SHADE TREE CLINIC | 2 0 11 - 2 0 1 2 R E P O RT to the C O M M U N I T Y FROM THE STUDENT DIRECTORS Now in its sixth year of operation, Shade Tree Clinic has evolved into much more than a free clinic. The tireless energy and enthusiasm of our volunteers has allowed us to expand our patient care mission. Last year alone, 558 medical students, physicians, and community members donated over 15,000 hours of service to the clinic. (From the left: Sarah Scott, Isaac Chocron, Charissa Kahue, Alon Peltz, Allison Ferreira, Paula Marincola, Rachel Bloch, Brian Wright, and Anna Garcia.) “Shade Tree offers our students the opportunity to assist those who may not otherwise have access to health care, while learning valuable skills in the process.” Jeffrey Balser, M.D., Ph.D. Vice Chancellor for Health Affairs and Dean of the Vanderbilt University School of Medicine. Over the past several years, our patients’ needs have grown more complex. Many have chronic conditions that require long-term care, and we depend on your generous support to continue to meet our patients’ increasingly complex needs. While our mission remains the same, the ways in which we strive to meet our patients’ needs and enhance our medical students’ educational experiences have evolved. Throughout the past year, we have focused on three vital areas of growth: (1) Extending patient care (2) Enhancing education (3) Engaging the community We have expanded the scope of our Patient Health Education program to include all 202 STC patients suffering from chronic illnesses including cardiovascular disease, diabetes, and respiratory disease. Redesigned with a multi-disciplinary mission, our PHE program places first and second year medical students in a case-manager role. By working alongside social workers and dietetic interns, our PHEs are able to support lifestyle change and health improvement for our sickest patients. Last year was the inaugural year of our longitudinal primary care elective for fourth-year medical students, and it was tremendously successful. The elective has facilitated an enhanced continuity-of-care model and re-energized our preclinical teaching effort. We have also continued reaching out into the community through health fairs, preventive health screenings, and health literacy and education classes. We have begun offering our most popular classes in Spanish as well as created new programs focused on encouraging safe and healthy lifestyle choices in children. In 2012, we anticipate a move to a larger facility one mile from our current Grace Street location. We are committed to serving all of our current patients, and we look forward to utilizing the additional space to continue enhancing our clinical and educational services. We thank you for your generous contributions, which make Nashville a brighter and healthier place for so many people. Allison Ferreira and Paula Marincola CO-EXECUTIVE DIRECTORS, SHADE TREE CLINIC VANDERBILT SCHOOL OF MEDICINE, CLASS OF 2014 3 SHADE TREE CLINIC | 2 0 11 - 2 0 1 2 R E P O RT to the C O M M U N I T Y The Leaders That Made It Happen CLINIC LEADERSHIP Executive Directors: Allison Ferreira and Paula Marincola Director of Operations: Brian Wright Director of Patient Health Education: Anna Garcia Director of Pharmacy: Sarah Scott Director of Social Work: Rachel Bloch Director of Spanish Services: Isaac Chocron Director of Community Outreach: Charissa Kahue Director of Finance: Alon Peltz Medical Directors: Robert Miller, M.D. and Michael Fowler, M.D. Social Worker: Shannon Jordan, L.M.S.W. PAST EXECUTIVE DIRECTORS 2010 - 2011: Benjamin Deschner and Ravi Patel 2009 - 2010: Adam Wegner and Jonathan Steer 2008 - 2009: Meredith Albin and Alon Peltz 2007 - 2008: Eve Henry and Caitlin Toomey 2006 - 2007: Sarah Dunn, Caroline Kim, Holly Hale, Megan Herceg, Caroline Knox 2005 - 2006: Dana Guyer and Sara Horvitz Co-Founders: Kristina Collins and Katie Cox ADVISORY BOARD Ronald Ballett (East Nashville Community) Rachel Bloch (VUSM, Class of 2014) Mary Bufwack, Ph.D. (UNHS) Isaac Chocron (VUSM, Class of 2014) Barbara Clinton, M.S.W. (Center for Health Services) Neerav Desai, M.D. (VUMC) Ben Deschner (VUSM, Class of 2013) Robert Dittus, MD (VUMC) Allison Ferreira (VUSM, Class of 2014) Michael Fowler, M.D. (VUMC) Dana Guyer, M.D. (VUMC) Shannon Jordan, L.C.S.W. (VUMC) Charissa Kahue (VUSM, Class of 2014) Jon Kropski, M.D. (VUMC) Lewis Lefkowitz, M.D. (VMC) Paula Marincola (VUSM, Class of 2014) Morgan McDonald, M.D. (VUMC) Bonnie Miller, M.D. (VUMC), Sr. Associate Dean Robert Miller, M.D. (VUMC) Rob