Health Justice Clinic Readings & Assignments

Spring 2019

  • Welcome to the Health Justice Clinic. We are looking forward to working with you this semester.

    Our first class is Tuesday, January 15, from 4:00 until 5:50. The first few weeks are very busy as we get you oriented and trained to serve your clients.  You’ll have forms to fill out, extra meetings to attend, sign-ups, and trainings. It’s important for you to attend to these tasks in a timely manner. We have a checklist to help you keep track of everything.

    Drop/add: We will be making case assignments the first week of the semester. For this reason, we need to know asap if you are thinking of dropping the course.

    Email: Throughout the semester, you’ll need to keep close watch on your Duke email. We use email constantly to communicate about the class and your client representation. You will not be able to keep up your professional obligations if you do not check your email several times daily.  Your responsiveness to clinic communications will also be taken into account in your grade. Because we will often communicate by email about specific client matters, please do not forward your Duke email to another account, such as gmail.

    Course Materials: All the course readings and forms are contained in the Clinic Binder, which you can pick up in the clinic office. Most of the materials in the binder are also linked from this page.

    Out of Class Activities:
  • You should have received an email from Allison that includes the information below:
    • Office hours/Supervision meetings: (Sign up for one supervision meeting and 6 office hours). Office hours & supervision meetings begin the week of 8/27. Note that you will have your first meeting before our first clinic class.
      • Student Schedule: (add your schedule so we can find you if we need you)(there is also a paper form on which you are asked to put your schedule).
      • Computer encryption: (required if you want to do client work on your personal laptop). Encryption time slots are available the first two weeks of the semester.
      • Computer (Clio) training: (1-hour training on our client database, Clio)
      • Office orientation: Sandra Pettiford, our office administrator, will give you a tour and orientation which takes about 20 minutes. You should sign up in the clinic office or by emailing Sandra
      • Forms: You will receive a stack of forms in your mail folder. With the exception of the State Bar Forms, these forms should be filled out and turned in at our orientation on Friday, January 11.
      • State Bar Form & Rules: You will be certified under the North Carolina student practice rules, which requires that you complete the State Bar Form and read the NC Rules Governing Practical Training of Law Students (placed in your mail folder with first class readings), and  North Carolina Rules of Professional Conduct 2018
  • Clinic Intensive: Friday, January 25, 9:00 - 4:30. This session is mandatory. Breakfast and lunch provided. The day will include a visit to the Duke Infectious Disease Clinic and Duke Cancer Center.

  • Road Trips

We usually take a road trip or two to meet with clients in HIV clinics outside the Triangle. The trips are a great way to help you quickly gain confidence and experience. All travel and client time is counted toward your clinic hours. For each trip, one of the Supervising Attorneys takes a group of about 3-8 students to interview new clients and to prepare and execute advance directives such as a Power of Attorney, Health Care Power of Attorney, Living Will, Standby Guardianship Designation. We also do intakes for Wills. We are hoping to schedule a road trip for early March. Details TBA.

  • Journal due Dates:
  • 1/22, 2/12, 3/5, 4/2, and a final entry by the end of the semester. Please submit the journals by email to both Allison & Hannah, by 8 am on the due date (all Tuesdays). Final journal is due before your end of semester exit interview.

Quiz Due Dates:

January 22, Advance Directives quiz
January 29, Wills Quiz
February 5, Disability Quiz

Readings & Assignments

Clinic Binder Sections:

Reference Tab
Office Manual
Office Forms
Course Requirements
Journal Memo
Wills Manuscript
Annotated Will
Will Forms
Advance Directives Manuscript 
Advance Directives Articles, Statutes, and Forms
Planning for Children (Standby Guardianship) Manuscript
Standby Guardianship Forms
Social Security Readings 
Social Security Law
Social Security Forms

Tuesday, January 15: Context & Disability


Disability Readings from Binder:

"Disability Readings," Section, pp. 1-36 

  • The Determination of Disability within the Social Security System
  • Tom Bush, Chart: The Two Disability Programs & Diagram of Sequential Evaluation
  • Medicaid and Persons with Disabilities
  • HIV as a Chronic Disease (you can skim this article)

"Social Security Law" Section, pp. 3-4

  • Definition of Disability: § 404.1513 Medical and other evidence of your impairment(s)
  • Evaluation of Disability: § 404.1520(b) Evaluation of disability in general

Disability 1 Slides - updated 1/15/19

Monday, January 21, (MLK Holiday)

We are available to do supervision meetings on Labor Day, even though it's a holiday. If you have a Monday supervision meeting, let Allison & Hannah know whether you need to reschedule.

Tuesday, January 22: Advance Directives

DUE by email to ALLISON, 8 am:    Advance Directives quiz
DUE by email to Allison & Hannah: Journal 1

Readings, from these Clinic Binder Sections:
Advance Directives Manuscript
Advance Directives Readings & Forms, including ---

Advance Directives Statutes : these are primarily for your future reference. Browse them now -- you may need to look at them to answer some of the quiz questions.

-NCGS Chapter 32C, Powers of Attorneys
-NCGS Chapter 32A Health Care Powers of Attorney and
-NCGS 90-320 et seq, Living Wills (Right to a Natural Death)

Articles - (Halpern, Andrews, Narang) - in Advance Directives Readings & Forms Tab.

