“The idea that some lives matter less is the root of all that is wrong with the world.” –Paul Farmer

Syllabus

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 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 www.sbdww.org. 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.
  • Due to unique circumstances of COVID19 pandemic, Winter 2021 will be offered online using zoom webinar platform.
  • Guests from the community are encouraged to attend the lecture and participate in the class discussion.
  • Reading: Suggested articles, videos, and volunteer opportunities will be periodically posted on the “Underserved Medicine at
  • UCSB” Facebook page and on GauchoSpace class 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, immigrants, and working poor
  • Care for military veterans
  • Care of Native Americans and ethnic minorities
  • Care for mentally ill and substance abuse
  • Healthcare policy and population approaches to health
  • Social Determinants of Health
  • Poverty, structural violence, social bias, and their 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 in health
  • Advocacy and addressing issues of social justice in health

Lectures and Discussion Sections

  • This class will take place Tuesdays and Thursdays, 5pm to 615pm PST, during Winter Quarter at UCSB, with a discussion
  • Section Wednesdays at 10am, 11am, 1pm, and 2pm PST. If you plan to consistently leave early, please do not take this class.
  • You should attend your assigned discussion section unless approved by TA or instructor.
  • Honors section is Wednesdays at 3pm. This is in addition to regularly attended Wednesday section. Enrollment is for honors students or with instructor approval. This section will have additional speakers and students will develop a group project proposal to improve health for a vulnerable population and present it to local elected officials and leaders in public health onthe last day of class.
  • Attendance for enrolled students is mandatory and synchronous. This is a pass/no pass seminar. You may miss one class and one discussion and still pass the class. 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, though attendance will be taken by in-class polls, periodic discussions on Gauchospace and/or small writing assignments. 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 encouraged to attend.
  • Please get to class on time and stay to the end. Please keep cameras on during discussion section and small group break-out sessions.

Office Hours

  • The course coordinator is Jason Prystowsky, MD, MPH. His office hours will be by appointment virtually. He can be reached by email (jprystowsky@ucsb.edu).

Contact Information

Winter 2021: Underserved Medicine Seminar at UCSB

Syllabus (download)

Week 1: Emergency Medical Response to Disaster and Structural Racism in Medicine

• Tuesday January 5: Taking Emergency Medicine from The Streets of NYC to the World

Sean Kivlehan MD, MPH, Fellowship director, Global Emergency Medicine Fellowship, Brigham and Women’s Hospital, Instructor, Harvard Medical School, Affiliate Faculty,

Harvard Humanitarian Initiative (http://hhi.harvard.edu).

Tuesday 5pm LectureYou are invited to a Zoom webinar.
When: Jan 5, 2021 05:00 PM Pacific Time (US and Canada)
Topic: INT 75 – Underserved Medicine Seminar (Tuesday Lecture)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_WLW9R0FRTj–hOVVBqeIgQ

• Wednesday January 6 discussion

Home for Good, Santa Barbara County and SB ACT – Homelessness and Human Trafficking 101

Emily Allen JD, Director of Impact Initiatives, United Way/Home For Good Santa Barbara County, (www.HomeForGoodSBC.org), Jeff Shafer, Director of Initiatives, SB ACT (www.sbact.org)

• Wednesday January 6 (Honors Section)

Health Equity, the LatinX and Indigenous Migrant COVID19 Response Task Force, Santa Barbara County

Melissa Smith MD, Director of Health Equity Initiatives, UC Santa Barbara, Deputy Director of Education and Training, Women’s Health, Gender and Empowerment Center of

Expertise, University of California Global Health Institute (https://www.news.ucsb.edu/2020/019979/force-good), VCMC Health Equity Grand Rounds 2020 (video on Gauchospace)

• Thursday January 7: Structural racism in medicine

Jada Bussey Jones MD, Professor and Vice Chair of Medicine, Diversity, Equity, and Inclusion, Asst Dean Faculty Development, Emory University School of Medicine, (TEDtalk

Allegories in Race, Dr Camara Jones, 2014 (https://ed.ted.com/on/emYm0MBq), Implicit Association Test (https://implicit.harvard.edu/implicit/)

Thursday 5pm LectureYou are invited to a Zoom webinar.
When: Jan 7, 2021 05:00 PM Pacific Time (US and Canada)
Topic: INT 75 Underserved Medicine Seminar Lecture (Thursday Lecture)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_PQzT2LukQ96Or5RaA2ST1A

Week 2: Nutrition and Environmental Justice and Health

• Tuesday January 12: Food Security and Food Literacy

Erik Talkin, Santa Barbara County Food Bank, (www.foodbanksbc.org), TEDtalk Why Giving People More Food Doesn’t End Hunger

