Yacine Sow, Loren Krueger, Christopher Ervin, Maher Alharthi, Ronnie Festok, Moses Elam, Danielle Duvernay, F. Omole
Student-run free health clinics (SRFCs) play an important role in providing a safety net healthcare system for uninsured patients by offering primary healthcare or preventative medical services. Patients at free clinics may have to be referred out for medical complaints better managed with specialty care. Integrating these services at SRFCs can address barriers to accessing specialty care. Free dermatologic care offers an opportunity to provide care to patients who may otherwise ignore symptoms, which can lead to reduced quality of life and a worse prognosis in some conditions. We detail a roadmap to integrate dermatologic services at an SRFC by providing operational considerations such as assessing needs, developing a clinical workflow, engaging dermatologists and the community, and sustaining student involvement. We also discuss the potential for a dermatology clinic to foster interest in the specialty among students underrepresented in medicine, given the current call to action to increase racial and ethnic diversity in the dermatologic workforce.
{"title":"A Roadmap to Integrating Dermatologic Care at a Student-Run Free Health Clinic","authors":"Yacine Sow, Loren Krueger, Christopher Ervin, Maher Alharthi, Ronnie Festok, Moses Elam, Danielle Duvernay, F. Omole","doi":"10.59586/jsrc.v10i1.397","DOIUrl":"https://doi.org/10.59586/jsrc.v10i1.397","url":null,"abstract":"Student-run free health clinics (SRFCs) play an important role in providing a safety net healthcare system for uninsured patients by offering primary healthcare or preventative medical services. Patients at free clinics may have to be referred out for medical complaints better managed with specialty care. Integrating these services at SRFCs can address barriers to accessing specialty care. Free dermatologic care offers an opportunity to provide care to patients who may otherwise ignore symptoms, which can lead to reduced quality of life and a worse prognosis in some conditions. We detail a roadmap to integrate dermatologic services at an SRFC by providing operational considerations such as assessing needs, developing a clinical workflow, engaging dermatologists and the community, and sustaining student involvement. We also discuss the potential for a dermatology clinic to foster interest in the specialty among students underrepresented in medicine, given the current call to action to increase racial and ethnic diversity in the dermatologic workforce.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"94 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139388030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kristiana Hanna, Divya B. Dasani, Aishwarrya Jayapal, Sapan Shah, Octavian Adam
Background: Medical student-run asylum clinics, which support asylum seekers with medical/psychological evaluations provided by asylum clinics, have significantly expanded in the United States in the last ten years, but minimal data reviews the impact of a program like this on the professional development of providers and students. This study analyzes how student participation impacts cultural competency and professional adeptness. Methods: Fifty-eight CDAC (n=26) and non-CDAC (n=32) participants were surveyed on demographics, comfort, and experiences interacting with asylum populations, as well as philanthropic characteristics of altruism, empathy, and compassion. Data collection and analysis were conducted using Qualtrics, R, and non-parametric testing (Mann Whitney U test, Fisher’s exact test). Results: Those who participated in CDAC endorsed greater overall experience interacting with asylum populations (p=0.01), particularly serving refugee populations (p=0.004) and having difficult conversations about physical and mental trauma (p=0.02). CDAC participants also scored higher on select measures of altruism and empathy. Conclusion: Participation in service-learning programs is important to medical education and practice, particularly in primary care. CDAC offers a unique learning opportunity for clinicians to gain cultural competency skills while providing vital assistance to marginalized populations, even for those with no prior formal training.
