fellowships to continue to lead OWN, expand the referral network, and add pharmacy counseling to services provided.
Tomesia Barnes, NCCU School of Social Work
Academic Mentor: Dr. Larry Williams
Site Mentor: Principal John Green
Site: W. G. Pearson Elementary School
Tomesia launched an anti-bully campaign to increase the awareness of what constitutes bullying behavior, increase anti-bullying advocacy, and decrease the acts of bullying by children in the elementary school setting. Each week, Tomesia held one workshop for a group of 15 fourth and fifth grade students (5 who had repetitive bullying behaviors, 5 who have expressed a concern of being a target of bully-type behavior, and 5 general population students). The students created and signed an anti-bully pledge and encouraged peers and community members to participate. In develop an anti-bullying culture, students created and wore T-shirts with an anti-bully message and wrote and performed a skit to their peers.
By the end of the year-long project:
- 10 of 15 participants reported taking bystander action.
- 3 of 5 participants with a history of bullying decreased bullying behavior and chose to advocate for their peers.
- 2 of 5 participants with a history of bullying no longer engaged in bullying behavior.
Tomesia is currently working with the Assistant Principal to have the curriculum incorporated into the work conducted with special groups of students with behavior or self-esteem issues. Upcoming NCCU School of Social Work interns will be able to lead the anti-bullying curriculum. Program did not require sustainability funding.
Eleni Boukas and Mackenzie Hatfield, UNC School of Dentistry
BCBSNC Foundation Fellows
Academic Mentor: Dr. Frank McIver, Dr. Shijia Hu
Site Mentor: Sarah Hartsook
Site: Residential Services Inc.
Eleni and Mackenzie improved the oral health of 30 adults with intellectual and physical disabilities by creating individualized oral health protocols at a residential care facility which were incorporated into the patients’ daily care plan. Additionally, they gave caregivers specialized oral health training so that they may properly care for residents who are unable to brush and floss on their own and supervise those more independent residents in performing those tasks. They also worked directly with residents who are able to conduct their own oral hygiene on proper techniques. They made three home visits and three-month follow-ups to observe both residents and caregivers in action to ensure that protocols are being followed and to reinforce the adopted oral health behaviors. As a result of the Fellows efforts:
- 30 individualized oral health protocols were developed and incorporated into the patients’ daily care plan.
- A policy change occurred at the UNC Disabilities Clinic where staff are required to complete a newly created oral health form which includes a plaque score, gingival index, caries index and behavior score to help track oral health status.
- Timers were installed in all the bathrooms in the homes to reinforce proper brushing time.
- Patients’ teeth are brushed for the full two minute recommended time and flossed daily.
- 83% of residents have a plaque score of good and excellent after our intervention.
- An oral health training webinar was created to educate RSI employees.
- RSI staff at all 16 homes received in person training and this is now part of a new dental hygiene course requirement.
Addressing the high turnover staff rate and to maintain continuity of oral health care, the Fellows ensured that staff will continue to receive in-person training each spring through a new dental hygiene course requirement and staff hired in the interim have access to a webinar training. Program did not require sustainability funding.
William Bradford and Stacy Marshall, Wake Forest School of Medicine
Academic Mentor: Dr. Sam Ajizian
Site Mentor: Katie Boles Maxey
Site: Brenner Fit Kitchen, Exchange Scan, and Salem Pregnancy Services
Will and Stacy created a Healthy Cooking on a Budget series of classes for vulnerable families in the Winston-Salem area. They led four series of six classes which met for 2 ½ hours each week. Each hands on cooking class consisted of practicing healthy cooking techniques, and discussing basic nutrition and grocery shopping on a budget. Thirty-one women participated in the class. Participants who attended at least four out of six of our sessions received a color recipe cookbook with nutritional information and the cookware necessary to cook the recipes in the class. As a result of their efforts:
19 out of 31 participants reported home-cooking at least 2 more meals per week or included fruits and vegetables in at least 3 more meals per week over pre-class baseline.
The Family Medicine Interest Group will sustain the project offering one series in the fall and another in the spring. Program did not require sustainability funding.
Lauren Brown and Hugh Quach, ECU Brody School of Medicine
Academic Mentor: Dr. Coral Steffey
Site Mentor: Melissa Arrington
Site: Little Willie Center
Lauren and Hugh expanded the Strive High Program, a 2010-11 Schweitzer project which inspires disadvantaged middle school students to pursue their science interests. In order to impact healthy behaviors, the Fellows developed engaging, health-oriented lessons for participants and separate lessons for their parents in order to improve the overall wellness of this underserved community. Ten children participated in the 2-hour weekly sessions. Fellows used anatomical models illustrating normal physiology as well as pathophysiology and students conducted monthly science experiments to encourage hands-on learning. An end-of-year Science Fair allowed the students to develop a project highlighting their specific areas of interest.
All 10 Strive High participants achieved two or more of the following goals:
- 7 out of 10 students limited their sugary beverage consumption to 3 times per week.
- 10 out of 10 students consumed at least 3 fruits or vegetables a day.
- 8 out of 10 students substituted a healthy snack for an unhealthy snack every day.
- 8 out of 10 students engaged in physical activity 30 minutes a day, 3 or more times per week.
The ECU Student National Medical Association (SNMA) will be continuing the program and did not require sustainability funding.
Amanda Cadena and Asha Thomas, WSSU Occupational Therapy
Academic Mentor: Darlene Perez-Brown
Site Mentor: Tracy Dinsbeer
Site: Salem Pregnancy Services
Amanda and Asha worked to improve the birth outcomes of pregnant-aged minority women in the Forsyth County/Winston-Salem area by providing education on how to access reliable health information on the Internet. They led three five-week workshops for 30 women and topics included internet basics and how to appraise a website, teratogens, stress management, nutrition, and physical activity. As a result:
- 24 out of the 30 participants gained e-Health Literacy skills.
- 10 out of the 30 participants engaged in 3 out of 5 of the following behaviors four months or longer:
- Consume folic acid daily
- Replace 1 unhealthy snack/drink with a healthy snack/drink daily
- Engage in recommended stress management techniques 3x/week
- Engage in physical activity 3x/week for 30 minutes each trial
- Share reliable health information with 2 friends via social networking
Salem Pregnancy Services will sustain the project by incorporating e-healthy literacy information into their weekly classes and conducting a series with the specific health information. The Fellowship provided $700 in funding for purchase of tablets.
Athika Chandramohan, Duke School of Medicine
Academic and Site Mentor: Dr. Kelly Muir
Additional Site Mentors: Sally Wilson and Kim Johnson
Site: Lincoln Community Health Center and Project Access
Arthika helped empower low-income diabetic patients manage their disease and prevent future complications by leading 12-week support group education sessions of 1.5 hours in length at a local free clinic. Topics included what represents comprehensive diabetes, complications and management of the disease, SMART goals, diet and exercise, and community resources. As a result of her efforts:
- 7 out of 11 workshop participants were able to establish and follow a personal diabetes care plan for an average of 4 weeks or more.
- 6 out of 11 workshop participants completed an eye exam this year.
- 5 out of 11 workshop participants scheduled a comprehensive eye exam later this year.
- 45 out of 85 patients who required follow up care implemented a diabetes care plan.
- 69 out of 85 patients who required follow up care scheduled a comprehensive eye exam, or alternative follow-up, later this year.
- 83 out of 148 patients accomplished one SMART goal over a four month period related to their diabetes management and care plan.
- 63 out of 148 patients who received a referable result from their teleretinal imaging, completed a comprehensive eye exam this year.
- 85 out of 148 patients who received a referable result from their teleretinal imaging, scheduled a comprehensive eye exam later this year.
Duke Primary Care Leadership Tract students and several Duke Family Medicine Interest Group members will lead two series of 12-week support group sessions: one in the fall and another in the spring of next year. Program did not require sustainability funding.
Laura Cone and Stephanie Kiser, UNC School of Medicine
BCBSNC Foundation Schweitzer Fellows
Academic and Site Mentor: Dr. Anthony Viera
Site: Student Health Action Coalition (SHAC): Free Student-Run Clinic
Laura and Stephanie launched SHAC: Bridge to Care to ensure continuity of care for patients with chronic conditions such as diabetes and hypertension in the period before they can be linked to a permanent medical home. Over the course of one year, they observed physiologic improvements in disease management, the successful establishment of a primary care referral system, improved patient quality-of-life and improved patient efficacy in managing their disease.
- Eighty patients were served at 173 clinical appointments and 34 of 45 patients who have returned for more than one visit have improved in clinical markers such as Hemoglobin A1c, systolic and diastolic blood pressure, Low-density lipoprotein cholesterol (LDL), weight, body mass index (BMI), ophthalmology referral, and microalbuminuria.
- Thirty-seven patients have been linked to a primary care provider within 6 months of being seen at the clinic.
- A 50 student interdisciplinary volunteer team was recruited to staff the clinic.
In addition, five education workshop series of four classes each were held to empower patients to make lifestyle changes to control their disease.
SHAC: Bridge to Care has become an official program of SHAC so patients will continue to benefit from the initiative. The Schweitzer Fellowship provided $1,000 of sustainability funding for clinic supplies.
Mark Herring and Brandon Landreth, ECU School of Dental Medicine
BCBSNC Foundation Fellows
Academic Mentors: Dr. Chris Cotterill and Dr. Ivelis Hernandez
Site Mentor: Dr. Rob Doherty and Mrs. April Wiggins
Site: Greene County Dental Services and Greene County Elementary Schools
Mark and Brandon provided oral hygiene education to Greene County elementary students and recruited them into a school-based screening and sealants intervention, Greene Access Program (GAP).
Through the 2014-2015 school year,
- GAP treated 296 children and has placed 487 sealants which is an astounding increase over the previously of treating 63 children and placing 55 sealants. Fellows and dental student volunteers taught two dental lessons — one focusing on oral hygiene and the other on nutrition — to all K-5 classes, reaching 1,200 students in three different public schools. Fellows instructed classes in both English and Spanish-language classrooms.
The ECU DMD student organization, a dental-student service fraternity dedicated to community outreach, will be sustaining the program and the Schweitzer Fellowship provided $1,000 in sustainability funding for lesson supplies and toothbrushes.
Gentry Lassater Byrd and Veronica Matthews, UNC School of Dentistry
BCBSNC Foundation Fellows
Academic Mentor: Dr. Rocio Quinonez
Site Mentor: Dr. Alice Chuang
Site: UNC OBGYN and Dental Clinics
Gentry and Ronnie maintained and expanded the existing Prenatal Oral Health Program (pOHP), a 2012 Schweitzer project, which:
- Fosters collaboration between dental and medical professionals in accordance with 2013 Prenatal Oral health National Guidelines created by the American Dental Association and American Academy of Obstetrics and Gynecology.
- Maintains a referral system between UNC School of Dentistry, UNC Hospitals and community prenatal clinic sites. Through this system, prenatal providers have a dental home to which to refer their pregnant patients.
- Trains incoming UNC Hospitals OB-GYN residents and 3rd year medical students during OB-GYN clerkship. Education includes adherence to current guidelines, incorporation of oral health messaging and referral practices for prenatal oral care.
- Provides 4th year DDS students and 2nd year Dental Hygiene students with the opportunity to triage and treat pregnant patients in the UNC pOPH dental clinic.
Since the start of the Fellowship project:
- 96 3rd year medical students, 5 OB-GYN residents, and 40 community prenatal providers and staff received pOHP training.
- 163 prenatal patients have been referred to the pOHP clinic from six referral sites
- 92 of these prenatal patients received dental treatment and oral health education.
- 84 4th year dental students and 34 dental hygiene students received pOHP training, and the majority of these students had the opportunity to treat a prenatal patient in the pOHP dental clinic.
