Integrating Musculoskeletal Education and Patient Care at Medical Student−Run Free Clinics

McQuillan, Thomas; Wilcox-Fogel, Nate; Kraus, Emily; Ladd, Amy L.; Fredericson, Michael

doi:10.1016/j.pmrj.2017.03.008

Cited by 13 publications

(17 citation statements)

References 13 publications

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“… 21 , 30 , 54 Other concepts that were used interchangeably with student-run included student-created ; student-developed , student-directed , student-driven , student-initiated , student-managed , student-operated , student-organized , student nurse-delivered , student pharmacist-led , student pharmacist-run , and student-volunteer . 6 , 7 , 29 , 55 - 63 In some cases, more than one term was used interchangeably within the same article, such as student-run and student-led . 6 , 62 - 67 …”

Section: Resultsmentioning

confidence: 99%

“…1 , 29 , 35 , 52 , 61 , 62 , 72 , 78 , 81 , 85 - 88 The term student-run free clinic, or SRFC, was frequently used in healthcare specific contexts to describe free services. 17 , 28 , 38 , 48 , 50 , 58 , 71 , 84 , 89 There were some instances where not all services were provided free and nominal fees were required for laboratory work, diagnostics, specialty services, and vaccines. 2 , 3 , 34 , 78 , 90 We discuss funding and resources for student-run initiatives later in this paper; however, the ability to provide free services was in large part due to the voluntary contributions of students, healthcare providers, educators, and other personnel.…”

Section: Resultsmentioning

confidence: 99%

“… 3 , 28 , 81 , 102 Personal gains that students identified as a benefit of their experience were a sense of purpose in providing services (eg, social responsibility through service-learning), gaining insight to different contexts of practice (eg, working with various population groups and other cultures), and opportunities for volunteerism. 3 , 29 , 58 , 97 , 102 , 103 …”

Section: Consequences Associated With Student-run Initiativesmentioning

confidence: 99%

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Understanding Student-Run Health Initiatives in the Context of Community-Based Services: A Concept Analysis and Proposed Definitions

Nagel

Naccarato

Philip

et al. 2022

J Prim Care Community Health

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Background: Student-run health initiatives in the community setting have been utilized to provide practical experience for undergraduate students to develop professional competencies, gain exposure to diverse populations, and to engage in activities of social accountability. There is much literature on student-run health initiatives; however, there is no consensus on a definition of this concept or a comprehensive synthesis of the literature that describes student-run health initiatives offered by students in pre-licensure healthcare education programs. Purpose: To provide a concept analysis of, and propose a definition for, student-run health initiatives that provide community-based services for students during pre-licensure health discipline education. Methods: A systematic literature search and review process was used to identify and synthesize peer-reviewed articles from 7 academic databases covering a range of pre-licensure health disciplines and education. Walker and Avant’s framework for concept analysis was used to guide exploration of attributes, antecedents and consequences of student-run initiatives, and to inform development of a definition for this concept. Results: The review yielded 222 articles for data extraction and represented 17 distinct pre-licensure health disciplines, 18 health-related disciplines, and a range of other baccalaureate and graduate programs. Our analysis revealed 16 definitions, 5 attributes, 6 antecedents, and consequences identified for student-run health initiatives. Attributes were Provision of Service, Service is Free, Target Clientele, Volunteerism, and Student Governance. Antecedents included Purpose/Rationale, Affiliation with Academic Unit, Location and Partnerships, Funding and Resources, Professional Oversight, and Preparation for Student Role. Consequences were improved access to services and outcomes for clients; competency development, personal gains and interprofessional learning for students; and positive outcomes for broader systems, such as decrease of service utilization and cost/benefit. Conclusions: There was no clear conceptual definition for student-run health initiatives, but many defining characteristics and well-described exemplars in the literature. Given the variations in purpose and scope of these initiatives, particularly to distinguish degree of students’ roles in operations and the involvement of academic institutions, we propose 3 distinct conceptual definitions: student-run, student-led, and student-infused health initiatives.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Consequences Associated With Student-run Initiativesmentioning

confidence: 99%

See 1 more Smart Citation

Understanding Student-Run Health Initiatives in the Context of Community-Based Services: A Concept Analysis and Proposed Definitions

Nagel

Naccarato

Philip

et al. 2022

J Prim Care Community Health

View full text Add to dashboard Cite

show abstract

“…43 This approach has been shown to work for a variety of disciplines, including otolaryngology, ophthalmology, 44 behavioral and mental health, dermatology, hepatology, musculoskeletal medicine, general surgery care, and women’s health. 26,43,45,46 However, the ability of a given SRFC to provide specialty services depends on the extent to which that clinic is integrated into an umbrella academic institution. Without such support, clinics must seek pro bono services from individual practices, a challenge that explains, in part, why not all SRFCs operate on an internal referral system.…”

Section: Srfcs As Medical Care Providersmentioning

confidence: 99%

Student-Run Free Clinics Stand at a Critical Junction Between Undergraduate Medical Education, Clinical Care, and Advocacy

et al. 2022

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Student-run free clinics (SRFCs) act as primary care providers that bring health care to populations in need and are an important source of undergraduate medical education (UME), guiding trainees through the art of history taking and physical examination. However, they are also social justice and advocacy initiatives-addressing disparity in access to care and educating medical trainees with firsthand exposure to socioeconomic determinants of health as well as language and medical illiteracy barriers. Here, the authors review academic literature examining the impact of SRFCs in their 3 roles: as medical care providers, as components of medical education, and as advocacy organizations. Based on the evidence of that literature and decades of direct SRFC leadership experience, the authors make the case that SRFCs are an undersupported means by which UME institutions contribute to correcting health care disparities and to serving social justice reform. SRFCs as Medical Care ProvidersSRFCs primarily serve patients of low socioeconomic status, targeting communities where up to 45% of the

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“…Many students additionally gain early exposure paired with didactics through their orthopaedic surgery interest groups. Medical student-run free clinics allow students to gain practical experience with the MSK patient evaluation 36 . These early exposure programs serve as informal, unexpected sources of learning and mentorship that often lead to further involvement and investigation into the field.…”

Section: Written Resourcesmentioning

confidence: 99%

Musculoskeletal Educational Resources for the Aspiring Orthopaedic Surgeon

et al. 2022

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Musculoskeletal (MSK) education is underemphasized in medical school curricula, which can lead to decreased confidence in treating MSK conditions and suboptimal performance on orthopaedic surgery elective rotations or subinternships. Given the low amount of formalized education in MSK medicine, students aiming to learn about orthopaedic surgery must gain much of their foundational knowledge from other resources. However, there are currently no centralized introductory educational resources to fill this need. We provide a framework for navigating the different types of resources available for trainees and highlight the unaddressed needs in this area.

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Integrating Musculoskeletal Education and Patient Care at Medical Student−Run Free Clinics

Abstract: Not applicable.

Cited by 13 publications

References 13 publications

Understanding Student-Run Health Initiatives in the Context of Community-Based Services: A Concept Analysis and Proposed Definitions

Understanding Student-Run Health Initiatives in the Context of Community-Based Services: A Concept Analysis and Proposed Definitions

Student-Run Free Clinics Stand at a Critical Junction Between Undergraduate Medical Education, Clinical Care, and Advocacy

Musculoskeletal Educational Resources for the Aspiring Orthopaedic Surgeon

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