USF researchers and clinicians heard valuable ideas for connecting with community groups and recruiting more minorities for clinical trials when they attended a community advocacy workshop earlier this month.

The program was an exercise offered by USF Health WE-CARE, an initiative that aims to improve health outcomes among minority populations by increasing minority enrollment and participation in research.

“We are going to cast a broad net to all groups to make sure we are making every attempt we can to capture people and introduce them to your research,” said Kevin Sneed, PharmD, dean of the USF Health College of Pharmacy, senior vice president of USF Health, and director of WE-CARE (Workgroup Enhancing Community Advocacy and Research Engagement).

“We have to build trust and co-create solutions. And we need all of you, the researchers and the community, to shorten the bridge that will get us together and make sure we’re communicating.”

Dr. Kevin Sneed welcomes attendees at the WE-CARE, CAM workshop.

WE-CARE is helping build part of that bridge by connecting clinical researchers with community groups in hopes that more minorities will enroll in research. Clinical trials have historically lacked participation by people from minority populations, skewing research results to reflect presumed outcomes for predominately white and male populations. While African-Americans, Latinos, Asians and mixed sub-groups make up almost 40 percent of the U.S. population, current clinical trial demographics do not reflect that same diversity – non-whites account for less than 5 percent of clinical trial participants.

This narrow pool of DNA variants equates to limited samples for researchers to study as they develop new treatments, and thus limit information on the true effectiveness and on the risks of these treatments in minorities.

WE-CARE, CAM workshop panelists.

Part of the WE-CARE mission is to act as a resource for reviewing research studies and guiding researchers in potential ways of adjusting their effort to incorporate more minorities in their studies. Researchers can submit an abstract to WE-CARE, which goes to the group’s review board and, if approved, WE-CARE will help connect with Tampa Bay area community groups to help with recruitment.

“We can help you find people from underserved, underrepresented groups here in the Tampa Bay area,” Dr. Sneed said to the audience that included many researchers from USF Health and Moffitt Cancer Center.

Both Dr. Sneed and program panelists – made up of leaders from community advocacy groups and non-profit organizations from across the Tampa Bay area – urged researchers in the audience to remain cognizant of the patient’s perspective and to always consider them as individuals.

“The number one thing you can do is to buy into their humanity first,” Dr. Sneed said.

The Nov. 2 workshop was the second event hosted locally aiming to advance clinical research by increasing minority enrollment. About three years ago, a similar workshop was hosted, inspired by and in partnership with 50 Hoops, a national effort for outreach focused mostly on increasing minority male enrollment in clinical trials for prostate cancer. The recent workshop hosted by WE-CARE is based on the CAM model (Community Advocacy Matchmaking) designed by 50 Hoops.

Another concern voiced at the workshop was lack of follow through, and that if researchers want more minority enrollment they will have to engage far more frequently.

“Report back,” Dr. Sneed urged everyone researcher in the room.

“The number one complaint (I hear) is that researchers came into a community, collected, and never came back into the community to give an update. They never heard the result of anything.”

Photos by Eric Younghans, video by Torie Doll, story by Sarah Worth.

The partnership will increase access to specialty care for uninsured residents served by the USF Health student-run program and significantly increase the number of patients seen.

By Saundra Amrhein

Further strengthening ties between the two institutions, Florida Hospital Tampa has committed $1.2 million in donated goods and services to the University of South Florida to help expand community-centered medical care through the USF Health BRIDGE Clinic.

The BRIDGE clinic – a nationally recognized, student-run free community clinic now in its eighth year – provides primary medical care for more than 800 underserved patients a year from the University Community Area one night a week inside the USF Health Morsani Center for Advanced Health Care.

Leadership of USF Health and Florida Hospital Tampa as well as medical faculty and student volunteers pose for a photo on opening night of the BRIDGE Clinic at Florida Hospital.

Now, Florida Hospital Tampa’s donation of goods, services, office space and personnel will help significantly increase the number of uninsured patients seen through the BRIDGE clinic, expand specialty care and procedures, and cut weeks off the appointment waiting times for new and established patients, said Dr. Lucy Guerra, a volunteer co-medical director and one of several attending USF Health physicians at BRIDGE.