To ensure long-term sustainability, the Fellows launched the Prenatal Oral Health Program (pOHP) interest group, a University recognized student organization, which will be responsible for leading pOHP training to 3rd year medical students, UNC OB-GYN residents, and prenatal providers at community referral sites. The Fellowship provided $1,000 in sustainability funding for program needs.
Kate Magee, UNC School of Medicine
Academic Mentor: Dr. Rick Hobbs
Site Mentor: Elizabeth Brill
Site: Samaritan Health Center
Kate launched a girls running group to encourage physical and spiritual healthy behaviors for residents at the Oak Creek Village apartments in Durham which is primarily a refugee and immigrant population from Iraq, Somalia, Iran, the Central African Republic, Congo, Mexico, and Honduras. Kate’s program also served as a bridge uniting the community and Samaritan Health Center, a free clinic for uninsured patients with a branch adjacent to the neighborhood. Twenty girls participated in the 24-session program and ran two 5K races. In addition to seeing participants build cross-cultural friendships and develop a new confidence in their ability to live healthy lives, the following was achieved:
- 20 out of 20 girls increased their physical activity by 45 minutes 3 or more times per week.
- 16 out of 20 girls improved their scores on the Rosenberg Self-Esteem Scale and the Progressive Aerobic Cardiovascular Endurance Run (PACER) test.
- 19 out of 20 girls attended a no cost medical and dental appointment.
The DWELL program at Summit Church will sustain Kate’s initiative and the Fellowship will provide $940 in sustainability funding for race fees, bus transportation to races, and materials. Kate will continue to be involved in the upcoming year’s activities during this transition phase.
Mia Marshall and Christana Sola Ajewole, ECU Brody School of Medicine
Academic Mentor: Dr. Cassandra Acheampong
Site Mentor: Laura Sprinkle
Site: Building Hope Community Life Center
The Fellows created an after school program for girls to improve their spiritual and physical health, nurture their self-esteem, and encourage higher education. Twenty-one girls participated in the 2-hour weekly sessions held throughout the academic year.
- 17 out of 21 girls exchanged an unhealthy snack for a healthy snack at 3 times or more a week
- 17 out of 21 girls exchanged an unhealthy beverage for a healthy beverage/water 3 or more times a week
- 21 out of 21 girls identified an academic track which will enable them to reach their personal career goal (college education, community college education, or job related aspiration).
The weekly program will be sustained by the ECU SNMA and the Fellowship provided $750 in sustainability funding for program materials and an end of year celebration dinner.
Stephanie Ngo and Trevor Dickey, Duke School of Medicine
Academic Mentor: Dr. Viviana Martinez-Bianchi
Site Mentor: Jen Skees
Site: Church World Service
Stephanie and Trevor created a Duke chapter of the Refugee Health Initiative (RHI) program, originally started four years ago by a 2010 Schweitzer Fellow. RHI recruits graduate/professional student volunteers to provide longitudinal in-home health education for refugee families in Durham. The goal was to assist newly resettled refugees in developing skills and knowledge related to the navigation of the US healthcare system. This year, they recruited 22 volunteers to serve 13 refugee households (a total of 28 individuals) from Central African Republic, Democratic Republic of Congo, Sudan, Vietnam, Somalia, Afghanistan, and Iraq. For each refugee partner, volunteers utilized the RHI curriculum to cover topics ranging from nutrition, exercise, making medical appointments, using public transportation, medications, reproductive health, dental health and mental health. As a result of their efforts,
- Ten out of the 13 families were able to develop behavior changes within 2 health areas that the participants self-selected.
Duke Med Global Health Interest Group (GHIG) will be continuing the program as a service initiative and the Fellowship provided $1,000 sustainability funding for the upcoming year.
Karan Pandya, Wake Forest School of Medicine
Academic Mentor: Dr. Timothy Peters
Site Mentor: Rebecca Sink
Site: American Cancer Society
Karan addressed cancer awareness in Winston-Salem by launching a Relay for Life chapter to celebrate cancer survivors and raise monies for cancer care, education, and research. In addition to engaging people in the local area to spread cancer awareness, this program aimed to inspire communities, through interactions with cancer survivors as well as cancer education, to unite as one and fight for a world without cancer by raising money that will go directly towards cancer research, prevention education and the provision of care. With the help of his site mentor and a committed team of employees at a credit union, a culminating Relay for Life event was held on May 15, 2015 with 27 teams and 226 participants (75 of whom were cancer survivors). The teams raised $61,708 for the American Cancer Society.
Along with Wake medical students, local community members and his site mentor, Karan will help lead the Winston-Salem Relay for Life chapter for the next two years. Program did not require sustainability funding.
Brittany Papworth and Rivers Woodward, UNC School of Medicine
Academic Mentor: Dr. Benjamin Gilmer
Site Mentor: Linda Pittman and Suzanne Gavenus
Site: Mitchell and Mountain Heritage High Schools
To address the lack of healthcare services in rural areas, Brittany and Rivers created a mentoring and academic enrichment program to encourage rural high school students to consider the health professions within their communities. Ten students participated in the weekly after school sessions and outside mentoring held throughout the academic year. Both Fellows personally mentored a student and volunteer medical students were matched with the remaining participants. To give participants in depth hands on experiences, two all day events were held: a Simulation Lab and a Wilderness Medicine day. Participants also led individual community service projects to gain first-hand knowledge of the value of giving back. As a result of their efforts:
- 10 out of 10 students who participated in year-long project identified a specific health occupation as a career aspiration.
- 10 out of 10 students aligned their senior year activities and schedules with the career they want to pursue.
Their program will transform into an internship opportunity for four high school students and will be overseen by the Mountain Area Health Education Center – Minority Medical Mentor Program. The Schweitzer Fellowship will provide $1,000 in sustainability funding.
2013-2014 Projects Sustained
Hagar Abdel-Baky and Luke de Andrade, WSSU Occupational Therapy
Academic Mentors: Dr. Megan Edwards and Dr. Darlene Perez-Brown
Site Mentor: Sheila Hutchinson
Site: Piedmont Triad Regional Council- Area Agency on Aging
Hagar and Luke expanded a 2012-13 Schweitzer Fellowship fall prevention project which helped older adults prevent falls, improve their balance, encourage physical activity, and increase their confidence. They educated seniors through screening events and Matter of Balance (MOB) classes held throughout Forsyth County. By partnering with the WSSU Rams Mobile Clinic and the Area Agency on Aging, the Fellows provided screenings for 27 older adults to identify those at risk for falls and to recruit individuals for their MOB classes. As certified MOB coaches, Hagar and Luke led three series of MOB classes for 37 seniors at Healy Towers, Creekside Terrace and Living Well Senior Center. The MOB program is a sixteen hour class comprised of eight lessons (two hours each) which covers fall prevention techniques and exercises that increase balance, strength and gait for older adults. The Fellows also led CarFit events, a national program developed by the American Society on Aging, to help increase the mobility and safety of senior drivers. Four CarFit events were held screening 18 senior drivers.
The Fellows surveyed the participants four weeks after the course’s end to determine impact. As a result of the program, out of the 37 seniors who attended the MOB classes, 36 were able to identify at least 4 environmental factors of fall risks outside their home environment, 22 used the skills taught through the MOB course 20 minutes per day 3 times a week to strengthen their endurance and gait patterns, and 34 reported zero falls.
The WSSU RAMSOTA interest group has an ongoing commitment to sustain the project. Two volunteers led two MOB classes for 20 seniors during the 2014-15 academic year and the Schweitzer Fellowship provided $1,000 in funding for MOB training and program materials. Two new OT students have been identified to lead the MOB classes in the upcoming 2015-16 academic year. The CarFit events were sustained as a first year WSSU OT course requirement and two events were held for 18 participants. Three WSSU OT students are trained CarFit Event Coordinators and these events will continue in the upcoming year.
Jon Andrews and Nick Tsipis, Duke School of Medicine
Academic Mentor: Dr. Kathryn Andolsek
Site Mentor: Arthur Jimerson
Site: Durham Nativity School
Jon and Nick developed a first aid/survival skills course for African American and Hispanic middle school boys. Both Fellows were certified in Wilderness First Aid and Basic Life Support and Jon served as an Army Special Forces Medic for eight years. They conducted 3 seven-week sessions for 33 participants. Students learned how to enhance the safety and preparedness of their communities during future disaster situations and during times when basic medical supplies are scarce or when emergency medical services aren’t readily accessible. Topics included basic patient assessment, hands-only CPR, simple wound dressings, and basics of splinting. Each session concluded with a mock-disaster event to evaluate skills. As a result, all 33 students were able to demonstrate proficiency in the following areas:
- Recognize all injuries and assess casualties using ABCDE (Airway/Breathing/Circulation/
Disability/Environment/Exposure) assessment priorities;
- Treat all injuries appropriately, and not causing further harm to the patients in their treatments;
- Report to higher headquarters the number of victims, types of injuries, and treatments provided.
The Duke Wilderness Interest Group sustained the program and provided a 7-week sessions for ten Durham Nativity School students during the spring semester 2015. The boys demonstrated proficiency in disaster preparedness and wilderness first-aid techniques by treating simulated human casualties during a culmination mock disaster scenario. The Schweitzer Fellowship provided $1,000 in sustainability funding for supplies and volunteer training. Plans are for another sessions to be held in the fall 2015.
Austin Annas and Catherine Sawyer Healy, WSSU Physical Therapy
Academic Mentor: Dr. Sara Migliarese and Dr. Nancy Smith
Site Mentor: Beverly Carter-Levy and Clarice Rynes
Site: WSSU RAMSOTA and Mount Zion Senior Day Care
Austin and Catherine provided assessments for adults ages 50 and older observing for deficits in lower extremity strength/grip strength, decreased gait speed, altered balance, fatigue/decreased activity with ambulation, and nutritional intake in underserved communities of eastern Winston-Salem using the WSSU Mobile Clinic and community sites. They offered referrals to an exercise class that was held twice a week for 40 minute sessions led by the Fellows over the course of six weeks. They also provided information for at home exercises and education to improve one or more deficits identified.
They screened 76 adults, 62 of whom met the criteria for pre-frail or frail. Of the 62 individuals identified with deficits, 34 received nutritional information and attended the exercise classes led by the Fellows. The remaining 28 received nutritional information and home exercises to address deficits.
Of the 34 who attended the exercise program, 27 progressed in 2 to 3 of the 5 criteria including balance, gait speed, LE strength and grip strength.
Two leaders in the Mount Zion Senior Day Care assisted with the Fellow led exercise sessions and sustained the classes on a twice a week basis for 18 participants this past year. The Fellows provided these leaders with supplies and written instructions for exercises, as well as training on how to identify individuals with deficits. Plans are to continue the classes in the upcoming year.
Sasha Bouldin and Taylor Clawson, NCCU Social Work
Academic Mentor: Dionne Moore
Site Mentor: Jin Ellington, Kadeisha Kilgore, Mone Smith
Site: Citizen Schools
Sasha and Taylor worked to improve the holistic health of at-risk adolescent girls by providing an afterschool health education program. They partnered with Citizen Schools to launch Girls S.T.R.I.V.E. (Stay True to Responsibility, Individuality, Value and Excellence) at Lowe’s Grove and Neal Middle Schools in Durham. They addressed various aspects of social, mental, and physical health through weekly workshops to encourage young girls to incorporate new healthy practices into their daily routines. Success in this project was measured by the participants’ ability to implement healthy strategies into their self- care routine for four weeks and present these plans to their community.
Sixty-one girls participated in the 10-week long program held in the fall and the spring and they developed a self-care plan of physical, mental, and social health behaviors to enrich their overall health. Forty-five of the 61 participants incorporated at least two skills from their personalized self-care routine for four weeks or more.
