grant application new clinics - aafp …...these founding members worked with texas cbar, a...

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FMC USA New Clinic Grant Application 1 | P a g e

Application Date: September 15, 2017

Opening Date: Grand Opening Jan/Feb 2018

Amount Requested: $24,500

Eligibility check list

Clinic Services are provided at no cost (100% free) to the patient ☒Yes ☐No We have completed (or are in the process of completing) the Volunteers in Medicine (VIM) development process

☒Yes ☐No

The Family Physician named in this application is a member of the AAFP

☒Yes ☐No

1. CONTACT INFORMATION

a. Clinic

Name: Salud Sin Fronteras Student Run Free Clinic

Address:201 E 9th Ave, El Paso TX 79901 (Physical) 9849 Kenworthy St, El Paso TX 79924 (Mailing)

Telephone #: 915-215-4665 Fax #:N/A

Website address: N/A (in progress) Email: [email protected]

b. Primary Contact

Name: Tracy Leonard Title: Clinic Coordinator

Telephone #: 915-215-4665 Email: [email protected]

c. Family Physician (FP) Champion

Name: Charmaine Martin, MD AAFP Membership ID #:0027815

Cell (or best contact #): 915-123-1234 Email: [email protected]

Is the FP applicant:

The medical director of the clinic? The board president of the organization? An active volunteer providing medical services?

☒Yes ☐No ☒Yes ☐No ☒Yes ☐No

GRANT APPLICATION NEW CLINICS

Submission deadline: September 15, 2017

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Please describe or provide examples of the FP applicant’s leadership role and involvement in the clinic. Charmaine Martin, MD is the founding Medical Director and President of the Board for the Salud Sin Fronteras Student Run Free Clinic. She oversees volunteer physician recruitment, patient care, and medical student education. She volunteers at the clinic approximately 15-20 hours a month. She is an Associate Professor of Family and Community Health, Director of Medical Student Education, and Clerkship Director at the Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center at El Paso.

2. CLINIC OVERVIEW (Please provide brief descriptions for each section below. Support your descriptions by including in the appendices documentation such as an organizational chart, list of board members and their affiliation, summarized business plan etc.)

PLEASE DESCRIBE THE FOLLOWING:

a. Geographic area(s) and patient population served and estimated hours of operation.

The Salud Sin Fronteras Student Run Free Clinic (SSFSRFC) is located in the Segundo

Barrio neighborhood of El Paso, TX 79901, residing within the Centro de los Trabajadores

Agricolas Fronterizos – Center for Migrant Farmworkers.

Within the 79901 ZIP code, 95% of the 11,328 residents identify themselves as Hispanic or

Latino (United States Census Bureau, 2010b). Approximately 21% walk to their workplace

and 19% use public transportation. Moreover, 5.5% of residents in this ZIP code work in the

agriculture, forestry, fishing and hunting, and mining industries (United States Census

Bureau, 2015b). The median household income is $14,019. Regarding insurance rates

among individuals 18-64 years old, for those in the active labor force, only 31% reported

having health insurance coverage; among those unemployed, only 20% had coverage, and

for those not in the labor force, 64% reported having health insurance (United States

Census Bureau, 2015b). According to the City of El Paso Department of Public Health, this

ZIP code has a Community Need Index (CNI) of 5. CNI is measured on a scale from one to

five, five being a ZIP code with the most socio-economic barriers on the scale. Such

barriers, which influence the health of a population, were related to income, education,

health insurance coverage, housing, culture and language (City of El Paso Department of

Public Health, 2013).

Currently the clinic focuses on serving migrant farmworkers staying at the Centro de los

Trabajadores Fronterizos Center, however, the goal is to open up to the surrounding

neighborhood as a fully functioning community clinic. Hours of operation reflect the needs

of our current patient population, running from 6pm to 9pm, the first 3 Thursdays of the

month. These hours will expand with the growth of our clinic.

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Farmworker Information: Current patients are migrant farmworkers that use the Centro de

los Trabajadores Agricolas Fronterizos Center as a temporary shelter. The U.S.

