Satisfaction with Healthcare Received at an Interprofessional Student-run Free Clinic: Invested in Training the Next Generation of Healthcare Professionals

Lu, Karen B; Thiel, Bryan; Atkins, C.; Desai, Anand; Botwin, Ariel; Povlow, Michael R; Simms-Cendan, Judith; Pasarica, Magdalena

doi:10.7759/cureus.2282

Cited by 15 publications

(19 citation statements)

References 4 publications

(4 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consistent with our findings at SHAWCO, several studies have found high patient satisfaction ratings of student-run free clinics [6,[9][10][11]. Interestingly, SHAWCO patients rated medical students higher than physicians on listening to their concerns.…”

Section: Discussionsupporting

confidence: 90%

“…This highlights a niche role for students on a patient care team. In a study conducted at the University of Central Florida KNIGHTS clinic, Lu et al found that patients identified free/affordable medical care, primary/specialty care, and the team approach as the greatest strengths of SRFCs [10]. Based on our results, the presence of students at SRFCs may enhance patient care by adding a layer to the "team approach."…”

Section: Discussionsupporting

confidence: 52%

“…Most studies evaluating patient satisfaction at SRFCs have shown high satisfaction with care provided [6,9,10]. However, the patient perspective of care received at student-run free clinics has only recently been explored in a small number of studies, most taking place in affluent nations [10][11][12][13]. A recent South African study from Du Toit et al found high patient satisfaction with a mobile clinic for community-based service learning at Nelson Mandela University in the Eastern Cape province [9].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 52%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

show abstract

“…Volunteer students serve the community by providing care to vulnerable and marginalized populations that may not have access to healthcare otherwise. Patients seen at student-run clinics report overall positive experiences and high satisfaction (Ellett et al 2010;Mischell et al 2017;Lu et al 2018). The positive experiences of the students and patients may also have long-term benefits.…”

Section: Enlightened Self-interest In Altruism (Esia)mentioning

confidence: 99%

Enlightened Self-interest in Altruism (ESIA)

Vearrier

2020

HEC Forum

View full text Add to dashboard Cite

Altruism and the medical profession have been linked throughout the history of medicine. Students are drawn to the calling of medicine because of altruistic values, dedication to service, and the desire to alleviate suffering and promote healing. Despite a dedication to these values, altruism in medicine is threatened by empathy erosion that develops in the clinical years of medical school and an increasing rate of medical student burnout. Currently, there are two widespread movements in medicine aimed at addressing the dual loss of altruism and physician and student burnout-professionalism and wellness. Despite widespread recognition of the problems and programs aimed at improving them, there has been little headway, and even calls to abandon altruism in the modern marketplace of medicine. What is needed is not an abandonment of a fundamental, defining value of the profession, but a reevaluation of the meaning of altruism in medicine and a framework that allows for students and physicians to provide altruistic care for a sustainable, rewarding career in the healing profession. This paper proposes the Enlightened Self-Interest in Altruism (ESIA) model as an ethical framework to allow medical students to synergize the interests of the self with those they serve in a mutually beneficial relationship to improve patient care and the healthcare system at large. The ESIA model acknowledges that egoism and altruism are intertwined, dynamic motivators of behavior. In the enlightened self-interest approach, the interests of the group are also the interests of the self. The physician-patient relationship is a dyad in which egoism and altruism may converge in an enlightened way that acknowledges that the interests of one are the interests of the whole. This is a paradigm shift from the historical view of egoism and altruism as opposing motivations. This paper will present the threats to altruism, explore the interface of egoism and altruism in a clinical vignette, and then present the ESIA framework as an educational approach to aligning the interests of providers and patients to prevent burnout and promote altruism.

show abstract

“…This form of evaluation however can only capture the participant's reaction to the service and does not capture higher level evaluation, including the ability of the intervention to facilitate learning and behaviour change [8]. Accordingly, the results from patient satisfaction questionnaires, often suggest that overall patients are satisfied with student services [9][10][11][12][13][14] providing the lowest level of evaluation according to the Kirkpatrick model [8]. Satisfaction may also be influenced by personal factors such as the patient's ability to access healthcare [15] or communication and interpersonal skills of the students.…”

Section: Introductionmentioning

confidence: 99%

Effect of student-led health interventions on patient outcomes for those with cardiovascular disease or cardiovascular disease risk factors: a systematic review

Suen

Attrill

Thomas

et al. 2020

BMC Cardiovasc Disord

View full text Add to dashboard Cite

Background: As the need for health care services rise, alternative service delivery models such as student-led health interventions become attractive alternatives to alleviate the burden on healthcare. Predominantly, studentled health interventions were free clinics servicing socially disadvantaged communities in the USA. A 2015 systematic review identified that students value these student-run clinics and reported skill and knowledge attainment from participating. Previous research has reported on patient satisfaction outcomes, but less frequently about the clinical outcomes patients accrue from these student-delivered services. As cardiovascular disease is the leading cause of death worldwide, this review aimed to explore the effectiveness of student-led health interventions through examining their impact on objective clinical outcomes, using the case of patients at risk of, or with, cardiovascular disease. Methods: A systematic literature search was conducted in eight electronic databases to identify student-led health interventions conducted on adults with a cardiovascular disease risk factor or established cardiovascular disease, and a clinical outcome of interest. Through double-blinded screening and data extraction, sixteen studies were identified for synthesis. Results: The majority of student-led health interventions for patients at risk of cardiovascular disease demonstrated a positive impact on patient health. Statistically significant changes amongst patients at risk of cardiovascular disease appeared to be associated with student-led individualised intervention or group-based interventions amongst patients with diabetes or those who are overweight or obese. The evidence was of moderate quality, as included studies lacked a control group for comparison and detail to enable the intervention to be replicated. Conclusions: Future research applying a student-led health intervention through a randomised control trial, with rigorous reporting of both student and patient interventions and outcomes, are required to further understand the effectiveness of this alternative service delivery model.

show abstract

Satisfaction with Healthcare Received at an Interprofessional Student-run Free Clinic: Invested in Training the Next Generation of Healthcare Professionals

Cited by 15 publications

References 4 publications

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

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

Enlightened Self-interest in Altruism (ESIA)

Effect of student-led health interventions on patient outcomes for those with cardiovascular disease or cardiovascular disease risk factors: a systematic review

Contact Info

Product

Resources

About