Timothy Edward Schwob, M.D.
Crossroads Medical Mission
P. O. Box 16852
Bristol, Virginia 24209-6852

Phone: 276-466-1600
Fax: 276-466-2800
Web: info@crossroadsmedicalmission.org

Tim Schwob, M.D. is a board-certified family physician who practices with Crossroads Medical Mission, a mobile clinic based at State Street United Methodist Church in Bristol, Virginia. Crossroads Medical Mission cares for people who have limited access to medical care because of geographical or economic barriers. The clinic travels to several communities in southwest Virginia and northeast Tennessee.

Dr. Schwob partners with another board-certified family physician, Paul Derden, M.D. The physicians are supported by Missions Director Rex Boggs, a certified radiology technologist who acts as medical assistant and manages relationships with community partners, such as churches, homeless shelters, and community centers.

A native of Oak Park, Illinois, Dr. Schwob was born on November 11, 1951. He is married to Tammy Lynne Schwob and the couple has a daughter, Alexandra (b. 02/07/94). Apart from medicine, Dr. Schwob enjoys running and golf. He went through college on a golf scholarship and still plays frequently. Dr. Schwob is a lay speaker who enjoys Bible study and teaching young adults.

Dr. Schwob studied as an undergraduate at Northern Illinois University from 1969 to 1974. He also did undergraduate work at Eastern Kentucky University from 1977 to 1978. Dr. Schwob holds a medical degree from Ross Medical School, Dominica, B.W.I., New York, New York, awarded in 1983. In 1986, he completed three years of training at the Bristol Family Medicine Residency Program in Bristol, Tennessee.

Upon completion of his medical training, Dr. Schwob began working as a staff physician for Bristol Emergency Physicians at Bristol Regional Medical Center in Bristol, Tennessee. Between 1994 and 1995, he was medical director for the ambulatory care clinic at Bristol Regional Medical Center. Dr. Schwob was in private practice in a clinic owned by John Deere Health Care from 1995 to 1998. Between 1998 and 2001, he practiced as a staff physician with Quick Care, an urgent care facility managed by Wellmont Health Systems in Kingsport. He began working with Crossroads Medical Mission in 2002, where he is staff physician and President. Dr. Schwob also works part-time with an Internal Medicine group (Bristol Medical Associates) and an urgent care group (Blue Ridge Medical Management).

The Crossroads mobile clinic has two patient exam rooms, a small dispensary, and a waived medical laboratory. Community partners - churches, food pantries, homeless shelters, etc. - at each location provide waiting rooms, volunteer support, electrical hookup, and parking space. Crossroads offered these services:

· Screenings: screenings for common problems, such as diabetes, hypertension, breast and prostate disease
· Primary Care: evaluation and treatment of routine medical problems, and initiation of therapy
· Minor surgery: biopsies, cryotherapy, laceration repair, mole removal, incision and drainage of abscesses, wound debridement, nail removal, and other minor procedures
· Urgent care: acute illnesses and injuries, including wound care and splint application
· Patient education: participation in one's own health care through discussion and informational materials
· Community health education: providing information about outreach programs and other available services
· Onboard Lab: glucose, urinalysis, strep screens, and urine pregnancy testing
· Outside Labs: all outside labs on uninsured patients are done by MEDex Laboratories at no charge
· Pharmacy: dispense generic medications purchased and brand names donated by pharmaceutical companies. No narcotics or tranquilizers.
· Referrals: referrals to community health centers, health departments, and other providers of care
· X-Rays: basic radiology of extremities and chests once fully funded (pending).

Crossroads does not bill for patient care, but the organization does accept donations from patients and other parties. About 85% of the patients who visit Crossroads physicians are uninsured. No one is denied care because of inability to pay. Crossroads is a Christian mission, but no patient is required to participate in religious activities in order to receive assistance.

Depending upon the location, the number of patients seen per day ranges from 0 to 30, with an average of around 18. Actual time devoted to patient care ranges from 3 to 7 hours a day, depending upon driving time, the number of patients who present for care and the number of volunteers who support the physicians. The physicians do everything themselves: they interview and examine patients, draw blood, spin down and prep specimens, do EKGs, dispense medicine, and make follow up phone calls to patients. They provide comprehensive care to every patient and the average visit takes about 30 minutes.

Dr. Schwob is very interested in preventive medicine and patient education, believing that most problems emanate from ourselves and can be addressed through improved health habits and spiritual growth. Residents who work with Dr. Schwob will see all varieties of patient - all ages, medical conditions, races, social settings, and situations. They will get a broad medical experience while witnessing a different approach to the provision of patient care.

Refusing to treat problems instead of patients, Crossroads Medical Mission takes a broad approach to health care, attending to the physical, emotional, and spiritual needs of each patient. Dr. Schwob believes that patients who want health in the broadest sense must look to Christ, that a relationship with Christ is critical to our welfare. He invites residents who think Christ is not important to rotate at Crossroads and learn firsthand the practical benefits of spiritual wholeness.

Residents who rotate with Crossroads Medical Mission may stay in reasonably priced bed and breakfasts (3 in Bristol) or motels (22 in Bristol). GMEC can attempt to secure furnished apartments or houses for residents, but we can offer no guarantees because short-term rentals are hard to find in rural areas. Usually, though, we are fortunate enough to identify excellent accommodations for residents and their families.

For information about population health, economics, and demographics in Southwest Virginia, see the GMEC web site at www.uvawise.edu/gmec.