Register in advance for this webinar:

https://ucsb.zoom.us/webinar/register/WN_WLW9R0FRTj–hOVVBqeIgQ

• Wednesday January 13 discussion

Population Health

Katy Bazylewicz, Vice President for Marketing and Population Health; Cara Silva, Director of Population Health; Monica Ray, Population Health Strategic Development

Manager; Salvador Robledo Community Services Program Manager; (www.cottagehealth.org/population-health/), (Community Health Needs Assessment Health

Indicators: www.cottagehealth.org/CHNA, (Cottage Data2Go: www.cottagedata2go.org)

• Wednesday January 13 (Honors Section)

Local Humanitarian Action

Alex Leasure MD, co-medical director Doctors Without Walls – Santa Barbara Street Medicine, Cathy Mollkoy RN, Parish nursing, DWW-SBSM, Lynn Mattis MSW, Social

Worker, Laura Polito MD, Board Member DWW-SBSM (www.sbdww.org)

• Thursday January 14: Climate Cure: a doctor’s journey to save the rainforest

Kinari Webb MD, Founder Health in Harmony (http://www.healthinharmony.org) (TEDtalk Kinari Webb, Saving Lives by Saving Trees, 2016,

https://www.youtube.com/watch?v=tJkeZ_4wuYg) (PNAS, Improving rural healthcare, 2020, https://www.pnas.org/content/117/45/28515)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_PQzT2LukQ96Or5RaA2ST1A

Week 3: Care for those experiencing homelessness and advocacy for vulnerable victims of crimes

• Tuesday January 19: Reflections from the Streets of Boston: Lessons Learned over the Past Three Decades

James O’Connell, MD, Founder Boston Health Care for the Homeless Program, Department of Medicine Massachusetts General Hospital (http://www.bhchp.org/), Assistant professor Harvard Medical School (Scholarly articles posted on Gauchospace)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_WLW9R0FRTj–hOVVBqeIgQ

• Wednesday January 20 discussion

Street Medicine and Radical Humility

Brett Feldman MSPAS, PA-C , Director USC Street Medicine,, Vice Chair Street Medicine Institute; Corrinne Feldman, MMS, PA-C, Director of Didactic Education USC PA

Program, (TED talk Street Medicine: Caring for the Homeless with Radical Humility, 2020 https://www.youtube.com/watch?v=Wajr21K87U0) , (http://www.streetmedicine.org)

• Wednesday January 20 (Honors Section)

Jim Withers MD, Pittsburgh Mercy Health System, Founder Operation Safety Net, Founder Street Medicine Institute, (http://www.streetmedicine.org) (CNN Hero of the year

2015 https://www.youtube.com/watch?v=wJtIU0ZAtrg)

• Thursday January 21: Vulnerable Victim Populations

Megan Rheinschild, Victim Witness Program Director, Santa Barbara County DA Office. TEDtalk 2017 The Face of Human Trafficking

(https://tedxsantabarbara.com/2017/megan-rheinschild/), (https://www.countyofsb.org/da/humantrafficking.html)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_PQzT2LukQ96Or5RaA2ST1A

Week 4: Neglected Tropical Diseases, Malnutrition in Children, Women’s Health

• Tuesday January 26: Neglected Tropical Diseases

Indi Trehan MD, MPH, Associate Professor of Pediatrics and Global Health, University of Washington

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_WLW9R0FRTj–hOVVBqeIgQ

• Wednesday January 27 discussion

Access to Sexual and Reproductive Healthcare

Jenna Tosh PhD, President and CEO, Planned Parenthood California Central Coast, Maryam Guiahi MD, MSc, Vice President of Medical Affairs, Planned Parenthood Central

California Coast, (www.ppcentralcoast.org)

• Wednesday January 27 (Honors Section)

Care for Transgender and Non-Binary People

Max Rorty LCSW, Social Worker Santa Barbara Neighborhood Clinics, (https://sbclinics.org)

• Thursday January 28: A Personal Journey to Combat Malnutrition

Parmi Suchdev MD, MPH, Associate Director, Emory Global Health Institute; Professor of Pediatrics and Global Health Emory University (www.globalhealth.emory.edu)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_PQzT2LukQ96Or5RaA2ST1A

Week 5: Native American Health, Refugee Health, EMS, and substance use

• Tuesday February 2: Native American Health, Calcutta Rescue

Jonathan Resiman MD, Pine Ridge IHS, Calcutta Rescue, (https://calcuttarescue.org)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_WLW9R0FRTj–hOVVBqeIgQ

• Wednesday February 3: Wednesday discussion

10am, 11am section

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

Chris Mailes, Interim Fire Chief Santa Barbara City Fire Department, (https://www.santabarbaraca.gov/gov/depts/fire/default.asp)

