Journal of student-run clinics最新文献_第5页

Impact on Medical Students Participating in Forensic Examinations of Asylum Seekers: A Pilot Study 对医学生参与寻求庇护者法医检查的影响:一项试点研究

Journal of student-run clinics

Pub Date : 2023-03-27 DOI: 10.59586/jsrc.v9i1.351

K. Blanton, Hannah Smati, S. Ashrafzadeh, Dominic Schnabel, Sandy Samuel, Sana Batool, Alison Mosier-Mills, Emily Witt, Caroline C. Lee, J. Boyd, Katherine R. Peeler

Background: Student-run asylum clinics handle an increasing proportion of forensic medical evaluation requests for asylum cases across the country, but the impact on medical students participating in these evaluations remains poorly understood. This study investigates the self-reported backgrounds, roles, and experiences of medical students who directly participated in forensic evaluations of asylum-seekers at a student-run forensic asylum clinic between 2017 and 2021.Methods: Electronic surveys were sent to 40 medical students who had completed at least one asylum evaluation through the student clinic. Survey questions asked about student background, motivations, volunteer roles, and learning experiences during the evaluation process. Frequencies were calculated for multiple choice and 10-point Likert scale responses. Reviewers independently identified themes in free-response answers. Responses were subsequently coded using a consensus theme bank.Results: Eighteen of 40 (45%) students emailed completed the survey. Seventy-eight percent of respondents reported a personal or familial history of immigration. Almost all wrote the first draft of the medical affidavit. All respondents to the question reported improvement in their confidence working with patients who had experienced physical or psychological trauma as a result of persecution or feared persecution, because of their participation in an asylum evaluation. Conclusions: Students frequently were motivated to participate in forensic examinations of asylum-seekers for personal reasons related to their immigrant backgrounds. Our findings suggest that asylum evaluations promote professional development and skills working with survivors of trauma, though there remain technical and emotional challenges that mandate adequate training and support for student volunteers.

背景:学生开办的庇护诊所处理了全国越来越多的庇护案件法医评估请求，但对参与这些评估的医学生的影响仍然知之甚少。本研究调查了2017年至2021年间在学生经营的法医庇护诊所直接参与寻求庇护者法医评估的医学生的自我报告的背景、角色和经历。方法:对40名通过学生诊所完成至少一次庇护评估的医学生进行电子问卷调查。在评估过程中，调查问题涉及学生的背景、动机、志愿者角色和学习经历。计算了多项选择和10分李克特量表反应的频率。审稿人在自由回答的答案中独立确定主题。随后使用共识主题库对答复进行编码。结果:通过电子邮件发送的40名学生中有18名(45%)完成了调查。78%的受访者表示有个人或家族移民史。几乎所有人都写了医疗宣誓书的初稿。对这个问题作出答复的所有人都报告说，由于参与庇护评估，他们在与因迫害或害怕迫害而遭受身体或心理创伤的病人一起工作时，信心有所提高。结论:学生经常出于与移民背景有关的个人原因而参加对寻求庇护者的法医检查。我们的研究结果表明，庇护评估促进了与创伤幸存者一起工作的专业发展和技能，尽管仍然存在技术和情感上的挑战，要求对学生志愿者进行充分的培训和支持。

{"title":"Impact on Medical Students Participating in Forensic Examinations of Asylum Seekers: A Pilot Study","authors":"K. Blanton, Hannah Smati, S. Ashrafzadeh, Dominic Schnabel, Sandy Samuel, Sana Batool, Alison Mosier-Mills, Emily Witt, Caroline C. Lee, J. Boyd, Katherine R. Peeler","doi":"10.59586/jsrc.v9i1.351","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.351","url":null,"abstract":"Background: Student-run asylum clinics handle an increasing proportion of forensic medical evaluation requests for asylum cases across the country, but the impact on medical students participating in these evaluations remains poorly understood. This study investigates the self-reported backgrounds, roles, and experiences of medical students who directly participated in forensic evaluations of asylum-seekers at a student-run forensic asylum clinic between 2017 and 2021.Methods: Electronic surveys were sent to 40 medical students who had completed at least one asylum evaluation through the student clinic. Survey questions asked about student background, motivations, volunteer roles, and learning experiences during the evaluation process. Frequencies were calculated for multiple choice and 10-point Likert scale responses. Reviewers independently identified themes in free-response answers. Responses were subsequently coded using a consensus theme bank.Results: Eighteen of 40 (45%) students emailed completed the survey. Seventy-eight percent of respondents reported a personal or familial history of immigration. Almost all wrote the first draft of the medical affidavit. All respondents to the question reported improvement in their confidence working with patients who had experienced physical or psychological trauma as a result of persecution or feared persecution, because of their participation in an asylum evaluation. Conclusions: Students frequently were motivated to participate in forensic examinations of asylum-seekers for personal reasons related to their immigrant backgrounds. Our findings suggest that asylum evaluations promote professional development and skills working with survivors of trauma, though there remain technical and emotional challenges that mandate adequate training and support for student volunteers.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42288716","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}