{"title":"Student Perspectives While Serving Asylum Seekers: A Pilot Study","authors":"Kristiana Hanna, Divya B. Dasani, Aishwarrya Jayapal, Sapan Shah, Octavian Adam","doi":"10.59586/jsrc.v9i1.377","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.377","url":null,"abstract":"Background: Medical student-run asylum clinics, which support asylum seekers with medical/psychological evaluations provided by asylum clinics, have significantly expanded in the United States in the last ten years, but minimal data reviews the impact of a program like this on the professional development of providers and students. This study analyzes how student participation impacts cultural competency and professional adeptness. Methods: Fifty-eight CDAC (n=26) and non-CDAC (n=32) participants were surveyed on demographics, comfort, and experiences interacting with asylum populations, as well as philanthropic characteristics of altruism, empathy, and compassion. Data collection and analysis were conducted using Qualtrics, R, and non-parametric testing (Mann Whitney U test, Fisher’s exact test). Results: Those who participated in CDAC endorsed greater overall experience interacting with asylum populations (p=0.01), particularly serving refugee populations (p=0.004) and having difficult conversations about physical and mental trauma (p=0.02). CDAC participants also scored higher on select measures of altruism and empathy. Conclusion: Participation in service-learning programs is important to medical education and practice, particularly in primary care. CDAC offers a unique learning opportunity for clinicians to gain cultural competency skills while providing vital assistance to marginalized populations, even for those with no prior formal training.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139161267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-23Epub Date: 2023-01-22DOI: 10.59586/jsrc.v9i1.227
Alyssa Fleischman, Claire Vanden Heuvel, Dahlia Habtemariam Tesfamichael, Taryn McGinn Valley, Kristina Jones
Background: Social determinants of health (SDOH) disproportionately affect medically-underserved populations such as those cared for in student-run free clinics (SRFCs). Community resource programs which address SDOH play an important role in reducing health disparities. The Southside MEDiC Clinic (SMC), a SRFC at the University of Wisconsin School of Medicine and Public Health, partnered with the Community Resource Navigator Program (CRNP), a community resource program focused on addressing SDOH, to remove barriers that prevent positive health outcomes for SMC patients.
Aim: Our objective is to describe the partnership between the SMC and the CRNP. We hope this design may be used as a model for addressing SDOH in other SRFCs.
Discussion: Partnership goals include improved patient perception of health, increased communication between patients and the clinic, and enhanced opportunities for volunteer action learning. Challenges discussed include adaptation to unique clinics. Future directions and potential advancements in this partnership are also addressed.
{"title":"Addressing Social Determinants of Health in a Free Clinic Setting: A Student-Run Free Clinic and Community Resource Navigator Program.","authors":"Alyssa Fleischman, Claire Vanden Heuvel, Dahlia Habtemariam Tesfamichael, Taryn McGinn Valley, Kristina Jones","doi":"10.59586/jsrc.v9i1.227","DOIUrl":"10.59586/jsrc.v9i1.227","url":null,"abstract":"<p><strong>Background: </strong>Social determinants of health (SDOH) disproportionately affect medically-underserved populations such as those cared for in student-run free clinics (SRFCs). Community resource programs which address SDOH play an important role in reducing health disparities. The Southside MEDiC Clinic (SMC), a SRFC at the University of Wisconsin School of Medicine and Public Health, partnered with the Community Resource Navigator Program (CRNP), a community resource program focused on addressing SDOH, to remove barriers that prevent positive health outcomes for SMC patients.</p><p><strong>Aim: </strong>Our objective is to describe the partnership between the SMC and the CRNP. We hope this design may be used as a model for addressing SDOH in other SRFCs.</p><p><strong>Discussion: </strong>Partnership goals include improved patient perception of health, increased communication between patients and the clinic, and enhanced opportunities for volunteer action learning. Challenges discussed include adaptation to unique clinics. Future directions and potential advancements in this partnership are also addressed.</p>","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10869102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48531577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nirupama Devanathan, Melanie Scheive, Jessica Kruger, Chi Wah Rudy Yung
The Consortium of Student Led Eye Clinics (CSLEC) was founded in 2021 as a part of the Editorial Fellowship offered by the Journal of Student Run Free Clinics (JSRC), to increase collaboration between vision screening programs in the United States. So far, the CSLEC has recruited over a dozen programs, initiating a mentorship process to pair new organizations with long-established clinics. The CSLEC has also worked to generate bi-monthly workshops highlighting different operational strategies and insights from member institutions. With a multi-institution research team, a comprehensive survey has been an ongoing priority to assess baseline characteristics of vision screening programs, including from non-CSLEC member institutions. Ultimately, to further optimize and standardize operations across vision screening programs, the CSLEC seeks to incorporate the expertise of all member institutions to integrate consensus-based decision making to serve as a legitimate source of access to eye care, ultimately to identify and treat vision-threatening illness in populations without stable access.