The Fellows are currently working with their academic mentor to identify a pair of students who could lead the project for social work course credit.
Corey Bradley and John Luttrell, Wake Forest School of Medicine
Academic Mentor: Dr. Guy Palmes
Site Mentor: Mary Bolton
Site: El Buen Pastor Latino Community Center
Corey and John addressed the physical and mental health disparities that face Latino middle school and high school youth by conducting weekly wellness workshops throughout the academic year. As a measure of impact, 18 out of 20 participants adopted two or more healthy behaviors which exceeded the Fellows original goal. Of the 20 participants in the year-long program: 19 out of 20 participated in physical activity four or more times per week for 30 minutes at a time, and 18 out of 20 reported eliminating drug, alcohol and cigarette use. Only 8 out of the 20 were able to choose a healthy snack over an unhealthy one on a daily basis as their access to healthy options were limited making this a difficult option to achieve. The Fellows also wanted participants to improve their total score on the Pediatrics Symptoms Checklist Youth Report by at least 7 points but the data was inconclusive, therefore the Fellows were unable to use this as a measure.
Corey and John continued to lead the program during the 2014-15 academic year with the help of Wake Forest School of Medicine’s Latino Medical Student Association. The interest group will create leadership roles within their organization so they can continue to sustain the project for years to come. The project evolved into a mentoring program that paired 12 medical students with the El Buen Pastor youth. Each youth created 3 health goals that they worked with the medical student to achieve throughout the year. Two LMSA members will be sustaining the program in the upcoming year.
Zerita Buchanan, UNC School of Dentistry
BCBSNC Foundation Fellow
Academic Mentor: Dr. Jennifer Webster-Cyriaque
Site Mentor: Dr. Sharon Elliott-Bynum
Site: SNDA CAARE Clinic
Zerita addressed oral health disparities in low socioeconomic families at the CAARE Clinic. She focused on helping HIV+ patients and their families avoid and/or lessen the impact of problematic oral lesions commonly seen secondary to HIV diagnosis and/or treatment. The Fellow was able to devote two appointments per week for dental care of patients who had completed her oral health education session. $844 of free dental care was provided to 13 HIV+ patients. In addition, two referrals were made to UNC Hospital Dental Clinic for further treatment.
In order to dispel myths concerning treating HIV+ patients, Zerita held a lunch and learn at the dental school. As a result, 42 dental students signed a pledge that they would actively help eliminate stigmas in the dental community regarding patient’s living with HIV/AIDS as an example of their commitment to providing compassionate care to this population.
The UNC chapter of the SNDA will sustain the project and the Schweitzer Fellowship provided funding for clinic equipment. Research about the manifestations of HIV-related oral disease was presented to students, faculty, and staff at the Dental Research and Review Day and will be presented at Old North State Dental Society Convention. SNDA was unable to specific recruit HIV+ patients to the clinic this past year, but will rededicate efforts to doing so in the upcoming year.
Rob Christensen and Lauren Katz, UNC School of Dentistry
BCBSNC Foundation Fellows
Academic Mentors: Dr. Rocio Quinonez and Dr. Tim Wright
Site Mentor: Dr. John Christensen
Site: Jordan High School and Durham YMCA
The “Guard Your Smile” mouthguard program addressed sports related oral trauma prevention. Seventy-five student basketball and soccer athletes at Durham Public Schools received $15,000 worth of custom fabricated mouthguards and oral trauma management instruction. Initially, coaches and student athletes were very enthusiastic and showed compliance in wearing the custom mouthguards. However, surprise checking at sports events led to the realization that the actual rate of compliance was extremely low. This was ultimately found to be a result of mouthguard usage not being supported in the sports culture. Surveys indicated the athletes were extremely concerned with image and wearing mouthguards were deemed “not cool.” Therefore, the Fellows shifted focus to Durham YMCA 8 and 9 year old basketball athletes as parents were seen as influencers with this population. Of the 20 YMCA basketball players in their program, 10 had standard mouthguards purchased by their parents and were wearing them on a consistent basis.
The Fellows established the “Guard Your Smile” interest group at the UNC School of Dentistry consisting of approximately 50 members. They identified volunteers among this group to lead the project during the upcoming 2015-16 school year.
Amber Heckart and Lucy Muhirwa, ECU Brody School of Medicine
Academic Mentor: Dr. Tom Irons
Site Mentor: Dr. Debbie Chavez
Site: James Bernstein Center and Literacy Volunteers Pitt County
Amber and Lucy expanded a 2009-10 Schweitzer project (ALMAS: Alcancemos las Metas/Let’s Reach our Goals) which promoted the education and well-being of Spanish speaking women in eastern North Carolina for the past five years. In addition to the weekly 2-hour personal instruction classes for the women to help improve their English speaking, the Fellows added a component to address the literacy needs of the participants’ children. The children participated in guided reading activities, vocabulary word building exercises, group storytelling, and homework assistance. The Fellows collected over 300 books to create an ALMAS library which served as a classroom and lending resource.
Of the 36 children who participated in the program:
- 22 increased their literacy level by a half-grade or higher
- 25 completed a new book each week for 30 minutes for 4 consecutive months or longer
- 30 demonstrated one or more healthier behaviors for 4 or more weeks including:
- 27 increased physical activity by 30 minutes 3 times per week
- 30 replaced one unhealthy snack with a healthy snack
- 30 increased consumption of fresh fruits and vegetables
Fifteen of 26 Hispanic mothers read with their children twice a week for 30 minutes for 4 consecutive months or longer.
ALMAS was sustained by the medical students at Brody School of Medicine and the Spanish Club at ECU with funding provided by the NC Albert Schweitzer Fellowship. In the fall 2014, 13 mothers and 11 children participated in the weekly sessions. In the spring, that number increased to 17 mothers and 12 children. Next year, two rising 2nd year medical students will lead ALMAS in coordination with our current undergraduate liaison leader.
Leilah Langston and Gabrielle Jackson, UNC School of Dentistry
BCBSNC Foundation Fellow
Academic Mentor: Dr. Allen Samuelson and Dr. Xi Chen
Site Mentor: Sally Wilson and Krystal Holman
Site: Project Access and Lincoln Community Health Center
Leilah and Gabby developed an oral health education series for seniors consisting of 6 lesson plans focusing on how oral health effects overall health, tooth decay and saliva production, proper oral hygiene, nutrition, oral manifestations of systemic disease, and periodontal disease. Sessions were held at J. J. Henderson residential facility for seniors and Lincoln Community Health Center. As a result of the program, of the 127 seniors who participated, 79 brush and floss twice a day and 122 are checking for new or suspicious legions on a monthly basis. All of the 8 participants who self-identified as having dry mouth issues are conducting dry mouth prevention strategies. The Fellows were able to link 56 Lincoln County patients who successfully completed all 6 lessons with a volunteer dentist within the Project Access network. To date, 47 have had dental screening appointments and their treatment needs identified. As of April 1, 2014, $15,683 worth of dental care was provided at no cost to 23 patients. The free services provided include: simple and surgical extractions, silver and tooth-colored fillings, routine cleanings, complex cleanings, partials (minus the lab fees), crowns and x-rays. Dental services will be provided to the remaining 33 participants in the upcoming months.
The educational series will be sustained by the Schweitzer Fellows and by UNC School of Dentistry students. They will offer two series at Lincoln Community Health Center and Project Access will provide free dental services to those who successful complete the course. The Schweitzer Fellowship provided sustainability funding for end of session dinners. In the future, it is expected for the SNDA to sustain the courses.
Katy Liu, UNC School of Medicine
Academic and Site Mentor: Dr. Adam Goldstein
Site: Student Action Health Coalition (SHAC)
Katy developed a smoking cessation counseling program for a student run clinic. Smokers motivated to quit were counseled using a variety of methods: in-house and follow-up counseling, and referrals to Quitline NC for access to free pharmacologic agents (nicotine patches, gum). Overall, of the 48 smokers who were counseled in-house about smoking cessation, 10 reduced the number of cigarettes smoked per day and 2 quit smoking entirely.
Katy implemented a systems change within the clinic to identify smokers using the patient intake form and determine patient interest in smoking cessation counseling. Eighty-two SHAC Public Health volunteers were educated on smoking cessation counseling 14 who have referred one or more patients to the smoking cessation program. SHAC Public Health volunteer training now incorporates smoking cessation counseling.
Joseph McAbee and Alston James, Wake Forest School of Medicine
Academic Mentor: Dr. Patrick Ober
Site Mentor: Dr. Joseph Skelton
Site: Brenner Fit
Alston and Joseph developed StronGuys, a mentored strength training and wellness program for obese or overweight teenage boys. The Fellows partnered with Brenner Fit to hold the sessions for boys twice a week for six week sessions and for youth at Valley Academy Middle School. The Fellows demonstrated the importance of exercise, nutrition, and decreasing screen time to enhancing overall health. Participants set individual health goals and practiced proper exercise techniques and exercise regimens that can be done anywhere with little equipment. As a result, of the 111 children who participated in the program, they were to meet their goal of exercising three or more times per week for 30 minutes at a time. In addition, they decreased their screen time by 1.3 hours per day and met a self-identified nutrition goal. Surveys indicated 88 out of the 111 participants felt confident that they can continue to find ways to be physically active and exercise, be physically active or exercise even if they have no access to a gym or training facility, and set aside time for a physical activity program like walking, jogging, swimming, biking, or other continuous activities for at least 30 minutes, 3 times per week.
A local chapter of a Wake Forest University Sigma Chi fraternity sustained the StronGuys offering a six-week program for 9 young men in the fall and a four-week session for 7 participants in the spring. Several volunteers from the fraternity were trained through Brenner FIT to lead the sessions. The Fellows provided an operations manual to be used by the fraternity for the fall session and to serve as a community resource for organizations interested in providing strength training and healthy lifestyle education for obese or overweight youth in their area. The program will continued to be offered in the upcoming year.
Kira Mengistu, UNC School of Medicine
Academic Mentor: Dr. Beat Steiner
Site Mentor: Sherry Hay
Site: Piedmont Health Carrboro
Kira improved the health of low income individuals with diabetes and hypertension by leading chronic disease self-management workshops offering patient-centered, participatory and culturally appropriate health education. The curriculum was based on the Stanford Chronic Disease Self-Management Workshops with 2.5 hour classes held for 6 weeks. Katie led four workshop series with an average of 5 to 10 people attending each class. Four lay people were trained to co-lead the classes. Twenty-four patients successful completed the entire 6-week program. Of the 24 patients, 19 completed their self-identified weekly action plans and all 24 indicated they adopted one or more healthy behaviors to address their disease self-management. Sixteen of the 24 participants were maintaining their personalized exercise and nutrition plans six weeks after the course.
The workshops will continue to be offered at Piedmont Health. There are now a dozen trained Living Healthy leaders in the area and a new partnership has been created between UNC Family Medicine and the PHS sites. One workshop was held with an average attendance of 12 and 9 people completing the entire series. Another workshop is currently being held with 6 people. A third workshop is scheduled for early summer and is targeted for Spanish speakers. Classes will continue to be sustained in the upcoming year.
Jill Palchinsky and Claudia Douglas, ECU School of Medicine
Academic Mentor: Dr. Roytesa Savage
Site Mentor: Dale Floyd and Jameka Patrick
Site: Dobbs Youth Development Center
Jill and Claudia expanded a reproductive health project launched by two 2011-12 Schweitzer Fellows to include domestic violence prevention for male juveniles at a detention center. The Fellows met with the teens on a weekly basis focusing on interactive discussions to provide a lifelong impact on health literacy and education, as well as teen dating and domestic violence prevention, and seek to offer skills that will empower the boys as they transition back into the community. The Fellows covered the following topics using both the King County Curriculum and Love is Not Abuse (LINA) from BreaktheCycle: reproductive health, pregnancy prevention, sexually transmitted disease prevention, domestic violence and teen partner violence prevention, and anti-bullying behaviors.
