Nancy Lapolla, MPH
President
Fr. Jon-Stephen Hedges, CTR, EMT-B
Vice-president
Jason Prystowsky, MD, MPH
Medical director
Laura Polito, MD
Medical director, street medicine teams
Stephanie Durfor, RN, MSN, PHN
Medical director, women’s free homeless clinic
Marguerite Sanchez
Treasurer
Paul Jaconette
Secretary
David Lennon MD
Board member
Noemi “Mimi” Doohan, MD, PHD
Founder
The 7th Annual UCSB Underserved Medicine Seminar
Winter 2014
Woch nan dlo pa konnen dole wachnon sole
"The rock in the water does not know the pain of the rock in the sun" – Haitian Proverb
The Underserved Medicine Seminar is one of the programs of Doctors Without Walls-Santa Barbara Street Medicine
(DWW-SBSM). This class, like all of the work of DWW-SBSM, is a collaborative and volunteer effort. None of our speakers
are accepting honorariums or any financial rewards to participate in teaching this class. They have all volunteered their
time and come to UCSB at their own expense to share with you because they are passionate about caring for the
underserved and about educating the next generation of humanitarian healers. DWW-SBSM is a grassroots volunteer
organization and the teaching of this seminar is consistent with the values of the sponsoring organization. To learn more
about DWW-SBSM programs, please visit www.santabarbarastreetmedicine.org.
Students at UCSB love the Underserved Medicine Seminar and are inspired by it to do amazing volunteer work locally
and beyond. Dialogue should never be confined within the walls of academia. To effectively serve the most vulnerable
and marginalized requires dialectic and creative problem solving between academic scholars and the men and women in
the field with proximity to the beneficiaries. Thus we welcome members of the community and UCSB faculty/staff to
attend the class alongside the enrolled students to discuss the issues critically. We encourage members of the local
humanitarian community to include students in their work and for students to engage members of the community in
discussion.
PO Box 3751, Santa Barbara, CA 93130  Phone: (805) 722-2234  Fax: (805) 692-2676
info@santabarbarastreetmedicine.org  www.santabarbarastreetmedicine.org
Course Description
Using service and problem-based learning methodologies, the seminar explores unique medical needs of vulnerable,
underserved populations internationally and locally. Guest speakers discuss topics ranging refuge health, homelessness,
humanitarian aid in conflict zones, care of military veterans, global health development, care of migrant farm workers, and
more.
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Mimi Doohan, MD, PhD is the founder and visionary of the course and of DWW-SBSM.
DWW-SBSM is the community sponsor of this course.
The large lecture hall at UCSB is equipped with multimedia capability and seats 200. Guests from the community are
encouraged to attend the lecture and participate in the class discussion.
The textbook, Medical Management of Vulnerable and Underserved Patients: Principles, Practice, and Populations, T
King, M Wheeler, A Fernandez, D Schillinger, A Bindman, K Grrumbach, T Villela, et. al., McGraw-Hill, 2006, is optional
but highly recommended.
Core topics to be discussed in this course are:
o Care for the homeless
o Humanitarian aid in conflict zones and refuge health
o Global health development and sustainable capacity building
o Care for migrant farm workers and working poor
o Care for military veterans
o Care of Native Americans and ethnic minorities
o Care for mentally ill and substance abuse
o Health care policy and population approaches to health
o Poverty and the relationship to poor health
o Care for those affected by disaster
o Role of interdisciplinary approaches to health
o Ethics in global health, public health, and humanitarian medicine
o Role of nutrition and social determinants of health
o Advocacy and addressing issues of social justice in health
Lectures and Discussion Sections
 This class will take place Tuesdays from 6-8:30pm, during Winter Quarter at UCSB, with a one hour small group
discussion Wednesday afternoons at 2pm, 3pm, and 4pm.
