Quality of Diabetes Care at a Student-Run Free Clinic

Meah, Yasmin; Thomas, David C.

doi:10.1353/hpu.0.0231

Cited by 65 publications

(33 citation statements)

References 31 publications

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“…These partnerships have the potential to improve public health and address social determinants of health utilizing a multidimensional approach to health care. Student-led organizations have been demonstrated to provide high-quality care as prescribed by national standards 36,37. With the support and guidance of academic institutions and community partnerships, motivated students can utilize their knowledge and skill sets to work on an interdisciplinary team to meet public health needs.…”

Section: Discussionmentioning

confidence: 99%

Improving public health through student-led interprofessional extracurricular education and collaboration: a conceptual framework

VanderWielen¹,

Vanderbilt²,

Dumke³

et al. 2014

JMDH

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In the US, health care professionals are trained predominantly in uniprofessional settings independent of interprofessional education and collaboration. Yet, these professionals are tasked to work collaboratively as part of an interprofessional team in the practice environment to provide comprehensive care to complex patient populations. Although many advantages of interprofessional education have been cited in the literature, interprofessional education and collaboration present unique barriers that have challenged educators and practitioners for years. In spite of these impediments, one student-led organization has successfully implemented interprofessional education and cross-disciplinary collaboration. The purpose of this paper is to provide a conceptual framework for successful implementation of interprofessional education and collaboration for other student organizations, as well as for faculty and administrators. Each member of the interprofessional team brings discipline-specific expertise, allowing for a diverse team to attend to the multidimensional health needs of individual patients. The interprofessional team must organize around a common goal and work collaboratively to optimize patient outcomes. Successful interdisciplinary endeavors must address issues related to role clarity and skills regarding teamwork, communication, and conflict resolution. This conceptual framework can serve as a guide for student and health care organizations, in addition to academic institutions to produce health care professionals equipped with interdisciplinary teamwork skills to meet the changing health care demands of the 21st century.

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Section: Discussionmentioning

confidence: 99%

Improving public health through student-led interprofessional extracurricular education and collaboration: a conceptual framework

VanderWielen¹,

Vanderbilt²,

Dumke³

et al. 2014

JMDH

View full text Add to dashboard Cite

show abstract

“…Prompts for preventive screening may be more successful in a clinic run by medical students where education and clinical service resource constraints may allow increased concentration on more acute priorities [14]. Studies have found student-run free clinics have successful attainment in intermediate clinical outcomes for patients with chronic disease [15]. In addition, free clinic standards outperform published standards for chronic diseases, such as diabetes [16].…”

Section: Free Clinicsmentioning

confidence: 99%

Free clinic educational interventions for patients with chronic disease

Patel

Cadet

2017

J of Compassionate Health Care

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The implementation of community-based programs tailored to underserved patients who do not have access to quality health care can impact future health outcomes. Addressing these chronic disease issues is critical to intervene in communities and develop effective management solutions pertinent to one's health status. Many public-health objectives have been suggested for further evaluation through national Healthy People 2020 goals. Free clinics are intended to provide quality health care to individuals who do not have the ability to pay for medical expenses because of socioeconomic disadvantages. Vulnerable patient populations located in medically underserved regions are affected to a greater degree than the average city-dwelling communities, and potential interventions to tackle pertinent factors influencing positive health outcomes could provide improvements. Tailored educational models in free clinic settings can impact health behaviors and management in susceptible patients with chronic disease. Empathy and compassion are essential criteria to being able to effectively serve free clinic populations. It is important to implement interventions where healthcare providers must look at their patients holistically: what are their needs and barriers to care?

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“…At SRFCs, a student often performs the initial patient evaluation before presenting the case to a qualified clinician. Past studies have shown SRFCs to be a feasible and effective means of providing care to uninsured, poverty-stricken, or otherwise vulnerable populations [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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

Heller

Thomas

Peters

et al. 2019

Cureus

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Background Student-run free clinics (SRFCs) combine medical student learning with the provision of free health care. A comprehensive evaluation of patient experience at SRFCs is needed to ensure a balance between valuable clinical experience for students and enhancement of patient care. The aim of this study was to describe patient and medical student perception of care at a longstanding SRFC at the University of Cape Town (UCT). Methods We conducted an observational study at the Students' Health and Welfare Centres Organisation (SHAWCO), a student-run free clinic at UCT. Trained study staff observed clinical encounters between consenting medical students and patients. We surveyed patients on their demographic characteristics, overall satisfaction, and impressions of medical students and physicians at SHAWCO. We surveyed medical students on their level of training, motivation for volunteering, and future career plans. We linked all data from each clinical encounter by a study-generated identification number. Results We surveyed a total of 34 patients and 52 medical students on their experience at SHAWCO. All patients either strongly agreed (88%) or agreed (12%) that they were satisfied with care. Patient satisfaction did not vary with the parameters of care included in multivariable analysis. Patients rated medical students higher than physicians on listening skills, and equally to physicians on all other clinical skills rated. Medical students reported a strong desire to go into primary care and work in underserved settings both before and after volunteering at SHAWCO. Discussion We found a high level of patient satisfaction at SHAWCO, consistent with other studies. Our findings indicate that medical student involvement in care at SRFCs is not a detriment to patient satisfaction.

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Quality of Diabetes Care at a Student-Run Free Clinic

Cited by 65 publications

References 31 publications

Improving public health through student-led interprofessional extracurricular education and collaboration: a conceptual framework

Improving public health through student-led interprofessional extracurricular education and collaboration: a conceptual framework

Free clinic educational interventions for patients with chronic disease

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

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