{"title":"The Time for Specialty Care Collaboration is Now: How the Consortium of Student-Led Eye Clinics Makes the Case","authors":"Nirupama Devanathan, Melanie Scheive, Jessica Kruger, Chi Wah Rudy Yung","doi":"10.59586/jsrc.v9i1.384","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.384","url":null,"abstract":"The Consortium of Student Led Eye Clinics (CSLEC) was founded in 2021 as a part of the Editorial Fellowship offered by the Journal of Student Run Free Clinics (JSRC), to increase collaboration between vision screening programs in the United States. So far, the CSLEC has recruited over a dozen programs, initiating a mentorship process to pair new organizations with long-established clinics. The CSLEC has also worked to generate bi-monthly workshops highlighting different operational strategies and insights from member institutions. With a multi-institution research team, a comprehensive survey has been an ongoing priority to assess baseline characteristics of vision screening programs, including from non-CSLEC member institutions. Ultimately, to further optimize and standardize operations across vision screening programs, the CSLEC seeks to incorporate the expertise of all member institutions to integrate consensus-based decision making to serve as a legitimate source of access to eye care, ultimately to identify and treat vision-threatening illness in populations without stable access.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"6 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138591442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Student-run free clinics (SRFCs) are increasingly becoming multidisciplinary care centers for underserved and uninsured patients across our communities. While SRFCs continue to advance research on various fronts to improve the quality of patient care provided, there remains scant literature on the involvement of resident and fellow physicians, or rather advanced trainees across disciplines in general, in the SRFC setting. As a result, there is a limited understanding of how best to include them and their skillsets within SRFCs and to design opportunities mutually beneficial for both SRFCs and advanced training programs. Purpose: To initiate a call-to-action for SRFCs to invest resources toward better characterizing the involvement of advanced trainees across SRFCs and the impacts they can potentially impart upon both the SRFC’s educational and patient care experiences. Summary: There remains limited information available pertaining to the involvement and impact of advanced trainees in SRFCs. As a result, these remain suboptimally-tapped areas of research and SRFCs are well-positioned to potentially bridge critical gaps in knowledge. Potential approaches to this include 1) querying advanced trainees currently involved in SRFCs on their motivations for being involved, 2) encouraging advanced trainees to discuss how other trainees may similarly become involved and to help with securing their participation, and 3) surveying training program leadership at institutions with SRFCs on how mutually beneficial partnerships between SRFCs and training programs might be established. In better characterizing their roles, SRFCs have an opportunity to fuel significant changes in health education and patient care.
{"title":"Advanced Trainees in Student-Run Free Clinics: Potential Bridges to Critical Gaps in Knowledge","authors":"David Lee","doi":"10.59586/jsrc.v9i1.454","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.454","url":null,"abstract":"Background: Student-run free clinics (SRFCs) are increasingly becoming multidisciplinary care centers for underserved and uninsured patients across our communities. While SRFCs continue to advance research on various fronts to improve the quality of patient care provided, there remains scant literature on the involvement of resident and fellow physicians, or rather advanced trainees across disciplines in general, in the SRFC setting. As a result, there is a limited understanding of how best to include them and their skillsets within SRFCs and to design opportunities mutually beneficial for both SRFCs and advanced training programs. Purpose: To initiate a call-to-action for SRFCs to invest resources toward better characterizing the involvement of advanced trainees across SRFCs and the impacts they can potentially impart upon both the SRFC’s educational and patient care experiences. Summary: There remains limited information available pertaining to the involvement and impact of advanced trainees in SRFCs. As a result, these remain suboptimally-tapped areas of research and SRFCs are well-positioned to potentially bridge critical gaps in knowledge. Potential approaches to this include 1) querying advanced trainees currently involved in SRFCs on their motivations for being involved, 2) encouraging advanced trainees to discuss how other trainees may similarly become involved and to help with securing their participation, and 3) surveying training program leadership at institutions with SRFCs on how mutually beneficial partnerships between SRFCs and training programs might be established. In better characterizing their roles, SRFCs have an opportunity to fuel significant changes in health education and patient care.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"30 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139266426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Animal assisted therapy (AAT) is therapeutic intervention designed to help patients engage in meaningful life activities.1 Therapy dogs are used in healthcare settings to engage patients in motion, self-care, mental health, motivation, social responses, pain management, and fine motor skills.2 While there is research on the benefits of AAT with children and adults in inpatient settings, there is a lack of information on the benefits and satisfaction of AAT in student-run free clinics (SRFC). Methods: Occupational therapy (OT) students, volunteer clinicians, trained therapy dog teams, and patients receiving OT services at the Community Aid, Relief, Education & Support (CARES) SRFC participated in a pilot AAT program. All participants completed a specially designed survey via REDcap immediately following AAT sessions. Surveys focused on the patient’s pain and stress levels, benefits of AAT, and patient satisfaction. Results: Ten patients participated in the AAT pilot program alongside thirty-seven students and 4 therapy dog teams. 100% of patients responded therapy dogs helped them reach their goals, 93.8% of handlers and clinicians agreed the dog was a valuable addition to therapy sessions, and 100% of OT students agreed AAT is an important tool for therapists to use in clinical settings. 67.6% of patients reported a decrease in stress and 41.2% of patients who were experiencing pain reported a decrease in symptoms. Students, handlers, and clinicians reported benefits with AAT including range of motion (79.7%), fine motor skills (68.1%), and motivation (68.1%). Conclusion: AAT was successfully integrated into CARES SRFC based on feedback and data collected from participants. AAT had a visible impact on patients, students, handlers, and clinicians. Future research on the use of AAT in a SRFC should include a larger sample size and consider how to better define the specific impact of AAT on populations and conditions commonly seen in a SRFC.