The additional resources for the BRIDGE clinic extension at the hospital – set up inside Florida Hospital Tampa’s renowned Pepin Heart Institute, located on Fletcher Avenue across the street from the university – will also help mitigate the plight of working families who cannot afford or qualify for insurance in the new federal health insurance marketplace but who also don’t qualify for Medicaid, Dr. Guerra said.

Officials from both institutions said they are thrilled about the partnership, which adds to their ongoing research and patient care collaborations across the Tampa Bay region.

“We’re incredibly grateful,” said Dr. Charles Lockwood, senior vice president of USF Health and dean of the Morsani College of Medicine. “This is a clear indication that our missions are completely aligned. We are here for the patients.”

Dr. Peter Bath, vice president of mission for Florida Hospital West Florida Region, echoed Dr. Lockwood’s sentiments and said partnering with the hospital’s next-door neighbor to provide health care for struggling families was a continuation of the hospital’s mission.

“This is a natural extension of what our mission is all about, caring for people and giving back to our community,” Dr. Bath said. “We know needs are significant for the underserved and we will continue to look for ways to help the community throughout all of our nine Florida Hospitals in the West Florida Region.”

USF medical student volunteer Jordant Vanzant checks the blood pressure of BRIDGE Clinic patient Sandra Avilez.

The donation and partnership stem from more than a year of meetings spurred by both university medical students seeking more resources for their high-demand clinic, and the encouragement of one of the hospital’s doctors.

Dr. Marian Menezes, a physician on staff at Florida Hospital Tampa, remembers how his wife – Dr. Lynette Menezes, the assistant dean for international affairs at the USF Morsani College of Medicine – convinced him to attend the BRIDGE clinic’s annual fundraising talent show more than a year ago.

“I fell in love with what they were doing,” Dr. Menezes said. He immediately sought out ways to help.

The medical students relayed their concerns about space, patients’ waiting times and the need for more specialty care for patients with serious medical problems. Currently USF doctors waive their fees for BRIDGE patients for certain surgeries and specialty procedures, but there are still facility fees and other types of expenses that add up to thousands of dollars. Dr. Menezes brought the issue to the attention of his colleagues at the hospital.

Expanding services offered by the BRIDGE clinic at Florida Hospital Tampa will significantly cut down patients’ wait times for appointments, which can run from three to four months, said Michelle Blanco, a USF fourth-year medical student and executive student director at the clinic.

“Now being able to tell your patients we can see you in the next few weeks – it’s very exciting,” Blanco said.

The patients will also have increased access to surgeries and specialty tests and procedures in areas like radiology, gynecology, orthopedics and surgery. “Both efficiency and quality of care are going to increase at BRIDGE,” Blanco said.

L to R: Dr. Theron Ebel, a critical care physician at Florida Hospital Tampa, with USF Health Morsani College of Medicine faculty members Dr. Eduardo Gonzalez and Dr. Lucy Guerra, co-medical directors of the BRIDGE Clinic, and USF medical student Kathryn Dean.

The expanded BRIDGE clinic, like the current one, will continue to pair medical students with supervising physicians. In addition to the USF Health doctors who volunteer at the Morsani site, the new site will bring in volunteering physicians from Florida Hospital Tampa. As the numbers of participating hospital physicians grow, the clinic at the hospital may increase its capacity from one Thursday night each month to opening as many as four nights monthly.

Dr. Krishna Tewari, a hospitalist physician at Florida Hospital Tampa, will be among the first. He said he plans to volunteer at least two nights a month.

“I’m excited to see the work here,” Dr. Tewari said.

The expansion also creates more volunteer opportunities for USF students from the colleges and schools of pharmacy, physical therapy, public health and social work – as well as student interpreters. They currently rotate through the current BRIDGE clinic and its 13 exam rooms at the Morsani Center.

Ali Antar, 22, nearing the end of his second year of medical school at USF, said with the expansion of BRIDGE, he would love to volunteer even more time at both sites. After a year at the original BRIDGE clinic location, the experience has deepened his understanding of the practice of medicine beyond what he’s learning in the classroom.

“When you’re a lower classman, any real clinical experience changes your perspective,” Antar said.

Meanwhile, patients are grateful for faster access to needed care.