1pm, 2pm section

Substance Use/UCSB Student Community/Marginalized Populations

Jackie Kurta MFT, Angie Bryan MFT UCSB Alcohol Counseling, Prevention, Education and Recovery Program, (https://adp.sa.ucsb.edu)

• Wednesday February 3 (Honors Section)

Social Medicine in the time of COVID

Sara Doorley MD, Laura Parajon MD, University New Mexico School of Medicine

• Thursday February 4: Using Science to Document Human Rights Violations; the Rohingya

Parveen Parmar MD, MPH, Associate Professor, Clinical Emergency Medicine, Chief, Division of Global Emergency Medicine, Keck School of Medicine University of Southern

California. (https://rohingya.phr.org/)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_PQzT2LukQ96Or5RaA2ST1A

Week 6: Immigrant Health, Water security, Mental Health and Law Enforcement

• Tuesday February 9: Border Medicine, Injustice, and Physician Activism

Julie Sierra MD, Associate Professor of Medicine, UC San Diego School of Medicine, Minority Humanitarian Foundation, (https://www.minorityhumanitarianfoundation.com/)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_WLW9R0FRTj–hOVVBqeIgQ

• Wednesday February 10 discussion

Mental Health and Law Enforcement

Cherylynn Lee PhD, Law Enforcement and Mental Health, First Responder Psychologist, Santa Barbara Sheriff’s Office Behavioral Sciences Unit, Counseling Team International

(https://www.sbsheriff.org/behavioral-sciences-unit/), (https://thecounselingteam.com/)

• Wednesday February 10 (Honors Section)

COVID19 Impact on Vulnerable Populations

Lynn Fitzgibbons MD, Assistant Professor of Medicine USC Keck School of Medicine, Santa Barbara Cottage Hospital, Santa Barbara County Department of Public Health

(http://cosb.countyofsb.org/phd/)

• Thursday February 11: Flint Water Crisis

Dominic Borgialli DO, MPH, and, Hernan Gomez MD, Associate Professors Emergency Medicine, University of Michigan, Attending Physicians Hurley Medical Center, Flint, MI,

(Were the Children of Flint Poisoned? Not so Fast. . . ZDoggMD 2018, https://www.youtube.com/watch?v=KK3n_s_ZB0w&feature=youtu.be_), Exposing Flint Water Crisis CBS Sunday Morning (https://www.youtube.com/watch?v=pd2qxi2mF_4)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_PQzT2LukQ96Or5RaA2ST1A

Week 7: Global Health in underserved communities, Disaster Logistics

• Tuesday February 16: Ending Preventable Blindness

Jeff Levenson MD, ophthalmologist, Chief Medical Officer SEE international (TEDtalk Ending Preventable Blindness: Reinventing Cataract Surgery, 2017

https://www.youtube.com/watch?v=iPOkVZP0Z78), https://www.cureblindness.org/assets/ee/files/RuitChang_Paper_Phaco_vs._SICS.pdf),

(https://www.givewell.org/international/technical/programs/cataract-surgery), (https://www.seeintl.org)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_WLW9R0FRTj–hOVVBqeIgQ

• Wednesday February 17: discussion

Logistics of Disaster Response and Direct Relief

Andrew McCullough, Cydney Justman, Leighton Jones, Direct Relief; International Programs & Emergency Preparedness and Response (http://www.directrelief.org/),

https://www.youtube.com/watch?v=y8-6p_2jJfA&t=125s, https://www.youtube.com/watch?v=EBKDJh0Bqjo

• Wednesday February 17 (Honors Section)

Child Advocacy

Margot Roseman MD, Community Pediatrician, Childrens Medical Clinic, Santa Barbara, CA. TEDtalk 2015 Nadine Burke Harris, How Childhood Trauma affects Health Across a

Lifetime (https://www.youtube.com/watch?v=uXXTLf7oouU&feature=youtu.be), Got your ACEs Score? (and, at the end, What is your resilience score?)

(https://acestoohigh.com/got-your-ace-score/), CDC Violence Prevention: Child Abuse and Neglect (https://www.cdc.gov/violenceprevention/childabuseandneglect/) CDC Child

Sexual Abuse (https://www.cdc.gov/violenceprevention/childabuseandneglect/childsexualabuse.html)

• Thursday February 18: Global Health

Timothy Holtz MD, MPH, Adjunct Associate Professor of Global Health, Emory University, Founding Member Doctors for Global Health, author of A Doctor in Little Lhasa: One

Year in Dharamshala with the Tibetans-in-Exile, (https://dghonline.org)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_PQzT2LukQ96Or5RaA2ST1A

Week 8: Social Determinants of Health, Health Equity, The Opiate Epidemic

• Tuesday February 23: Values Based Care Coordination to Integrate SDoH and Improve Health