{"title":"Pilot Study of Animal Assisted Therapy Provided in a Student Run Pro Bono Clinic","authors":"Colleen Fralinger, Patty Coker Bolt, Cathy Bennett, Suzanne Craig","doi":"10.59586/jsrc.v9i1.386","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.386","url":null,"abstract":"Background: Animal assisted therapy (AAT) is therapeutic intervention designed to help patients engage in meaningful life activities.1 Therapy dogs are used in healthcare settings to engage patients in motion, self-care, mental health, motivation, social responses, pain management, and fine motor skills.2 While there is research on the benefits of AAT with children and adults in inpatient settings, there is a lack of information on the benefits and satisfaction of AAT in student-run free clinics (SRFC). Methods: Occupational therapy (OT) students, volunteer clinicians, trained therapy dog teams, and patients receiving OT services at the Community Aid, Relief, Education & Support (CARES) SRFC participated in a pilot AAT program. All participants completed a specially designed survey via REDcap immediately following AAT sessions. Surveys focused on the patient’s pain and stress levels, benefits of AAT, and patient satisfaction. Results: Ten patients participated in the AAT pilot program alongside thirty-seven students and 4 therapy dog teams. 100% of patients responded therapy dogs helped them reach their goals, 93.8% of handlers and clinicians agreed the dog was a valuable addition to therapy sessions, and 100% of OT students agreed AAT is an important tool for therapists to use in clinical settings. 67.6% of patients reported a decrease in stress and 41.2% of patients who were experiencing pain reported a decrease in symptoms. Students, handlers, and clinicians reported benefits with AAT including range of motion (79.7%), fine motor skills (68.1%), and motivation (68.1%). Conclusion: AAT was successfully integrated into CARES SRFC based on feedback and data collected from participants. AAT had a visible impact on patients, students, handlers, and clinicians. Future research on the use of AAT in a SRFC should include a larger sample size and consider how to better define the specific impact of AAT on populations and conditions commonly seen in a SRFC.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"222 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139269593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kanad Mukherjee, Brandon Goodwin, Alex Kaunzinger, Meghan Foos, Suzanna Hosein
This paper provides an outline for how Rowan University School of Osteopathic Medicine (RowanSOM) established a student-run coronavirus disease 2019 (COVID-19) vaccination clinic. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), referred to as COVID-19, has ravaged the nation since January of 2020. One of the largest issues during the first months of the vaccine rollout was vaccine distribution to the qualified public. RowanSOM sought to address this obstacle in New Jersey (NJ) by implementing the state’s first medical student-led COVID-19 vaccination clinic. Through the establishment of a supply chain, vaccination area, vaccine storage area, and registration center, the medical school created a straightforward format for “mega sites”, interested medical schools and pop-up sites to follow to implement their own clinics to help to end the fight against COVID-19. RowanSOM closely collaborated with the NJ Department of Health, which has been fundamental in the implementation of the State’s vaccination plan through the creation and execution of this student-run vaccination clinic.
