Internal medicine goes external: how a TCOM Department is creating new community

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We have all heard the proverb that “it takes a village to raise a child,” but what about a medical student?

“It literally takes a whole city to train a medical student,” said Asim Kicholoo, MD, Diplomat ABOM, CPPS, chair and professor of the Department of Medicine and subspecialties at UNT Health at Fort Worth’s Texas College of Osteopathic Medicine.

Since the start of the year, Kichloo has spearheaded a new initiative that has seen his department go directly to primary care providers across Tarrant County in a community outreach project to build trust and expand relationships.

“For the last eight months, the whole purpose of this is a physician-facing project to tell them about who we are, what our educational mission is at TCOM, our clinical mission at UNT Health, and what we do,” Kichloo said. “We have gone to multiple primary care clinics that are not affiliated with any systems and visited with them.”

Kichloo and the various faculty and staff members, who include Jessica Arroyo, Sarah Ross, DO, Michael Carletti, DO, April Wiechmann, PhD, and Lizbeth Rodrigez, when visiting these locations, have showcased the collaborative opportunities with TCOM and the UNT Health Clinical Practice Group.

“We walk to these practices about what we offer as a sub-specialties clinic and also what it means to be an adjunct faculty member with TCOM.”

The specialty services include dermatology, GI, neurology, cardiology, geriatric care and neuropsychology, which will give the providers and their patients opportunities for the best treatment. At the latest meet and greet, the team met with internal medicine residents and faculty from Texas Health Resources in Fort Worth. Among the people in attendance, many were graduates from TCOM, which is a priority for Kichloo and his team to find more alumni to bring under the UNT Health umbrella.

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“We give them the information they need to refer patients, but it’s helping in multiple ways,” Kichloo said. “We are serving the patients in the community so we can alleviate any suffering they are having, but we are also able to recruit these physicians to benefit our students as faculty members.

The results have already become tangible with a number of clinical members becoming adjunct faculty while at the same time taking TCOM students on rotation at their facilities.

“This is face-to-face interactions, and it’s very important because that is how you build trust with your partners,” Kichloo said. It’s literally being out there and making sure we are there from a provider physician standpoint. We as human beings connect with other human beings to say who we are.”

The project isn’t just for a calendar year; it’s long-term. Kichloo and his team will be collecting data over the next few years to see how their efforts are working and what impact they are making in the community. He’s also not limited the outreach effort to just internal medicine and geriatrics, as evidenced by one of the new adjunct faculty members, who is a family physician and has started taking our medical students.

“This is just a pure, organic collaboration that’s for the good of the community,” he said. “The faculty members who have gone out on these meetings have been simply amazing. It’s about building trust, and we are doing that.”