引用次数: 0

Medical Student-Run Free Orthopaedic Clinic: Impact of Coordinator Role on Specialty Selection 医学生自由骨科诊所:协调人角色对专科选择的影响

Journal of student-run clinics

Pub Date : 2023-03-22 DOI: 10.59586/jsrc.v9i1.321

Paige Koetter, Rachel K. Thomas, Roberta Gallo

Background: Medical student-run free clinics provide opportunities for future physicians to accrue practical experience early in their medical education. Subspecialty clinics including orthopaedics provide a unique opportunity to gain exposure to musculoskeletal anatomy and pathology. These clinics are organized and managed by a student clinic coordinator. In this study, we seek to understand the impact that being the clinic coordinator of the musculoskeletal clinic plays in specialty selection. Methods: A descriptive study was conducted by gathering electronic survey responses from former student clinic coordinators at the Penn State College of Medicine student-run musculoskeletal clinic from years, 2009 to 2017. The respondents described the influence of the coordinator role on residency selection. Additionally, the survey consisted of a five-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree) regarding the student’s motivation for participating in the clinic as a coordinator. Results: From 2009 to 2017, there were 18 LionCare Orthopaedic Surgery Clinic Coordinators with a male-to-female ratio was 1.25:1. Residency specialty selection was Orthopaedic Surgery (n=8, 44.4%), Physical Medicine & Rehabilitation (4, 22.2%), Family Medicine (2, 11.1%), Cardiothoracic Surgery (1, 5.6%), General Surgery (1, 5.6%), Obstetrics & Gynecology (1, 5.6%), and Emergency Medicine (1, 5.6%). The most commonly cited reason for participation as clinic coordinator was “interest in helping an underserved population.” Conclusions: The study illustrates an association between the role of orthopaedic clinic coordinator and entering a specialty focused on musculoskeletal care. More than half of the students who participated as a clinic coordinator pursued specialties involving musculoskeletal care (Orthopaedics and Physical Medicine & Rehabilitation). Student-run medical clinics present an opportunity to provide early exposure to musculoskeletal medicine and potential avenue for orthopaedic education and mentorship.

背景:医学生开办的免费诊所为未来的医生提供了在医学教育早期积累实践经验的机会。包括骨科在内的亚专科诊所提供了一个独特的机会来接触肌肉骨骼解剖和病理学。这些诊所由学生诊所协调员组织和管理。在本研究中，我们试图了解作为肌肉骨骼诊所协调员在专业选择中的影响。方法:通过收集2009年至2017年宾夕法尼亚州立医学院学生经营的肌肉骨骼诊所前学生诊所协调员的电子调查回复，进行了一项描述性研究。被调查者描述了协调员角色对住院医师选择的影响。此外，调查包括一个五点李克特量表，从1(强烈不同意)到5(强烈同意)关于学生作为协调员参加诊所的动机。结果:2009 - 2017年，共有18名LionCare骨科临床协调员，男女比例为1.25:1。住院医师专业选择为骨科(8名，44.4%)、物理医学与康复(4名，22.2%)、家庭医学(2名，11.1%)、心胸外科(1名，5.6%)、普通外科(1名，5.6%)、妇产科(1名，5.6%)、急诊医学(1名，5.6%)。作为诊所协调员参与的最常见原因是“有兴趣帮助服务不足的人群”。结论:该研究说明了骨科临床协调员的角色与进入肌肉骨骼护理专业之间的联系。超过一半的学生作为诊所协调员参加了涉及肌肉骨骼护理的专业(骨科和物理医学与康复)。学生经营的医疗诊所提供了一个机会，提供早期接触肌肉骨骼医学和骨科教育和指导的潜在途径。