{"title":"A Novel Solution to a Novel Pandemic","authors":"Kanad Mukherjee, Brandon Goodwin, Alex Kaunzinger, Meghan Foos, Suzanna Hosein","doi":"10.59586/jsrc.v9i1.365","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.365","url":null,"abstract":"This paper provides an outline for how Rowan University School of Osteopathic Medicine (RowanSOM) established a student-run coronavirus disease 2019 (COVID-19) vaccination clinic. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), referred to as COVID-19, has ravaged the nation since January of 2020. One of the largest issues during the first months of the vaccine rollout was vaccine distribution to the qualified public. RowanSOM sought to address this obstacle in New Jersey (NJ) by implementing the state’s first medical student-led COVID-19 vaccination clinic. Through the establishment of a supply chain, vaccination area, vaccine storage area, and registration center, the medical school created a straightforward format for “mega sites”, interested medical schools and pop-up sites to follow to implement their own clinics to help to end the fight against COVID-19. RowanSOM closely collaborated with the NJ Department of Health, which has been fundamental in the implementation of the State’s vaccination plan through the creation and execution of this student-run vaccination clinic.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"35 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139269282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
James Jordano, Nina Curkovic, Sachin Aggarwal, Kasey Hutcheson, Shauna McLaughlin, Babatunde Carew, Marguerite Lloyd, Eleanor Weaver, Robert Miller
Background: Hepatitis C virus (HCV) predominantly affects marginalized patients, who have been reported to lack access to effective treatment. A high overlap exists between those at risk for HCV and those cared for by student-run free clinics. The purpose of this study is to present how one student-run free clinic provides accessible HCV care to patients as a model for other free clinics to offer similar services.
Methods: Data was reviewed from the electronic medical record and MedData Services, a software for management of patient assistance program (PAP) applications. Data collected included information regarding HCV diagnosis, treatment, and medication access process.
Results: At our clinic, there were 23 patients with a documented diagnosis or prior history of HCV infection. Treatment was initiated in 83% (n = 19) of patients, and 89% (n = 17) of these patients completed treatment. Most patients (84%, n = 16) received HCV medications directly through Shade Tree Clinic. All but three patients were treated with Harvoni®. All patients with available laboratory data (n = 13) at >12 weeks status-post treatment had achieved sustained viral response. PAP applications were successfully approved for 89% (n = 17) of submitted applications (n = 19), representing the primary avenue for our clinic to access HCV treatments.
Conclusions: Our experience with HCV demonstrates that effective HCV treatment is feasible in a student-run free clinic setting.
{"title":"Hepatitis C Treatment for Patients Without Insurance in a Student-Run Free Clinic: Analysis of Demographics, Cost, and Outcomes","authors":"James Jordano, Nina Curkovic, Sachin Aggarwal, Kasey Hutcheson, Shauna McLaughlin, Babatunde Carew, Marguerite Lloyd, Eleanor Weaver, Robert Miller","doi":"10.59586/jsrc.v9i1.404","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.404","url":null,"abstract":"Background: Hepatitis C virus (HCV) predominantly affects marginalized patients, who have been reported to lack access to effective treatment. A high overlap exists between those at risk for HCV and those cared for by student-run free clinics. The purpose of this study is to present how one student-run free clinic provides accessible HCV care to patients as a model for other free clinics to offer similar services.
 Methods: Data was reviewed from the electronic medical record and MedData Services, a software for management of patient assistance program (PAP) applications. Data collected included information regarding HCV diagnosis, treatment, and medication access process.
 Results: At our clinic, there were 23 patients with a documented diagnosis or prior history of HCV infection. Treatment was initiated in 83% (n = 19) of patients, and 89% (n = 17) of these patients completed treatment. Most patients (84%, n = 16) received HCV medications directly through Shade Tree Clinic. All but three patients were treated with Harvoni®. All patients with available laboratory data (n = 13) at >12 weeks status-post treatment had achieved sustained viral response. PAP applications were successfully approved for 89% (n = 17) of submitted applications (n = 19), representing the primary avenue for our clinic to access HCV treatments.
 Conclusions: Our experience with HCV demonstrates that effective HCV treatment is feasible in a student-run free clinic setting.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135414252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer Bu, Min Kyung Chung, Kun Xing, Claire Ruben, Ashlie Elver
Student-run free clinics are a valuable resource for both patients who lack access to care and undergraduate medical education. Free clinics often face specific challenges, such as long clinic wait times, necessitating the development of strategies to minimize wait time and enhance patient satisfaction. We propose the use of a patient complexity score to facilitate patient scheduling and the proper assignment of students to complex patients based on training level. A numeric score estimating the complexity of each patient may provide valuable information to clinic organizers and ultimately reduce patient wait times.
