Florida has not expanded Medicaid; millions in coverage gap including hospitality workers
East Tampa, West Tampa racial and economic health disparities
"Florida has the second-largest uninsured population in the US. Our students train alongside that reality — Medicaid gaps, uninsured gig workers, and veteran populations who fall through the cracks."
James A. Haley VA in Tampa — one of largest VA hospitals; veteran mental health, TBI
USF Health interprofessional campus — medicine, nursing, pharmacy, public health
Cuban, Puerto Rican, Central American communities; language access, cultural care
Hurricane Ian/Idalia health impacts, climate and health in coastal FL
PTSD, suicide in veterans, mental health access in Tampa Bay
Hospitality, tourism, rideshare workers — uninsured, occupational hazards
FL largest elderly population in US; Alzheimer's, Medicare, end-of-life
USF Health's technology innovation in care delivery
Uninsured patient navigation, Florida Medicaid gap, FQHC referral, medication assistance programs.
PTSD, TBI, VA system navigation, moral injury in combat veterans.
Role-play with standardized nurse, pharmacist, or social worker from USF Health campus.
Spanish-speaking Tampa Bay patient, interpreter ethics, Latino health beliefs.
Florida ties, community health commitment, veteran or underserved community experience, why USF.
"Expect scenarios rooted in Tampa Bay's diverse communities — Puerto Rican families in East Tampa, uninsured hospitality workers, veterans at the James A. Haley VA."
"A 52-year-old hotel housekeeper in Tampa presents with uncontrolled hypertension. She has no health insurance, earns just above Florida's Medicaid threshold, and cannot afford medication. She works full-time but her employer does not offer benefits. What is your approach?"
Practice this scenario with AI →this creates a specific, large coverage gap that defines the clinical environment at USF.
Tampa's economy is tourism and service-driven, meaning large numbers of uninsured working poor.
veteran health is core curriculum content.
hurricanes, extreme heat, flooding, and coastal erosion are active health risks in Tampa Bay.
"In 14 years of examining I have never failed a candidate for giving the 'wrong' answer. I have failed candidates for how they treated the person in the room with them."
Florida is one of the largest states that has not expanded Medicaid under the ACA. Millions of working Floridians earn too much for traditional Medicaid but too little to afford marketplace insurance.
Hospitality workers (Disney, Universal, hotel chains) are a major affected population — visible in Tampa Bay clinics and emergency departments.
Know the FQHC network in Tampa, medication assistance programs (PAP), and Florida KidCare as partial solutions — and their limitations.
James A. Haley VA in Tampa is one of the largest VA hospitals in the US — USF students rotate there extensively. Veteran health is not a peripheral topic.
Know the difference between PTSD, TBI (traumatic brain injury), and moral injury — three distinct but overlapping conditions common in combat veterans.
VA system navigation can be complex — know that many veterans fall through gaps between VA eligibility and civilian insurance.
Tampa Bay is one of the most hurricane-vulnerable metropolitan areas in the US. Hurricanes Ian and Idalia caused significant health system disruptions.
Extreme heat, flooding, mold exposure post-hurricane, displacement, and mental health consequences of repeated disasters are clinical realities.
Discuss climate and health not as future concern but as present emergency — USF faculty research and treat climate health impacts daily.
They asked about an uninsured patient earning $22k — above Medicaid but can't afford premiums. Know the Florida-specific gap and what resources exist.
Veteran station involved moral injury — a soldier who gave an order that got someone killed. Not PTSD exactly. They wanted nuanced clinical understanding.
Interprofessional station with a standardized pharmacist. She flagged a drug interaction I'd missed. The right answer was to thank her and update the plan. Obvious in hindsight.