Ophthalmology Services at Student-Run Free Clinics: A National Survey

Okaka, Yvonne; Meah, Yasmin; Fallar, Robert; Chadha, Nisha

doi:10.1016/j.jnma.2021.02.004

Cited by 12 publications

(10 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 2018, there are 23 student-run health clinics offering ophthalmology service over the United States, with each one providing 5.15 h per month of services on average. 60 Many studies investigated demographics of the patient population and efficacy of the service clinic model on skills acquisition. 1 , 44 , 51 MacLean and Hindman 1 conducted research on the University of Rochester Well Eye Care service project and found that patients served by participating students came from diverse backgrounds, including undocumented immigrants and individuals exempted from filing federal tax returns due to low income.…”

Section: Resultsmentioning

confidence: 99%

The Decline of Basic Ophthalmology in General Medical Education: A Scoping Review and Recommended Potential Solutions

Liao,

Wright,

Vora

2024

Journal of Medical Education and Curricular Development

View full text Add to dashboard Cite

OBJECTIVE This literature review aims to explore research and conceptual pieces on the state of ophthalmology education and suggest potential ways to address current challenges. METHODS A search was conducted in PubMed, ERIC, Web of Science, and Google Scholar with combinations of the following search terms: “ophthalmology education,” “undergraduate medical education,” “medical student,” “United States,” and “Canada.” Eliminating irrelevant articles yielded 47 articles. Three were excluded because of region and focus, leaving 44. After examining the citations, we generated an additional 22 texts for review, totaling 66 articles. RESULTS Four primary themes were identified: (1) challenges to ophthalmological education in the U.S. and Canada, (2) potential remedies for optimizing ophthalmology curriculum, (3) technology in ophthalmology education, and (4) innovative ophthalmology teaching approaches. Major challenges included the lack of a standardized curriculum and inadequate clinical exposure and skills training. A number of remedies were proposed, such as standardizing curriculum and furthering faculty involvement, utilizing technology as time-effective learning aids, and employing innovative teaching approaches such as service learning. CONCLUSION In light of challenges in ophthalmology education, curriculum designers should consider Cognitive Load Theory (CLT) to assist students to remember meaningful exposures to ophthalmology knowledge and techniques. Based on CLT, we suggest two potential approaches to incorporating ophthalmology curriculum. The first is to embrace interdisciplinary collaborations and place ophthalmology knowledge in varied contexts to facilitate schema construction. The second is to incorporate ophthalmology diagnostics requirements into OSCEs and utilize simulation models for students to gradually increase the fidelity of tasks and devote cognitive resources fully to learning.

show abstract

Section: Resultsmentioning

confidence: 99%

The Decline of Basic Ophthalmology in General Medical Education: A Scoping Review and Recommended Potential Solutions

Liao,

Wright,

Vora

2024

Journal of Medical Education and Curricular Development

View full text Add to dashboard Cite

show abstract

“…Many SRFCs are able to integrate in-house specialty care through rotating specialty-specific clinics. 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.…”

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

View full text Add to dashboard Cite

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

show abstract

“…The Consortium of Student-Led Eye Clinics (CSLEC) was launched in 2021 to promote collaboration among SLFVSPs to identify and address mutual challenges in preventative eye care service delivery. The operational and service delivery characteristics of vision screening programs affiliated with primary care Student Run Free Clinics (SRFCs), have been preliminarily characterized by Okaka et al 2 and by some CSLEC members individually. 3 – 6 …”

Section: Introductionmentioning

confidence: 99%

Capabilities and Limitations of Student-Led Free Vision Screening Programs in the United States

Devanathan,

Scheive,

Nawash

et al. 2024

Trans. Vis. Sci. Tech.

View full text Add to dashboard Cite

Purpose The Consortium of Student-Led Eye Clinics (CSLEC), founded in 2021, administered a comprehensive survey to document the types of services, most common diagnoses, and follow-up care protocols offered by student-led free vision screening programs (SLFVSP) in the United States. Methods An 81-question institutional review board (IRB)-approved survey was administered to student-led vision screening eye clinics from October 1, 2022 to February 24, 2023. Results Sixteen SLFVSPs were included in the final analysis, of which 81% ( n = 13) conducted variations of fundoscopic examinations and 75% ( n = 12) measured intraocular pressure. Cataracts and diabetic retinopathy were reported as the most frequent diagnoses by the majority of SLFVSPs ( n = 9, 56%); non-mobile SLFVSPs more commonly reported cataract as a frequent diagnosis ( P < 0.05). Most patients screened at participating programs were uninsured or met federal poverty guidelines. Prescription glasses were offered by 56% of the programs ( n = 9). SLFVSPs that directly scheduled follow-up appointments reported higher attendance rates (66.5%) than those that only sent referrals (20%). Transportation was the most cited barrier for follow-up appointment attendance. Conclusions SLFVSPs, one community vision screening initiative subtype, vary significantly in scope and capabilities of identifying vision threatening disease. The follow-up infrastructure is not uniformly robust and represents a key target for improving care delivery to at-risk populations. Translational Relevance The CSLEC aims to develop a consensus-based standardization for the scope of screening services, offer guidelines for diagnostic criteria, promote real-time data stewardship, and identify means to improve follow-up care mechanisms in member communities.

show abstract

Ophthalmology Services at Student-Run Free Clinics: A National Survey

Cited by 12 publications

References 16 publications

The Decline of Basic Ophthalmology in General Medical Education: A Scoping Review and Recommended Potential Solutions

The Decline of Basic Ophthalmology in General Medical Education: A Scoping Review and Recommended Potential Solutions

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

Capabilities and Limitations of Student-Led Free Vision Screening Programs in the United States

Contact Info

Product

Resources

About