{"id":96261,"date":"2019-04-19T11:10:13","date_gmt":"2019-04-19T15:10:13","guid":{"rendered":"https:\/\/www.ucf.edu\/news\/?p=96261"},"modified":"2019-04-19T12:11:07","modified_gmt":"2019-04-19T16:11:07","slug":"ucf-students-start-clinic-orlando-homeless","status":"publish","type":"post","link":"https:\/\/www.ucf.edu\/news\/ucf-students-start-clinic-orlando-homeless\/","title":{"rendered":"UCF Students Start Clinic to Care For Orlando\u2019s Homeless"},"content":{"rendered":"

\u201cI\u2019ve had it for a while \u2013 I don\u2019t know what it is. It itches pretty bad sometimes. It might be eczema \u2013 my sons all have that.\u201d<\/em><\/p>\n

Charles tugs at the collar of his faded T-shirt and points to a large white rash on his neck. The 45 year old sleeps on a park bench most nights and has no one to care for the fungal infection that is causing his itching.<\/p>\n

This night, however, UCF medical students and their faculty advisors are offering relief.<\/p>\n

They\u2019ve started Chapman Compassionate Care for the Homeless, which runs skin and wound clinics for downtown Orlando\u2019s homeless population and connects them with local healthcare resources. The first clinic in January saw about two dozen people. The most recent, on April 2 at St. George Orthodox Church, provided wound care to 12 patients and Hepatitis A vaccines to more than 25 individuals.<\/p>\n

With no access to healthcare and living in abandoned buildings, parks and street corners, homeless people are susceptible to burns, fungal infections, psoriasis and dermatitis that, left untreated, can cause serious health problems. The UCF team provides anti-inflammatory and anti-fungal medications for patients like Charles. They remove calluses, bandage wounds and provide patients with information on nearby clinics that can provide follow-up care.<\/p>\n

\u201cThe UCF medical students are building trust and connecting with our unsheltered homeless persons so they can guide them to follow-up care at the Healthcare Center for the Homeless and other clinics or shelters.\u201d \u2014\u00a0Lisa Portelli ’00MPA<\/strong>, senior advisor on homelessness and social services for Orlando Mayor Buddy Dyer<\/p><\/blockquote>\n

The College of Medicine<\/a> outreach is \u201can important part of our community\u2019s continuum of care to homeless persons,\u201d says Lisa Portelli ’00MPA<\/strong>, senior advisor on homelessness and social services for Orlando Mayor Buddy Dyer. \u201cAt the point of providing care, the UCF medical students are building trust and connecting with our unsheltered homeless persons so they can guide them to follow-up care at the Healthcare Center for the Homeless and other clinics or shelters.\u201d<\/p>\n

UCF medical student Sirikanya Sellers understands homelessness better than most \u2014 her mom has been in and out of shelters for the past seven years. \u201cWhenever I try to take her to lunch, you could see people actively avoiding eye contact,\u201d Sellers says. \u201cShelters turn you away because they are capped each night, so you have to wait in line for hours or risk exposure to the cold.\u201d<\/p>\n

That\u2019s why Sellers, fellow third-year medical students William Fraser and Cole Friedes and faculty advisor Caridad Hernandez established the homeless clinic. \u201cWe wanted our organization to be \u2018compassionate\u2019 and not simply \u2018empathetic,\u2019\u201d Friedes says. \u201cTo not only care about those who were suffering, but to also produce tangible effort to help improve their situation.\u201d<\/p>\n

That motivation led the clinic to partner with the Florida Department of Health to provide the vaccinations against Hepatitis A, a highly contagious liver infection that is increasing among Orlando\u2019s homeless population.<\/p>\n

\u201cSince last summer, we\u2019ve seen a greater than 5,000 percent increase in locally acquired Hepatitis A in this area,\u201d says Alvina Chu, epidemiology program manager for the department in Orange County. \u201cThese populations primarily affected by this outbreak might not seek out routine medical care, and so we think it\u2019s important to bring the services to them to try to help protect them from acquiring this infection.\u201d<\/p>\n

UCF\u2019s wound clinic was more than two years in the making. Fraser got the idea as a first-year medical student when he spoke with a friend about Tampa Bay Street Medicine. That clinic, run by University of South Florida medical students, cares for homeless people on the street and in shelters. Fraser thought the idea could work in Orlando, and contacted classmates Sellers and Friedes, who shared his passion.<\/p>\n

The students connected with local physicians and volunteer organizations to assess community needs. They realized quickly that their patients faced additional challenges in getting access to medical care, especially transportation.<\/p>\n

\u201cWe cannot simply advise \u2018lifestyle changes\u2019 or \u2018this is where you can follow up with a doctor,\u2019\u201d Sellers says. \u201cWe had to develop materials and resources specific to our population, such as printing out maps of facilities within walking distance and providing bus coupons for future referrals.\u201d<\/p>\n

Another challenge is hygiene. Some patients have arrived at the clinic with painful and infected diabetic foot ulcers, which return because people lack access to clean showers and clean clothes. \u201cSo we try to supplement that with giving them clean socks and a hygiene kit,\u201d Sellers says.<\/p>\n

\u201cHaving the opportunity to work with this population will undoubtedly have a positive effect on the way we practice medicine.\u201d \u2014 William Fraser, UCF medical student<\/p><\/blockquote>\n

Hernandez says the clinics help UCF medical students see the real-life challenges their future patients may face. \u201cIt\u2019s important for the students to gain experience with vulnerable populations like this one and to understand the challenges they face so that they can better take care of them as future physicians,\u201d she says. \u201cSometimes we forget how easily we can go from being in a really great, stable position to losing the infrastructure and support that we have.\u201d<\/p>\n

Thanks to the generosity of the Jules B. Chapman, M.D. and Annie Lou Chapman Private Foundation, the clinic will be receiving $100,000 over the next five years. The Ft. Myers-based foundation promotes the values of humanism in medicine and currently funds several College of Medicine initiatives, including the Chapman Chapter of the Gold Humanism Honor Society, narrative medicine and wellness programs.<\/p>\n

With the additional funding, students hope to start a needle exchange program, develop health education materials and find additional partners to provide more resources, including mental health care.<\/p>\n

\u201cHearing our patients\u2019 stories and seeing how appreciative everyone is has been an amazing experience,\u201d Fraser says. \u201cHaving the opportunity to work with this population will undoubtedly have a positive effect on the way we practice medicine.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

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