School Based Clinics

The Paediatric School-Based Clinics were established in May of 2007, in response to the ‘Health disparity by Neighbourhood Income” study that was published by the SHR (Dr. Mark Lemstra et al). The clinics are a product of the efforts of the Department of Paediatrics, College of Medicine at the U of S, the Catholic and Public school Divisions and The Saskatoon Tribal Council, in consultation with the Core Neighbourhood communities to provide access to comprehensive paediatric care.
Acknowledging that it is the social determinants of health such as income, literacy, and housing that impact people’s health, we provide care to children in core neighbourhoods, embracing the community paediatrics model which shifts away from one child but to ‘all children in the community, within the context of the family and the community’. We adhere to the principals of cultural competency.
The clinic is collaborative; i.e. seeking to work across sectors such as Education, Social Services, Justice, Law Enforcement etc; as well as integrated, i.e. working alongside teachers, councilors, social workers psychologists, ENT, Child Psychiatry.
The clinics are currently based out of St. Mary’s Elementary School (Mon/ Tues/ Wed); as well as W.P. Bate Elementary school on Thursday afternoon. It is staffed by 2 Paediatrcians from the department of paediatrics. Appointments are not mandatory, drop-ins are welcomed. A referral by a Family Physician is not required; patients/families/ teachers, etc may all refer. We work with the family and the community, as well as the schools, to make ourselves and the other health-care professionals whom we may refer our patients to, more accessible, recognizing the many obstacles that people who live in poverty, face.
A huge part of our work is dedicated to advocacy; for the patients and for their families.
– Submitted by Dr. Maryam Mehtar

Report of the Conference on Revisiting the Medical School Educational Mission at a Time of Expansion

The Josiah Macy, Jr. Foundation is a privately endowed philanthropy located in the borough of Manhattan, New York City. The Foundation supports programs designed to improve the education of health professionals in the interest of the health of the public, and to enhance the representation of minorities in the health profession.
It has just published the Chairman’s Summary of the Conference on Revisiting the Medical School Educational Mission at a Time of Expansion.
Here is an excerpt from the press release.
“What medical education needs to recognize is that it has a fundamental social mission to train future physicians for a rapidly changing health care system that seeks different competencies than in the past,” says Cohen. “The leaders of medical education institutions need to seize the opportunity that expansion affords to ensure that their
institutions are responsive to their public purpose.”
Highlights of what areas schools should focus on:
• Giving student more opportunities to learn the principles of quality improvement,
patient safety and patient-centered care;
• Preparing students to work effectively and collaborative as members of health
care teams and as part of a system of care;
• Using community-based settings more as classrooms, and hospital settings less, to
expose students to a more realistic practice environment;
• Ensuring that physicians have more background in public health education and
the role that social factors play in affecting patient health; and
• Emphasizing the importance of problem solving and self-directed learning as a
way to keep up with the fast-paced health care environment.