{"title":"Medical Student-Run Free Orthopaedic Clinic: Impact of Coordinator Role on Specialty Selection","authors":"Paige Koetter, Rachel K. Thomas, Roberta Gallo","doi":"10.59586/jsrc.v9i1.321","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.321","url":null,"abstract":"Background: Medical student-run free clinics provide opportunities for future physicians to accrue practical experience early in their medical education. Subspecialty clinics including orthopaedics provide a unique opportunity to gain exposure to musculoskeletal anatomy and pathology. These clinics are organized and managed by a student clinic coordinator. In this study, we seek to understand the impact that being the clinic coordinator of the musculoskeletal clinic plays in specialty selection. \u0000Methods: A descriptive study was conducted by gathering electronic survey responses from former student clinic coordinators at the Penn State College of Medicine student-run musculoskeletal clinic from years, 2009 to 2017. The respondents described the influence of the coordinator role on residency selection. Additionally, the survey consisted of a five-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree) regarding the student’s motivation for participating in the clinic as a coordinator. \u0000Results: From 2009 to 2017, there were 18 LionCare Orthopaedic Surgery Clinic Coordinators with a male-to-female ratio was 1.25:1. Residency specialty selection was Orthopaedic Surgery (n=8, 44.4%), Physical Medicine & Rehabilitation (4, 22.2%), Family Medicine (2, 11.1%), Cardiothoracic Surgery (1, 5.6%), General Surgery (1, 5.6%), Obstetrics & Gynecology (1, 5.6%), and Emergency Medicine (1, 5.6%). The most commonly cited reason for participation as clinic coordinator was “interest in helping an underserved population.” \u0000Conclusions: The study illustrates an association between the role of orthopaedic clinic coordinator and entering a specialty focused on musculoskeletal care. More than half of the students who participated as a clinic coordinator pursued specialties involving musculoskeletal care (Orthopaedics and Physical Medicine & Rehabilitation). Student-run medical clinics present an opportunity to provide early exposure to musculoskeletal medicine and potential avenue for orthopaedic education and mentorship.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45148155","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}

引用次数: 0

Association Between Social Support and PHQ-4 Scores at a Student-Run Free Clinic 学生自办免费诊所社会支持与PHQ-4得分的关系

Journal of student-run clinics

Pub Date : 2023-02-14 DOI: 10.59586/jsrc.v9i1.345

Avaneesh Kunta, SriVarsha Katoju, Leah T. Barnes, Oliver T. Nguyen, Anshul Daga, Gabriel Cartagena, K. Motwani, D. Feller

Background: Student-run free clinics (SRFCs) can provide quality mental health care to low-income and uninsured populations who are at a greater risk of depression. Evidence demonstrates the association between social support and severity of depression, but this relationship has not been analyzed in an SRFC. Thus, we assessed the association between social support and depressive symptoms.Methods: We used electronic health records data for patients from 2013-2020 (n=2,501 patients). The dependent variable was severity of depression symptoms as determined by scores on the patient health questionnaire-4 (PHQ-4). Higher PHQ-4 scores correspond to increased severity of depression. The main predictor was the patient's social support, which was defined by their employment status, marital status, and the number of individuals in their household. We conducted a multinomial regression model to control for other patient-level factors (i.e. race, sex, and age).Results: When controlling for other factors, patients with higher social support scores had lower odds of scoring a 4 on the PHQ-4 (Odds ratio [OR]=0.838, 95% Confidence interval (CI)=0.770-0.912). When examining specific social support sources, when compared to patients who reported being not-married, those who were married had lower odds of scoring a 4 on the PHQ-4 (OR=0.578, 95% CI=0.401-0.833). Compared to patients who reported being employed, those who were unemployed had greater odds of scoring a 4 on the PHQ-4 (OR=2.323, 95% CI=1.766-3.055). We observed no significant differences in PHQ-4 by the number of people in the household.Conclusion: Patients with greater social support were associated with fewer depressive symptoms. Specifically, employment status and marital status may be larger contributors to a patient’s social support. Our results allow SRFCs to offer interventions such as investing in social work programs and community partnerships that offer professional development and employment opportunities to patients.

背景：学生开办的免费诊所（SRFC）可以为低收入和没有保险的人群提供高质量的心理健康护理，这些人群患抑郁症的风险更大。有证据表明社会支持与抑郁症严重程度之间存在关联，但尚未在SRFC中分析这种关系。因此，我们评估了社会支持与抑郁症状之间的关系。方法：我们使用2013-2020年患者的电子健康记录数据（n=2501名患者）。因变量是通过患者健康问卷-4（PHQ-4）的评分确定的抑郁症状的严重程度。PHQ-4评分越高，抑郁症的严重程度越高。主要的预测因素是患者的社会支持，这是由他们的就业状况、婚姻状况和家庭中的人数来定义的。我们进行了一个多项式回归模型来控制其他患者水平的因素（即种族、性别和年龄）。结果：在控制其他因素时，社会支持得分较高的患者在PHQ-4上得分为4的几率较低（比值比[OR]=0.838，95%置信区间（CI）=0.770-0.912）。在检查特定的社会支持来源时，与报告未结婚的患者相比，已婚患者在PHQ-4上得分为4的几率较低（OR=0.578，95%CI=0.401-0.833）。与报告有工作的患者相比较，失业患者在PHQ-4上得分较高（OR=2.323，95%CI=1.766-3.055）。我们观察到PHQ-4在家庭人数方面没有显著差异。结论：社会支持越多，抑郁症状越少。具体来说，就业状况和婚姻状况可能对患者的社会支持有更大的贡献。我们的研究结果使SRFC能够提供干预措施，如投资于社会工作项目和社区伙伴关系，为患者提供专业发展和就业机会。

