Impact of Student-Run Clinics on Preclinical Sociocultural and Interprofessional Attitudes: A Prospective Cohort Analysis

Sheu, Leslie; Lai, Cindy J.; Coelho, Anabelle D.; Lin, Lisa; Zheng, Patricia; Hom, Patricia; Diaz, Vanessa; O’Sullivan, Patricia

doi:10.1353/hpu.2012.0101

Cited by 23 publications

(32 citation statements)

References 25 publications

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“…Students were generally satisfied and appreciated the clinical experience they had acquired in the SRC . Moreover, their attitude and compassion towards (caring for) patients improved (all homeless, poor or underserved patients) . Students reported that their skills had improved (i.e.…”

Section: Resultsmentioning

confidence: 90%

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Learning in student-run clinics: a systematic review

et al. 2015

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CONTEXT Student-run clinics (SRCs) have existed for many years and may provide the most realistic setting for context-based learning and legitimate early clinical experiences with responsibility for patient care. We reviewed the literature on student outcomes of participation in SRCs.METHODS A systematic literature review was performed using the PubMed, EMBASE, Psy-cINFO and ERIC databases. Included articles were reviewed for conclusions and outcomes; study quality was assessed using the Medical Education Research Study Quality Instrument (MERSQI).RESULTS A total of 42 articles met the inclusion criteria and were included in the quantitative synthesis. The effects of participation on students' attitudes were mainly positive: students valued the SRC experience. Data on the effects of SRC participation on students' skills and knowledge were based mainly on expert opinions and student surveys. Students reported improved skills and indicated that they had acquired knowledge they were unlikely to have gained elsewhere in the curriculum. The quality of specific aspects of care delivered by students was comparable with that of regular care.CONCLUSIONS The suggestion that students should be trained as medical professionals with responsibility for patient care early in the curriculum is attractive. In an SRC this responsibility is central. Students valued the early training opportunity in SRCs and liked participating. However, little is known about the effect of SRC participation on students' skills and knowledge. The quality of care provided by students seemed adequate. Further research is needed to assess the effect of SRC participation on students' skills, knowledge and behaviour.

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Section: Resultsmentioning

confidence: 90%

“…Fifteen articles described the effects of SRC participation on students’ attitudes and opinions . Students were generally satisfied and appreciated the clinical experience they had acquired in the SRC .…”

Section: Resultsmentioning

confidence: 98%

Learning in student-run clinics: a systematic review

et al. 2015

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“…17,18 These studies have also shown that volunteering at an SRC improves students' attitudes toward IPC 4,10,15 and working with marginalized patients; 18 it also improves students' understanding of health disparities 15,16 and other HCP roles. 6,15,16,19 Furthermore, volunteering at an SRC is associated with self-reported improvement in inter-professional behaviour 20 and clinical reasoning skills. 10 One study investigated the PT student experience in a US pro bono clinic, a clinical setting similar to an SRC.…”

Section: Ré Sumémentioning

confidence: 99%

Student and Preceptor Experiences at an Inter-Professional Student-Run Clinic: A Physical Therapy Perspective

