2015 Family Medicine Cares Resident Service Award

About the Service Project

The 2015 Family Medicine Cares Resident Service Award, announced on April 17, 2015, was awarded to Christina Miller, MD, and Stewart Wilkey, DO, residents at the Loma Linda Family and Preventive Medicine Residency (LLFPMR), for their "Lifestyle is Medicine" service project.

The Lifestyle is Medicine service project includes the development of resident training tools, regular scheduling of residents in the Cornerstone Community Health Free Clinic for the purpose of Lifestyle Visits, and use of devices that monitor objective outcomes so patients can take charge of their health and track their own goals.

Outcomes

In their final report, submitted in July 2016, Drs. Christina Miller and Stewart Wilkey summarized the following outcomes:

  • Processes from the "Lifestyle is Medicine" service project are ingrained into the flow and culture of the Cornerstone Community Health (CCH) Free Clinic.
  • Provider training, protocols for counseling and durable resources for patients were developed and successfully implemented.
  • Post-life style screening interventions results:
    • 96% of all patients screened (70% increase).
    • 74% Free Clinic patients reporting exercising in last 7 days (19% increase)
    • 44% of patients reported smoking (16% decrease)
    • Patients reported improved confidence that they can change their lives for the better
    • Instilled pre-medical and medical trainees with competencies in preventive medicine
  • Established a team of Family Medicine faculty deeply involved in clinic supervison on-site every week, which will help with long-term sustainability of the project and clinic services.
  • Local food pantry donated $1,000 in grocery store gift cards for patients completing lifestyle goals.
  • Local FQHC donated $500 to help with ongoing medication needs.
  • CCH Free Clinic plans to expand to an additional location one night of the week and will bring lifestyle training to help an entirely new population of patients using a $10,000 grant from the Kaiser Foundation for 2016-17 titled Expanding Prevention.

Service Project Partners

Through these partnerships, the unmet lifestyle needs of Cornerstone Community Health Free Clinic patients will be addressed while simultaneously improving resident training.

  • The Cornerstone Community Health Free Clinic, incorporated and administered by Family Medicine residents, opened its doors in January 2014. The clinic was a 2014 Family Medicine Cares USA grant recipient.
  • The Loma Linda Family and Preventive Medicine Residency (LLFPRM) provides at least six months of smoking cessation, weight loss training, and motivational interviewing to their students. The LLFPMR faculty has agreed to schedule residents weekly in the free clinic, and filled the position of Resident Lifestyle Champion, a unique leadership role which will be appointed annually to ensure sustainability of the residency’s commitment to lifestyle medicine.
  • Both the classic Family Medicine Residency Program and the Preventive Medicine Residency Program of Loma Linda have agreed to help facilitate and support this project.

 

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