IntroductionHypertension is one of the most common disorders in the United States, affecting approximately 1 in 3 adults. Since uncontrolled blood pressure has been associated with outcomes such as stroke, congestive heart failure, and chronic kidney disease, it poses a considerable risk to a significant portion of the population. According to the American Heart Association, hypertension was responsible for 46,284,000 outpatient care visits in 2007; and it is estimated that this condition will be directly or indirectly responsible for $76.6 billion in health care costs in 2010.9 The morbidity and mortality associated with uncontrolled hypertension complicate initiatives to improve the quality of care in this area important in any outpatient practice. The LCME encourages medical schools to provide service-learning opportunities for students, many medical schools have chosen to support student-run clinics as part of their service-learning and there are today more than 110 student-run clinics across the United States.12 The Student Family Health Care Center (SFHCC) is the free, student-run clinic at New Jersey Medical School in Newark, New Jersey, which exists since 1967. Care provided at the clinic includes management of hypertension, diabetes, dyslipidemia and many other chronic diseases, with hypertension being the main one. most common diagnosis. Patients come from the city of Newark and surrounding areas. Most are uninsured and are between 18 and 65 years old. In 2003, the seventh report of the Joint National Committee on the Prevention, Detection, Assessment, and Treatment of High Blood Pressure (JNC 7) was released. Since then, these guidelines have become the most widely accepted guidelines for the management of hypertension and this is the guideline found in the middle of the article.......Heart Disease Statistics and Stroke, 2010 Update. A report from the American Heart Association. Traffic 2010; 70-78.10. Milchak JL, Carter BL, Ardery G, et al. Physician adherence to blood pressure guidelines and their effects 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 suffering from difficult to control or resistant hypertension. American family physician 2009; 79(10): 863-869.