{"title":"Association Between Social Support and PHQ-4 Scores at a Student-Run Free Clinic","authors":"Avaneesh Kunta, SriVarsha Katoju, Leah T. Barnes, Oliver T. Nguyen, Anshul Daga, Gabriel Cartagena, K. Motwani, D. Feller","doi":"10.59586/jsrc.v9i1.345","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.345","url":null,"abstract":"Background: Student-run free clinics (SRFCs) can provide quality mental health care to low-income and uninsured populations who are at a greater risk of depression. Evidence demonstrates the association between social support and severity of depression, but this relationship has not been analyzed in an SRFC. Thus, we assessed the association between social support and depressive symptoms.Methods: We used electronic health records data for patients from 2013-2020 (n=2,501 patients). The dependent variable was severity of depression symptoms as determined by scores on the patient health questionnaire-4 (PHQ-4). Higher PHQ-4 scores correspond to increased severity of depression. The main predictor was the patient's social support, which was defined by their employment status, marital status, and the number of individuals in their household. We conducted a multinomial regression model to control for other patient-level factors (i.e. race, sex, and age).Results: When controlling for other factors, patients with higher social support scores had lower odds of scoring a 4 on the PHQ-4 (Odds ratio [OR]=0.838, 95% Confidence interval (CI)=0.770-0.912). When examining specific social support sources, when compared to patients who reported being not-married, those who were married had lower odds of scoring a 4 on the PHQ-4 (OR=0.578, 95% CI=0.401-0.833). Compared to patients who reported being employed, those who were unemployed had greater odds of scoring a 4 on the PHQ-4 (OR=2.323, 95% CI=1.766-3.055). We observed no significant differences in PHQ-4 by the number of people in the household.Conclusion: Patients with greater social support were associated with fewer depressive symptoms. Specifically, employment status and marital status may be larger contributors to a patient’s social support. Our results allow SRFCs to offer interventions such as investing in social work programs and community partnerships that offer professional development and employment opportunities to patients.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48837011","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}

引用次数: 0

Motivators for Volunteerism in Doctor of Physical Therapy Students During the COVID-19 Pandemic 新冠肺炎大流行期间物理治疗医生学生志愿服务的动机

Journal of student-run clinics

Pub Date : 2023-02-08 DOI: 10.59586/jsrc.v9i1.341

H. Karczewski, A. Yorke

Introduction: Physical therapy programs are increasingly utilizing pro bono clinics as an element of education. Obtaining an understanding of what motivates students of physical therapy (SPT) to volunteer is important as pro bono clinics serve the under-insured in the community. The Volunteer Functions Inventory (VFI) explores the motives behind volunteerism and has not yet been used to analyze the SPT population. The primary purpose of this study is to investigate motivational factors involved in SPT participation in their pro-bono clinics. Methods: All 261 accredited physical therapy programs in the United States were contacted and asked to distribute the survey to their students. Upon agreement, the anonymous survey link was sent to the representative to be dispersed to the students via email. Qualtrics Survey Software® was used to collect the data. Descriptive statistics, independent t-test, and logistic regression were used to analyze the data. SPSS v26 was used. The alpha level was set to p <0.05. Results: The survey had 274 SPT participants in this study. The participants were split into participation (n=189) and non- participation (n=85) groups. Pro bono clinics made changes in response to the coronavirus-disease-19 (COVID-19) pandemic by temporarily pausing treatment (56.2%), changing from in person to telehealth on a video platform (44.9%) or telehealth on a phone call (9.5%). Conclusions: Similar to previous studies on volunteer motivators in medical students, those who volunteered were significantly more motivated by their values including altruistic and humanitarian concerns compared to those who did not volunteer (p<0.05). This small cross-sectional study found that SPT were more motivated to volunteer based on their altruistic concern. Over half of the SPT respondents reported changing pro bono services or pausing services due to the COVID-19 pandemic.

