may be eliminated. Kaiser Permanente has studied this concept previously with positive results, but Dr. Schindler said the participants of their study did not reflect the diverse backgrounds that OneWorld and many other Federally Qualified Health Centers serve. Dr. Schindler, along with Melanie Menning, MD, MPH, Family Medicine Physician, are currently assessing the acceptability of these tests amongst diverse populations. “It is a skill to be able to do a self-swab well enough to get an adequate sample,” said Dr. Schindler. “But before we get to that point, we need to understand if there are any social norms or cultural nuances that different populations may have. We’re at the very beginning of a long project, but this has the potential to create a positive, sustainable change for FQHC populations.” The goal for Dr. Schindler’s research on prenatal patient birth experiences is to create a formal plan based on patient insights to improve the patient experience. The study will look at the prenatal,
Dr. Schindler oversees residents at the OneWorld Women’s Health Clinic.
“Clinical practice humanizes research for me because I can connect what I am reading about and doing on the computer to my own patients. It makes it much more relevant to see what kind of impact I can potentially have.” Impact is a huge motivator for Dr. Schindler’s work with HPV screening for cervical cancer.
This project is looking at ways to reduce barriers for cervical cancer screening, one of which is studying the idea of a self-collected HPV specimen. Dr. Schindler said going to a medical clinic and getting a pap has barriers for many patients, and by incorporating a self-swab test into the health system, these barriers
delivery and after-delivery experiences for patients.
OneWorld Family Residency Program OneWorld’s Family Medicine Residency Program is a three-year continuity program, in partnership with UNMC’s Community Health Center Residency Track, designed to train physicians to care for a diverse population of patients within the community with an emphasis on health equity and justice. Residents have the opportunity to gain exposure to an integrative model of health care that focuses on caring for the whole person and practice in different clinical settings including OneWorld’s family medicine and pediatrics clinics, School-Based Health Centers and Teen and Young Adult Health Centers.
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