Overall, 60 incarcerated male juveniles participated in the program. Of the 40 young men who participated in the first semester, 25 chose to write a pledge and sign it affirming the lessons they will apply. All 20 participants in the second semester chose to participate in the Hand Project where they were asked to think of a word or phrase that they want to remember from the project when faced with challenges and tough decisions in the future and write it on their hands in the form of a pledge. The participants took pictures of their hands which they can keep. As an inspiration and motivating force, the Fellows created a photo collage for display in their housing units. The pledge and hand project photos were evidence of the participant’s commitment to the healthy behaviors espoused by the program.
Brody’s Student National Medical Association sustained the project and the Schweitzer Fellowship provided sustainability funds for snacks and program materials. Weekly sessions were held for ten inmates in the fall and the program repeated with a different set of inmates (13) in the spring. An SNMA member has been identified to lead the program in the upcoming 2015-16 academic year.
Brittany Pierce, Duke School of Medicine
Academic Mentor: Dr. Barb Sheline
Site Mentor: Gina Upchurch
Site: Senior PharmAssist
By partnering with Senior PharmAssist, Brittany developed Seniors Engage for Health (SEFH) to help older adults in Durham gain a greater understanding of the basics of Medicare and learn how to avoid Medicare fraud, to promote greater participation and engagement in encounters with healthcare providers, and assist seniors in finding community resources such as medication therapy management, medication payment assistance, Medicare counseling services, and community-based organization referral. Brittany provided large group sessions for seniors at senior centers, local churches, women’s groups, and Durham Housing Authority sites. An in-depth initial session would average two hours (from one to four hours) depending on the number of participants in each group. A follow up session provided more in-depth Medicare information, answered questions, and encouraged health behaviors. Furthermore, one on one sessions were provided to those who needed personal guidance.
Brittany greatly exceeded her initial goal of having 100 out of 150 seniors engage in two healthy behaviors by participating in SEFH. Of the 260 seniors who participated in the program, 227 made a checklist of questions for their provider, 250 initiated a conversation with a health care provider about an unaddressed concern, 198 completed a medication reconciliation card, and 177 scheduled or attended an appointment for preventive services. Eighteen seniors also made an appointment with Senior PharmAssist after attending SEFH.
Staff and volunteers from Senior PharmAssist are sustaining SEFH. Previously, Senior PharmAssist did not have such an outreach program and they will now be able to capitalize on the community connections the Fellow developed.
2012-2013 Projects Sustained
Logan Barbour and Daniel Metzger, WSSU Physical Therapy
Kate B. Reynolds Schweitzer Fellows
Academic and Site Mentor: Dr. Dora Sole
Site: WSSU Physical Therapy
Logan and Daniel expanded a project developed by two 2011-12 Schweitzer Fellows which provided free fitness assessments, pediatric one-on-one developmental screenings, and education concerning typical childhood development and healthy nutrition for 121 children using the WSSU Rams Mobile Clinic. They also provided sports injury related information with an emphasis on concussion prevention for 80 parents/caregivers. Three children screened were referred to a Pediatric Physical Therapist for further service. A team of analysts at WSSU will use the two years of data to redefine fitness standards for children in America.
Their screening project will be incorporated into a pediatric course requirement at WSSU Physical Therapy. There was no need for sustainability funding.
Milele Bynum, UNC School of Medicine
Academic Mentor: Dr. Gisele Corbie-Smith
Site Mentor: Melissa Green and Dr. Kisha Gibson
Site: Carolina Church Network and the First Calvary Baptist Church
Milele designed Walking in Faith to encourage faith based communities to become more physically active and to eat more healthly foods. Using the NC Cooperative Extension’s Faithful Families Eating Smart and Moving More curriculum, Milele piloted the program at the First Calvary Baptist Church. Seven church lay leaders were recruited and trained to co-facilitate the ten-week program. Nutrition sessions were offered twice a week and walking sessions were held five days per week. Twenty-four church members participated in the program. At the start of the program, 93% of the participants were classified as obese or overweight and 31% had been told by a doctor that they had hypertension. By the program’s end, participants realized a slight reduction in BMI, reductions in systolic and diastolic blood pressures, and an increase in fruits and vegetables by more than a half serving per day. Physical activity increased to 173 minutes/week with 62% of the participants meeting physical activity recommendations of 150 min/week.
The participants developed a Healthy Eating Policy which they are currently presenting to church leadership for consideration. With the help of the church’s Health and Wellness Ministry, the lay leaders will continue the Walking in Faith nutrition and walking sessions. Plans include expansion to other churches and walking sites. The Ministry elected not to apply for sustainability funding.
Christin Carter and Shannon Holcomb, ECU School of Dental Medicine
BCBS Foundation Schweitzer Fellows
Academic Mentor: Dr. Frank Serio
Site Mentor: Dr. Rob Doherty
Site: Bernstein Community Health Center and the Grimesland Clinic
Christin and Shannon worked to improve oral health and access to care for 184 women and children by providing oral health education and a link to dental care in low income clinics around the Greenville area. Their main objectives were to have patients execute proper brushing techniques twice daily and floss once a day and decrease consumption of sugary drinks and snacks. Over a 3 month period, 78% of patients brushed for two minutes twice daily and 61% initiated a new healthy behavior (44% decreased their consumption of sugary drinks and snacks and 17% began flossing once a day).
They held a mobile dental bus clinic in January, 2013 which provided free screenings and care to 32 patients at the Grimesland Clinic. Treatment included extractions and fillings estimated at $x worth of care. Two patients without a dental home were linked to the Bernstein Center for follow up care.
DMD, a dental student organization the Fellows launched at ECU, is going to continue patient education at both Bernstein and Grimesland on a monthly basis. The Schweitzer Sustainability Initiative will provide funding for three dental bus clinics staffed by volunteer dentists and students to be held over the following 18 months.
Kimberly Cocce and Melissa Hector-Greene, Duke School of Medicine
Academic Mentor: Dr. Joyce Copeland
Site Mentor: Laura Deeprose
Site: Playworks Durham
Kim and Melissa developed an afterschool tennis program for 48 elementary age children based upon the USTA (United States Tennis Association) 10 and under “Quickstart” format which uses inexpensive, portable equipment that is scaled for children and stresses developmentally appropriate tennis instruction. They piloted a 6 week program at Parkwood Elementary and Hope Valley Elementary. During the academic year they expanded it to a 14 week program for children at CC Spaulding and WG Pearson Elementary Schools. In addition, they provided health education lessons awareness of community resources for both the children and their parents. All children improved in tennis skills, knowledge of community resources, ability to make nutrition choices and recognition of physical activity as a determinant of health. Parents of all clients improved their awareness of community resources for leading healthy lifestyles. So the children could actively practice the sport outside of school, the Fellows held a racquet drive giving all the children racquets based on a points incentive system based on attendance and behavior. End of the season Jamborees provided an opportunity for the children to show their skills to family and friends.
Playworks staff will sustain the program at all four of the elementary schools and received the Schweitzer Sustainability Initiative funding for tennis racquets, balls and other equipment.
Gerard Colmer and Bryan Neth, Wake Forest School of Medicine
Academic and Site Mentor: Dr. Kaycee Sink
Site Mentor: Mary Brady
Site: Wake Forest Baptist Hospital and the Elizabeth and Tab Williams Adult Day Care Center
Gerard and Bryan developed and implemented a cognitive and emotionally stimulating program for individuals with dementia and associated memory impairment at Baptist Hospital and the Elizabeth and Tab Williams Adult Day Center in Winston-Salem. Class sizes were limited to 6 to 8 participants to allow for personalized attention and engagement. Throughout the year, 30 new individuals and 99 recurring individuals participated in the eight week program with new enrollees starting every two months. All participants maintained or improved their emotional status and cognitive functioning as evidenced by the Mini Montreal Cognitive Assessment (MoCA) and Geriatric Depression Scale (GDS), self-reported surveys, and caretaker feedback. Given the progressive decline inherent in the disease, maintaining cognition is considered a grand success.
The Wake Forest Geriatric Interest Group will be sustaining the weekly program at both sites and the Schweitzer Sustainability Initiative provided funding for program materials.
Rachael Cowherd and Brian Milam, UNC School of Medicine
Academic Mentor: Dr. Beat Steiner
Site Mentor: Elizabeth Brill
Site: Samaritan Health Center
Rachael and Brian expanded a mobile health clinic project launched by two 2011-12 Schweitzer Fellows to create the infrastructure to provide long term sustainability and linkages to the Samaritan Health Clinic. Rachael and Brian addressed obesity, cardiovascular disease and diabetes by holding mobile clinic events providing disease prevention screens including blood glucose, blood pressure, and cholesterol, and counseling for 62 community members in the Oak Creek Community, a low income neighborhood with many refugee and immigrant residents. Over 30% of patients lacked a medical home and were linked to a newly opened Samaritan Health Clinic and 70% of those patients followed through on their scheduled appointment. The Fellows also partnered with the Interfaith Food Shuttle to provide a bag of free groceries to families at upcoming mobile health events. The Fellows were Eugene S. Mayer Community Service Award recipients in recognition of their Schweitzer project.
The Fellows launched a UNC Mobile Health Clinic Interest Group who volunteered at the mobile events and who will sustain the program next year and expand it to new sites. The Schweitzer Sustainability Initiative provided funding for medical supplies for upcoming events.
Nnonyem D’Martin and Lesianelle King, WSSU Physical Therapy
Kate B. Reynolds Schweitzer Fellows
Academic Mentor: Dr. Dora Gosselin
Site Mentor: Tia Parker
Site: Winston Lake YMCA
Nnonyem and Lesianelle worked to address obesity among preteens in Winston Salem by partnering with the Winston Lake YMCA to incorporate healthy lifestyle elements into their after-school and summer programs. Twenty children in the Diggs Latham Elementary after school program participated in D.A.N.C.E (Dance and Nutrition Creating Effects) two hours each week. The primary objectives were to increase physical activity levels through dance and increase children’s intake of healthy fruits and vegetables. By using weekly logs to track behavior, the children were conscientious of the amount of healthy foods they were consuming, actively as cutting back on sweets, and increasing their dance and overall physical activity. As a result of our efforts we were able to improve and maintain healthy diets amongst the children as well as increase their baseline physical activity by 30 or more minutes each day. Incorporating D.A.N.C.E. into the lives of these children also made a positive difference in good behavior, social skills, and increased self-esteem. Several dance performances were held throughout the year giving the children an opportunity to display their new skills to family and friends.
With the help of the Winston Lake YMCA, the Fellows will continue to offer D.A.N.C.E. at Diggs Latham Elementary School in the upcoming year. The YMCA is also working to incorporate a physical activity and nutrition component at all their sites for after school programming. There was no need for sustainability funding.
Tiarra Green and Tiarra Green, NCCU Psychology
Kate B. Reynolds Schweitzer Fellows
Academic Mentors: Dr. Frances Graham, Dr. Jonathan Livingston, Dr. LaVerne Reid
Site Mentor: Tara Herbert
Site: Sherwood Githens Middle School
Courtney and Tiarra developed an outreach program called P.O.I.S.E. (Providing Outreach and Inspiration through Sisterhood and Education) aimed at improving the health and well-being of at-risk middle school girls. Weekly sessions were held for 20 female students at Sherwood Githens Middle School during the elective block of their school day. Their program promoted healthy nutrition and physical fitness choices; increased knowledge of anti-bullying strategies; and addressed topics including peer pressure, dating, and school success. As a result of the program, participants were more committed to academic success with their average going up a half letter grade to a B and a decrease in absences. Participants also increased their weekly physical activity and increased consumption of water and fruits and vegetables. Lastly, the young women were able to understand strategies for anti-bullying behavior and alcohol, tobacco and drug avoidance.