简介：物理治疗项目越来越多地将无偿诊所作为教育的一部分。了解物理治疗（SPT）学生志愿服务的动机很重要，因为公益诊所为社区中投保不足的人提供服务。志愿者功能清单（VFI）探讨了志愿服务背后的动机，尚未用于分析SPT人群。本研究的主要目的是调查SPT参与公益诊所的动机因素。方法：联系了美国所有261个经认证的物理治疗项目，并要求将调查分发给他们的学生。经同意，匿名调查链接被发送给代表，并通过电子邮件分发给学生。Qualtrics Survey Software®用于收集数据。采用描述性统计、独立t检验和逻辑回归对数据进行分析。使用SPSS v26。α水平设置为p＜0.05。结果：本研究共有274名SPT参与者参与调查。参与者被分为参与组（n=189）和非参与组（n=85）。为应对冠状病毒病-19（新冠肺炎）大流行，公益诊所做出了改变，暂时暂停治疗（56.2%），从亲自治疗改为视频平台上的远程医疗（44.9%）或电话远程医疗（9.5%），与那些没有自愿的人相比，那些自愿的人更受他们的价值观的激励，包括利他主义和人道主义问题（p<0.05）。这项小型横断面研究发现，SPT更受基于他们的利他主义问题的激励。超过一半的SPT受访者报告称，由于新冠肺炎大流行，他们改变了无偿服务或暂停了服务。

{"title":"Motivators for Volunteerism in Doctor of Physical Therapy Students During the COVID-19 Pandemic","authors":"H. Karczewski, A. Yorke","doi":"10.59586/jsrc.v9i1.341","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.341","url":null,"abstract":"Introduction: Physical therapy programs are increasingly utilizing pro bono clinics as an element of education. Obtaining an understanding of what motivates students of physical therapy (SPT) to volunteer is important as pro bono clinics serve the under-insured in the community. The Volunteer Functions Inventory (VFI) explores the motives behind volunteerism and has not yet been used to analyze the SPT population. The primary purpose of this study is to investigate motivational factors involved in SPT participation in their pro-bono clinics. \u0000Methods: All 261 accredited physical therapy programs in the United States were contacted and asked to distribute the survey to their students. Upon agreement, the anonymous survey link was sent to the representative to be dispersed to the students via email. Qualtrics Survey Software® was used to collect the data. Descriptive statistics, independent t-test, and logistic regression were used to analyze the data. SPSS v26 was used. The alpha level was set to p <0.05. \u0000Results: The survey had 274 SPT participants in this study. The participants were split into participation (n=189) and non- participation (n=85) groups. Pro bono clinics made changes in response to the coronavirus-disease-19 (COVID-19) pandemic by temporarily pausing treatment (56.2%), changing from in person to telehealth on a video platform (44.9%) or telehealth on a phone call (9.5%). \u0000Conclusions: Similar to previous studies on volunteer motivators in medical students, those who volunteered were significantly more motivated by their values including altruistic and humanitarian concerns compared to those who did not volunteer (p<0.05). This small cross-sectional study found that SPT were more motivated to volunteer based on their altruistic concern. Over half of the SPT respondents reported changing pro bono services or pausing services due to the COVID-19 pandemic.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45613373","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}

引用次数: 0

Rapid Implementation of a Hybrid Telehealth Modality During the COVID-19 Pandemic and its Impact on Electronic Record Entry 新型冠状病毒病疫情期间混合远程医疗模式的快速实施及其对电子病历录入的影响

Journal of student-run clinics

Pub Date : 2023-01-29 DOI: 10.59586/jsrc.v9i1.302

Angie El-said, Gustavo Marino, Rasika Patil, Brianna Leone, Matt P Abrams, Brandon Tapasak, A. Momin, J. Simms-Cendán

This report describes the adoption of a hybrid telehealth modality implemented in a student-run free clinic after the onset of the Coronavirus disease 2019 (COVID-19) pandemic in March 2020, with particular emphasis on the impact it may have on electronic health record entry. Our hybrid telehealth modality flow board summarizes how patients received care from volunteers in person and remotely. Successes of the modality included collecting medical records before the visit, creating more defined roles, and implementing e-prescriptions. Challenges faced included recording vital signs and communicating between volunteers on-site and remotely. We present our lessons learned and future plans for other free clinics to optimize their telehealth modalities.