 The Tuesday lectures will take place on the UCSB campus, in Broida Hall 1610. The Wednesday discussion sections are
located in Psych 1924 (2pm and 3pm) and Phelps 1160 (4pm).
 Attendance for enrolled students is mandatory. This is a pass/no pass seminar. You may miss one class and one
discussion. If you miss a second lecture and second discussion, you will need to meet with the coordinator to discuss
make-up opportunities. There are no exams or papers for this class. Opportunities to excuse absences will be
announced in class periodically. Auditors are always welcome.
 Please get to class on time. The lectures are open to the community and the seats fill up fast and will start sharply at
6pm.
Office Hours
 The course coordinator is Jason Prystowsky, MD, MPH. His office hours will be Tuesdays, 4:00 to 5:45pm at Nicoletti’s
in the UCEN, or by appointment. He can be reached by email jprysto@gmail.com
Contact Information
 The course has a Facebook page open to the public: “UCSB Underserved Medicine Course” where various articles,
volunteer opportunities, and discussion forums may take place.
 For additional questions you can email either TA, DWW-SBSM communications team student leader Paul Gill
(kpsg618@gmail.com) or DWW-SBSM communications team intern Sean Nguyen (seannguyen94@gmail.com).
Winter 2014: Underserved Medicine Seminar at UCSB
January 7:
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January 14:
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January 21:
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January 28:
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February 4:
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Introduction to Humanitarian Medicine and Social Justice Advocacy
Without Borders/Without Walls – Global and Local Principles of Emergency Humanitarian Medicine and
Infrastructure Development; Lessons Learned from Caring for Populations Displaced by War and Poverty
Jason Prystowsky, MD, MPH, UCSB Underserved Medicine Seminar Coordinator, Emergency Physician Santa
Barbara Cottage Hospital, Medical Director Doctors Without Walls – Santa Barbara Street Medicine, Association
Member Medicins Sans Frontieres/Doctors Without Borders (www.santabarbarastreetmedicine.org)
(https://www.doctorswithoutborders.org/)
Wednesday discussion
Santa Barbara County Common Ground (http://www.commongroundsb.org/)
Jeff Shaffer, Claudia Lopez, Emily Allen JD
Improving the quality of health through compassion and economic empowerment
Micro-to-Macro: Community-based Approaches to Systemic Change
Vijaya Thakur, Founder and Executive Director, Resolve Network (http://www.resolvenetwork.org)
The Medicine of Compassion: Four Core Skills for the Human Side of Health Care
Simon Fox, Executive Director, Adventures in Caring Foundation (http://www.adventuresincaring.org/)
Wednesday discussion
Jeff Bochsler, Home Loan Manager, Medallion Mortgage LLC, author of book Be Multinational
(http://www.bemultinational.com/)
Understanding Healthcare Policy
Health Policy and Health Care Reform
Paul Jaconette MPH, Chief Operating Officer, CenCal Health, Secretary DWW-SBSM
(http://www.cencalhealth.org/)
Issues surrounding California Health Care Policy
Das Williams MESM, California State Assembly 37th district, Santa Barbara and Ventura County
(www.asm.ca.gov/williams)
Wednesday discussion
Paul Jaconette MPH
Working with the Homeless
Reflections from the Streets of Boston: Lessons Learned over the Past 25 Years
James O’Connell, MD, President Boston Health Care for the Homeless Program, Department of Medicine
Massachusetts General Hospital (http://www.bhchp.org/)
Homeless Healthcare in Santa Clara County: How an Integrated Healthcare Team Provides Service to a
Vulnerable Homeless Population
Janet Kohl RN, RN Coordinator for Valley Homeless Healthcare Program
Wednesday discussion
UCSB Street Health Outreach (https://www.facebook.com/groups/10808867231/)