“I went to get this appointment in October,” said Sandra Avilez, 51, sitting in one of the four BRIDGE clinic exam rooms inside the Pepin Heart Institute at Florida Hospital Tampa on the night of the expansion’s opening.

Avilez, formerly a customer service representative, lost her health insurance coverage with her job when her company moved her department and positions to another state. She hoped to get a check-up with a doctor at BRIDGE, because she was recently experiencing hot flashes. While waiting for an appointment these last few months, she did her best to keep herself informed about her health condition by reading articles and taking vitamins.

She was relieved to see the new BRIDGE clinic office space open at Florida Hospital Tampa in late February. It enabled the staff to bump up an appointment for both Avilez and her 77-year-old father.

“We were luck they could move up our appointment,” Avilez said. “Our date was for the end of March.”

Sandra Avilez, who lost her health insurance coverage with her job when her company moved her department to another state, was relieved to get an appointment sooner than expected at the BRIDGE Clinic.

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Photos by Eric Younghans, USF Health Communications and Marketing

USF Health faculty members were greeted by enthusiastic and engaged students when they spoke recently for the career days at two same-gender magnet middle schools in Hillsborough County.

Kevin Sneed, PhD, dean of the USF College of Pharmacy, chats with students at the Franklin Magnet Middle School career day.

About 30 faculty members representing all four USF Health colleges talked about the successes and challenges of their career paths.  They spoke Jan. 31 at Boys Preparatory Academy Franklin Middle School in East Tampa, and Feb. 5 at Girls Preparatory Academy Ferrell Middle School.  The USF Health doctors were joined by other speakers from the community, including the Tampa Police Department, Tampa Fire Rescue and MacDill Air Force Base.

Catherine Lynch, MD, associate vice president of women’s health, associate dean of faculty development, and professor of obstetrics and gynecology at the USF Health Morsani College of Medicine, spearheaded the career day three years ago at the girls’ school (Ferrell) and added the boys’ school (Franklin) two years ago.

“One of the fascinating things about the all-boys and all-girls schools is how willing the students are to ask questions and engage in the learning process,” Dr. Lynch said.  “They’re paying attention to what’s happening in the world, the state and locally.”

USF Health’s Dr. Catherine Lynch, who spearheaded career success days at the same-gender middle schools, listens while Mark Schreiner, producer for WUSF University Beat, captures an enthusiastic student’s comments with a microphone.

USF Health faculty members fielded insightful questions about everything from the proposed medical marijuana amendment in Florida and what to look for on food labels to whether algebra is ever used in a health sciences career.

The community service opportunity benefits both the students and the faculty role models, Dr. Lynch said.

“It’s so important for us to gain a footprint in the community.  We want to engage these students so we can keep the best and brightest in Tampa to help build and grow our community,” Dr. Lynch said. “Hopefully, some of the young men and women we help inspire may one day be students at USF Health…or perhaps even someday join our faculty.”

Dr. David Kotun, founding director of USF’s Physician Assistant degree program, discusses the career path for becoming a PA and their vital role as professionals on a healthcare team.

Among those sharing their career stories with the boys at Franklin was Kevin Sneed, PharmD, professor and dean of the USF College of Pharmacy.

“I hope they’re inspired by seeing an individual they can relate to and hearing the message that hard work, being a good citizen and focusing on goals will make a difference,” Dr. Sneed said. “I want to plant a seed for them to begin thinking about a career in pharmacy or another health profession.”

Lauri Wright, PhD, an assistant professor and registered dietitian at the USF College of Public Health, brought along props – including a food pyramid model and food labels, a blob of plastic fat and test tube filled with sugar – to help illustrate her presentation to the girls at Ferrell.

“I discussed nutrition, the difference between a dietitian and nutritionist, where dietitians practice and the tools they use,” Wright said. “I feel experiences like this help make the university and its professionals ‘real’ and exciting.  Further, it’s important for girls to know the potential health careers available to women, as well as the importance of math and science in helping achieve those careers.”

Franklin and Ferrell are Title I schools, and both sibling magnet middle schools have developed a college preparatory culture that promotes character development, academic rigor and student achievement.

Photos by Eric Younghans, USF Health Communications