The NCCU Society of Future Health Educators will sustain the program and the Schweitzer Sustainability Initiaive will provide funding for program materials.
Lauren Hartman and Martin Piazza, Wake Forest School of Medicine
Academic Mentor: Dr. Gretchen Banks
Site Mentor: Mike Britt
Site: The Centers for Exceptional Children
Lauren and Marty created their Discover Music! program to foster the development of communication and social skills in young children with physical and intellectual disabilities at the Centers for Exceptional Children. The program provided the children with a creative and constructive outlet that would not otherwise be incorporated into the average school day. The program also fostered music appreciation with 27 medical student and undergraduate volunteers introducing various musical instruments to the children and playing short classical music pieces. To reinforce the benefits of the music engagement, the Fellows educated the parents about music strategies for enhancing communication skills as well as cognitive and motor development with several parents electing to participate in the music classes.
Lauren and Marty conducted daily interactive music activities for 75 children during the summer and a weekly program for 14 children throughout the academic year. Over the course the program, approximately 90% of children displayed increased participation as evidenced by increased eye contact and social gestures. Several children, whom they followed throughout the entire fellowship year, have shown a significant improvement in their unsolicited interaction with others and participation in group activities.
The weekly music program at The Special Children’s School will be sustained by the Pediatrics Interest Group at Wake Forest School of Medicine. There was no need for sustainability funding.
Iyanna Henry, NCCU School of Law
Kate B. Reynolds Schweitzer Fellow
Academic Mentor: Page Potter
Site Mentor: Dr. Dan Vanelle
Site: Durham Nativity School
Iyanna provided a summer academic enrichment and mentoring program for 14 minority middle schools boys at the Durham Nativity School with the goal of exposing them to opportunities in law related careers. In addition, she provided opportunities throughout the academic year for 45 of the students to engage in activities such as debate and mock trial to develop their skills in research and logical thinking as well as expose them to inspirational speakers in the law and law-related careers.
Two Durham Nativity School teachers will participate in the NC Bar Association’s 2013 Justice Teaching Institute to incorporate debate and mock trial activities into the classroom curriculum. There was not a need for sustainability funding.
Amanda Kilburn Kerns and Jeff Jackson, UNC School of Dentistry
BCBSNC Foundation Schweitzer Fellows
Academic Mentor: Dr. Rocio Quinonez
Site Mentor: Dr. Alice Chuang
Site: UNC OB-GYN Clinic and UNC Dental Clinic
Amanda and Jeff Jackson trained medical students in the UNC Ob-Gyn Clinic to include oral health messaging and referrals to their pregnant patients as part of their prenatal care. Referrals were made to a newly developed Pregnancy Oral Health Program (pOPH) at the UNC School of Dentistry Clinic.
During the Fellowship year, over 125 patients have been referred to the pOPH program, 40 pregnant patients have received dental treatment, and 80 dental students gained experience treating pregnant women. The dental students provided $4,320 ($9,600 practice rate) of services to the 40 women treated at the clinic.
Amanda and Jeff will continue to lead the project during the upcoming year and will identify two rising dental students to lead the project after they graduate. As a result of the project, the pOPH program is now a permanent part of the fourth year dental student curriculum and UNC OBGYN residents will receive a pOPH information session during their orientation week in the clinic.
Charles Mullen and Chelsea Simpkins, WSSU Occupational Therapy
Kate B. Reynolds Schweitzer Fellows
Academic Mentor: Dr. Dorothy Bethea, Dr. Darlene Perez-Brown, Dr. Megan Edwards, Sophia Bamby
Site Mentor: Kim Johnson
Site: Piedmont Triad Regional Council- Area Agency on Aging
Charles and Chelsea designed Balance for Life: A Fall Prevention Program to help older adults prevent falls, improve their balance, encourage physical activity, and increase their confidence and knowledge. They educated seniors through screening events and Matter of Balance (MOB) classes held throughout Forsyth County. By partnering with the WSSU Rams Mobile Clinic and the Area Agency on Aging, the Fellows provided screenings for 50 older adults to identify those at risk for falls and to recruit individuals for their MOB classes. As certified MOB coaches, Charles and Chelsea led five series of MOB classes for 62 seniors at the Kernersville Shepherd Center, Brookstone Terrace Assisted Living Community, Robinwood Senior Living, and Living Well First Baptist Church. The MOB program is a sixteen hour class comprised of eight lessons (two hours each) which covers fall prevention techniques and exercises that increase balance, strength and gait for older adults.
As a result of the program, participants learned to view falls and the fear of falling as preventable and this concern interfered less with their normal social activities with family and friends. In addition, participants found ways to reduce falls, increased physical strength, became steadier on their feet, and committed to weekly exercises to increase their strength and balance. In the event of a fall, participants were more likely to find a way up and protect themselves from further injury.
Two WSSU Occupational Therapy students were awarded 2013-14 Fellowships to sustain the program, expand its reach to include minorities and add CarFit events to train seniors regarding car safety. Thirty occupational students were trained to administer the two fall prevention screening tests used in the Balance for Life program and they will provide volunteer support of the screening events as part of the WSSU Occupational Therapy curriculum and a community service expectation.
James Nugent, Duke School of Medicine
Academic Mentor: Dr. David Mellinger
Site Mentor: Dwayne Williams and Dale Floyd
Site: Durham Youth Home and C. A. Dillion Youth Development Center
Jim addressed recidivism among incarcerated youth at two North Carolina detention facilities through a mentoring and health education program that linked juveniles to resources for positive reentry back into the community. His goals were: (1) to introduce a gang violence prevention program to the juveniles at the Durham County Youth Home, a population with the highest prevalence of gang involvement compared to all other North Carolina juvenile court systems; and (2) to expand Duke University MedMentors health education to C.A. Dillon Youth Development Center juveniles, who have significant mental health needs and educational gaps. After the gang-related lesson series at the DCYH, all 12 juveniles successfully identified why youth join gangs, how gangs fail to meet their stated needs, community resources providing alternatives to gang involvement, and at least one mentor in their communities. All forty C.A. Dillon juveniles also demonstrated new health and wellness skills after each 8-week block with MedMentors volunteers, including increased health literacy in navigating the health care system and improved ability to apply important nutritional concepts like glycemic index, explain reasons for health disparities in the U.S., and screen for depression in oneself or one’s peers.
MedMentors will sustain these programs at the Durham County Youth Home and C.A. Dillon and continue to provide at-risk youth with important health information, tutoring, skills training, and mentoring that empowers juveniles to disrupt the downward trend of an adolescence spent in and out of the detention system. There was no need for additional funding.
Parteek Singla, ECU School of Medicine
Academic Mentor: Dr. Todd Savitt
Site Mentor: Atlas Kelly
Site: Building Hope Community Life Center
Parteek developed a 5-hour weekly after school program for 13 at-risk middle school and high school males using art as a therapeutic medium for self-expression as well learning about relevant health topics. Through art such as drawing, painting or photography, students explored their own understanding of the topics and what it meant to adopt healthy behaviors. At the start of the project, surveys indicated that the students already engaged in risky behaviors including alcohol and marijuana consumption, been bullied, used marijuana, smoked cigarettes, engaged in sexual intercourse, and felt overweight. As a result of the project, all participants were engaged in at least two healthy behaviors. For example, seven do not consume alcohol, eight do not engage in drug or tobacco use, nine will apply anti-bullying strategies, six engage in stress relief activities, five engage in activities to relieve depression.
ECU student volunteers at the Building Hope Center will be sustaining the program during the upcoming year. There was no need for sustainability funding.
Amanda Stroud and Holland Killian, ECU School of Dental Medicine
BCBS Foundation Schweitzer Fellows
Academic Mentors: Dr. Geri Crain and Dr. Michael Scholtz
Site Mentor: Rose Reason and Patrick Shirley
Site: Martin and Pitt County Headstart Program and Pitt County Boys and Girls Clubs
Amanda and Holland worked with children ages 4-8 to improve oral and overall health through a series of three lesson plans focused on oral health, nutrition, and safety. Sessions were held at the Pitt County Boys and Girls Clubs and the Pre-K Program with 325 children participating. Lessons were designed to encourage healthy behaviors such as brushing twice a day and eating healthy foods. Children showed a 70% increase in brushing time as a result of the intervention with an average of 63 seconds unassisted (as opposed to the 2 minute brush time with assistance by an adult or parent).
With the help of another dental student, Amanda launched the ECU Student Chapter of the American Academy of Pediatric Dentistry and will remain. The interest group will sustain the Schweitzer program at both locations as well as expand it to ECU Service Learning Centers and Amanda will continue to lead this initiative. Schweitzer Sustainability Initiative provided funding for oral health puppets and other materials to be used in the project.
2011-2012 Projects Sustained
Jonet Artis and Sara Hopson, NCCU Education
Jonet and Sarah established a communication enrichment program for residents of an assisted living facility, Durham Ridge. The weekly discussion sessions focused on enhancing communication skills as well as encouraging social interaction among participants. Sessions focused on the following skills: expressive language, receptive language, memory, pragmatics and attention. Discussion topics included current events and reminiscence themes. In total, there were approximately 70 residents who participated over the course of the year. There were 10-15 participants in each weekly to biweekly session. This program also promoted staff awareness by informing employees about communication disorders and ways to enhance the residents’ communication abilities.
The Fellows and their site mentor presented their project at the National Black Association Conference for Speech-Language and Hearing Conference in April, 2012.
Durham Ridge’s Activities Director is sustaining the communication enrichment activities by implementing a social interaction and discussion group encouraging members to actively engage their cognitive abilities including attention, memory, and problem solving. The Director will lead the group activities with the help of staff and volunteers as well as continue production of a newsletter which the Fellows launched. Schweitzer Fellow Sara Hopson is committed to being a consultant for the upcoming year.
Taylor Bazemore and Justin Morse, UNC School of Medicine
With the help of the Samaritan Health Center and UNC Infectious Disease Department, Taylor and Justin conducted preventive screening and health education in underserved areas of Durham using an outfitted mobile clinic. They targeted populations at risk for preventable conditions including cardiovascular disease, diabetes and HIV. They screened 117 patients over an eight month period holding mobile events in grocery store parking lots and at community events in high risk neighborhoods. Using individualized health counseling, they helped patients identify personal risk factors and understand their health conditions. Seventy-three percent of patients lacked access to a primary care physician and were referred to the Samaritan Health Clinic for care at no cost.
Two UNC School of Medicine students have been awarded a Fellowship to expand the project to include nutrition education and counseling. Sustainability funding will be provided by Kate B. Reynolds Charitable Trust for medical supplies, transportation costs, and van awning and signage.
Holly Bullock and Vontrelle Roundtree, ECU Brody School of Medicine
Holly and Vontrelle partnered with Lenoir and Dobbs Youth Development Centers (YDCs), operated by the NC Department of Juvenile Justice and Delinquency Prevention, to provide comprehensive reproductive health education and life skills utilizing a peer educator model. A curriculum was developed adhering to the NC Healthy Youth Act which governs sexuality education in the state while also incorporating topics that YDC administration, staff, health care providers, and the students themselves wanted addressed. A total of 42 adolescent males ages 13-17 participated in two-hour biweekly interactive small group session; four sessions were held each week, two at each facility.