本报告描述了在2020年3月2019冠状病毒病（新冠肺炎）大流行爆发后，在学生开办的免费诊所中采用的混合远程医疗模式，特别强调了它可能对电子健康记录录入产生的影响。我们的混合远程医疗模式流程板总结了患者如何亲自和远程接受志愿者的护理。该模式的成功包括在就诊前收集医疗记录，创建更明确的角色，以及实施电子处方。面临的挑战包括记录生命体征以及现场和远程志愿者之间的沟通。我们介绍了我们的经验教训和其他免费诊所的未来计划，以优化其远程医疗模式。

引用次数: 0

Filling a Gap in Healthcare for the Transgender Community in the Central Savannah River Area 填补萨凡纳河中部地区跨性别社区医疗保健方面的空白

Journal of student-run clinics

Pub Date : 2023-01-23 DOI: 10.59586/jsrc.v9i1.353

Tracy Casanova, Jiby Yohannan, Elizabeth Wood, James Griffin, Catherine Wallace, S. Brands, Amanda A. Draheim, Lara M. Stepleman

Background: Lack of insurance coverage and provider training are significant barriers that contribute to health disparities among members of the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community. Locality can exacerbate health disparities due to lack of competent providers and higher levels of community stigma. The Equality Clinic in Augusta, GA, was created by medical students at the Medical College of Georgia to provide care to uninsured or underinsured members of the LGBTQ community in the Central Savannah River Area. The purpose of the following report is to examine demographic characteristics and presenting concerns of patients served by the Equality Clinic during its first two years of existence. Methods: The current report utilized retrospective medical record review from the first two years of operation to identify trends in patient demographics, presenting concerns, and service utilization. Results: Although the Equality Clinic was created to provide multiple facets of healthcare to the broader LGBTQ community, the services that were utilized in the first two years were strongly composed of gender affirmative care for those who identified as transgender. Overall, the patients served at the Equality Clinic were healthy with few chronic health conditions reported, however, a high rate of substance use was endorsed. Conclusions: This study may point to unique needs of transgender patients and highlights the lack of access to gender-related care in the rural southeast United States.

背景:缺乏保险覆盖和医务人员培训是造成女同性恋、男同性恋、双性恋、变性人和酷儿(LGBTQ)群体成员健康差异的重要障碍。由于缺乏合格的提供者和较高程度的社区污名，地方可能加剧卫生差距。乔治亚州奥古斯塔的平等诊所是由乔治亚医学院的医学生创建的，目的是为萨凡纳河中部地区没有保险或保险不足的LGBTQ社区成员提供护理。以下报告的目的是审查平等诊所在其成立的头两年中所服务的病人的人口特征和所关心的问题。方法:本报告采用手术头两年的回顾性病历审查，以确定患者人口统计学趋势、提出的问题和服务利用情况。结果:虽然平等诊所的建立是为了向更广泛的LGBTQ社区提供多方面的医疗保健，但最初两年使用的服务主要是为那些认为自己是变性人的人提供性别肯定护理。总体而言，在平等诊所服务的病人是健康的，很少有慢性疾病报告，然而，高药物使用率得到认可。结论:这项研究可能指出了跨性别患者的独特需求，并强调了美国东南部农村地区缺乏与性别相关的护理。

{"title":"Filling a Gap in Healthcare for the Transgender Community in the Central Savannah River Area","authors":"Tracy Casanova, Jiby Yohannan, Elizabeth Wood, James Griffin, Catherine Wallace, S. Brands, Amanda A. Draheim, Lara M. Stepleman","doi":"10.59586/jsrc.v9i1.353","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.353","url":null,"abstract":"Background: Lack of insurance coverage and provider training are significant barriers that contribute to health disparities among members of the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community. Locality can exacerbate health disparities due to lack of competent providers and higher levels of community stigma. The Equality Clinic in Augusta, GA, was created by medical students at the Medical College of Georgia to provide care to uninsured or underinsured members of the LGBTQ community in the Central Savannah River Area. The purpose of the following report is to examine demographic characteristics and presenting concerns of patients served by the Equality Clinic during its first two years of existence. \u0000Methods: The current report utilized retrospective medical record review from the first two years of operation to identify trends in patient demographics, presenting concerns, and service utilization. \u0000Results: Although the Equality Clinic was created to provide multiple facets of healthcare to the broader LGBTQ community, the services that were utilized in the first two years were strongly composed of gender affirmative care for those who identified as transgender. Overall, the patients served at the Equality Clinic were healthy with few chronic health conditions reported, however, a high rate of substance use was endorsed. \u0000Conclusions: This study may point to unique needs of transgender patients and highlights the lack of access to gender-related care in the rural southeast United States.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42211735","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}