Department of Labor defines migrant farmworkers as a farmworker who travels to the job

site so that the farmworker is not reasonably able to return to his/her permanent residence

within the same day. Moreover, seasonal farmworkers are defined as an individual who is

employed, or was employed in the past 12 months, in farm work of a seasonal or other

temporary nature and is not required to be absent overnight from his/her permanent place

of resident.

There are approximately 2-3 million migrant and seasonal farmworkers in the United States

(Farmworker Justice & The National Center for Farmworker Health, 2015). Specifically in

the Southwest border region, there are an estimated 5,000-12,000 farmworkers working on

chili, onion, cotton, lettuce, and pecan crops (Weiger, MM, et al., 2007). The National

Agricultural Worker’s Survey (NAWS) indicate that the Southwest region (which includes

Texas, New Mexico, Arizona, and Oklahoma) has the highest proportion of middle aged

and elderly migrant and seasonal farmworkers (United States Department of Labor, NAWS

1989-2014). Most farmworkers are not born in the United States; 64% of them are born in

Mexico (National Center for Farmworker Health, Inc., 2016). Similarly, 90% of farmworkers

reported reading or speaking little to no English (New York State Department of Health et

al., 2007). About 25% of farmworkers reported completing grades 10-12 and have an

average yearly income of $15,000-17,499 (National Center for Farmworker Health, Inc.,

2016). In terms of healthcare expenditure by the farmworkers, about 60% reported using

health care services in the United States within the last two years, and 80% reported

accessing services in a country other than the United States; receiving care in the private

sector and paying out of pocket for medical expenses (Farmworker Justice & The National

Center for Farmworker Health, 2015).

b. Organizational/governing structure.

Currently there are three members that make up the Salud Sin Fronteras Board of

Directors. These founding members worked with Texas Cbar, a nonprofit pro-bono

organization that provides legal counsel to up and coming nonprofits in Texas, to complete

all required documents and applications to file for 501(c)(3) status. Under the

recommendation of Texas Cbar, the Salud Sin Fronteras organization is starting out with

only three Board Members, and will add additional members as the organization grows.

Currently, Charmaine Martin, MD serves as President and acting Medical Director; Tracy

Leonard, BA serves as Vice President and Secretary, and Justin Hartmann, BA, BS serves

as Treasurer (See attached Appendix A for organizational chart).

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c. Sustainability plan.

Future fundraising efforts include both small and large-scale endeavors. Through the

fundraising and Grant Writing committee, quarterly fundraising events will be scheduled to

secure a budget to sustain medical supplies like test cartridges for the i-STAT blood

analyzer, Cholestech Cholesterol analyzer, and A1C machines. These funds will also allow

for the purchase and replenishment of other common medical supplies. The clinic is

working on creating a fund through private donations to aid in prescription assistance for

patients. Leadership is currently pursuing additional grant funding opportunities through

various foundations and organizations such as the El Paso Foundation, Paso Del Norte

health Foundation, The Josiah Macy Jr. Foundation and the Robert Wood Johnson

Foundation. Community collaborations with the El Paso Medical Society and the El Paso

Department of Health will help to open new avenues of future funding as well. Students are

also working on completing a grant application through the Texas Medical Association and

their ‘Be Wise. Immunization’ initiative to secure vaccinations and immunizations for

patients. (See Appendix B for complete Business Sustainability Plan).

d. Collaborative efforts with community organizations

Throughout the organizing process of the clinic, one of the greatest collaborations has been

with the local medical school, the Paul L. Foster School of Medicine (PLFSOM). Although

the SSFSRFC is legally a separate entity from the medical school, the majority of

volunteers are medical students and faculty physicians within the school. This collaboration

has led to free clinic publicity and volunteer outreach. It has also led to numerous donations

of basic medical supplies from PLFSOM programs, as well as from community physicians

who are familiar with the school and medical students.

The Centro de los Trabajadores Agricolas Fronterizos Center was established in 1983, by

Carlos and Alicia Marentes, with the purpose of helping farmworkers to empower

themselves while providing safe shelter. The center is now under the umbrella of the

Opportunity Center for the Homeless (OCH), which allows for more community involvement

with the center, as well as financial aid through the City of El Paso and State of Texas. The

SSFSRFC has a well-established relationship with the center and the OCH Directors, which

allows for the clinic to exist within the center free – eliminating overhead expenses such as

rent, utilities, etc.