Nash, MBA, M.S.N., A.C.N.P., B.C. (VUMC) Ravi Patel (VUSM, Class of 2013) Alon Peltz (VUSM, Class of 2012) Al Powers, M.D. (VUMC) Scott Rodgers, M.D. (VUMC), Associate Dean Beth Ann Sastre, M.D. (VUMC) Sarah Scott (VUSM, Class of 2014) Mavis Shorn, Ph.D., C.N.M. (VUSN) Ernie Simms (East Nashville Community) Amy Skye (East Nashville Community) Jeff Stovall, M.D. (VUMC) Lynn Webb, Ph.D. (VUMC) Marilee Weingartner, M.S.N., F.N.P. (Franklin Road Women’s Health Center) Jule West, M.D. (VUMC) Brian Wright (VUSM, Class of 2014) Center for Health Services: Barbara Clinton and Jill Flowers Special Events: Sarah Woodall and Marcia Kelly SENIOR ELECTIVE STUDENTS: Katie Ayers Emily Cooperstein Ryan Fritz Christian Fuchs Dustin Hipp Kelly Kohorst Brad Lindell Justin Gregg David Marcovitz Jamie Robinson Mazeyar Saboori Morgan Walls Adam Wegner Michael Wolf “Over the past six years, the Shade Tree Clinic has become a cornerstone of the Vanderbilt medical school experience. It is a source of pride for the entire medical center and for all of Vanderbilt University.” Bonnie Miller, M.D. Sr. Associate Dean FROM THE MEDICAL DIRECTORS With each year of operation, Shade Tree has grown and evolved as an organization. Its patients have become more complicated, the needs of the community have become more noticeable, and more people and community organizations look to Shade Tree as a resource. The clinic is small, crowded, and hectic. Patients fill a small waiting area while 20+ students and faculty crowd into an equally tight treatment area. It is common for patients to drop in with acute problems. One Saturday, a patient dropped in with an acute problem that challenged the clinic’s providers and demonstrated the extraordinary capabilities of our students. The patient was well known to the clinic when he noted the onset of chest pain. He insisted on coming to Shade Tree, not an emergency room. He said that he knew the clinic and trusted they would take good care of him. He presented to the registration window and the students immediately recognized that he was acutely ill. They put him into an examination room, took a brief history, performed a limited examination and ran electrocardiogram. Within minutes, they determined that he was having an acute myocardial infarction. With this assessment, they instituted appropriate protocols, aspirin, nitroglycerin, and a call for paramedics. They notified the Vanderbilt ED which activated the cardiac catheterization lab. Upon arrival he was found to have a coronary stenosis, which was successfully dilated and stented. All of this was done with remarkable efficiency and the patient did very well. Students and faculty visited the patient the next day and were pleased to see him feeling well, sitting in a chair and joking. For the next week, the students were frequently greeted and congratulated for their work, professionalism, and skill. As directors, we also felt proud of how our organization had functioned under challenging circumstances. The students caring for this patient were part of a system, which worked well that Saturday afternoon. They were not working in a state-of-the-art structure, but had the knowledge and motivation to make a difference. They had created a system, not just a clinic. We believe that their time at Shade Tree is a very valuable part of making them better physicians. Robert Miller, M.D. Michael Fowler, M.D. 5 SHADE TREE CLINIC | 2 0 11 - 2 0 1 2 R E P O RT to the C O M M U N I T Y Helping the Knights Manage Diabetes Jimmy Knight knew exactly how hard it was to raise a family. When he was very young, his family moved to Nashville after his father’s death, leaving him to support them on his own. Eventually he met and married Diane, and the pair made a comfortable life in Nashville for over 40 years. But after Jimmy Knight lost TennCare insurance and developed a staph infection on his leg, they had no place to turn. When they sought healthcare services in 2005, they were referred to Shade Tree. “I thought, ‘Shade Tree? What is that?’” said Jimmy Knight. “But now I don’t know what we would have done without Shade Tree.” Both Jimmy and Diane have diabetes, and when they lost TennCare, they had few options for medicine and help with “I don’t know healthy lifestyle choices. what we would “We wanted to be healthy. We didn’t know we could physicalhave done without ly do that before Shade Tree,” said Diane Knight, an ovarian Shade Tree.” cancer survivor. “The minute you come here that fear is lifted off your shoulders. …They’re listening to everything you say.” The Knights joined the Diabetes