  • Friday, January 25 - Clinic Intensive, 9:00 - 4:30
    Working with Clients with Serious Illness, Wills, Office Procedures

  • We will have a joint session with all clinics students in the morning. Then we'll grab bag lunches and head over to Duke Hospital for visits to the Duke Infectious Diseases Clinic and Duke Cancer Center.
  • Guest Speaker, Vickie Leff, MSW, LCSW, Duke Palliative Care
  • Wills Readings, from Binder:
    Wills Manuscript
    Wills Exhibits, from binder, including statutes, forms, client education materials. Skim the statutes  -- you don't have to read them-- they are for your reference. You will need to refer to the statutes to answer one or more of the Wills Quiz questions.
    Plain English Translations to help you talk with your clients about documents
  • View Wills Lecture (Panopto) (Wills powerpoint to go with Lecture)

Office procedures:

  • Intake Sheet (in clinic binder)
  • Office Manual

Tuesday, January 29 -- Disability 2 & Interviewing

DUE by email to Allison, 8:00 am, Wills Quiz


Slides: Disability 2

  • "Disability Readings," pp.37-60

  • Health Justice Project Social Security Protocols (you may skim this for class, but must read it carefully when working on your disability case)
  • Guidelines for Reviewing and Charting Medical Records
  • Medical Chart Example
  • Factual Investigation - Essential Information
  • Using Affidavits in Disability Cases
  • "Disability Readings," pp. 61-79
  • -Tom Bush, Social Security Practice - RFC and Medical-Vocational Guidelines
    Skim --
  • -Vocational Terms Quick References
  • -DOT Materials (pay special attention to Sample Entry, p. 75)

"Social Security Law," pp. 7-9; 57-60

  • § 404.1525 Listing of Impairments in appendix II Adult Disability Listings (browse Cancer (13.00), HIV (14.00) and Mental Health (12.00) Listings)
  • § 404.1527 Evaluating opinion evidence
  • § 404.1528 Symptoms, signs, and laboratory findings
  • § 404.1529 How we evaluate symptoms, including pain
  • SSR 96-4p: Symptoms, Medically Determinable Physical and Mental Impairments,
    and Exertional and Nonexertional limitations

"Social Security Law," pp.10-14, pp. 35-43

  • § 404.1545 Your Residual Functional Capacity
  • § 404.1562 Medical-vocational profiles showing an inability to make an adjustment to other work
  • § 404.1564 Your education as a vocational factor
  • § 404.1565 Your work experience as a vocational factor
  • § 404.1566 Work which exists in the national economy
  • § 404.1567 Physical exertion requirements
  • § 404.1568 Skill requirements
  • Appendix II: Medical-Vocational Guidelines (“The GRIDS”) (browse and plot your client)
  • POMS DI 90070.050–DAA Material Determinations
  • POMS DI 25020.010 Mental Limitations

Browse -- "Social Security Forms," pp. 7-26; 55-60

  • Disability Interview Form Part I, II (skim and consider why we are asking these questions)
  • Disability Checklist
  • Doctor/Therapist Questionnaires (browse)
  • Social Security Disability Report Appeal (form SSA-3441)

Wednesday, January 30- Friday February 1-- Simulated Interviews

With a partner, you will interview a simulated documents client (Allison or Hannah). You will receive feedback immediately after the interview. Afterwards, you will review a recording of the interview and give yourself feedback.
Sign up here 
Before the interview, you may find it helpful to review this recording of mock documents interview: Jacob Whiteside interview


Tuesday, February 5- Documents Explanation & Standby Guardianship


Tuesday, February 12 -  Case Rounds

Journal 2 due - email by 8 am

Tuesday, February 19 - Confidentiality/Discrimination

Tuesday, February 26 - Theory of a Disability Case

  • In this class, we will work as a group to develop a theory of a disability case. You will review a client file and apply the five step sequential evaluation. You will complete the five-step sequential evaluation for the client, and turn in your analysis before class.

    We will organize our discussion around the five steps. Bring your notes to class to facilitate discussion

  • Readings:
  • -Client disability file - saved in Clio under the "case" "AIDS Training"
  • - Review Social Security disability listings, grids, vocational materials, and law to consider possible theories for the client's case.
  • Helpful references:
    -POMS - Medical-Vocational Terms, Physical Limitations, Mental Limitations, (Binder, SS Law)
    -Components of the Definition Trailer (Binder, Social Security Readings, pp. 77-79)
  • -Social Security Forms, Case Theory Worksheet, p. 65

Tuesday, March 5 - Case Rounds: Client interviews and relationships

Journal 3 Due - email by 8 am

Read: Kristin B. Gerdy, The Heart of Lawyering: Clients, Empathy, and Compassion

Prepare a 1-2 page discussion of one or more client interviews, noting what went well, what was challenging, and any reflections you want to share. You may (or not) reference the Gerdy article. Note that this assignment will NOT be graded. The writing is just meant as a springboard for in class discussion.

Post to the "Health Justice Training" case in Clio by 5:00 pm on Monday, March 4

Week of March 11 -- SPRING BREAK

Tuesday, March 19 -- Case Rounds -- The disability challenge

This week we'll discuss our disability cases. Please read some of the news articles about Social Security disability in this google doc: Disability Media

Prepare a 1-2 page discussion of (one of) your disability or Medicaid cases. You can talk about challenges, strategy, interviewing, the client's predicament, the emotional impact of the case -- whatever you'd like. Upload to Clio Health Justice Training Case by 5:00 pm Monday., March 18.  Please read your classmate's submissions before class.

Tuesday, March 19-- TBA

Tuesday, March 26 -- TBA

Tuesday, April 2 - TBA

Journal 4 due - Email by 8 am

Tuesday, April 9 - TBA

Tuesday April 16, - TBA

Thursday, April 18 - last day of classes --  You are finished with the course when you have completed your hours, brought your cases to agreed stopping points, and had your final exit interview. Instructions will be provided as we near the end of the semester. FINAL JOURNAL is due prior to your exit interview. We'll email details.