The SSFSRFC’s leadership team has started collaborating with the Associate Dean of the

University of Texas at El Paso (UTEP)’s School of Social Work in order to bridge possible

gaps in patient care with the use of social work students completing their required

community health rotations at the clinic. This collaboration is intended to help the

farmworkers and members of the surrounding community gain greater access to social

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service resources. Other upcoming institutional collaborations include UTEP’s School of

Pharmacy and the Gayle Greve Hunt School of Nursing. This will create a more realistic

picture of the interdisciplinary aspects of healthcare the clinic wants to instill in the

volunteers. A recent collaborative effort with the West Texas Area Health Education Center

(AHEC) has been established. AHEC focuses on introducing and developing healthcare

interests with area K-12 students and undergraduates. Undergraduate students (Collegiate

Double T program) will have the opportunity to train and volunteer at the SSFSRFC as

Patient Navigators.

Medical student volunteers within the clinic have been working closely with the El Paso

Department of Health in order to maintain proper disease testing and prevention. Currently,

the focus is on tuberculosis screening and education, as migrant farmworkers are a

particularly vulnerable population for this disease.

Since the inception of the SSFSRFC, volunteers have partnered with attorneys from New

Mexico Legal Aid. Molly Graver, Staff Attorney and Project Coordinator for the Migrant

Farmworker Program, has provided educational workshops for clinic volunteers on the legal

barriers migrant farmworkers face in regards to matters that connect with their medical

needs. Currently, Molly Graver and the clinic’s coordinator have begun the process of

creating a Medical Legal Partnership. Other legal community collaborations include Texas

CBAR and their Pro Bono Legal Referral Program for up and coming nonprofits, and the

New Mexico Center on Law and Poverty.

Virginia Priego was first introduced to the SSFSRFC while completing her Master’s

program internship with the Centro de los Trabajadores Agricolas Fronterizos Center.

Inspired by the clinic’s potential, she became a volunteer and student educator with the

organization after completing her MSW. She has since assisted patients with insurance,

social security, housing, prescription assistance, and even educational assistance. Through

Mrs. Priego’s initiative, the clinic has become a certified “EyeCare America” location, which

permits patient referrals for free eye exam and cataract surgeries for patients. Moreover,

under the guidance of the Medical Director and Clinic Coordinator, Mrs. Priego has begun

developing a patient advocacy curriculum for student and physician volunteers.

e. Residents, medical students and/or retired family physicians. Will Family Medicine residents, medical students or retired family physicians be involved as volunteers? ☒Yes ☐No

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Estimated # of volunteers per month:

Residents:2 Medical Students: 35

Volunteer Physicians: 4

Retired Physicians: 0

Other:Social Worker – 1, Coordinator – 1, Nurse Educator – 1, Patient Navigators (undergrad students) – 3,

If applicable, please describe how you perceive each will be involved:

Patient Navigators are undergraduate students with the AHEC Program. They will handle patient intake and registration paperwork, as well as guide patients throughout the clinic. They will check for understanding after patient exams and assist with translation and health education as needed.

Medical students are assigned to clinical teams and scheduled monthly clinical rotations. Within a team there will be a blend of students in the various stages of their medical education (MS1-MS4). They will provide patient care under the supervision of an Attending Physician. Once the clinic’s lab is set up, they will also be trained on all equipment and run the lab.

Medical Residents will act as ‘clinic chiefs’, managing the flow of the clinic and assisting medical students throughout patient care. They will also assist the Attendings in student education.

Volunteer physicians will serve as supervising Attendings – signing off on all patient charts and care, prescribing medication as needed, and completing medical education training for student volunteers.

Retired Physicians are currently being recruited.

The Clinic Coordinator will manage the administrative side of the clinic – paperwork, creating policies, scheduling volunteers, community outreach, etc., during and beyond the scope of clinic nights.