{"title":"Complexity-Based Triaging and Scheduling for Reducing Clinic Wait Times in Student-Run Free Clinics","authors":"Jennifer Bu, Min Kyung Chung, Kun Xing, Claire Ruben, Ashlie Elver","doi":"10.59586/jsrc.v9i1.370","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.370","url":null,"abstract":"Student-run free clinics are a valuable resource for both patients who lack access to care and undergraduate medical education. Free clinics often face specific challenges, such as long clinic wait times, necessitating the development of strategies to minimize wait time and enhance patient satisfaction. We propose the use of a patient complexity score to facilitate patient scheduling and the proper assignment of students to complex patients based on training level. A numeric score estimating the complexity of each patient may provide valuable information to clinic organizers and ultimately reduce patient wait times.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136295354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shreya Dash, Karolina Pogorzelski, Wendy Zhang, Natalie Long
Background: Timely communication of lab results is vital to healthcare delivery. To improve patient care practices, the Clinic Manager Communication Log (CMCL) was implemented at student-run MedZou Community Health Clinic – a free clinic serving uninsured patients in Columbia, Missouri.
Without a streamlined system in place, there were delays in reporting lab results and communications to patients. Current literature on this topic is scarce.
Methods: Using an Ishikawa Diagram and mapping workflow, a 2x2 Effort vs. Yield Table was constructed to determine the best lab reporting protocol. As a result, the CMCL was created to track all patient lab communication and follow-up needs. The Clinic Managers (CMs) changed protocol by contacting patients thrice within 1 week, recording all call attempts and information shared between January to August 2022. Retrospective data was collected to calculate turnaround time in reporting lab results prior to CMCL implementation. Feedback was assessed via the Patient Communication Satisfaction Survey.
Results: Before CMCL implementation, 53.30% of patients never received their lab results. CMCL use showed a statistically significant 31.00% relative increase in patients receiving results (p = 0.002346) and a 12.60% relative increase in results communicated within one week. Out of the patients who couldn’t be reached initially, two-thirds obtained results via a follow-up call. 76.00% of patients rated their communicative experience as “Excellent”. Use of the CMCL showed a statistically significant number of additional patients receiving lab results, streamlining the follow-up process regarding their care.
Conclusions: The CMCL demonstrates how tracking communication is effective at improving patient care at student-run clinics. A similar model of centralized data collection can be used to ensure reliable and efficient patient follow-up. CMCL access is currently limited to CMs. In the future, additional leadership teams within MedZou can utilize the CMCL data to practice more effective patient communication.
{"title":"Patient-Centered Lab Result Communication Through the Clinic Manager Communication Log (CMCL) at MedZou Community Health Clinic","authors":"Shreya Dash, Karolina Pogorzelski, Wendy Zhang, Natalie Long","doi":"10.59586/jsrc.v9i1.396","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.396","url":null,"abstract":"Background: Timely communication of lab results is vital to healthcare delivery. To improve patient care practices, the Clinic Manager Communication Log (CMCL) was implemented at student-run MedZou Community Health Clinic – a free clinic serving uninsured patients in Columbia, Missouri.
 Without a streamlined system in place, there were delays in reporting lab results and communications to patients. Current literature on this topic is scarce.
 Methods: Using an Ishikawa Diagram and mapping workflow, a 2x2 Effort vs. Yield Table was constructed to determine the best lab reporting protocol. As a result, the CMCL was created to track all patient lab communication and follow-up needs. The Clinic Managers (CMs) changed protocol by contacting patients thrice within 1 week, recording all call attempts and information shared between January to August 2022. Retrospective data was collected to calculate turnaround time in reporting lab results prior to CMCL implementation. Feedback was assessed via the Patient Communication Satisfaction Survey.
 Results: Before CMCL implementation, 53.30% of patients never received their lab results. CMCL use showed a statistically significant 31.00% relative increase in patients receiving results (p = 0.002346) and a 12.60% relative increase in results communicated within one week. Out of the patients who couldn’t be reached initially, two-thirds obtained results via a follow-up call. 76.00% of patients rated their communicative experience as “Excellent”. Use of the CMCL showed a statistically significant number of additional patients receiving lab results, streamlining the follow-up process regarding their care.
 Conclusions: The CMCL demonstrates how tracking communication is effective at improving patient care at student-run clinics. A similar model of centralized data collection can be used to ensure reliable and efficient patient follow-up. CMCL access is currently limited to CMs. In the future, additional leadership teams within MedZou can utilize the CMCL data to practice more effective patient communication.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135896035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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