What is the Quality of Preventive Care Provided in a Student-Run Free Clinic?

Butala, Neel M.; Murk, William; Horwitz, Leora I.; Graber, Lauren K.; Bridger, Laurie; Ellis, Peter

doi:10.1353/hpu.2012.0034

Cited by 41 publications

(51 citation statements)

References 20 publications

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“…Twenty‐five articles described general health care outcomes of SRC participation . This category was divided into three subgroups: patient satisfaction; quality of care provided, and future specialisation and career choice.…”

Section: Resultsmentioning

confidence: 99%

Learning in student-run clinics: a systematic review

et al. 2015

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CONTEXT Student-run clinics (SRCs) have existed for many years and may provide the most realistic setting for context-based learning and legitimate early clinical experiences with responsibility for patient care. We reviewed the literature on student outcomes of participation in SRCs.METHODS A systematic literature review was performed using the PubMed, EMBASE, Psy-cINFO and ERIC databases. Included articles were reviewed for conclusions and outcomes; study quality was assessed using the Medical Education Research Study Quality Instrument (MERSQI).RESULTS A total of 42 articles met the inclusion criteria and were included in the quantitative synthesis. The effects of participation on students' attitudes were mainly positive: students valued the SRC experience. Data on the effects of SRC participation on students' skills and knowledge were based mainly on expert opinions and student surveys. Students reported improved skills and indicated that they had acquired knowledge they were unlikely to have gained elsewhere in the curriculum. The quality of specific aspects of care delivered by students was comparable with that of regular care.CONCLUSIONS The suggestion that students should be trained as medical professionals with responsibility for patient care early in the curriculum is attractive. In an SRC this responsibility is central. Students valued the early training opportunity in SRCs and liked participating. However, little is known about the effect of SRC participation on students' skills and knowledge. The quality of care provided by students seemed adequate. Further research is needed to assess the effect of SRC participation on students' skills, knowledge and behaviour.

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Section: Resultsmentioning

confidence: 99%

Learning in student-run clinics: a systematic review

et al. 2015

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“…The successful replication of the SRC model of early learner engagement may require adjustments to current service delivery and economic models of clinical care. Although productivity pressures and economic models may differ, studies on the quality of care delivered in SRCs have shown the standard of care delivered to be consistent with that required by national guidelines and demonstrated quality‐of‐care indicators comparable with or exceeding those in uninsured populations and comparable with those in insured populations …”

Section: Discussionmentioning

confidence: 97%

“…Although productivity pressures and economic models may differ, studies on the quality of care delivered in SRCs have shown the standard of care delivered to be consistent with that required by national guidelines and demonstrated quality-of-care indicators comparable with or exceeding those in uninsured populations and comparable with those in insured populations. [35][36][37][38] The SRCs provide an example of how we might transform early clinical experiences in the core curriculum from one primarily of observation to one that is learner-centred and enables meaningful engagement and learning. We should consider changing the paradigm of medical education so that we educate with a focus on preparing students for rapid early and legitimate engagement in the workplace by emphasising the achievement of depth in limited areas before we concentrate on building breadth over time.…”

Section: What Affordances Of the Srcs Allow This Degree Of Participatmentioning

confidence: 99%

Legitimate workplace roles and activities for early learners

et al. 2014

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“…At the start of the study period (November 2014), 16 of the 37 (43.2%) patients empaneled in the ECMH had documented HIV screening in the EMR, mirroring the national average of 40.8% [20]. As illustrated in Table 2, the total number of ECMH patients increased from 37 to 80 over the 18-month observation period.…”

Section: Resultsmentioning

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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What is the Quality of Preventive Care Provided in a Student-Run Free Clinic?

Abstract: This student-run free clinic provided preventive services at comparable rates to national levels, but short of goals specified in Healthy People 2020.

Cited by 41 publications

References 20 publications

Learning in student-run clinics: a systematic review

Learning in student-run clinics: a systematic review

Legitimate workplace roles and activities for early learners

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

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