The social worker will assist in connecting patients with services, benefits and programs available to them. She will work closely with the Attendings in order to fill any gaps in patient care. The SW will also create a patient advocacy curriculum for student education.

Nurse Educator will assist with student education and patient care during clinic nights. As the collaboration with the Gayle Greve Hunt School of Nursing comes together, the Nurse Educator will be responsible for nursing student education and direct their patient care.

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f. Will you have or are you forming partnerships/collaborations with hospitals,residency programs or medical schools, AAFP Chapters/Chapter Foundations? ☒Yes ☐ No

If yes, please describe the relationship: Currently, the SSFSRFC is primarily staffed with physician and student volunteers from the PLFSOM, which is an AAFP Chapter. Clinic leadership is in the process of additional collaborations with area institutions to further the growth and sustainability of the project. Although there are currently only two family medicine residents volunteering at clinic, leadership is reaching out to the Residency Director to include more participants. Eventually, the goal is to create a collaboration with all primary care residency programs within the PLFSOM. The SSFSRFC is also working on partnerships with the TTUHSC Gayle Greve Hunt School of Nursing, as well as the UTEP School of Social Work and School of Pharmacy. Click here to enter text.

3. BUDGET DETAIL (Please note this grant is intended to be used to purchase durable,sustainable equipment and instruments necessary for diagnosis and treatment.)

Items Estimated Cost*

1 Exam Room (e.g., exam table, exam lamp, revolving stool, scales etc.) N/A N/A Enter Sub-total $0

2 Instruments & Equipment (e.g., stethoscope, otoscope, thermometer, penlight etc.) ECG/EKG Analyzer $2,500 Portable B/W Ultrasound $5,500 Temporal Thermometer (2) $500

Sub-total $8,5003 Laboratory Equipment (e.g., microscope, centrifuge, timers,

HbA1c machine etc.) i-Stat Handheld Blood Analyzer Kit $13,000 Cholestech LDX Cholesterol Analyzer $2,500 Enter Sub-total $15,500

4 Start-up Supplies for Equipment (e.g., accu check strips, lancets, otoscope speculums, gloves, disposable probe covers etc.)

*(Limit $ 500)

Chem8 i-Stat test cartridges (50) $500 Enter Sub-total $500

5 Software/equipment for EHR: SpecifyN/A N/A Enter Sub-total $0

6 Other durable items not listed above. Specify N/A

Sub-total $0TOTAL AMOUNT REQUESTED $24,500

*Estimated costs rounded to the nearest dollar not to exceed $25,000

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*Start-up disposable supplies: Please explain how the supplies will be sustained beyond this start-up allotment. The ‘Start-Up disposable supplies’ listed above are test cartridges for the i-Stat Blood Analyzer. The SSFSRFC has previously held small scale local fundraisers to create a fund for the recurring cost of such supplies. The fundraising efforts noted in our sustainability plan will allow for the purchase and replenishment of additional supplies. The clinic has a committee solely focused on fundraising, which will continue efforts in planning quarterly fundraising events, solicit private donations, and pursue additional grant funding opportunities to add to this fund, thus enabling and establishing a sustainable budget for disposable lab supplies.

Please describe how the items requested will be used to enhance care and benefit the patients in your service area. Currently, the SSFSRFC operates and provides preliminary or basic primary care services to its patients. Securing financial assistance to purchase the lab equipment and supplies in the budget above will significantly increase the standard of care the SSFSRFC provides patients.

The i-Stat Blood Analyzer will allow students and physicians to establish baselines for renal and hepatic functions, thus leading to safely prescribing medications. The current patient population has an increased risk for Diabetes Mellitus – blood analysis will allow for clinical teams to assess patients’ level of control. The i-Stat Blood Analyzer system will allow clinicians and students to provide onsite, rapid and reliable testing necessary for patients due to the limitations imposed by the demands of their daily lives. Due to a lack of convenient transportation and financial resources, patients will have access to in house lab testing that would be inaccessible to them otherwise. Having the ability to check levels and establish baselines for patients with the Cholestech Cholesterol Analyzer will allow students and clinicians to safely diagnose, prescribe, and create a treatment plan for patients.