The program will be sustained by two ECU School of Medicine students with the help of the Brody Ambassadors Program. In addition, the Fellows are working with their academic mentor to create an M4 elective in “Public Health Outreach Services” which fulfills a primary care month graduation requirement so fourth year medical students can spend an entire month doing health sessions at the YDCs. Sustainability funding will be provided by Kate B. Reynolds Charitable Trust to be used for classroom supplies, education materials, and transportation costs.
Katie Cheng and John Meyer, UNC School of Medicine
John and Katie created a comprehensive, year-long health education program for 24 teen youth at El Centro Hispano. The two-hour sessions included topics such as healthy living and first aid, cardiac health, diabetes, healthy relationships, domestic violence, introduction to CPR, mental health, nutrition and nutritional literacy, reproductive health/STI education, volunteering and community service.
A UNC School of Medicine student in the CAMPOS program will sustain the program by leading monthly health education sessions.
Bryan Choi, Duke School of Medicine
Bryan focused on enhancing care for brain tumor patients immediately post-craniotomy at Duke University Medical Center. He reached over 70 individual patients, meeting with patients prior to surgery, immediately postoperatively in the inpatient setting, and then following discharge at local hotels or homes. His program aimed to address the psychosocial needs of patients as well as provide education regarding their medications and post-operative care. Participating student volunteers gained relevant neurological exam skills and learned basic postoperative recovery expectations in this patient population. The success of the project has altered the culture of the Division of Neurosurgery and resulted in increased educational interactions between residents and student volunteers.
With Bryan’s help, a group of Duke School of Medicine students will sustain the program next year.
Tiffany Covas and Aldric Jones, Wake Forest School of Medicine
Tiffany and Aldric developed a program to provide education, screening and treatment for STIs for high risk individuals in Forysth County. They collaborated with the Forsyth County Department of Public Health and AIDS Care Services to find community organizations with the highest need for these services. They offered free STD/HIV screenings and education sessions to the public on a weekly basis at the DEAC clinic, a student run free health clinic serving an uninsured population, and at the health department (increasing testing at this site from 4.5 hours to 7.5 hours per week). In addition, they held screenings and testing at high risk community based organizations.
To support their efforts, they designed and implemented training for 25 students from the medical school, PA school, and graduate school to be sexual health educators. In total, they provided screening in the outreach setting to 72 individuals. In these settings, they emphasized prevention based counseling and motivational interviewing for behavior change. In addition, they screened 100 people for STIs via opt out testing at the DEAC clinic.
The Fellows are the founders of a student interest group, Sexual Health Awareness Group (SHAG), which will sustain their program. A Kate B. Reynolds Charitable Trust sustainability grant will supply funding for training supplies, education materials, clinic signage and advertising.
Linda King, NCCU Public Administration
Linda provided a faith based diabetes education and nutrition program for 200 church members in two African American communities (Shady Hill Baptist Church and Jones Chapel Baptist Church) in Person County. During the year long health intervention, she held seven cooking demonstrations and two health seminars focusing on diabetes and heart heath.
Her intervention efforts have been sustained by the Person County Health Department utilizing the Faithful Families Eating Smart Moving More (FFESMM) program with the support of three trained lay health advisors. The lay health advisors will hold three additional cooking demonstrations and will also lead a walking group for the two congregations which will meet twice weekly. Delta Sigma Theta and Alpha Kappa Alpha sororities will sustain the two health seminars.
Kate B. Reynolds Charitable Trust will provide funding for the FFESMM supplies, walking trail signage, program incentives, and food for the cooking demonstrations.
Laura Larion, ECU Biology
Laura established a HIV/STI education, counseling, and testing program for high risk individuals in Pitt County. She established her program within the Grimesland Free Clinic and the Grimesland Community Shelter Clinic screening over 500 underserved and uninsured African American and Latinos. She also offered outreach services at community events. To sustain her project, she founded PiirAIDS (Pirates involved in reducing acquired immunodeficiency syndrome), a student volunteer organization for ECU students and like-minded community members, which will continue to offer her program to the Greenville community.
Craig Principe and Alexandra Ford, Wake Forest School of Law
Craig and Alexandra provided advocacy for nine children with significant physical and mental conditions in therapeutic foster homes. These children were displaced from their home county, Stokes County, because of the lack of therapeutic foster homes and therapeutic facilities there. Because of their displacement, they were not receiving monthly visits from Stokes County volunteers, or from volunteers in their “placement county” because of each county’s own needs and limited resources. The Fellows enhanced communication and accountability for each child, to ensure the children’s safety and overall wellness during very sad, confusing, and difficult times in their lives. Some specific improvements included making recommendations and advocating for changes that reduced one child’s over-medication, uncovered inappropriate materials and unsafe practices at one facility, facilitated the pending adoption of two children, set guidelines for parental visitations that met the safety and therapeutic needs of the child, and asked for changes in placement or opposed changes in placement to meet the child’s best interests.
Of the nine children served, two are being adopted, three are over the age of 18, and Craig will continue advocating for two. The Schweitzer Fellows are working to recruit volunteers to provide services for the remaining two children.
Kelly Raney, Duke Physical Therapy
Kelly created a Stay Steady Falls Prevention Program offering weekly balance and strength classes and educational sessions using evidence based fall prevention materials. Class participants were low income older adults living in J.J Henderson Towers, an independent apartment community that is part of the Durham Housing Authority. The project objectives were to provide a one-hour weekly balance and strength program, increase awareness of falls, encourage safe and healthy lifestyle choices for residents, and provide opportunities for socialization. The falls prevention program incorporated bi-monthly home safety and falls prevention education sessions. Average class attendance was 10 to 12 participants.
Kelly created a Geriatric and Neurological Interest group, run and led by current and future Duke physical therapy students, who will sustain her program. Sustainability funding was provided by Kate B. Reynolds Charitable Trust which will be used for food costs, program materials and incentives spread over a two-year period.
Clint Serafino and Tim Serrano, WSSU Physical Therapy
Clint and Tim created a Pediatric Mobile Clinic to provide free fitness assessments, pediatric one-on-one developmental screenings, and education concerning typical childhood development and healthy nutrition. Throughout their program, they had onsite supervision by a faculty mentor to aid with referrals. Together, the Fellows reached more than 250 children at community events, block parties, church outings, and youth sporting events. Two WSSU Physical Therapy students were awarded a 2012-13 Fellowship to expand the program to offer linkage to a medical home and aid parents in signing their children up for Medicaid.
Erin Slatter and Emily Ross, ECU Brody School of Medicine
Erin and Emily developed Project HEAL (Helping Expression to Alleviate Loneliness) to serve the low income, elderly residents at Oak Haven Assisted Living. Throughout the year, the Fellows consistently visited 13 residents individually and served 30 residents through group activities. To enhance connection with residents, especially those with Alzheimers, they organized and hosted four musical concerts, two of which were led by the Fellows and two of which were led by ECU Music Therapy Department. Fellows held a hospital-wide CD drive, collecting over 200 CDs, for the Special Care Unit who now uses the music to start the day with a morning “dance” with residents. The musical performances will be sustained by the ECU Music Therapy Department and Oak Haven will be listed as a practicum site available for students to conduct music therapy.
Jonathan Stem, Wake Forest School of Medicine
Jon created a concussion education program aimed at high school football players in Forsyth County. The objectives were to increase player, parent, and coach concussion knowledge, decrease return to play with concussions, and decrease long term effects of concussions in high school football players. The outcomes displayed significant increases in rating of concussion knowledge, importance of concussion knowledge, and likelihood to report concussive symptoms among players. Jon conducted education sessions with small groups of 10 to 15 players at all the Forsyth County high schools and one private school reaching a total of 645 players.
Jon is currently working with the compliance office at Wake Forest University to obtain NCAA approval to allow their players to sustain the concussion education project with the help of the Wake Forest Sports Medicine interest group.
2010-2011 Projects Sustained
Thaniyyah Ahmad, Wake Forest School of Medicine
Thaniyyah designed and implemented The Healthful Living Decision Making (HLDM) Program in two Stokes County Public Schools. The HLDM Program is an educational program with a curriculum designed to 1) teach pre-teens and teens how to properly recognize and effectively resist social and peer pressures to engage in potentially harmful and inappropriate behaviors and 2) empower them to make their own responsible decisions regarding a healthy lifestyle. The program utilizes high school students to serve as Teen Leaders and teach 6 HLDM sessions to middle school students. Eight juniors and seniors in the school’s Teacher Cadet Program at West Stokes High School were trained to be Teen Leaders and they conducted sessions for 200 middle schools students at Chestnut Grove Middle School.
Thaniyyah also held 14 seminars on college related topics (applying, preparing and paying for college) as well as a variety of health related topics for the Teen Leaders. Thaniyyah will continue these seminars for the next two years and plans to make teaching these seminars a position of the Wake Student Government Association for long term sustainability.
The Teacher Cadet Program at West Stokes High School has adopted the HLDM Program into their school curriculum. The teacher over the cadets will take the lead in training and scheduling sessions at Chestnut Grove for the upcoming year.
Tracy Cassagnol and Brianna Crosby, Wake Forest School of Medicine
Tracy and Brianna created a program to expose local high school students to opportunities in healthcare professions. Crosby and Cassagnol worked with 21 Forsyth County high school students during a four week summer program and throughout the fall semester. Sessions were held at the Winston Lake YMCA. Students learned about a variety of healthcare professions in addition to attending presentations by healthcare professionals. The students also received CPR and First Aid Certification (Adult, Child and Infant). Life skills such as dressing professionally, writing thank you notes, and conducting health education presentations were also a large part of the program.
Two Wake Forest School of Medicine students were identified to continue the program. The Wake Forest School of Medicine Office of Student Services has committed to overseeing the recruitment of future student leaders. Funding for program materials and CPR and First Aid Certification will be provided by the Northwest AHEC and the Kate B. Reynolds Sustainability Initiative.
James Gillenwater, Duke School of Law
James designed a program using rugby as a vehicle for getting underserved youth physically active, instilling values such as leadership and teamwork, and forming lasting mentor relationships with college student volunteers. The program was held at the John Avery Boys and Girls Club in East Durham and worked with over thirty 8-12 year old male and female participants. Over thirty Duke students and local rugby club volunteers coached and mentored the youth. James provided skills, fitness, and game play sessions 3 hours a week for over 2 months, culminating in a youth scrimmage and a game between the Duke graduate and undergraduate teams. As a result, local youth learned a new sport and enjoyable team activity and the student volunteers realized the rewards and accessibility of community engagement.
The project served as the impetus for an area youth rugby league involving teams from other Boys and Girls clubs and youth teams from Raleigh, North Raleigh and Chapel Hill. For sustainability, the Duke University rugby clubs have made an ongoing commitment to support the development of youth rugby in the community through volunteer coaching and mentoring.
Tricia Hammond, Duke School of Law, and Simon Ascher, Duke School of Medicine
Tricia and Simon promoted the long-term health and rehabilitation of juvenile detainees at the Durham County Youth Home. They led over 70 of their peers in the med and law schools to provide health, legal, and life skills education, as well as mentoring and tutoring, six to nine hours per week. They also led a book drive that produced over 500 books to refurbish the Youth Home library, and created parent resource packets for families of the children in the Youth Home.
The project will be sustained by the Duke Street Law and Med Mentors organizations using the newly created database of lessons plans and through the strong relationship developed with the Youth Home.
Julius Kibe, Duke School of Nursing, and Caroline Njogu, NCCU Public Administration
Julius and Caroline developed a lay health advisor program to train immigrants and refugees in Wake County to educate their fellow community members on accessing health care in the US system and on chronic disease prevention such as diabetes and hypertension. They partnered with the United States Committee for Refugees and Immigrants to identify potential lay health educators and develop a sustainable, culturally competent curriculum. They also mentored the newly trained lay health advisors as they began their education outreach. Twenty-five participants completed the program.