Alliance, a program that helps diabetic patients understand their medicines, meet people with similar conditions and change their lifestyle for better health in the long run. What truly stood out to the Knights at Shade Tree was dealing with students. At Shade Tree, students are intimately involved with patient care. They interact with patients; they discuss diagnoses and treatment with experienced physicians; and they prescribe vital medications. “The most important thing is having someone listen and work with you to help solve problems,” said Jimmy Knight. “We’ve learned a lot. All the doctors have been really good, all the time. I can’t say anything bad about it. I’m proud of the students.” 7 SHADE TREE CLINIC | 2 0 11 - 2 0 1 2 R E P O RT to the C O M M U N I T Y Turning a Life Around Sometimes it takes a while for a patient to find Shade Tree. For Patricia Parrott, it was more than worth the wait. After moving to Nashville from Greenville, Miss., to live with her adult son, she got by with inadequate health care for almost three years. Her medical conditions began to spiral out of control. “I was overweight and had an irregular heart beat,” said Parrott, who has diabetes and chronic hypertension. “I couldn’t “The students afford my medications or the doctors to come see me.” are really interested That changed when Parrott found Shade Tree. After regular in the patients and appointments with medical students and Robert Miller, M.D., the are very sincere.” Co-Medical Director of the clinic, she says she’s found the care she needs. “Dr. Miller is a very good doctor,” she said. “He seems very interested in his patients. The students answer all my questions, give thorough exams and always get experts if they need them.” The Patient Health Education (PHE) program is a boon for patients like Parrott who have chronic illnesses. PHEs make sure patients are eating healthy foods, regularly checking blood sugar and taking medicine as prescribed. A pharmacy stocked with free medicine and advice from students empowers patients like Parrott to manage hypertension and diabetes. Parrott says her family and friends have noticed how much she enjoys coming to Shade Tree, how much better she appears mentally, and physically, and how her zest for life has increased. “The students are really interested in the patients and are very sincere,” she said. “They’re willing to listen to my medical problems and my personal life. As long as they keep letting me come, I’ll come!” 9 SHADE TREE CLINIC | 2 0 11 - 2 0 1 2 R E P O RT to the C O M M U N I T Y Social Services Provided 25 RENT/UTILITY ASSISTANCE 34 HEALTH INSURANCE APPLICATIONS 38 MENTAL HEALTH REFERRALS 19 FOOD PACKETS DISTRIBUTED 8 SPANISH LANGUAGE RESOURCES 28 HOUSING APPLICATIONS 35 LEGAL ASSISTANCE 35 DENTAL REFERRALS 3 HEARING AIDS 26 VISION REFERRALS 7 HOMELESS SERVICES “The Shade Tree Clinic is such an integral part of the VUSM learning, leadership, and service experience that it is hard for these recent graduates to even contemplate VUSM, pre-Shade Tree.” Ann H. Price, M.D. Associate Dean for Alumni Affairs Shade Tree began as a medical outreach program, but it has also expanded as a social force within the community. Under the growing social work program, the clinic has helped patients find resources to fight hunger, Social domestic violence and homelessness. Under the guidance of Shannon Jordan, L.M.S.W., and Rachel Bloch, director of social work, the program has helped patients in all these areas as well as in mental health, dentistry, vision and physical therapy. Social work appointments comprise 12 percent of additional care visits at Shade Tree. With TennCare providing for many people in the neighborhood, social work helps patients navigate the landscape of public resources to find adequate care. Work 11 SHADE TREE CLINIC Clinic Visits Patients | 2 0 11 - 2 0 1 2 R E P O RT to the C O M M U N I T Y The Clinical Care Leader (CCL) Program July '10 to June '11 Clinic Visits: 1,945 Patients: 388 Average Visits Per Patient: 5.0 1,800 1,500 The number of visits per year, as well as the actual number of patients seen, increased annually from the clinic’s inception until 2008. 1,200 Recently, patient visits have increased as unique patients seen has plateaued or decreased; observationally, we postulate this may be due to the increased complexity of our patient population. 