Kerina Yao, Amy Mandell, Cameron Fisher, Michael Robinson, Ellise Fallon
Poverty and Promoting Health in Resource Poor Environments
Taking Care to Women and Newborns; Community Based Interventions to Reduce Mortality in Africa and Asia
Harshad Sanghvi MD, Vice president of innovations and medical director Jhpiego, Johns Hopkins University
(http://www.jhpiego.org/)
H.E.L.P. to H.E.A.L.: A Specialist’s Journey in Developing a Federally Qualified Healthcare Center
Charles Moore MD, CEO, Founder HEALing Community Center, Co-Director Urban Health Initiative at Grady,
Associate Professor, Emory Healthcare, (http://www.healingourcommunities.org/)
Wednesday discussion
Outreach, Mental Illness and Substance Abuse (www.santabarbarastreetmedicine.org)
David Hopkins, Jennifer Ferreaz LCSW
Winter 2014: Underserved Medicine Seminar at UCSB
February 11:
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February 18:
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February 25:
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March 4:
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March 11:
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Public Health and Street Medicine
Foundations of Public Health
Takashi Wada, MD, MPH, Director and Health Officer, Santa Barbara County Public Health Department
(http://www.countyofsb.org/phd/)
Seeing Things From the Outside: The Origins of Street Medicine
James Withers, MD, Founder Operation Safety Net, Founder International Street Medicine Institute, Pittsburgh
Mercy Health System (http://www.streetmedicine.org)
Wednesday discussion
Santa Barbara Planned Parenthood, (http://www.plannedparenthood.org/ppsbvslo/)
Kati Kenner, Patient Services Assistant, Lynn Reagan, Certified Nurse Midwife NP
Social Determinants of Health and Fragile Populations in Disaster
The Katrina Event: Perspective and Lessons Learned from and Emergency Physician
Brett Wilson II MD, emergency physician Santa Barbara Cottage Hospital
Evaluating Programs that Address the Social Determinants of Health in Underserved Communities
Cyleste C. Collins, Ph.D., Senior Research Associate, Center on Urban Poverty and Community Development,
Mandel School of Applied Social Sciences, Case Western Reserve University (http://povertycenter.cwru.edu/),
(http://kresge.org/funding/grant-highlights/grants/category/173)
Wednesday discussion
Disaster Logistics and Direct Relief (http://www.directrelief.org/)
Andrew MacCalla, Emergency Response Manager Direct Relief
Osteopathic Medicine and Strained Safety Nets
Primary Care of the Medically Indigent in Los Angeles County Emergency Departments
Matthew Waxman, MD, FACEP, DTM&H, Associate Residency Director, ULCA/Olive View-UCLA Emergency
Medicine Residency Program, Assistant Professor of Medicine David Geffen School of Medicine at UCLA
International DO; an Osteopathic Physician’s Journey
Sara Lary DO, DTM&H, MSc
Wednesday discussion
DWW-SBSM Women’s Free Homeless Clinic (http://santabarbarastreetmedicine.org/clinics/womens-clinic/)
Stephanie Durfor RN, MSN, PHN, Nicole Greenwood RN, Jorie Nilson FNP
Native American Health and Wounded Warriors
How I Became a Doctor, My Work in Indian Health
John Tveten, MD, Emergency Physician, Hopi Reservation
Coming Home: A look at returning to civilian life for combat veterans and their families
Kim Evans LMFT, military spouse, military411.org, www.facebook.com/venturacountymilitarycollaborative
Wednesday discussion
Healthcare in Liberia and Nepal
Noah Levitt MD, Emergency Physician, Santa Barbara Cottage Hospital
Care of Undocumented Immigrants and Bearing Witness
Ay, Doctora! Medicine at the U.S./Mexico Border
Julie Sierra, MD, Internal Medicine, San Ysidro Health Center
Words are the Most Powerful Weapons
Paul Rusesabagina, President and Founder of the Hotel Rwanda Rusesabagina Foundation
(www.hrrfoundation.org)
Wednesday discussion
Final Reflections
Jason Prystowsky, MD, MPH