The 9th Annual UCSB Underserved Medicine Seminar

Winter 2016

“He who hath health, has hope; and he who has hope has everything.” – Thomas Carlyle

Pershing_3935The 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 to 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 Enrolled UCSB students are encouraged to join Street Health Outreach (SHO), which is the student arm of DWW-SBSM, and does work with the homeless in Isla Vista.

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 medical and advocacy community in addition to 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.

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 from refugee health, homelessness, humanitarian aid in conflict zones, care of military veterans, global health development, care of migrant farm workers, and more.

Course Information . . .

  • Doctors Without Walls – Santa Barbara Street Medicine is the community sponsor of this course.
  • The large lecture hall at UCSB is equipped with multimedia capability and seats 286. 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. Suggested articles and volunteer opportunities will be periodically posted on the “Underserved Medicine at UCSB” Facebook page.
  • Core topics to be discussed in this course are:
    • Care for the homeless
    • Humanitarian aid in conflict zones and refugee health
    • Global health development and sustainable capacity building
    • Care for migrant farm workers and working poor
    • Care for military veterans
    • Care of Native Americans and ethnic minorities
    • Care for mentally ill and substance abuse
    • Care for the elderly
    • Health care policy and population approaches to health
    • Poverty and the relationship to poor health
    • Care for those affected by disaster
    • Role of interdisciplinary approaches to health
    • Ethics in global health, public health, and humanitarian medicine
    • Role of nutrition and social determinants of health
    • Advocacy and addressing issues of social justice in health


Lectures and Discussion Sections

  • This class will take place Tuesdays from 6:30-9pm, during Winter Quarter at UCSB, with an hour discussion section Wednesday afternoons at 2pm, 3pm, and 4pm. If you plan to consistently leave early, please consider not taking this class.
  • The Tuesday lectures will take place on the UCSB campus, in Broida Hall 1610. The Wednesday discussion sections are located in Phelps 1260 (2pm), Phelps 1260 (3pm), and Phelps 3515 (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. Falsely attesting class attendance can be grounds for academic disciplinary action. Auditors and members of the community are always encouraged to attend.
  • Attendance will be taken via an iClicker pole. To receive credit please register your iClicker and make sure to bring your iClicker to class.
  • Please get to class on time. The lectures are open to the community and the seats fill up fast and will start sharply at 630pm.


Office Hours

  • The course coordinator is Jason Prystowsky, MD, MPH. His office hours will be Tuesdays, 4:30 to 6pm at Nicoletti’s in the UCEN, or by appointment. He can be reached by email
  • If you have questions regarding Doctors Without Walls – Santa Barbara Street Medicine, you can contact our Executive Director Maria Long (


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 TAs, DWW-SBSM communications team student leader Ashkon Rahbari (  or DWW-SBSM communications team interns Pierre  Kobierski, Vivian Bui, Pasha Rahbari, or Kerina Yao.



January 5: 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, Medical Director Santa Barbara City Fire Department  (

  • What Defines Emergency Care? Reflections from a Primary Care Physician Working in Conflict 

Maura Woznica MD, Medicins Sans Frontieres/Doctors Without Borders (

  • Wednesday  discussion

Santa Barbara County Common Ground and Central Coast Collaborative on Homelessness (C3H)

Jeff Shaffer (, Stephen Gruver, Emily Allen JD (


January 12: Gang Violence and Human Sex Trafficking

  • When Human Trafficking Intersects with Health Care Providers Serving the Homeless Community

Dr Lori Basey OTR/L, Sandy Orchard RN, No Boundaries International, (

  • Youth Violence – From Ideas to Action

Robert Gore MD, Emergency physician Kings County – SUNY Downstate Hospitals, Brooklyn NY, Executive director KAVI, Kings Against Violence Initiative (

  • Wednesday discussion

Yoga, a Path for healing and Recovery; bringing yoga to underserved populations via the Prison Yoga Project 

Mike Lewis, Yoga instructor, Fitness instructor, USMC vet, Student Addiction and Recovery Counseling (

January 19: Working with the Chronically Unsheltered

  • 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 (

  • Seeing Things From the Outside: The Origins of Street Medicine

James Withers, MD, Founder Operation Safety Net, Founder Street Medicine Institute, Pittsburgh Mercy Health System (

  • Wednesday discussion

The Laguna Blanca High School Sock Institute: Building character and empathy through Street Medicine

Noemi “Mimi” Doohan MD,PhD, Family physician, assistant professor UC Davis, Director, department of graduate medical education Ukiah Valley Medical Center, Ashley Tidey PhD, Experiential Learning Coordinator and English teacher at Laguna Blanca School, Stephen Gruver, Santa Barbara County Common Ground


January 26: Global Health and Sustainable Impact

  • Cultural Competency in International Aid Work; are short term medical missions an effective solution for health care delivery to Underserved Populations?