引用次数: 0

Implementation of a Preventative Health Series at a Student-Run Free Clinic 在学生开办的免费诊所实施预防保健系列

Journal of student-run clinics

Pub Date : 2023-01-22 DOI: 10.59586/jsrc.v9i1.349

Shelly Sharma, Wali Kamran, Mark Conforti, Patrick J. Tempera, Alessia Cooney, Rebecca Fliorent, Sweta Mukhopadhyay, Nils V Brolis

The Rowan Community Health Clinic (RCHC), located in a small community in southern New Jersey, strives to promote positive healthcare experiences as part of its service in a largely underserved area. A significant number of RCHC’s patients are immigrants, lack primary care physicians, or have difficulty communicating with doctors. Many of them demonstrate limited health literacy, which has been associated with mismanagement of health conditions, increased costs, and distrust of physicians. Lack of opportunities for health education may contribute to decreased health literacy. To address this concern affecting its patient population, the RCHC implemented a monthly Preventative Health Series (PHS) with the goal of engaging the community in order to improve health literacy. A specific health topic was emphasized each month, such as Diabetes Awareness in November and Mental Health Awareness in December. Infographics providing information about the selected topic were shared throughout the month via social media. Furthermore, during the third week of the month, a doctor or medical student gave an interactive presentation intended to facilitate discussion about the topic among healthcare workers and community members. Due to the coronavirus disease of 2019 (COVID-19) pandemic, these discussions had to be conducted online. However, using an online platform also allowed us to reach a wider audience.

罗文社区健康诊所(RCHC)位于新泽西州南部的一个小社区，致力于在服务不足的地区推广积极的医疗保健体验，作为其服务的一部分。RCHC的大量患者是移民，缺乏初级保健医生，或与医生沟通有困难。他们中的许多人表现出有限的卫生知识，这与卫生条件管理不善、费用增加和对医生的不信任有关。缺乏接受卫生教育的机会可能导致卫生知识普及程度下降。为了解决这一影响患者群体的问题，RCHC实施了每月一次的预防健康系列(PHS)，目的是让社区参与进来，以提高健康素养。每个月都强调一个具体的健康主题，例如11月的糖尿病意识和12月的心理健康意识。提供有关选定主题信息的信息图表在整个月内通过社交媒体分享。此外，在该月的第三周，一名医生或医学生进行了互动介绍，旨在促进保健工作者和社区成员之间关于该主题的讨论。由于2019年冠状病毒病(COVID-19)大流行，这些讨论必须在网上进行。然而，使用在线平台也使我们能够接触到更广泛的受众。

{"title":"Implementation of a Preventative Health Series at a Student-Run Free Clinic","authors":"Shelly Sharma, Wali Kamran, Mark Conforti, Patrick J. Tempera, Alessia Cooney, Rebecca Fliorent, Sweta Mukhopadhyay, Nils V Brolis","doi":"10.59586/jsrc.v9i1.349","DOIUrl":"https://doi.org/10.59586/jsrc.v9i1.349","url":null,"abstract":"The Rowan Community Health Clinic (RCHC), located in a small community in southern New Jersey, strives to promote positive healthcare experiences as part of its service in a largely underserved area. A significant number of RCHC’s patients are immigrants, lack primary care physicians, or have difficulty communicating with doctors. Many of them demonstrate limited health literacy, which has been associated with mismanagement of health conditions, increased costs, and distrust of physicians. Lack of opportunities for health education may contribute to decreased health literacy. \u0000To address this concern affecting its patient population, the RCHC implemented a monthly Preventative Health Series (PHS) with the goal of engaging the community in order to improve health literacy. A specific health topic was emphasized each month, such as Diabetes Awareness in November and Mental Health Awareness in December. Infographics providing information about the selected topic were shared throughout the month via social media. Furthermore, during the third week of the month, a doctor or medical student gave an interactive presentation intended to facilitate discussion about the topic among healthcare workers and community members. Due to the coronavirus disease of 2019 (COVID-19) pandemic, these discussions had to be conducted online. However, using an online platform also allowed us to reach a wider audience.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44503483","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}

引用次数: 0

Improving Equitable Access to Imaging: Developing an On-Site Ultrasound Service at a Student-Run Free Clinic 改善公平获得影像:在学生开办的免费诊所发展现场超声服务

Journal of student-run clinics

Pub Date : 2022-12-20 DOI: 10.59586/jsrc.v8i1.327

Nicholas Neel, Aislinn K. McMillan, L. Hsieh, Jimmy Bazzy, A. Tadros, Dorathy Tamayo-Murillo