Similarly, access to an EKG machine will allow for a more thorough investigation of relatively common presentations in the patient population. The ability to perform EKGs will expand the clinic’s capabilities to screen for issues that might otherwise go unnoticed until they become emergent, and cause significant disruption in the lives of patients.

Due to the migrant farmworker’s nature of work, one of the top three chief complaints is musculoskeletal injury and pain. This population is more at risk for sprains, strains, back, knee and shoulder pains. Having a portable ultrasound machine will allow for the screening of various MSK issues such as osteoarthritis, degenerative joint disease, and overuse. The SSFSRFC will be partnering with Texas Tech University Health Sciences Center El Paso’s Sports Medicine team for ultrasound training and insight to physical therapy.

In short, having in-house laboratory equipment will allow patients to take more ownership in their health and provide them with a tangible perspective of their disease. This laboratory testing equipment will allow volunteer clinicians the ability to safely prescribe medications.

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In the event a grant is awarded to support this application, the applicant and applicant organization/institution agree to adhere to all award conditions specified by the AAFP Foundation as outlined in the guidelines, which accompany this application.

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Clinic Name Date

Signature of Family Physician Champion

5. Applicant Agreement

The completed application must be typed and sent electronically to Sharon Hunt at shuntaafp.org or faxed to 913-906-6095.

Be sure to attach the following: 0 Two letters of support El Summarized business/sustainability plan 0 A list of board members and their affiliations fl Organizational/governing structure flow chart

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FMC USA New Clinic Grant Application 8I99

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Typewritten Text

Appendix A. Clinic Organizational Chart

Appendix B. Business Plan

1

Business Sustainability Plan

Salud Sin Fronteras

Student Run Free Clinic

901 E. 9th Ave

El Paso, TX 79901

915.415.4665

[email protected]

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A. Executive Summary

The Salud Sin Fronteras Student Run Free Clinic operates within the Centro de los Trabajadores

Agricolas Fronterizos – The Center for Migrant Farmworkers. The Center is located within the

Segundo Barrio neighborhood of Central El Paso, TX. Compromised solely of community volunteers,

including medical students at the Paul L. Foster School of Medicine, the clinic currently focuses on

serving migrant farmworkers staying at the center. However, the goal is to open medical services to

the surrounding neighborhood as a fully functioning community clinic. The location of the clinic is

critical due to the needs of the migrant farmworker patients. Many of the farmworkers do not have

access to transportation to travel to other clinics in El Paso with similar missions of serving

uninsured populations.

The Salud Sin Fronteras Student Run Free Clinic submitted the appropriate documentation to

receive 501(c)(3) non‐profit organization status on 6/27/17, and is currently awaiting the final

determination. Obtaining the 501(c)(3) nonprofit status, the clinic funding opportunities will

increase with the possibility of larger private donations and grant funding.

Mission Statement:

“To better the health and wellness of the disadvantaged communities

in and around El Paso, especially the migrant farmworkers,

by providing culturally and socioeconomically competent care

in a welcoming setting”

Vision Statement:

“A community that is enabled to live in health by maintaining

strong and regular relationships with healthcare providers”

Goals:

To create an excellent all around patient experience.

To create an excellent all around student experience.

To establish an interdisciplinary approach to patient care

by building strong relationships within our community.

Operating as a ‘student run’ clinic provides unique training experiences for young healthcare

professionals. Not only do students learn early in their careers the standards and evidence based

guidelines for treatment of chronic diseases in primary care, but they will also be exposed to basic office

laboratory techniques. Focusing on prioritizing patient needs through medical, social service and legal

collaborations will build the foundation of a culture of caring to create the best patient care possible.

Exposure to underserved and uninsured populations in El Paso, and the programs and initiatives of the

Salud Sin Fronteras clinic will encourage students to plant roots in the Southwest border region – where

there is an imminent and growing primary care physician shortage.

