Cultural Sensitivity and Learning About Healthcare Equity for the Underserved: Experiential Learning in a Student-Run Free Clinic

Ballantyne, Katie; Porter, Katherine R.; Bogdanovski, Kristijan; Lessans, Spencer; Pasarica, Magdalena

doi:10.1007/s40670-021-01235-9

Cited by 7 publications

(4 citation statements)

References 18 publications

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“…SRFCs have been shown to be sites of powerful learning opportunities where students develop empathy and capacity to serve marginalized patient communities and learn to work in interprofessional teams, all while providing care to uninsured patients. [2][3][4][5]18,[26][27][28][29][30][31] Our analysis provides another perspective on the value of SRFCs, showing that they are cost-effective venues for student education.…”

Section: Discussionmentioning

confidence: 99%

Quantifying the Educational Value of a Student-Run Free Clinic

Mazander,

Rumenapp,

Lee

et al. 2024

Fam Med

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Background and Objectives: Student-run free clinics (SRFCs) are settings in which students in health professions gain clinical experience, often while providing free or reduced-cost health care to the surrounding community. The current literature quantifies the many benefits these clinics provide to their patients and the impact they have on students’ future careers; but few previous studies have assessed the financial impact of the education provided at an SRFC. We report on a net educational benefit, an educational benefit to educational cost ratio, and a net educational benefit to educational cost ratio of one SRFC from the perspective of the university. Methods: We calculated the value of education by multiplying all student hours worked in the clinic by the associated value of 1 hour in the typical tuition-based curriculum. Clinic educational costs and student hours were obtained from clinic records from August 1, 2021 through July 31, 2022. Results: We found the total educational value students received to be $73,571 over one academic year. The educational operating expenses of the clinic totaled $9,053, resulting in a benefit-cost ratio of 8.13. Conclusions: This analysis demonstrated a potential financial advantage of operating an SRFC when assessing clinic education expenses in relation to the value of university-generated education. Our research may serve as a starting point to showcase the economic benefit of SRFCs to their parent institutions and encourage further analysis of other benefits SRFCs may provide to institutions of higher education.

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Section: Discussionmentioning

confidence: 99%

Quantifying the Educational Value of a Student-Run Free Clinic

Mazander,

Rumenapp,

Lee

et al. 2024

Fam Med

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“…In studies that documented that there was institutional support, which provided guidance and training in cultural competency parallel to students' clinical courses, nursing students' cultural competence improved (Cruz et al, 2016). At least one study in medical education reported no difference in cultural awareness between medical students who had clinical practicums with patients from different cultural backgrounds and medical students whose clinical practice was with patients from the same cultural backgrounds as themselves (Ballantyne et al, 2021). Choi and Kim (2018) differentiated between brief and lengthy exposure to populations from different cultural backgrounds.…”

Section: Discussionmentioning

confidence: 99%

Nursing Cultural Competence in Israel: Does Practice Make It Better?

2022

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Because of globalization, immigration, and mass exodus from countries due to political conflicts, there is an ever-changing mix of people with diverse cultural backgrounds who require institutions to provide continuing education to ensure that effective services are provided to everyone. Part of the transcultural challenges involves religion, socioeconomic differences and languages, and ethnic backgrounds that differ. The objective of this study was to examine whether a transcultural training program for undergraduate nursing students in Israel could enhance students’ cultural competence. In this study, 319 senior undergraduate nursing students were asked to complete the Transcultural Health Care Screening Questionnaire as a measure of their cultural competence. The students’ cultural competence was satisfactory but less than it had been in previous years. The authors suggest that cultural competence needs to be considered as a contextual, developmental, and experiential process that requires ongoing attention and curricular revisions.

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“…Existing studies have looked at the services that student clinics offer, the number of student volunteers at a clinic, and the number of patients seen. [2][3][4][5] Out of 94 clinics that responded to a survey, 49 stated that they had at least one studentrun clinic with an average of 16 students, with predominantly minority patients being served. 2,3 Studies have also reported on the benefits of SRCs including working with vulnerable populations and advancing medical education, as well as the challenges including receiving funding and having adequate staff.…”

Section: Introductionmentioning

confidence: 99%

“…3 More specifically, studies have demonstrated that involvement in SRCs allow health professional students to engage with the ever-increasing diversity of patient groups, and further examine the nuanced barriers that limit access to care through an intersectional lens-accounting for racial, cultural, and gender-based inequities. 4,5 Student-run clinics bring together two matters: they help to fill a gap in health access by providing care to underserved communities while also providing medical students with significant clinical exposure, particularly towards diverse patient populations from a wide range of demographics and backgrounds. At its ideal, these free clinics are a solution towards addressing some of the disparities in the American healthcare system.…”

Section: Introductionmentioning

confidence: 99%

Implementation of Training Protocols Addressing Equitable Care in US Student-Run Clinics

Shah,

Barger,

Ding

et al. 2023

J Stud Run Clin

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Background: Student-run clinics (SRCs) provide free healthcare to surrounding communities—oftentimes underserved communities. In these clinics, medical students see a wide array of patients under the supervision of physicians. SRCs have helped to fill a gap in primary care and provide an opportunity for students to refine their clinical skills. However, no uniform training program exists across all student-run clinics. This study aims to assess and analyze the quality and characterization of these training programs to inform future trainings and ultimately provide more equitable care to the communities being served by SRCs. Methods: A nine-question survey was sent out by email to 96 clinics across the United States. Upon obtaining data, the study team de-identified the results. Two independent raters coded the survey responses using an inductive approach. Themes were derived from responses and summarized into nominal codes. Results: The populations served by the clinics that responded in decreasing order of magnitude were underinsured/uninsured (83%); immigrant/non-English speaking populations (75%); black, indigenous, and people of color (67%); homeless (67%); low-income (67%); sex workers (17%); youth (8%); and injection drug users (8%). Nine (75%) clinics had some form of training for volunteers and 3 (25%) offered no formal trainings. 75% of all clinics surveyed offered both “cultural competency” and “general introduction to systems training.” The majority of clinics partnered with local hospitals/clinics (50%). Other community partners included mental health and homeless agencies, local pharmacies, and schools. Two (17%) of the clinics surveyed did not have any community partners. Conclusion: SRCs offer a unique solution towards bridging the gap in health inequity in America. The study shows possible gaps in training among schools in the US. Although some schools have adopted formal, standardized training programs, many do not encompass instruction on topics including cultural humility, trauma-informed care, de-escalation, and population-specific care.

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Cultural Sensitivity and Learning About Healthcare Equity for the Underserved: Experiential Learning in a Student-Run Free Clinic

Cited by 7 publications

References 18 publications

Quantifying the Educational Value of a Student-Run Free Clinic

Quantifying the Educational Value of a Student-Run Free Clinic

Nursing Cultural Competence in Israel: Does Practice Make It Better?

Implementation of Training Protocols Addressing Equitable Care in US Student-Run Clinics

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