CCC is a student-faculty collaborative practice started by Harvard Medical School students in the fall of 2010. CCC is a student-administered evening clinic, where medical students (precepted by faculty members) take care of patients at each site. There are currently 5 CCC sites that are operating as of spring 2012:

• MGH - Internal Medicince Associates (IMA)
• MGH - Chelsea
• Beth Isreal Deaconess Medical Center (BIDMC)
• Cambridge Health Alliance
• MGH - Revere-Pediatrics

We had a total of 6 presentations including posters on patient satisfaction, developement of a humanistic curriculum, and motivational interviewing as well as podium presentations on our CCC clinic models and a joint research seminar with UCSD.

MGH-IMA is Harvard's first student-faculty collaborative practice and has been in full operation since October 2010. We provide primary care and social services to patients both with and without a primary care physician (PCP). Patients with an established provider at IMA can receive after-hours urgent care. Patients without a PCP come for interim primary care services and support in locating a permanent PCP through our Bridge-to-Care program, facilitated by our student-run Resource Center. Our practice aims to (1) Provide affordable, high quality health care and health education to people in Greater Boston without a primary care doctor, (2) Serve as a bridge to social services and long-term primary care, and (3) Provide students with practical exposure to interdisciplinary, systems- based, primary care delivery.

Location: MGH - Internal Medicine Associates

Hours: Tue 5:00-9:00pm

MGH-Chelsea is based at the MGH Chelsea HealthCare Center, a community health center that provides multispecialty services including primary care and mental health services to a predominantly underserved and recent immigrant/refugee population. The clinic specifically targets two populations: patients who have been recently released from prison and patients who frequently seek care at the Center's Urgent Care clinic but have not been able to access routine primary care. Our clinic aims to provide high quality psychiatric and primary care that meets the complex health and social needs of these patient populations. There is an emphasis on an integrative approach to caring for patients through appropriate medical, psychiatric, and social services. The Chelsea clinic opened for primary care and psychiatry visits in October 2011. Transportation to and from Chelsea is provided for students each clinic night.

Location: MGH - Chelsea HealthCare Center

Hours: Tue 6:00-9:00pm (shuttle pick up at Vanderbilt Hall at 5:10 pm)

BIDMC is a student-faculty chronic disease management clinic which partners with primary care providers and specialists to serve patients with hypertension, diabetes mellitus and obstructive lung disease. Our specific aims include: (1) Delivering comprehensive chronic disease management care and identifying measurable metrics to quantify our progress toward improved health outcomes, (2) To increase students' knowledge base and clinical skills around the management of chronic diseases, and (3) To broaden students' understanding of the healthcare system by engaging them in service-oriented activities, health care management, quality improvement, research, and patient education. Our clinic is located in the Shapiro Center at BIDMC, Longwood Medical Area. With our pilot launching in January 2012, volunteers will have the opportunity to have hands-on experience with the development and implementation stages of the clinic.

Location: Beth Israel Deaconess Medical Center, Health Care Associates (Shapiro Center)

Hours: Tue 5:00-8:30pm starting 24 Jan

The Cambridge Health Alliance site is a student-faculty collaborative clinic that will take place jointly at Cambridge Health Alliance's Windsor St. Health Center and Outreach Clinics at partner organizations throughout Cambridge. Students meet patients in their home communities and perform screening for health care needs and access, including mental health and social service needs, serving a navigating role. If a patient does not have a primary care doctor or has a medical need, the medical student will accompany them to their appointment at the CCC Windsor St. Clinic and serve as a clinician. Our first partner site is the YWCA in Central Square. The YWCA serves as transitional housing for women of all ages who have experienced physical, psychological, or financial trauma. We are currently conducting a pilot clinic and needs assessment at the YWCA and hold outreach clinics during the first and third Wednesday evenings of each month. The CCC Cambridge program continues to be under development, particularly in respect to our clinical program with CHA and possible additional outreach clinics, affording students a unique opportunity to have clinical and developmental roles. Students with interests in clinic development, community outreach, health care access, womens' health and/or mental health are strongly encouraged to apply.

Location: Cambridge Health Alliance Windsor Street Health Center and outreach clinics at various Cambridge partner organizations

Hours: First and third Wednesday evenings each month

CCC Revere Pediatrics is a pediatric student-faculty collaborative practice at MGH Revere HealthCare Center, successfully piloted in April 2012. MGH Revere serves an ethnically diverse, predominantly lower socioeconomic population. For students interested in pediatric primary care, CCC Revere Peds provides an opportunity to serve this population and learn about normal child development, history, physical exam and management of common pediatric conditions through student-centered teaching sessions and experiential learning through working with patients and families. Additionally, CCC Revere Pediatrics is developing a group visit model to help young patients and their families with weight management and obesity prevention.

Location: MGH Revere HealthCare Center

Hours: Thurs 5:00-8:30pm

In 2009, more than forty Harvard Medical School students collaborated with faculty from the Massachusetts General Hospital in Boston, Massachusetts, to develop and launch CCC, Harvard's first student-faculty collaborative practice. This clinic was created to address the difficulty that patients often faced when trying to find long-term primary care in the post Massachusetts healthcare-reform era.

During our eight-week urgent-care pilot in the spring of 2010, 36 patients were seen. In the fall of 2010, 128 students applied to be involved in the clinic and we were able to accommodate 92 participants! In October 2010, we expanded the practice to offer primary care services to patients in the greater Boston area who do not have a primary care physician. We are very fortunate to have the support of the IMA, who made their office space and staff available to this effort.

In fall 2011, CCC opened its second clinic in Chelsea with the goal of helping a significant post-incarceration population in the neighborhood. Two additional sites in Cambridge and at the BIDMC will begin operations in the spring of 2012.