B. Programs and Services

Currently, Salud Sin Fronteras Student Run Free Clinic services are limited to preliminary primary

care, triage, and referral. Medical student volunteers take vitals, perform physical exams and create

a plan of care for patients. The top three chief complaints seen in the clinic are Diabetes Mellitus,

Hypertension, Dyslipidemia, and Musculoskeletal complaints. Student and physician volunteers

work to establish the best course of treatment, generally relying on the clinic’s social worker to aid

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in referrals for patients to community resources. Securing financial support to purchase key

equipment and establishing an in house lab, will expand clinical services and rival the standard of

care of private primary care clinics. Additionally, this will provide patients access to diagnostics they

may not otherwise have access to.

As previously mentioned, working in conjunction with a social worker, the clinic is able to

provide referrals to numerous local, state and federal agencies and programs. Most common

program referrals include Medicaid and Medicare insurance, social security and disability eligibility,

housing referrals and placement, prescription assistance and even assistance for educational

programs. Under the initiative and guidance of the clinic’s social worker, the Salud Sin Fronteras

Student Run Free Clinic has been certified as an “EyeCare America” location, which allows referrals

for free eye exams and cataract surgeries for eligible patients.

The clinic is fortunate enough to have medical student volunteers with professional healthcare

licenses. One student is a licensed pharmacist and will head the committee in charge of creating a

clinic dispensary, as well as cementing a partnership with the University of Texas El Paso’s School of

Pharmacy. Another student volunteer is a licensed Acupuncturist. She will be heading an alternative

medicine initiative within the clinic, offering medical massage and education as needed to patients

who are interested, as well as holding educational sessions for students and volunteers.

With the growth and expansion of the clinic, programs and services will grow as well. The clinic

has a committee dedicated to patient advocacy, which will focus on patient health education

initiatives, such as colon cancer screenings. Clinic leadership is currently in works with the El Paso

Department of Health to establish proper disease testing and prevention for Tuberculosis. Clinical

teams are also focused on establishing regular health fairs for the community that will not only

provide education and preventative screenings, but also vaccinations.

Salud Sin Fronteras clinic leadership is also in the final stages of establishing an Eye Care/Vision

night at the clinic, where local Ophthalmologists and eye care professionals will come in and

complete eye screenings and education. Fundraising efforts are in place to create a fund to provide

glasses for patients not otherwise eligible for free eyewear.

C. Market Opportunities

There are three other clinics in Central El Paso that focus on underserved/uninsured

populations. Centro San Vicente Family Health Center is open weekdays from 7a‐7p. It provides

primary healthcare services to low income residents of El Paso County who can provide proof of

residence, using a sliding scale discount program. Patients usually require a minimum co‐pay prior to

receiving medical services. Centro de Salud Familiar La Fe is another clinic located in Central El Paso.

They operate on weekdays from 8a‐5p, providing primary and preventative health services to

individuals who register with the clinic. Patients must provide proof of income, address,

identification and proof of benefits through Medicare, Medicaid or other insurance. Lastly, there is

The El Paso Baptist Clinic, which serves the uninsured and underserved by providing low cost

primary healthcare every Saturday morning beginning at 8am, with the help of volunteers. However,

due to a recent shortage of volunteers, the Baptist Clinic is no longer accepting new patients.

Due to the nature of the Salud Sin Fronteras Student Run Free Clinic’s patient population and

their schedules, the clinic will not duplicate any existing services within Central El Paso. The

farmworkers residing at Centro de los Trabajadores Agricolas Fronterizos typically leave the center

between 3‐4am to head to the fields for work, and return between 4‐5pm. Many of the workers do

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not have personal transportation and thus cannot easily travel to nearby clinics. Many farmworkers

do not have the required documentation or proof of residence, which is essential for receiving

services in many clinics. The Salud Sin Fronteras Student Run Free Clinic offers services free of

charge, regardless of residency status, at a time and location that is convenient for the farmworkers.

In this way, the clinic will serve the farmworker population in a way that nearby clinics have not

been able to effectively achieve.

D. Organizational Structure – Please See Appendices A & C

Currently there are three members that make up the Salud Sin Fronteras Board of Directors.

