2014 Family Medicine Cares Resident Service Award

About the Service Project

UCLA family medicine residents Isa Barth-Rogers, MD, MPH, and Yelba Castellon-Lopez, MD, through their project titled, "Pintando un Futuro mas Brillante/Painting a Brighter Future," successfully developed and implemented an immersion health education program for Latina patients with co-morbid type 2 diabetes mellitus and depression.

Outcomes

In their final report, submitted in July 2015, Drs. Barth-Rogers and Castellon-Lopez summarized the following outcomes:

  • Residents and students collaborated to create a standardized curriculum for diabetes group visits (DVG) containing a six-session series with an educational focus and patient discussion for each visit.
  • Peer to peer mentors were added to the DGV as the project gained momentum. Peer mentors (past participants of the DGV) were trained and incorporated to enhance social support.
  • A partnership was formed with a local non-profit, Valley Care Consortium, that provided technical support during the DGV and provided a separate education component in the form of a cooking class.
  • Although not statistically significant, there was an overall trend toward lower A1c levels in those who received peer support.
  • Patient-reported outcomes showed improvements with peer support including measures of social support, diabetes distress and quality of life.
  • The diabetes/depression group visit was formally incorporated into the existing resident curriculum by including it in the Community Health clinical rotation.

Dr. Mavrinac, faculty co-mentor, said, "The group visit allowed residents to unite and work toward a common goal." Drs. Lopez and Rogers conclude, "In retrospect, the service project facilitated the formation of a community of residents, patients, providers and other team members who demonstrated they could work together to improve the well-being of patients with a great need."

Service Project Partners

  • Mid Valley Comprehensive Health Center (MV CHC): Pintando Un Futuro Mas Brillante was offered at Mid Valley Comprehensive Health Center (MV CHC), the largest of four Los Angeles County Department of Health Services (LAC DHS) clinics in the Los Angeles County Service Planning Area-2. This public county medical clinic serves a low-income, underinsured, underserved population of immigrants and working poor in the San Fernando Valley. The Family Medicine clinic at MV CHC is operated by the UCLA Department of Family Medicine, representing a partnership between UCLA and the LAC DHS that provides a valuable medical home for individuals in the community, and supports resident training working with underserved patients in a low-resource setting.

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