Passmore¹,

Persic²,

Countryman³

et al. 2016

Physiotherapy Canada

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Purpose: Student-run clinics (SRCs) provide a unique opportunity for inter-professional education; they prepare health care students for a collaborative future by enabling them to interact with other such students in a clinical setting focused on inter-professional learning and collaboration. Physical therapy (PT) students are increasingly being included in SRCs; however, most research on student experiences in SRCs has been carried out with medical students. This qualitative study explores the perceived benefits of the PT experience in an SRC through the lens of PT students and their preceptors. Method: A qualitative interpretive-descriptive approach consisting of face-to-face, semi-structured interviews was used. Interviews were audiotaped and transcribed verbatim. Data were analyzed using a constant comparative approach. Results: Seven PT students and eight preceptors who volunteered at the SRC between September 2013 and May 2015 participated in the study. Three themes emerged from the interviews: (1) exposure to marginalized patient populations, (2) learning through inter-professional interactions, and (3) experience with different patient care approaches. Conclusions: Participating in an SRC enhances PT students' understanding of their and other health care professionals' roles. Students gained an appreciation for the social determinants of health and improved their knowledge of inter-professional collaboration. The knowledge gained from this study has the potential to inform PT professional development, SRCs, and PT education.Key Words: inter-professional education; qualitative research; students. RÉ SUMÉObjectif : les cliniques dirigé es par des é tudiants offrent une occasion unique de formation interprofessionnelle ; elles pré parent les é tudiants en soins de santé à la collaboration en leur permettant d'interagir avec d'autres é tudiants dans un environnement clinique axé sur la collaboration et l'apprentissage interprofessionnels. Les é tudiants en physiothé rapie sont de plus en plus inclus dans ces cliniques ; cependant, la plupart des recherches portant sur les expé riences é tudiantes dans ce type de clinique ont é té mené es auprè s d'é tudiants en mé decine. Cette é tude qualitative examine les bienfaits perc¸us de l'expé rience vé cue par les é tudiants en physiothé rapie et leurs pré cepteurs en clinique dirigé e par des é tudiants. Mé thode : une approche qualitative interpré tative-descriptive comprenant des entrevues en personne semi-structuré es a é té utilisé e. Les entrevues ont é té enregistré es sur bande sonore et transcrites mot à mot. Les donné es ont é té analysé es au moyen d'une approche comparative constante. Ré sultats : sept é tudiants en physiothé rapie et huit pré cepteurs qui ont travaillé de maniè re bé né vole dans une clinique dirigé e par des é tudiants entre septembre 2013 et mai 2015 ont participé à l'é tude. Trois thè mes sont ressortis des entrevues : (1) l'exposition à des populations de patients marginalisé s, (2) l'apprentissage au moyen d'interactions i...

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“…The IEPS and RIPLS are the instruments most frequently utilised by researchers in the field of IPE and collaborative practice. The IEPS and RIPLS have been used to evaluate the effectiveness of IPE interventions such as interprofessional curricula, IPE projects, interprofessional clinical or fieldwork placements, and online IPE learning modules . Although both instruments have been popular choices for researchers and educators alike, their use in measuring between‐group differences or within‐group change resulting from IPE interventions is problematic.…”

Section: Discussionmentioning

confidence: 99%

“…The IEPS and RIPLS have been used to evaluate the effectiveness of IPE interventions such as interprofessional curricula,29,[35][36][37][38][39][40][41][42][43] IPE projects,[44][45][46][47][48] interprofessional clinical or fieldwork placements,29,[49][50][51][52][53][54][55][56] and online IPE learning modules 57,58. Although both instruments have been popular choices for researchers and educators alike, their use in measuring between-group differences or within-group change resulting from IPE interventions is problematic.Problems relating to the scoring of test items are evident with both instruments.…”

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confidence: 99%

A critical appraisal of instruments to measure outcomes of interprofessional education

2015

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A number of instruments have been developed to measure outcomes of IPE in pre-qualification health professional students. Based on reported validity evidence and reliability data, the psychometric integrity of these instruments is limited. The theoretical test construction paradigm on which instruments have been developed may be contributing to the failure of some instruments to detect change in variables of interest following an IPE intervention. These limitations should be considered in any future research on instrument design.

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Impact of Student-Run Clinics on Preclinical Sociocultural and Interprofessional Attitudes: A Prospective Cohort Analysis

Abstract: Students participating in SRCs perceive positive benefits, but do not score differently from those who do not. The SRC experiences may not be frequent enough to affect these measures, particularly since our students were high-scoring upon entry.

Cited by 23 publications

References 25 publications

Learning in student-run clinics: a systematic review

Learning in student-run clinics: a systematic review

Student and Preceptor Experiences at an Inter-Professional Student-Run Clinic: A Physical Therapy Perspective

A critical appraisal of instruments to measure outcomes of interprofessional education

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