An Evaluation of Patient and Student Experience at a Longstanding Student-run Free Clinic in Cape Town, South Africa

Heller, Madeleine; Thomas, Alexandria M; Peters, Shrikant; Düsterwald, Kira M; Klausner, Jeffrey D.

doi:10.7759/cureus.6320

Cited by 7 publications

(12 citation statements)

References 16 publications

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“…Thirteen were controlled-group studies [ 20 , 21 , 36 , 37 , 46 , 47 , 49 , 50 , 60 , 61 , 59 , 70 , 72 ], among which two were randomized [ 46 , 60 ]. Five main types of educational interventions were evaluated: global curriculum dedicated to social accountability [ 20 , 21 , 36 , 46 , 47 , 48 , 50 , 51 , 53 , 60 , 61 , 72 , 77 ]; experiential community-based learning [ 37 , 41 , 70 ]; volunteering in student-run free clinics [ 55 , 58 , 69 , 76 ], traditional didactic learning ,, [ 31 , 39 , 65 ] and online curriculum [ 75 ]. Experiential community-based learning and global curricula showed the greatest positive impact on MS-ATU, whereas volunteering in student-run free clinics and traditional learning showed inconsistent results.…”

Section: Resultsmentioning

confidence: 99%

Medical students attitudes toward and intention to work with the underserved: a systematic review and meta-analysis

et al. 2021

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Background Experts in the field of medical education emphasized the need for curricula that improve students’ attitudes toward the underserved. However, some studies have shown that medical education tends to worsen these attitudes in students. We aimed at systematically reviewing the literature assessing the change in medical students’ attitudes toward the underserved and intention to work with the underserved throughout medical education, the sociodemographic and educational factors associated with favorable medical student attitudes toward and/or intention to work with the underserved and the effectiveness of educational interventions to improve medical student attitudes toward and/or intention to work with the underserved. Method We conducted a systematic review on MEDLINE, Scopus, and Web of Science databases. Three investigators independently conducted the electronic search. We assessed the change in medical students attitudes toward the underserved by computing a weighted mean effect size of studies reporting scores from validated scales. The research team performed a meta-analysis for the sociodemographic and educational factors associated with medical students attitudes toward and/or intention to work with the underserved. Results Fifty-five articles met the inclusion criteria, including a total of 109,647 medical students. The average response rate was 73.2%. Most of the studies were performed in the USA (n = 45). We observed a significant decline of medical students attitudes toward the underserved throughout medical education, in both US and non-US studies. A moderate effect size was observed between the first and fourth years (d = 0.51). Higher favorable medical students attitudes toward or intention to work with the underserved were significantly associated with female gender, being from an underserved community or ethnic minority, exposure to the underserved during medical education and intent to practice in primary care. Regarding educational interventions, the effectiveness of experiential community-based learning and curricula dedicated to social accountability showed the most positive outcome. Conclusions Medical students attitudes toward the underserved decline throughout medical education. Educational interventions dedicated to improving the attitudes or intentions of medical students show encouraging but mixed results. The generalizability of our results is impeded by the high number of studies from the global-North included in the review.

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Section: Resultsmentioning

confidence: 99%

Medical students attitudes toward and intention to work with the underserved: a systematic review and meta-analysis

et al. 2021

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“…Furthermore, there was inconsistency across disciplines and institutions around in the use of labels, such as: student-assisted, -led, -run, or -facilitated. Additional terms identified in a separate, systematic review of international student-led clinics (submitted) included service-learning (examples [42][43][44][45] ) and student free-clinics (examples [46][47][48][49][50][51][52] ), the apparent distinction for these being the model of operation making no charge on service users, whereas as some, but not all, student clinics charge nominal fees to cover costs. Across all variations, the initiatives described appeared to fulfil the same purpose -addressing a community health need and generating authentic learning experiences for the student.…”

Section: Discussionmentioning

confidence: 99%

Student-Led Clinics in Aotearoa New Zealand: A Scoping Review with Stakeholder Consultation