900 600 This marks the second year that 14 of our dedicated physician and nurse practitioner volunteers served Shade Tree as Clinical Care Leaders (CCL). Real-World Experience in the Curriculum ◼ As Shade Tree has evolved to offer safer and higher 300 quality patient care, we have also founded education programs to formalize what has been an informal curriculum, leading to more responsible patient care in the long run. JULY '06 – JULY '07 – JULY '08 – JULY '09 – JULY ‘10 - JUNE '07 JUNE '08 JUNE '09 JUNE '10 JUNE ‘11 Primary Reason for Visits 45% DISEASE MANAGEMENT 29% ACUTE CONDITION 7% LABS ONLY 7% OTHER 12% MEDICATION “One of the most fantastic things about Vanderbilt is that so many of the physicians, other students, and administrators still hold onto the idea that anything is possible with hard work and enthusiasm.” Katie Johnson, M.D. and Kristina Collins, M.D., Co-Founders of Shade Tree Clinic This year, we continued our training program for all firstyear medical student volunteers. The program touched on taking vital signs, giving shots, drawing blood, interviewing patients, writing clinic notes and discussing sensitive topics. All of these topics are covered in a manual given to each first-year student. Of course, all of these skills can’t be covered in single halfday session; the purpose is to introduce the students to the clinical skills they will need to succeed, and to create a foundation for learning from our experienced third and fourth year students at Shade Tree. We also founded a fourth-year program that turns the Shade Tree experience into a VMS elective credit. Participating students volunteered at 20 clinic sessions and attended six lectures on teaching methods, social work resources, quality improvement techniques and evaluation of programming. At least one CCL attends each clinic session to lead learning sessions with students and instruct new volunteers. CCLs also follow some of our more complicated patients, and they offer feedback on to how to improve clinic flow, patient care and student education. This kind of diversity from many different fields helps when we must refer patients to specialists or obtain second opinions. 2011-2012 Clinical Care Leaders: Jane Case, N.P. FAMILY NURSE PRACTITIONER Neerav Desaiv, M.D. ADOLESCENT MEDICINE William Gregg, M.D. INTERNAL MEDICINE AND BIOINFORMATICS Oscar Guillamondegui, M.D. TRAUMA SURGERY Paula Hermann, M.D. INTERNAL MEDICINE Lewis Lefkowitz, M.D. PREVENTIVE MEDICINE Robertson Nash, N.P., Ph.D., MBA ACUTE CARE NURSE PRACTITIONER Camiron Pfennig, M.D. EMERGENCY MEDICINE James Powers, M.D. GERIATRICS Trent Rosenbloom, M.D. INTERNAL MEDICINE AND PEDIATRICS Tony Ross, M.D. FAMILY PRACTICE The program delves into treating the whole patient, and it helps students improve the continuity of care for safer and higher quality treatment. Beth Ann Sastre, M.D. This year, in response to the overwhelming success of the fourth-year elective program, we are proud to announce the initiation of a parallel second-year elective. Roy Zent, M.D. INTERNAL MEDICINE Doug Sawyer, M.D. CARDIOLOGY NEPHROLOGY 13 SHADE TREE CLINIC ◼ As STC service-learners, pre-clinical student volunteers have the opportunity to serve the community while learning valuable clinical skills outside of the standard medical school curriculum. In addition to facilitating early clinical exposure, our educational mission this year is focused on fostering essential clinical problem-solving skills with workshops and brown-bag lunch TOTAL REVENUE FOR FY2010-2011 Foundations/Corp/Grants Individuals Program Income Special Events/Other Vanderbilt School of Medicine TOTAL REVENUES $ $ 22,481 00 24,729 00 420 00 41,942 00 15,000 00 104,572 00 TOTAL EXPENSES FOR FY2010-2011 * Administrative/ Program Expenses Grants Manager Salary & Fringe Computer/Printer and Supplies Meetings/Volunteer Expenses Travel Students Special Events Indirect Expenses SUBTOTAL * Patient Care Social Worker Salary & Fringe Telephone Community Projects Instructional Supplies Lab Supplies Medical Supplies Pharmacy Outpatient Costs Insurance Patient Transportation SUBTOTAL TOTAL EXPENSES $ 16,359 00 8,518 00 4,658 00 229 00 798 00 2,491 00 $ 33,053 00 $ $ $ 13,904 00 468 00 2,789 00 740 00 1,216 00 11,265 00 54,616 00 2,149 00 352 00 2,290 00 89,789 00 122,842 00 Bringing Clinic Back to Campus Empowering Student Case Managers In 2008, STC introduced the Patient Health Education (PHE) program, a comprehensive case-management program specifically designed to improve health literacy and disease management in our diabetic population. The PHE program, sponsored largely by a grant from the Baptist Healing Trust, trained first and second-year medical students to coach patients on disease management, has resulted in marked improvement