NCCU Public Health Education student volunteers from the ETA Sigma Gamma- Gamma Phi chapter honor society will sustain the program at USCRINC.
Elise Leger, UNC School of Medicine
Elise developed a health education outreach program for Latino patients at the Moncure Community Health Center, a sliding scale clinic. Her objective was to present health education about which Latino patients have little knowledge due to limited access to proper health care, language barriers, and insufficient health education. Elise provided both individual and group sessions on diabetes, hypertension, and family planning. Elise educated over 100 patients throughout her fellowship year.
The clinic hired a nutritionist who would address diabetes and hypertension education. The family planning portion of her project will be sustained by UNC medical students in the CAMPOS program and funding will be provided by the Kate B. Reynolds Sustainability Initiative to be used for program materials.
Jessica Oliver and Maggie Fetner, UNC School of Dentistry
Jessica and Maggie developed an oral health education project for pediatric patients and their families at the N.C. Cancer Hospital. They educated children in both the inpatient and outpatient hospital settings to provide oral hygiene instruction, oral examinations, and fluoride treatments. They also coordinated referrals for treatment for patients who had further dental needs. They evaluated over eighty patients and connected with their family members to demonstrate that dental care is an important component to overall health and well being.
Their project is being sustained by ENNEAD, a community service student group at UNC School of Dentistry. Funding is being provided by the Kate B. Reynolds Charitable Trust Sustainability Initiative to be used for program materials.
Navid Pourtaheri and Melodi Javid, Duke School of Medicine
Navid and Melodi expanded the outreach of Duke Med Elementary, a third-grade science field trip program they developed over the previous two years. The goal of their Schweitzer project was to increase knowledge of cardiovascular anatomy, health, nutrition, and exercise in third grade students of the Duke-Durham Partnership elementary schools. The Fellowship year was spent growing the program to include weekend conferences for fourth grade students with the additional aim to encourage scientific thinking through group discussion, project development, and conference-style presentations. Navid and Melodi succeeded in reaching 100 fourth grade students and 350 third graders.
Duke Med Elementary will be sustained by the Duke Tutoring and Mentoring Interest Group and funding will be provided by the Kate B. Reynolds Charitable Trust Sustainability Initiative and a Doing Going in the Neighborhood grant.
Steven Pontickio and Jason Lee, ECU Brody School of Medicine
Steven and Jason launched a weekly clinic within the Joy Soup Kitchen whose clients are daily facing issues such as homelessness, poverty, lack of access to care, shortage of resources to meet needs, and lack of understanding of disease processes and how lifestyle affects health. The goal of clinic is to identify high risk patients and coordinate their health care to help improve their overall health. Steven and Jason provided patient education and directly screened for hypertension, diabetes, foot ulcers, mental illness and drug addiction, and HIV. By using community partners, they are also able to screen blood lipids, as well as provide support for patients applying for disability, food stamps, and other government programs. Since June 2010, the clinic has been able to address the needs of 125 patients.
The Joy Soup Kitchen Clinic will be sustained by the ECU School of Nursing two mornings a week throughout the academic year as part of a class requirement. The clinic will be staffed by two to three nursing students supervised by a faculty mentor. The Kate B. Reynolds Sustainability Initiative provided funding for clinic supplies.
Cierra Roach, ECU Brody School of Medicine
Cierra nurtured math and science exploration and academic excellence by launching a summer camp and after school program for 18 minority children in grades 4 – 9 at the Little Willie Center. She also incorporated healthy lifestyle education, exposure to the health professions, and a tutoring component. Her goal was to teach the children how to be successful, productive people as well as enhance their focus and motivation to apply themselves academically.
The ECU chapter of the Student National Medical Association committed to sustaining the program. The Kate B. Reynolds Sustainability Initiative funding will be used for science supplies, field trips, and classroom materials.
Candice Roberts and Michelle Long, Wake Forest School of Medicine
Candice and Michelle implemented a health education and mentoring program targeting homeless pregnant teenagers and teenage mothers at My Aunt’s House in Winston-Salem. Their program included 22 three and half hour seminars addressing three main objectives: 1) healthy mothers and babies, 2) postponing secondary pregnancies and sexual health, and 3) promoting life skills to complete high school and beyond. By using dinner, games and incentives to keep the busy young mothers engaged, they had 100% participation at all seminars. Nine young women participated in the program. The Fellows raised $6,000 in support of the program including dinners, gift card incentives, and two lap top computers.
Wake Forest School of Medicine volunteers will sustain the program holding two seminars each month using the curriculum developed by the Fellows. The Kate B. Reynolds Sustainability Initiative will provide funding for the dinners and gift card incentives.
Dan White, UNC School of Medicine
Dan developed the Refugee Health Initiative to improve access to care and health literacy among recently resettled refugees in the Research Triangle area. Since first piloting the project in the spring of 2010, the Refugee Health Initiative has partnered over 20 students with 15 families which came from Burma, Bhutan, Iraq, Vietnam, Laos, Chad, and the Congo. Volunteers assisted families in identifying a primary care provider and finding a medical home and also conducted a series of health topic discussions with their assigned family through a series of home visits.
The project will be sustained by the Student Health Action Committee (SHAC) at UNC. The Kate B. Reynolds Sustainability Initiative provided funding for supplies and interpretive services.
2009-2010 Grant Recipients:
Schweitzer Fellows Brian Mikolasko and Melanie Robinson, Wake Forest School of Medicine
Baptist Medical Center, Winston-Salem
Mikolasko and Robinson conducted a psychosocial support program for the families of burn survivors at the Burn Unit at Baptist. Two Wake medical students will continue the project in the upcoming year.
The Kate B. Reynolds Sustainability Grant was awarded to allow the sustaining students to travel abroad to work in the burn unit after their year of service. They have a relationship with Burn Care International, which runs operations mainly in Cochabamba, Bolivia, but also in Bangladesh and Ethiopia.
Schweitzer Fellows Nimi Janardhanam and Teesha Geyer, UNC School of Medicine
Janardhanam and Geyer conducted health education classes three times a month at UNC Horizons, a comprehensive treatment program for women who are struggling with substance abuse or addiction. In addition, they visited the residential facility at UNC Horizons to provide mini-presentations and general health screenings every Saturday. Twenty women, mostly mothers, participated in their workshops. They expanded the program to offer classes at the Orange County Literacy Council, introducing over 150 medical terms to the students, discussing disease prevention and risk factors with the students, and providing blood pressure and blood glucose checks. A student group dedicated to health literacy is currently being formed at the University of North Carolina to recruit volunteers to continue health literacy classes at the Orange County Literacy Council. UNC Horizons staff will continue the weekly health education workshops which a primary focus on smoking cessation.
The Kate B. Reynolds Sustainability Grant was awarded to fund supplies to aid smoking cessation, food for nutrition and general health education, and items to encourage physical activity.
Schweitzer Fellows Naomi Jean-Baptiste and Lina Elbadawi, Duke School of Medicine
Jean-Baptiste and Elbadawi designed a Women’s Health Outreach project for the residents of the Durham Interfaith Hospitality Network (IHN) which is a transitory shelter for women and children. With input and guidance from the mothers, they were able to provide resources and information to empower them to take responsibility for their health, and the health of their children. They held weekly health education and life skills workshops. Topics included how to read food labels, breast health, diabetes, depression, heart health, stress management, budgeting 101, and resume writing. To encourage active lifestyles, monthly physical activities were held. During activities for the moms, child care was provided where fun lesson plans were offered. Ten women and 20 children participated in the program.
A Kate B. Reynolds Sustainability Grant was awarded to allow two Duke School of Divinity students to continue the weekly health education workshops and physical activities. The grant will provide funding for a computer so that internet research can be incorporated into the workshops. This will also the women to become knowledgeable researching a health related topic and provide an opportunity for them to present their findings to the group. This will serve as a wonderful platform for empowerment and enhancing self esteem.
Schweitzer Fellows Kristin Johnson and Sarah Schietroma Koch, Wake School of Medicine
Johnson and Schietroma Koch taught cooking healthy on a budget classes to underserved women. The classes featured hands on cooking demonstrations as well as nutrition education. Over the summer, Kristin and Sarah reached over 40 women at the Gateway YWCA in Winston-Salem and the YWCA Central Carolinas Women in Transition program in Charlotte. Class participants each received a cookbook which featured all the recipes and nutrition information presented in the classes. Sarah also taught the classes for 265 children in the YWCA Youth Programs. The YWCA Gateway and YWCA Central Carolinas classes will be sustained by a local professional chef and a registered dietitian. The Gateway classes will include 4 sessions of 4 classes over 12 months. The Central Carolina classes will include 12 classes held over a 6 month period.
A Kate B. Reynolds Sustainability Grant was awarded to fund the meals for the classes.
Schweitzer Fellow Rich McPherson, Wake Forest School of Law
McPherson worked with the Children’s Law Center of Central North Carolina to meet the needs of children and families who are involved in a high-conflict custody dispute or families where domestic violence has occurred between parents. He served as a Guardian ad Litem (GAL) and helped ten children and families identify local resources and service providers. In addition, he created a community resource manual that identified service providers, medical professionals, non-profit organizations, and government organizations that helped children and families that have experienced domestic violence. This manual will be updated by members of the Children’s Law Center Clinic at Wake Forest University School of Law. He also developed a training program for GALs in high conflict custody cases.
A Kate B. Reynolds Sustainability Grant was awarded to fund the video taping of the high conflict custody GAL training which will occur in the fall, 2010 and a stipend for a psychology to assist with the training. The video tape will be used for the GALs who could not attend the entire training in person.
Schweitzer Fellows Sarah Mian and Reema Padia, ECU Brody School of Medicine
Mian and Padia created a weekly tutoring and mentoring program which provided individualized English as a second language (ESL) instruction and health education. Through their program, they helped diminish language barriers, reduce the educational disparity, and ease the assimilation of immigrants into our community. Childcare was provided to help eliminate any barriers to attendance. They recruited 60 ECU student volunteers who participated in the program and received ESL training. Volunteers were paired with a student and created a lesson plan based on their evaluation of the student’s goals and needs. Lessons plans could target a general goal such as improving one’s ability to read, write, or speak or could address more specific goals, such as creating a job resume or learning more vocabulary for their job. In addition to the literacy component, Reema and Sarah presented monthly health informational sessions. Throughout the year, their program served over fifty women throughout the year.
Their program will be sustained by the ECU Spanish Club and is funded through the Kate B. Reynolds Charitable Trust Sustainability Grant. Funding will be used for program materials such as ESL books and dictionaries and general classroom supplies.
Schweitzer Fellow Tammy Pham, Wake Forest School of Medicine
Kimmel Farm Elementary School, Winston-Salem
Pham’s project augmented fifth grade science education with the goal to provide the students with exposure to different fields of science and relevant careers in those fields. Her project included teaching at a two week summer science camp run by the Center for Excellence in Research, Teaching, and Learning (CERTL), a weekly 3-one hour lesson plan at Kimmel Farm Elementary, and a one day event, named Project Spark, that featured speakers and interactive stations that took place at SciWorks. The summer camp included around 20 fifth graders whereas Kimmel Farm and the SciWorks event involved 70 fifth grade students.
The Kate B. Reynolds Sustainability Grant will provide $500 to support the event in the fall semester of 2010 and another $500 to support the event in the fall semester of 2011.
Schweitzer Fellows Kelli York and Rachel Dent, NCCU School of Education – Speech Pathology
York and Dent used small group reading to develop and enrich language and literacy skills for 47 preschool and school-aged children. Initially their project focused on the children at the Assistive Technology for Infants and Preschoolers Project (ATIPP) who have communication and related developmental delays. Later, they expanded their work to include typically developing children at the Child Development Lab and the 21st Century Afterschool Program. In addition to small group thematic book reading, children were provided with an activity-based group intervention that paired books with objects, toys, and various activities to enhance oral language and early literacy skills.
