Medical Student-Run Health Clinics: Important Contributors to Patient Care and Medical Education

Simpson, Scott A.; Long, Judith A.

doi:10.1007/s11606-006-0073-4

Cited by 260 publications

(249 citation statements)

References 11 publications

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“…For example, nearly 90% of these clinics primarily service the uninsured, and thus the majority take no payments for services, relying on fundraising, institutional support, and grants for operations. 12 Often, the students in leadership positions are the primary seekers of funds to support the clinic 32 ; thus, students must possess an intimate knowledge of program finances and an anticipation of costs to fund programs in evolution in order to successfully manage and develop the SRC.…”

Section: Conclusion From the Literature On Student-run Clinics: Usinmentioning

confidence: 99%

“…32,40 Furthermore, when these clinics are in session, a number of them are operating in unconventional sites that in some cases are improvised, temporary, and stocked with limited supplies that are otherwise more readily available in traditional clinic sites. 12 The locations vary widely, with the most eccentric being homeless shelters, warehouses, churches, and mobile units. 17,18,26 In the majority of cases, however, the students have been successful in negotiating more equipped traditional office spaces, 40 …”

Section: Conclusion From the Literature On Student-run Clinics: Usinmentioning

confidence: 99%

“…13,14 The current models for these SRCs vary widely; however, the standout theme is a healthcare delivery program for predominantly uninsured persons in which undergraduate and medical students manage with supervision the administrative aspects of all components of care. 11 Simpson and Long 12 were the first and only recent authors to survey and describe on a national scale the prevalence and operation of medical studentrun health clinics. The authors were successful in retrieving data about the operations, finances, patient demographics, and acuity of complaints for 59 of 111 SRCs, the latter representing 49 medical schools across the country.…”

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confidence: 99%

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Student‐Run Health Clinic: Novel Arena to Educate Medical Students on Systems‐Based Practice

Meah

Smith

Thomas

2009

Mount Sinai J Medicine

139

111

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In recent decades, the United States has experienced substantial growth in the number of student-run clinics for the indigent. Today, over 49 medical schools across the country operate over 110 studentrun outreach clinics that provide primary care services to the poor and uninsured. Despite this development, little research has been published on the educational value of such student-led endeavors. Although much has been surmised, no general methodology for categorizing the learning experience in these clinics has been established. This article represents the first literature review of the novel method of educating students through the operation of a clinic for the underserved. It highlights the student-run clinic as a unique enhancement of medical education that may supplant current curricular arenas in teaching students about systems-based practice principles such as cost containment and financing, resource allocation, interdisciplinary collaboration, patient advocacy, and monitoring and delivery of quality care. The novelty of the student-run clinic is that students place themselves at the forefront of problem solving and system navigation to effectively care for severely disadvantaged populations. This article underscores the student-run clinic as a potentially ideal experiential learning method for preparing young physicians to confront a US healthcare system currently facing crises in cost, quality of care, and high rates of uninsurance. The article stresses the need for outcomes research on the long-term effectiveness of the student-run clinic experience in affecting medical student practice behaviors and attitudes in patient care settings that extend beyond

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Section: Conclusion From the Literature On Student-run Clinics: Usinmentioning

confidence: 99%

Section: Conclusion From the Literature On Student-run Clinics: Usinmentioning

confidence: 99%

mentioning

confidence: 99%

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Student‐Run Health Clinic: Novel Arena to Educate Medical Students on Systems‐Based Practice

Meah

Smith

Thomas

2009

Mount Sinai J Medicine

139

111

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“…As the number of student-run clinics has increased over the past decades, they have been seen as an important supplement to an overburdened system of safety net health care [23]. However, the volunteer-based model on which these clinics are structured can affect the level of oversight [23,24] and the quality of preventive care delivered [25]. Our study demonstrates that an ECMH-modeled longitudinal clerkship could be a way to enhance the quality of health care for vulnerable populations and learners’ education concurrently.…”

Section: Discussionmentioning

confidence: 99%

Impact of an education-centered medical home on quality at a student-volunteer free clinic

Russi

Bhaumik

Herzog

et al. 2018

Medical Education Online

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Background: The continuity provided by longitudinal clerkships has documented benefits to medical student education. Yet, little quantitative data exist on the association between longitudinal clerkships and patient outcomes.Objective: This study compares screening metrics of a longitudinal clerkship called the education-centered medical home (ECMH) with the standard clinical model at a student-volunteer free clinic (SVFC). In the ECMH model, the same attending physician staffs one half-day of clinic with same group of students weekly for 4 years. Standard clinical models are staffed with students and physicians who come to the SVFC based on availability.Design: ECMH students aimed to increase human immunodeficiency virus (HIV) screening rates in their patient panel as part of a quality improvement project. Students prepared individualized care plans prior to patient visits that included whether screening had been performed. They were also reminded to confirm completion of testing. Percentages of patients screened for HIV before and after establishment of the ECMH were compared with four standard clinical models. Screening rates for breast, colon, and cervical cancer, as well as hepatitis C, served as secondary endpoints.Results: While screening rates were initially similar between models (43.2% and 34.8% for the ECMH and standard clinical panels, respectively, p = 0.32), HIV screening rates increased from 43.2% to 95.0% in the ECMH compared with a significantly smaller increase from 35.0% to 50.0% in the standard clinical panel (p < 0.0001). Additionally, the ECMH resulted in statistically significantly increased screening rates for cervical cancer (p < 0.001) and hepatitis C (p < 0.0001).Conclusions: This study demonstrates an association between a longitudinal ECMH clerkship and improved quality metrics at an SVFC. Even measures not targeted for intervention, such as colorectal cancer and hepatitis C, showed significant improvement in screening rates when compared with the standard clinical model.

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“…While volunteers provide many services that free clinics offer, there are few studies on volunteers' experiences in this environment. The majority of studies on volunteering at free clinics have been conducted at student-run free clinics and focused on the impact of free clinic volunteer experiences on Volunteer Experiences at a Free Clinic in the United States: A Qualitative Study medical or health profession education [5,6]. More information about volunteering at free clinics, especially at non-student-run free clinics, is needed in order to better understand the types of experiences free clinic volunteers have, how they are utilized by these clinics, and how free clinics can better train and equip their volunteers to improve patient outcomes.…”

Section: Introductionmentioning

confidence: 99%

Volunteer Experiences at a Free Clinic in the United States: A Qualitative Study

Gorski¹,

Gull²,

Harris³

et al. 2017

Divers Equal Health Care

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Medical Student-Run Health Clinics: Important Contributors to Patient Care and Medical Education

Cited by 260 publications

References 11 publications

Student‐Run Health Clinic: Novel Arena to Educate Medical Students on Systems‐Based Practice

Student‐Run Health Clinic: Novel Arena to Educate Medical Students on Systems‐Based Practice

Impact of an education-centered medical home on quality at a student-volunteer free clinic

Volunteer Experiences at a Free Clinic in the United States: A Qualitative Study

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