in patient outcomes. Over the past year, 74% of diabetics working with a case | 2 0 1 1 - 2 0 1 2 R E P O R T t o t h e C O M M U N I T Y 15 discussions. Students will learn basic lab value interpretation, preventive medicine guidelines, and how to approach tough conversations with patients, among other topics. Simultaneously, we strive to stimulate discussion between STC service-learners and the greater VUMC community about the practice of compassionate community medicine and the socioeconomic barriers to maintaining health in the resource-limited setting of uninsured healthcare delivery. At the Lefkowitz Hour, Shade Tree’s Clinical Case Conference, students interact with faculty, staff, and the Vanderbilt community as they discuss complex cases from our clinic. Students bring their knowledge of social work resources, community partnerships and patient histories to the table, while faculty members facilitate discussion on improving clinical medicine. Finally, Shade Tree inspired the creation of The Advocate, an informational booklet containing generic drug lists, social work resources and community agencies. With this resource, we have enabled our students and providers to deliver more comprehensive care to our uninsured population. manager showed improved glucose levels or were already at a target level. This year, again with generous grant support from BHT, we have prioritized maximizing the impact of the PHE model by expanding the PHE program to include patients with chronic illnesses like cardiovascular disease, COPD, and asthma In addition to empowering patients to self-manage their chronic illnesses through health education and motivation, the longitudinal partnership between patient and PHE greatly enhances continuity of care in our volunteer-based clinic. As the PHE program has matured, we have learned that out-of-clinic follow-up and inclinic care coordination are the most important contributions of PHEs to patient care; fundamentally, PHEs are patient advocates who help our providers facilitate coordinated, comprehensive medical care while simultaneously motivating patients and helping them navigate the complex medical landscape. The 1:1 relationship between PHEs and their patients has enabled identification and resolution of unmet medical and social needs. The patient advocacy that has emerged from the PHE-patient partnership has led us to develop a complementary social work case-management program. This program pairs medical student social workers, trained in social services and public resource management, with patients who need social service support. Fourth-year elective students, PHEs, and social work case managers work together to ensure that all STC patients receive comprehensive care. 16 SHADE TREE CLINIC | 2 0 11 - 2 0 1 2 R E P O RT to the C O M M U N I T Y Beyond the Trailer: Branching Out ◼ Shade Tree’s third major focus continues to be on community outreach programs throughout the greater Nashville area. These programs began as an attempt to reach beyond our patient base and improve the health conditions of homeless and low-income individuals in the greater Nashville area. Shade Tree has offered weekly vaccine clinics at community centers and homeless shelters in the Nashville area, where medical and graduate nursing students collaborate to offer Influenza, TDaP and Pneumovax vaccinations free-of- charge. As of the end of 2011, Shade Tree has provided nearly 4,000 vaccinations to the homeless. Health Fairs and Screenings The Shade Tree Outreach Program offers blood glucose and hypertension screening exams at many community events. The Outreach team also organizes an annual community fair for residents in underserved neighborhoods. More than 200 people attended the 2010 fair, where numerous student organizations collaborated to provide vaccines, social work information, and screenings for body mass index, hypertension, diabetes, head/neck cancer, hearing and vision. Health and Nutrition Education Shade Tree continues to partner with the Vanderbilt Educational Garden Initiative (VEGI), which runs a community garden in the McFerrin Park neighborhood that Shade Tree serves. Vaccine Clinics There are an estimated 2,200 homeless living in Nashville, all of whom are at an increased risk for contracting communicable diseases. Additionally, once a homeless person gets sick, it takes significantly longer to get better due to unstable and substandard living conditions. Research has shown that those who lack consistent access to medical care are less likely to get vaccinated against common