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_2 <br /> and perforping a visual acuity exami;iation. Student volunteers also staff <br /> the clinic's laboratory which performs routine hematocrit (blood test) and <br /> urinalysis,on all patients. Other tests include tuberculin skin test(PPD), <br /> serum test''for syphillis (VDRL),pregnancy test, differential blood count, <br /> throat and'',other types of culture, and microscopic analysis. As well, arrange- <br /> ments are easily made with the various laboratories and clinics at North <br /> Carolina Memorial Hospital (NCIE) for other tests and procedures. Some <br /> students ale involved in general administrative and coordinating roles. <br /> Their responsibilities include scheduling attending physicians and fourth <br /> year etude I ts, ordering supplies and equipment as needed, and managing <br /> patient fl w. Fourth year students(and some third year students after <br /> completion of their Medicine, Pediatrics, and Ob-Gyn rotations)perform <br /> examinations in the clinic's five examining rooms and consult with the <br /> attending physician, a volunteer from the DNC School of,Medicine. Treatment <br /> is implemented and prescriptions are filled in the clinic's pharmacy which <br /> is cperateo by students from the School of Pharmacy and supervised by a <br /> faculty prd,ceptor. Although no controlled items(e.g.morphine) are available <br /> in the SHAq pharmacy, 99% of the prescriptions written at the clinic can <br /> be filled here at no cost to the patient. The medical clinic refers more <br /> involved or II complicated cases to the appropriate clinics at NCMH, OCCHS, <br /> or the Vetdrans Administration Hospital in Durham, <br /> Accomplishments <br /> The SHAC Clinics are in their tenth year of operation,making them the <br /> oldest free clinics in the United States. For the past five years, funding <br /> has been pr vided by the North Carolina Memorial Hospital, the UNC School <br /> Of Medicine, and the students who work at the clinics. The students obtain <br /> their thir d by anonymous donations and gifts from the Dental, Medical, and <br /> Nursing classes' social fees. Although generous contributions have been <br /> made, the sources continue to dwindle while the cost of Dental and Medical <br /> supplies ha" sky-rocketed. Nevertheless, SHE has continued to provide <br /> free medica� can to the community. A summary of the number of patient- <br /> visits to the SHAC Clinics from July 1, 1977 to March 1, 1978 is shown below. <br /> PATENT-VISITS TO SHE CLINIC DURING FISCAL 1977-78 <br /> July 1, 1977- July 1, 1977.. <br /> March 1, 1978 June 30, 1978 <br /> Pro'ected� <br /> Dental: <br /> New 60 90 <br /> Returning 117 176 <br /> TotAl 240 266 <br /> Medical: <br /> New 156 234 <br /> Returning 268 402 <br /> Total ( u2h 638 <br /> Combined: <br /> New 216 324 <br /> Returning 385 578 <br /> Total 601 902 <br />