Benjamin La Brot MD, President & Founder of Floating Doctors, Inc (

  • Not Another American Hero: Good Intentions, Unintended Consequences, and a New Approach to Global Health

Zadok Sacks MD, Attending Hospitalist Medicine and Pediatrics, Ventura County Medical Center; Associate Physician, Department of Global Health Equity, Brigham and Women’s Hospital; Founder, Co-Director of EqualHealth (formerly called “Physicians for Haiti”) (

  • Wednesday discussion

Homeless Addiction and Mental Illness

David “Hopper” Hopkins, Alcohol, Drug, and Rehab Counselor, formerly homeless (


February 2:  Women’s Health in Resource Poor Settings

  • Cervical Cancer prevention in resource poor settings

Rachel Masch MD, MPH, Executive Director Basic Health International, Associative director division of Family Planning at Mt Sinai Beth Israel (

  • Challenges in Developing a Cervical Cancer Treatment Tool for Low Resource Settings

Michael Haas MD,  Clinical Assistant Professor of Family Medicine, LSU Health Sciences Center; Founder and inventor of Cryopen,  (

  • Wednesday discussion 

Disaster Logistics and Direct Relief 


February 9:  Ebola, HIV, Migrant Farmworkers, and Underserved Populations 

  • Responding to Epidemics: Ebola Response in Sierra Leon

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

  • Gaining Perspective: What Humanitarian Work Taught Me about Patient Care

Jeri Sumitani  MMsC, PAC, Senior Clinical Manager Grady Infectious Disease Program, Clinical Consultant University Washington International Training and Education Center for Health, South GA Farmworker Health Project

  • Wednesday discussion

Advocacy for Older Adults

Gary Linker MFT, PhD, Center for Successful Aging, Santa Barbara  (


February 16:   Traumatic Injuries with Poverty and Asylum Seekers in our Own Community 

  • Child Welfare and Families Seeking Asylum in San Diego

Heidi Blue, Protective Services Program Manager Polinsky Children’s Center, Child Welfare Services County of San Diego

Health and Human Services Agency (

  • Trauma in a Resource Limited Environment: Lessons from South Africa

Casey Barbaro MD, Trauma/Acute Care Surgeon Ventura County Medical Center

  • Wednesday discussion

Mental illness in underserved populations

Kayla Rosen MD, UCSB Student Health, ADMHS, Crisis Triage Team Santa Barbara County


February 23:  Health and Human Rights and the Impact of Poverty on Psychology

  • Health and Human Rights in Eastern Burma; Before and After the Political Transition

Parveen Parmar MD, MPH, Director, Internal Emergency Medicine Fellowship, Brigham and Women’s Hospital, Assistant Professor Emergency Medicine Harvard Medical School, Assistant Professor, Global Health and Population, Harvard School of Public Health, Harvard Humanitarian Initiative (

  • A Psychologically Informed Approach to Street Medicine and Housing First: What Should We Do, How Should We Do it, and Does It Work?

Nick Maguire, Associate Professor in Clinical Psychology, University of Southampton

  • Wednesday discussion

The role of 911 in serving the underserved in our local community

Chris Mailes, Battalion Chief Santa Barbara City Fire Department, Co-Instructor EMT course Santa Barbara City College (


March 1:    Health Policy, Healthcare Systems and Cultural Diversity in Healthcare

  • Health Policy and Health Care Reform

Paul Jaconette MPH, Chief Operating Officer, CenCal Health, President DWW-SBSM (

  • Cultures, Beliefs and Tradition; Cultural Diversity and Healthcare

Rev Pam Washburn BCCC, Director of Spiritual Care, Cottage Health Systems

Wednesday discussion

HIV/AIDS: Impact on vulnerable populations at home and away

Lynn Fitzgibbons MD, Infectious Disease Physician, Deputy Health Officer, Santa Barbara County Department of Public Health(


March 8: Innovative Thinking in Global Health and Peace Building

  • Reimagining how we do Global Maternal and Newborn Health

Harshad Sanghvi MD, Vice President of Innovations and Medical Director of Jhpiego, an affiliate of Johns Hopkins University (

  • Rebuilding Participation, Reinventing Power, and Redefining the Possible: How Participation Builds Peace, Improves Health, and Changes the Arc of the Possible. Lessons Learned in Eastern Congo. 

Vijaya Thakur, Founder and Executive Director, Resolve Network (

  • Wednesday discussion

Final Reflections

Jason Prystowsky, Vijaya Thakur