David Buck MD, MPH, Associate Dean and Professor for Community Health, University of Houston College of Medicine, Founder: Healthcare for the Homeless – Houston

(http://www.homeless-healthcare.org), Patient Care Intervention Center http://www.pcicts.org

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_WLW9R0FRTj–hOVVBqeIgQ

• Wednesday February 24: Wednesday discussion

10am, 11am section

The Opiate Epidemic in the Midwest, addiction medicine, and medication assisted treatment for opioid use disorder

Nicole Gastala MD, Assistant Professor of Clinical Family Medicine, University of Illinois, Chicago (When an Iowa Family Doctor Takes on the Opioid Epidemic, New York Times

https://www.nytimes.com/2018/06/23/health/opioid-addiction-suboxone-treatment.html), Medication Assisted Treatment for Opioid Use Disorder:

Improving Adherence and Outcomes (https://www.youtube.com/watch?v=RWYKhLLQt2Y)

1pm, 2pm section

The Opiate Epidemic among the homeless

Mariel Lougee MD, Family Physician Contra Costa County Healthcare for the Homeless (https://cchealth.org/healthcare-for-homeless/)

• Wednesday February 24 (Honors Section)

High-Cost/High-Need People: The Use of Values Approach in Engaging Change

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

• Thursday February 25: Responsible Engagement in Global Health and Community Medicine

Toni Eyssallenne MD, PhD, Internal Medicine and Pediatrics, NY Market Director for Cityblock Health

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_PQzT2LukQ96Or5RaA2ST1A

Week 9: Medical Care, Public Health, Humanitarian Aid in War and Conflict

• Tuesday March 2: Complex Humanitarian Emergencies: The Battle of Mosul

Matthew Waxman, MD, FACEP, DTM&H, UCLA/Olive View-UCLA Emergency Medicine Residency Program, Clinical Professor of Medicine David Geffen School of Medicine at

UCLA, Medical director NYC Medics Global Disaster Relief (https://nycmedics.org)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_WLW9R0FRTj–hOVVBqeIgQ

• Wednesday March 3 discussion

Ethics in Global Health and Underserved Medicine – Small Group Case Study Discussion

Prystowsky and Faculty

• Wednesday March 3 (Honors Section)

Medical Ethics: Professionalism

Jerome Hoffman MD, Professor of Medicine Emeritus, University of California Los Angeles School of Medicine

• Thursday March 4: Principles of War Surgery: Experience in Syria

Samer Attar MD, Associate Professor of Orthopedic Surgery, Northwestern School of Medicine (NYT 2016, Why I go to Aleppo

https://www.nytimes.com/2016/08/28/opinion/sunday/why-i-go-to-aleppo.html)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_PQzT2LukQ96Or5RaA2ST1A

Week 10: Community Based Health and Effective Communication in Crisis

• Tuesday March 9: A Crash Course in Crisis Communication and Negotiation – concepts and skills to navigate conflict and crisis in dynamic medical environments

Phil Andrew, Former FBI Agent/Crisis Negotiator, Adjunct Instructor DePaul University’s MBA School and Department of Management & Entrepreneurship

(https://www.paxgroupllc.com)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_WLW9R0FRTj–hOVVBqeIgQ

• Wednesday March 10 discussion

Final Reflections – Why are Individuals and Communities Unhealthy? What am I going to do about it?

Prystowsky and faculty

• Wednesday March 10 (Honors)

Student Project Presentations – proposals to improve health for vulnerable populations

(invited panelists to hear student presentations) Salud Carbajal, Monique Limon, Gregg Hart, Van DeReynosa, Henning Ansorg

• Thursday March 11: Achieving Health Equity: One Person’s Approach

Charles Moore MD, Emory Univ School of Medicine, Grady Memorial Hospital (Emory SoM Hidden Gems: Dr Charles Moore

https://www.youtube.com/watch?v=pkXQsUBW4d8) (https://www.healingcommunitycenter.org)

Register in advance for this webinar:
https://ucsb.zoom.us/webinar/register/WN_PQzT2LukQ96Or5RaA2ST1A

Paul Jaconette MPH

President, Board Member

Fr. Jon-Stephen Hedges, CTR, EMT-B

Vice-president, Board Member

Marguerite Sanchez

Secretary/Treasurer, Board Member

Chelsea Dean MD

Medical Director

Alex Leasure MD

Medical Director

Jason Prystowsky, MD, MPH

Board Member

Laura Polito, MD

Board Member

Jorie Nielsen, FNP

Medical Director, Women’s Free Homeless Clinic

Lynn Mattis, MSW

Social Worker, Mental Health

Chief Lori Luhnow

Board Member

Kayla Rosen MD

Board Member

Fred Kass, JD, MPA, MD

Board Member