A Kate B. Reynolds Charitable Trust Sustainability Grant will be awarded for NCCU Speech Pathology students to sustain the program at the 21st Century Afterschool Program. Funding will be used for books and classroom supplies for the program.
2008-2009 Grant Recipients:
Moira Breslin and Michael Raisch, Duke School of Medicine
Project Compassion, Chapel Hill, NC
Moira and Michael created an art-based healing program to improve the quality of life of palliative care patients at Project Compassion. To accomplish this goal, they developed a curriculum of art and craft projects to be lead by student volunteers. The direction and pace of the projects was guided by patients’ interests and abilities. To this end, students were challenged to develop creative solutions to participants’ physical limitations. Healing Arts provided a practical approach towards achieving better emotional health during difficult of times, offering participants an additional mode of expression while helping them work towards dealing with the experience of grieving and ill-health. The team-based care-giving initiative provided volunteers an opportunity to establish meaningful relationships with members of the community who were suffering from illness and loss.
According to James Brooks, Director of Project Compassion, sustaining the Healing Arts project has had a powerful impact both in specific and wide-ranging ways:
1. Moira and Michael have continued to provide healing arts support for the Support Team Friend living with Parkinson’s disease in Hillsborough as a complement to the other types of Support Team activities provided by other members.
2. A team of Duke first year med students recruited and trained by Moira and Michael provide healing arts support for an African American woman living with cancer and renal failure.
3. Moira and Michael’s Healing Arts project connected Project Compassion with 15 Duke School of Medicine students who have now become involved in Support Teams. Eight of them incorporate Healing Arts activities as part of their team volunteering.
4. Thanks to the energy Moira and Michael brought to Healing Arts, Project Compassion has integrated the approach into all trainings with college and professional school students forming teams to consider as part of their activities.
5. Project Compassion has integrated the stories, ideas and examples generated by Healing Arts to all Support Teams as they form to help stimulate their awareness of the potential impact of using healing arts and to continue the model. For example, teams serving people with Alzheimer’s have learned that doing an activity with someone is an effective way to interact. Teams offering support in facility settings have had great success using the arts and music to engage Support Team Friends.
6. As Project Compassion provides Support Team Development Conferences for groups from across the country, they use Healing Arts as an example of the types of teams that can be formed. As a result, Moira and Michael’s work now inspires leaders developing this type of support in communities around the country.
As a result of the Healing Arts project, Project Compassion has built new relationships with medical students, expanded support for people living with illness and learned about a new way of providing support through community-based volunteers.
The grant monies went to Project Compassion and were used for training materials, art supplies, and staff time.
Kerry Colby, UNC School of Medicine
Open Door Clinic, Raleigh, NC
Kerry’s project was a health care prevention and screening program for the patients of the Open Door Clinic. The patients of the Open Door Clinic are uninsured and must meet certain income guidelines to be eligible for services at the clinic. Kerry’s project built on the efforts of previous Schweitzer Fellows, Brad Perez and Mirnali Patel, who implemented an STI screening program at the clinic. Her project integrated their work with the nursing intake program and expanded it to include updating the patients’ past medical history and discussing preventative health care issues such as immunizations and cancer screening.
The Open Door Clinic continued to provide comprehensive preventative initiatives and immunization efforts during intake. The Kate B. Reynolds Sustainability Grant funded the start-up costs for a new Zostavax immunization program which protects patients against herpes zoster (shingles). The program allowed 12 patients to receive the Zostavax immunization since July, 2009. Merck’s Patient Assistance Program will provide continuing supplies of the Zostavax vaccines. Each administered dose triggers a PAP-ordered replacement dose (for the named patient whose vaccine was just given, but delivered to the next patient requiring the arriving dose). This replacement program ensures a continuing supply of company-supplied vaccine, based on the initial supply which was purchased with the sustainability grant funds.
Chris Dibble and Courteney MacKuen, UNC School of Medicine
Lincoln Community Health Center, Durham, NC
Chris and Courteney initiated a free bimonthly HIV clinic providing Oraquick testing, counseling, and education at Lincoln Community Health Center. The populations targeted and served were uninsured high risk African American and Latino community and they were able to dispense education to every person counseled. In response to the success of the program, the health department began HIV testing at Lincoln on the opposite Tuesdays from Chris and Courteney’s project. With help from UNC School of Medicine, other medical students who are trained by SHAC to perform HIV testing and counseling will now be able to volunteer at Lincoln.
Two UNC School of Medicine students, Maria Thekkekandam and Michael Clarke-Pearson, sustained the project. They trained and led bilingual Student Health Action Coalition (SHAC)-HIV volunteers to test at the clinic, provided weekly, bilingual HIV testing and counseling, and identified a new UNC School of Medicine student to continue the project through the upcoming year.
Allowing properly trained SHAC-HIV volunteers to work at LCHC opened up service opportunities for students while simultaneously allowing Maria and Michel to expand the clinic to a weekly basis. On any given week, they led either one or two medical students at the clinic, which decreased wait times for patients and allowed more tests to be conducted. Thanks to new volunteer base, they were able to test 160 people for HIV, nearly twice the number tested in the 2008-2009 clinic. The limiting factor in the number of people able to be tested was often the clinic space available, which was at times shared with other specialty clinics.
Of the clients tested, over half were Spanish speakers and required bilingual counselors. The students were able to provide one-on-one testing and counseling in Spanish to clients who needed it. Spanish-speaking volunteers are increasingly available at UNC and the ability to lead them at LCHC allowed much more positive education and counseling about HIV at this clinic.
The grant money was used primarily to supply the clinic with proper supplies (counseling forms, a secure box for patient information, clipboards, pens, condoms & information packets, etc) and aid in transportation costs for volunteers to and from the clinic each Tuesday.
Amanda Hardy, UNCC School of Psychology
Jackson Park Ministries, Charlotte, NC
Amanda’s project focused on exercise promotion for a group of children whose average age was 10 years old. These children were either living in a transitional housing facility called Jackson Park Ministries or resided in the surrounding impoverished neighborhood. Amanda held a dance program for the girls who participated in a summer camp at the site. During the academic year, Amanda held weekly physical activities sessions with the children in the after school program focusing on general sports and improving coordination, muscle tone and self-esteem.
Jackson Park Ministries sustained the program in two ways. One, funding provided ballet shoes for15 girls to participate in a weekly Praise Dance Ministry program. Two, Jackson Park Ministries built a soccer field where area youth will now be able to participate in twice weekly soccer play and Saturday morning soccer training camps. The funding went toward two soccer nets and striping equipment.
Amy Marietta, UNC School of Medicine
El Futuro, Carrboro, NC
Amy designed and implemented a project to provide yoga-based stress reduction and relaxation for women who are patients at El Futuro, a Latino mental health agency in Carrboro. Many of El Futuro’s clients are recent immigrants and suffer from anxiety and depression. These weekly classes were conducted in Spanish, and included energizing body stretches, calming breathing techniques, and a final guided meditation.
The Sustainability Grant was awarded to allow a community member, Griselda Rivera, to receive formal training to be a yoga class instructor at El Futuro. Ms. Rivera was a participant in Amy’s classes and wanted to give back to the community. She leads weekly classes for community members and patients who are referred to the program by El Futuro’s therapists. El Futuro used the monies for a 9-month yoga training course for Ms. Rivera and yoga-related materials. One other positive outcome: one of the therapists was inspired to pursue her yoga instructor training which shows how much they value the program.
Genevieve Ricart, Duke School of Medicine
Urban Ministries of Durham, Durham, NC
Genevieve addressed the nutritional health of the Durham homeless population at the Urban Ministries of Durham. She worked with the chef at the shelter to encourage preparation of healthier, balanced meals to make the most out of donated food. Each week, Genevieve spoke with the targeted population both individually and in small groups to encourage healthy behaviors and discuss ways in which small modifications in diet can lead to great strides in health. She worked with the Inter-Faith Food Shuttle of Raleigh to offer nutrition and cooking classes where participants learned to make healthy choices while on a limited budget.
The grant provided funding for the Durham County Center NC Cooperative extension to offer healthy eating and nutrition training to shelter residents for two 14-week sessions. Shelter residents participated in hands-on cooking demonstrations and received copies of curriculum that provided them with guides to put what they have learned into practice.
The Director, Peter Donolon, was so enthusiastic with the results of Genevieve’s classes, that they created a volunteer cook’s position in their kitchen providing hands-on training for homeless people that are transitioning back into the community. The position allows the person to work alongside their chef to gain marketable skills that can easily transferred to basic restaurant work. To date, they have had three residents move through the process thus far. The gentleman currently working with them is in their Alcohol and Drug Recovery program, and is very enthusiastic about this opportunity.
Anita Unnithan and Brandy Edwards, ECU School of Medicine
Operation Sunshine, Greenville, NC
Anita and Brandy created S.T.A.R.T. (Stop, Think, & Act Responsibly Today) First Aid to teach basic first aid skills to children ages 5 – 13 at Operation Sunshine and the Summer Significance Academy. Lessons focused on emergency action steps, the Heimlich Maneuver, rescue breathing, treatment of wounds and burns, proper hand washing technique, personal safety when dealing with emergencies, prevention/treatment of heat exhaustion, and wilderness splinting. Through educational games, role playing, use of manikins, and tangible first aid tools, they provided both entertaining and highly instructive practice in first aid.
Operation Sunshine held a session of first aid lessons in April, 2010 for their after-school program of 21 girls. They will also offer three different sessions in June for their girls ages 5-7, 8 & 9, and 10-13 in their summer program. They used the grant monies to purchase 5 adult/child and 2 infant manikins as well as other support materials.
Laura Wolfe, ECU School of Medicine
Little Willie Center, Greenville, NC
Laura created an after school program for children to learn how to plant and grow a vegetable garden at the Little Willie Center (LWC) in Greenville with the help of the NC Cooperative Extension. Vegetables harvested were served for the children’s lunch or sent home with the families. In addition, the children and their parents attended cooking classes to learn about nutrition and healthy meals. Laura also encouraged physical activity using the President’s Fitness Challenge. Forty children and their parents participated in her program.
This year, thirty-two children participated in the program. A parent volunteer led the garden project with the children with the help of the Cooperative Extension Agent. They have partnered with ECU’s Food Literacy Program and ECU’s Campus Kitchen for nutrition education and cooking demonstrations. Engineering students agreed to design and install an irrigation system for the garden. The grant monies went toward the water bill, gardening tools, food for their daily meal program, prizes for the fitness challenge, and playground equipment.
Ashley Alexander and Ying Zhang, ECU Brody School of Medicine
Hope Lodge, Greenville, NC
Ashley and Ying’s project promoted the wellness of residents at the McConnell-Raab Hope Lodge, a residential facility for patients undergoing cancer treatments. By establishing therapeutic programming activities, they enhanced the quality of life, emotional well-being, and outlook on personal health of program participants. Understanding that total mind and body health should be approached holistically, they provided different therapeutic avenues for promoting patient wellness.
The ECU Student Occupational Therapy Association (SOTA) submitted a letter of intent to sustain the project by providing two to three student volunteers to conduct weekly therapeutic programming activities at the Hope Lodge. The SOTA did provide weekly activities during the fall of 2009. Unfortunately, the Hope Lodge Director suffered a stroke which left him paralyzed. Furthermore, Ms. Colcord underwent surgery which also derailed the project. Ashley and Ying are currently looking at other organizations with whom they can partner.
The grant monies were unspent and remain in a fund held by the Hope Lodge for use for future therapeutic activities.