These founding members worked with Texas CBar, a nonprofit pro‐bono organization that provides

legal counsel to up and coming nonprofits in Texas, to complete all required documents and

applications to file for 501(c)(3) status. Under the recommendation of Texas Cbar, the Salud Sin

Fronteras organization is starting out with only three Board Members, and will add additional

members as the organization grows. Currently, Charmaine Martin, MD serves as President and

acting Medical Director; Tracy Leonard, BA serves as Vice President and Secretary; and Justin

Hartmann, BA., BS serves as Treasurer.

E. Financial

The Salud Sin Fronteras Student Run Free Clinic came to fruition through the Scholars in Primary

Care (SPC) program. This program is an educational grant initiative, funded by the Texas Higher

Education Coordinating Board, which creates opportunities for medical students at the Paul L. Foster

School of Medicine (PLFSOM) to experience the many facets of primary care, including exposure to

medically underserved populations. The SPC grant mostly provides financial support to medical

students for educational materials and travel stipends to attend national primary care conferences.

However, the SPC grant has been able to support minor needs of the clinic, on the basis of student

education. The clinic has been able to secure iPads for the use of an Electronic Medical Records

system, as well as basic supplies such as blood pressure cuffs, peak flow meters, and pulse ox

sensors.

The clinic has received various medical supplies and equipment from PLFSOM. Exam room

furniture (tables, stools, desks, etc.) has been donated through the university, as well as many

surplus medical supplies (first aid supplies, gloves, otoscope, A1C and AED machines, etc.) Through

fundraising, presentations and student travel, the clinic has also been fortunate to receive donations

from physicians in the private sector. Student leadership is constantly networking to build and grow

the clinic’s presence and reputation within the El Paso community.

Operating on a completely volunteer basis, there is currently no need to secure financial support

for a salaried staff. The clinic resides within the Centro de los Trabajadores Agricololas Fronterizos

migrant farmworkers center, so there are no overhead expenses such as rent, utilities, etc.

Future fundraising efforts include both small and large scale endeavors. Through the Fundraising

and Grant Writing committee, quarterly fundraising events will be scheduled to secure a budget to

sustain medical supplies like test cartridges for the i‐STAT blood analyzer, Cholestech Cholesterol

analyzer, and A1C machines. These funds will also allow for the purchase and replenishment of

other common medical supplies. The clinic is working on creating a fund through private donations

to aid in prescription assistance for patients. Leadership is currently pursuing additional grant

funding opportunities through various foundations and organization such as the El Paso Foundation,

Paso Del Norte Health Foundation, The Josiah Macy Jr. Foundation and the Robert Wood Johnson

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Foundation. Community collaborations with the El Paso Medical Society and the El Paso Department

of Health will help to open new avenues of future funding as well. Students are also working on

completing a grant application through the Texas Medical Association and their ‘Be Wise,

Immunization’ initiative to secure vaccinations and immunizations for patients.

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Appendix C. Board Member Affiliations

Salud Sin Fronteras Board Members

Charmaine Martin, MD. President.

Paul L. Foster School of Medicine at Texas Tech University Health Sciences Center El Paso

Associate Professor

Medical Student Education Director

Clerkship Director

Department of Family and Community Medicine

Memberships with the following organizations:

American Academy of Family Physicians (AAFP)

Society of Teachers of Family Medicine (STFM)

El Paso County Medical Society, non‐elected member

Texas Medical Association (TMA), non‐elected member

Tracy Leonard, BA. Vice President, Secretary.

BA Psychology, Wright State University

Grant Writing + Nonprofit Management Professional Certification, University of Texas at El Paso


Program Coordinator – Scholars in Primary Care, Department of Family and Community

Medicine

Society of Teachers of Family Medicine (STFM), member

Justin Hartmann, BA, BS. Treasurer


MD Candidate, Class of 2019

BS Mathematics with Specialization in Economics, The University of Chicago

BA Economics in Mathematics, The University of Chicago.

Student Memberships with the following organizations:

American Academy of Family Physicians

American College of Physicians

American Medical Association

Association of Medicine and Psychiatry

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grant application new clinics - aafp …...these founding members worked with texas cbar, a...

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