illnesses. They are also more likely to delay seeing a healthcare provider for infections and other acute illnesses. As a result, they are more likely to suffer serious complications or even die from preventable and treatable illnesses. For the past three years, thanks to the generous support of The Boulevard Bolt Foundation, The Shade Tree Resources in Diabetes Education (STRIDE) and Shade Tree Trim weight management classes are now entering their third year of existence. STRIDE is an eight-week class/ support group that teaches those with and at-risk for diabetes about the disease and how to manage it in a fun, friendly atmosphere. Both classes, now offered in both English and Spanish, incorporate nutrition education and exercise lessons into each weekly class session. Established in partnership with Caldwell Elementary, a local school in the McFerrin Park area, our newest outreach program (Swim Safely East Nashville!) fosters healthy lifestyles by offering swimming lessons for grade-school children. This medical-student-run program will educate children on fundamentals of water safety while providing after-school education on healthy nutrition and exercise in hopes of tackling increased risks of pediatric drowning and obesity in the East Nashville community. Attending Providers James Felch Karen Joos Bonnie Pilon Marisa Adelman Josh Fessel Shannon Jordan Alvin Powers Wura Adesinasi Jim Fiechtl Sarah Kantrow James Powers Anita Agarwal A. Reid Finlayson Ashley Karpinos Jan Price Ted Anderson Michael Fowler Adetola Kassim David Raiford Federica Angel Joseph Fredi Tamara Keown Geri Reeves Amir Arain Eitan Friedman Garrett Key Derek Riebau Jeff Balser Catherine Fuchs Sunny Kim Althea Robinson Travis Bowles Howard Fuchs Jon Kropski Dan Roden Anne Brown Gaelyn Garrett Matt Landman Scott Rodgers Nancy Brown G. Waldon Garriss Anthony Langone Jud Rogers Taylor Brownlee Olivia Giddings Thomas Lavie S. Trent Rosenbloom Andrew Bryant Mark Glazer Patrick Lavin Tony Ross Lonnie Burnett Karen Gold Lewis Lefkowitz Charles Rush Brenda Butka Michael A. Gold John Leonard Neil Sanghani Christina Cain-Swope Thomas Golper Julia Lewis Elizabeth Sastre Mary Carroll Meghana Gowda Chris Lind Shane Savage Jane Case Jennifer Green Elizabeth Lindsey Douglas Sawyer Keri Cavanaugh William Gregg MacRae Linton Heidi Schaefer David Choma Michelle Griffith Kim Lomis Beth Scholz Brian Christman Oscar Guillamondegui Matt Luther Mavis Schorn Keith Churchwell Dana Guyer James Madden Gerald Schulman Elizabeth Clark Kevin Haas Beth Ann Malow Matt Semler Barbara Clinton Elias Haddad David Maron John Sergent S H A D E T R E E C L I N I C V O L U N T E E R S Jennifer Clune Joseph Hall Morgan McDonald Bruce Shack Alison Cohen Cara Hammonds Sam McKenna Edward Siew Bryan Collier Ray Harris Mark Melson Allen Sills Marta Crispens Jacob Hathaway Kayvon Modjarrad Robert Sinard Howard Curlin Alric Hawkins Bonnie Miller Terrence Smith Julie Damp David Haynes Robert Miller Barbara Snell Richard D’Aquila Benjamin Heavrin Derek Moore Anderson Spickard III Jeff Dattilo Celeste Hemingway Sandra Moutsios John Stafford Tom Davis Paula Herrmann Allen Naftilan Aaron Stayman Amber Degryse Tim Hinton Robertson Nash Jeff Stovall Terence Dermody Rich Hock William Nealon Cecelia Theobald Neerav Desai Ginger Holt Melinda New Brian Thompson Robert Dittus Julie Hudson John Newman James Tolle John Dixon Adriana Hung Mark Newton Uyen Tran Tracy Dozier Alp Ikizler Bridget Ory Andrea Utz Wonder Drake Mark Jacokes John Peach Michael Vaezi Sarah Dunn Siddharath Jain Brent Pennington Kim Vinson Jamie Dwyer David Janz Roman Perri Mary Vu Esther Eisenberg Juan Jaramillo Hamilton Peters Eric Wallace Roy Elam Jim Jirjis Josh Peterson Emily Ward Wes Ely Joyce Johnson Andrew Pfeffer Ken Watford Emily Eckert Katie Johnson Camiron Pfennig Lynn Webb Sergio Fazio Howard Jones Michael Pilla Katherine Wells SHADE TREE CLINIC Jule West Fayrisa Greenwald Matthew Puccetti Mary DeAgostino Walker Plash Neil Bansal Opal Lin-Tsai Thuy Tran Steve White Katherine Guess Mythri Reddy Alejandro DeFeria Alsina Kristen Ploetze Arter Biggs Tim Lockney Colby Uptegraft Mark Wigger Melissa Harintho Charles Rodriguez-Feo Jake DeVolder Brittney Pryor Joshua Bilsborrow Rajshri Mainthia Francys Verdial Argueta Jamie Wiggleton Brendan Hayes Meredith Rogers Kate Doherty Cristin Quinn Richard Boyer Neil Manus Molly White Anne Wise Brian Heiniger Pooyan Rohani Ilyas Eli Jenny Raab Andrea Brock Jake McClure Walter Winders Paul Wise Catherine Higham Tulsi Roy Lani Feingold-Link Jennifer Rahn Stefan Bumol Abby Meyers