IntroductionHypertension is one of the most common disorders in the United States, affecting approximately 1 in 3 adults. Because uncontrolled blood pressure has been linked to outcomes such as stroke, heart failure, congestive heart disease and chronic kidney disease, represents a considerable risk for a significant portion of the population. According to the American Heart Association, hypertension was responsible for 46,284,000 outpatient visits in 2007; and it is estimated that this condition will be directly or indirectly responsible for $76.6 billion in healthcare costs in 2010.9 The morbidity and mortality associated with uncontrolled hypertension make initiatives to improve the quality of care in this area important in any outpatient practice. LCME encourages medical schools to provide service learning opportunities to students, many medical schools have chosen to support student-run clinics as part of their service learning, and today there are over 110 student-run clinics across the states United.12 The Student Family Health Care Center (SFHCC) is the free, student-run clinic at New Jersey Medical School in Newark, NJ, which has been in operation since 1967. Care provided at the clinic includes management of hypertension, diabetes, of dyslipidemia and many other chronic diseases, of which hypertension is the main cause. most common diagnosis. The patients come from the city of Newark and the surrounding area. Most are uninsured and between the ages of 18 and 65. In 2003, the seventh report of the Joint National Committee on the Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC 7) was published. Since then, they have become the most widely accepted guidelines for the management of hypertension and are the guidelines that...... middle of document....... 2010 Heart Disease and Stroke Statistics Update . A report from the American Heart Association. Circulation 2010; 70-78.10. Milchak JL, Carter BL, Ardery G, et al. Physician adherence to blood pressure guidelines and its effect on older adults. Pharmacotherapy 2008: 28: 843-851.11. Philips LS, Branch WT, Cook CB et al. Clinical inertia. Ann Intern Med 2001: 135: 825-834.12. Simpson SA, Long JA. Medical student-run health clinics: Important contributors to patient care and medical education. J Gen Intern Med 2007;22:352-6.13. Umscheid CA, Gross R, Weiner MG, et al. Racial disparities in hypertension control, but not in treatment intensification. Am J of Hypertension 2010; 23 (1): 54-61.14. Viera AJ, Hinderliter AL. Evaluation and management of the patient with difficult to control or resistant hypertension. American family doctor 2009; 79(10): 863-869.
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