Tokolahi¹,

Broman²,

Longhurst³

et al. 2021

JMDH

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Background Student-led clinics have gained increasing attention as a mechanism for students across various health professions to gain authentic interprofessional clinical placement experience during their educational programme. Purpose This scoping review is designed to identify and describe experiences relating to student-led clinics in Aotearoa New Zealand. Methods The review involved five key steps: 1) identifying the research question; 2) identifying relevant studies; 3) study selection; 4) charting the data; and 5) collating, summarising and reporting the results. Discussion Student-led health clinics present invaluable educational opportunities for authentic collaborative practice and capacity to improve population health and well-being, especially in marginalised and disadvantaged communities. Clinic establishment and operation require consideration of a complex set of factors. Conclusion Community consultation (including with Indigenous populations) should precede establishment of clinics. There is scope for more reporting and objective evaluation to ensure best practice is being determined, developed, and achieved.

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“…Heller et al [24] 2019 Survey, 52 medical students Surveys before and after volunteering at the SRC showed that 13/52 students had an increased desire to pursue primary care.…”

Section: Retrospective Study 908 Medical Studentsmentioning

confidence: 99%

“…Ultimately, seven studies (two retrospective studies and five prospective surveys) were included in this review, all of which are indexed by the outcome group in Tables 2 - 4 [ 21 - 27 ]. The studies conducted by Tran et al, Vaikunth et al, and Heller et al each met the inclusion criteria of two outcome groups and are included twice each in Tables 2 - 4 [ 21 , 23 , 24 ].…”

Section: Reviewmentioning

confidence: 99%

“…An observational study done at the University of Cape Town in South Africa evaluated patient satisfaction and how volunteering at the Students' Health and Welfare Centres Organisation (SHAWCO) affected their desire to go into primary care [ 24 ]. The researchers observed medical examinations between 52 medical students and 34 patients between May 25 and July 15, 2018.…”

Section: Reviewmentioning

confidence: 99%

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Impact of Medical Student Participation in Student-Run Clinics on Education, Residency Selection, and Patient Care: A Review of Selected Articles

McCray¹,

Atkinson²,

McCray³

et al. 2022

Cureus

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Student-run clinics (SRCs) are becoming increasingly popular at medical schools in the United States. These clinics have provided a variety of benefits, including serving disadvantaged populations and providing early clinical exposure for students. There has been no consensus on the impact of SRCs on medical education, specialty selection, and patient care. This review provides a thorough overview of student and patient outcomes as a function of medical students volunteering at SRCs. We queried PubMed for original literature published in English between the years 2000 and 2020. Inclusion criteria included primary research articles evaluating the impact of medical student participation in SRCs on education, specialty selection, and patient care. All articles included in the final review were agreed upon by three reviewers, and the pertinent data were extracted. Of 10,200 initial search results, seven papers were included in this review. These included two studies evaluating medical education, five studies evaluating residency selection, and three studies analyzing patient care. Three studies were included in multiple evaluations. The relationship between volunteering at SRCs and academic performance is unclear. Clinic volunteers had increased retention of empathy compared to non-volunteers. Additionally, clinic volunteers provided satisfactory care as determined by patient-reported outcomes, and were not more likely to pursue primary care specialties. As SRCs are increasing in number, research into the impact on medical students and patients is necessary to understand how these clinics may affect the field of health care. It is important to further evaluate how medical student involvement in SRCs can further improve patient care and outcomes.

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An Evaluation of Patient and Student Experience at a Longstanding Student-run Free Clinic in Cape Town, South Africa

Cited by 7 publications

References 16 publications

Medical students attitudes toward and intention to work with the underserved: a systematic review and meta-analysis

Medical students attitudes toward and intention to work with the underserved: a systematic review and meta-analysis

Student-Led Clinics in Aotearoa New Zealand: A Scoping Review with Stakeholder Consultation

Impact of Medical Student Participation in Student-Run Clinics on Education, Residency Selection, and Patient Care: A Review of Selected Articles

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