Jesse Wright Kathleen Wolff Merla Hubler Richard Samade Allison Ferreira India Reddy Katie Burns Lauren Mioton Audrey Ye Amanda Yunker Tenisha James Chelsea Samson Anna Garcia Quentin Reuter Kevin Carr Puneet Mishra Zachary Yoneda Roy Zent Lillian Johnson Vasanth Sathiyakumar Silmon Ghebreyesus Michael Reyes Michael Casner David Moore Li Zhou John Zic Deepa Joshi Calvin Sheng Andrew Gordon Nicole Roberts Jason Chen Melissa Mueller Daniel Kashima Arnold Silverberg Phillip Gorrindo Carmen Rodriguez Tyffany Chen Rishi Naik Class of 2015 Rebecca Kasl Ciaran Smolinsky Kim Grelli Megan Ryan April Christensen Jill Neely Class of 2012 Patrick Kelly Kristin Stevens Calvin Gruss Nishma Sachedina Erin Ciampa Kathleen Nemer Carmen Adams David Amsalem Lucy Kennedy Matthew Stier Josh Gutierrez Sina Salehi Omran Katie Collins Natalie Nesmith Nneamaka Agochukwu Oluwaseun Arije Bharat Kilaru Kenneth Taubenslag Paul Hinchey Sarah Scott Jessica Cornett Van Nguyen Amil Allen Daniel Arteaga Shannon Koh Matthew Taussig Grace Ho David Shau Stephanie Couch Kathy Niu Gabriela Andrade Daniel Balikov Rosalynne Korman Diana Thiara Nina Hu Monique Simpson Jennifer Dang Baldeep Pabla Jennifer Andresen Kevin Bersell Chirag Kulahalli Robert Turer Neil Issar Priya Sivasubramaniam Ben Deschner Devin Patel Rachel Apple Nathaniel Bloodworth Gregory LaChaud Ato Wallace Karola Jering Shannon Skinner Stacey Doran Ravi Patel Jacob Ark Kelly Bouquet Travis Ladner Lu Wang Pawina Jiramongkolchai Nicholas Smith Carol Duh Klint Peebles Katie Ayers Jana Bregman Danielle LaMorte Kathleen Weber Rishin Kadakia Jessi Solomon Ryan Durk Michael Pelster Brian Barnett Vanessa Buie Richard Latuska Kelly Williamson Charissa Kahue Blair Stocks Brent Evans Laura Peterson Edem Binka Spencer Carter Margot Lazow Denise Ye Barry Kang Ilana Stol Anna Fahy Natalia Plotnikova Marissa Blanco Brian Cash Young Lee Emily Zern Natasha Kassim Daniel Sun Daniel Fishman Michael Poku Sarah Bourne In 2010, over 100 provider volunteers and over 500 student volunteers donated over 15,000 volunteer hours to Shade Tree Clinic and its programs. V OLU NTEERS Jeremy Chan Marguerite Lloyd Lilly Zhu Carmela Kiraly Matt Surdel Suzanne Fox Sarah Proffitt Nick Burjek Sean Chester Michael Maggart Yuantee Zhu Harish Krishnamoorthi Ariana Tabing Erin Fulchiero Maria Prom Daniela Buscariollo Sarah Coggins Jasia Mahdi Monica DaSilva Alexandra May Tyler Davis Anupam Kumar Pratik Talati Nick Giacalone Meera Reddy Michael Chi Haerin Lee Charles Terry Everett Gu Vishruth Reddy Chuks Chiaghana Benjamin McCormick Class of 2014 Will Lee Analise Thomas Scott Hagan Gretchen Roth Yash Choksi Matthew De Niear Ian McGuinness Anna Ahn Yan Li Dan Tilden Alison Hanson April Seay Ankeet Choxi Gadini Delisca Will McKenna Annie Ahn Michele Luhm Vigor James Tsahakis Amanda Harris Meredith Sellers Jacqueline Clauss Shyam Deshpande Monique McKiever Vignesh Alamanda Paula Marincola Uzoamaka Ugochukwu Laila Hassam-Malani Lara Seltz Emily Cooperstein Andrew Dornan Ashley Morgan Tiara Aldridge Irene Mathieu Bim Vacharathit Dana Hipp Tina Shah Sarah Deery Stephen Dorner Clinton Morgan Jon Andereck Scott McCall Carla Valenzuela Stephanie Hsu Craig Sheedy Sravan Dhulipala Stessie Dort Tejaswi Mudigonda Niki Arinze Richard McClure Prakash Vempati Aubrey Hunt Nakul Shekhawat Alia Durrani Magdalena Dorvil Bushra Mushtaq Laura Armstrong Matt McDonald Magarya Waitara Vanessa Hux Casey Shepherd Kimberly Edwards Adeline Dozois David Neblett Laura Ballenger Ryan McGrath Jonathan Wolfe Laurence James Ashley Simmons Daniel Eshaghian Hillary Drexler Matthew Ning Scott Beeler Catherine Meador Brian Wright Vanessa Johnson Michael Siuta David Eskind Sarah Eckhardt Mitchell Odom Elizabeth Berry Andrew Medvecz Andrew Wu Femi Kassim Lakshmi Sivarajan Dave Friedlander Gretchen Edwards Mobola Oyefule Jennifer Best Stephen Mendenhall Soo Ryum Yang Elliott Kim Enoch Sizto Ryan Fritz Cristina Farkas Trisha Pasricha Rachel Bloch Tyler Merceron Simeon King Michael Spinner Chris Fuchs Shanik Fernando Neelam Patel Isaac Chocron Elliot Min Michael Stockin Adrian Furman Chengwei Peng Javier Cifuentes Kelli Money Class of 2013 Katrina Korhonen Stephen Gadomski Pam Krajewski Michael Stoker Matthew Gartland Kelly Garcia Alejandro Perez Matthew Clark Abbie Necessary Katie Allen Katherine Kudyba Taylor Sundby Eryka Gayle Glynnis Garry Daniel Pipilas Jordan Cohen Brian Palmisano Andy Alsentzer Ryan Lang Maria Tamborski Kassatihun Gebre-Amlak Zain Gowani Daniel Pomerantz Alicia Cutillo Rachna Patel Tyler Armstrong Weston Langdon Brittany Taylor Justin Gregg Elizabeth Green Mike Powers Thomas Davis Marta Perez Natalie Ausborn Alana Lewis Laura Tortora Parker Gregg SHADE TREE CLINIC Nicole Hames Grace Shih Tanner Freeman Elizabeth Sullivan Denean Wells Milton Moore Nicholas Hackett Rimal Hanif Adam Shpigel Curtis Gabriel Crystan Van Meter Katie Wright Chenai Nettey Laura Harper Catie Hawley Kaartiga Sivanesan Britney Grayson Kristen Noble Lillian Johnson Dustin Hipp Jason Smith Brian Grieb Vanderbilt School of Nursing Meharry Medical College Osarumen Okunbor Shaun Kahler Blake Hooper Jenna Sopfe Shobhana Gupta Ashley Allen Tirsit Adane Sylvia Onyensoh Maneesh Kanal Emory Hsu Shannon Stallings Kate Gurba Elisa Barfoot Jessica Akunna Antoinette Otoo-Boameh Patra Katsigiannis Tendi Hungwe Jonathan Steer Kevin Ha Rebecca Beardsley Whitney Alston Carlos Pacheco Paul Knoll Clauss Jacqueline Billy Sullivan Alison Hanson Immaculata Bramlage Deepa Asokan Rebecca Pfaff Katie Lee Christine Kirlew Merina Thomas Indriati Hood Mary Coleman Richard Benson Rosalyn Pillow Kaleigh Lwin Stephen Kappa Alex Thurman Aubrey Hunt Janeen Cook Danielle Berry Emerald Screws Tiara Mahoney Joe Knadler Erin Toaz Walter Jermakowicz Chelsea Everley Kevin Blythe Alyssa Small Monique Marshall Peter Knowlton Artour Torossian Jacob Kaufman Amanda Fitch Whitney Boon Eni Smith Lauren Martin Daniel Koehler Stephen Tourjee Byron Knowles Kara Fur Brittany Burns Micheca St. Hilaire Will Matloff Kelly Kohorst Aaron Tustin Caroline Lai Emilie Garcia Antwon Chavis Earl Stewart Eric 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the most dramatic, most inspirational, and Neelam Patel most unexpected success stories of the medical school. “ S C O T T R O D G E R S , M . D . , A S S O C I AT E D E A N V OLU NTEERS Shannon McConnaughey Matthew Zackoff Rachel Reinert Sarah McCullough Christina Hardaway Mary Beth Booker Tara Ramaswamy Mistry Mistry Scott Zuckerman Jennifer Rosenbluth Sarah McKinley KeVan Harris Tracy Branding Patrick Roth Ryan Moore Katie Ryan Lindy Mason Maya Hills Alexandra Byrne Robert Rutherford Conrad Myler MSTP Students Jennifer Rymer Annie Moore Christopher Hom Kelsey Caffy Tommy Saborido Niraj Nathan Omo Aisagbonhi Fyza Shaikh Sarah Murton Alana Hughes Bryan Cawthon Nida Safdar Nathan O’Brien Eric Armour Angela Shields Amanda Noblett Candy Ideozu Meghana Chalasani Marion Sauer Rejoice Opara Jeffrey Bennett Michael Siuta Joseph Ojibway Joy Iguobadia Lindsay Chatfield Elizabeth Shields Fernando Ovalle Mica Bergman Rafal Sobota Jamie Pickering Nwakaego Inyamah Priya Chaturvedi Aeron Small Anita Pai Magda Bokiej Christina Speirs Lauren Powers Rochelle Jagdeo Patrick Cleeton Mary Ellen Smith Ravi Parikh Carrie Buchanan Jarred Tanksley Jennifer Prager Anderson Janelle Scott Coppel Melanie Spector Samit Patrawala Michael Burns Thuy Tran Angela Quinn Andrei Javier Reaves Crabtree Christa Szabo Alon Peltz Courtney Campbell Obi Umunakwe Heather Reed Keyonna Jenkins Yan Cui Estzer Szentirmai Daniel Pennington Frances Cheng Jacob VanHouten Annie Richards DeOnna Johnson Anna Das Ruben Tavakalov Sabrina Poon Erin Ciampa Nichelle Winters Alicia Sattler Khaisha Johnson Douglas Denniston Jason Theobald Joe Real Megan Culler Danielle Smith Claudine Jones Kim Dierkes Rachel Townzen Jamie Robinson Gus Davis Nutrition Care Planners: Stefanie Stafford Erica Judge Julie Dunlap Sneha Venkatraman Rachel Ruiz Benjamin Dean Kristen Lazaroff Samatha Stearns Jenny Le Erica Eggers Gerald Wakefield Mozzy Saboori Elizabeth Dong Sarah Lewis Heather Stone Ricardo Lugo Aladine Elsamadicy Suzanne Ward Carla Sandler Katy Eby Lisa MacPherson Danielle Stuart Christina Marbrey Erin Fahey John Williams Asmitha Sathiyakumar Kristen Eckstrand Stacy Rahat Melissa Troncale Brittany McCowan Amina Farooq Thomas Williams Alexandra Schmidt John Erickson Bekah Regenfuss Jordan Vaughan Chantal Mendes Catherine Garvey Austin Woolard Rachael Schulte Stephanie Flavin Tracie Rohal Heather Whaley Dalia Moghazy Preiyaa Gopinath Min hui Xie Cameron Schlegel Aliya Frederick Jillian Scott Katherine Waldrop Idoreyin Montague Nicole Gunasekera Shuai Yuan Shade Tree Clinic, 2011-2012 www.ShadeTreeClinic.org Produced by Vanderbilt University Medical Center, Creative Services Design: Louis LaPrad and Deborah Doyle Copy Editing: Will Ayers Photography: Mary Donaldson, John Russell and Dana Thomas Vanderbilt University is committed to principles of equal opportunity and affirmative action. “Vanderbilt” and the Vanderbilt logo are registered trademarks and service marks of Vanderbilt University. 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