Background: Student-run free clinics (SRFC) provide comprehensive primary care for uninsured populations throughout the country. However, imaging remains a barrier to care for underserved communities that experience inequitable access to healthcare. In this study, we describe the establishment of a radiology specialty clinic (RSC) that served as an in-house ultrasound imaging service at our institution's SRFC. Methods: Between September 2019 and March 2020, patients were scheduled for imaging at the free clinic site, and studies were performed and read by institutional radiologists. Patient data were reviewed to assess patient demographics, study indication, ultrasound type, and time between referral and appointment. Lastly, imaging utilization was examined seven months prior to and seven months after implementing the free ultrasound clinic to assess any changes in usage, wait time, or referral patterns using Fischer’s exact test and unpaired student t-tests. Results: A total of 10 patients were seen during the clinic’s operation, with 11 studies being performed. Overall, usage patterns stayed consistent pre and post-implementation. There was no significant difference in wait times between referral and appointment (pre-RSC 15 days vs. post-RSC 18.5 days, p=0.91) and the RSC demonstrated a total cost savings of $770 to the clinic. Conclusions: We describe the implementation of an in-house ultrasound imaging service at our SRFC. The RSC provided increased access to imaging, demonstrated cost-savings to the SRFC, and had no negative effects on ultrasound usage or wait times between referrals and appointments.

背景：学生开办的免费诊所（SRFC）为全国各地没有保险的人群提供全面的初级保健。然而，成像仍然是服务不足的社区获得医疗保健的障碍。在这项研究中，我们描述了在我们机构的SRFC建立一个放射专科诊所（RSC），作为内部超声成像服务。方法：在2019年9月至2020年3月期间，安排患者在免费诊所进行成像，并由机构放射科医生进行研究和阅读。对患者数据进行审查，以评估患者人口统计学、研究指征、超声类型以及转诊和预约之间的时间。最后，在免费超声诊所实施前7个月和实施后7个月对成像利用率进行了检查，以使用Fischer精确检验和未配对的学生t检验来评估使用率、等待时间或转诊模式的任何变化。结果：共有10名患者在诊所的手术中就诊，其中11项研究正在进行中。总体而言，使用模式在实施前后保持一致。转诊和预约之间的等待时间没有显著差异（RSC前15天与RSC后18.5天，p=0.091），RSC为诊所节省了770美元的总成本。结论：我们描述了SRFC内部超声成像服务的实施情况。RSC提供了更多的成像机会，证明了SRFC的成本节约，并且对超声使用或转诊和预约之间的等待时间没有负面影响。

{"title":"Improving Equitable Access to Imaging: Developing an On-Site Ultrasound Service at a Student-Run Free Clinic","authors":"Nicholas Neel, Aislinn K. McMillan, L. Hsieh, Jimmy Bazzy, A. Tadros, Dorathy Tamayo-Murillo","doi":"10.59586/jsrc.v8i1.327","DOIUrl":"https://doi.org/10.59586/jsrc.v8i1.327","url":null,"abstract":"Background: Student-run free clinics (SRFC) provide comprehensive primary care for uninsured populations throughout the country. However, imaging remains a barrier to care for underserved communities that experience inequitable access to healthcare. In this study, we describe the establishment of a radiology specialty clinic (RSC) that served as an in-house ultrasound imaging service at our institution's SRFC. \u0000Methods: Between September 2019 and March 2020, patients were scheduled for imaging at the free clinic site, and studies were performed and read by institutional radiologists. Patient data were reviewed to assess patient demographics, study indication, ultrasound type, and time between referral and appointment. Lastly, imaging utilization was examined seven months prior to and seven months after implementing the free ultrasound clinic to assess any changes in usage, wait time, or referral patterns using Fischer’s exact test and unpaired student t-tests. \u0000Results: A total of 10 patients were seen during the clinic’s operation, with 11 studies being performed. Overall, usage patterns stayed consistent pre and post-implementation. There was no significant difference in wait times between referral and appointment (pre-RSC 15 days vs. post-RSC 18.5 days, p=0.91) and the RSC demonstrated a total cost savings of $770 to the clinic. \u0000Conclusions: We describe the implementation of an in-house ultrasound imaging service at our SRFC. The RSC provided increased access to imaging, demonstrated cost-savings to the SRFC, and had no negative effects on ultrasound usage or wait times between referrals and appointments.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46116750","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}

引用次数: 0

Impact of COVID-19 on the Delivery of Eye Care to Uninsured Diabetic Patients at a Student-Run Free Clinic: A Comprehensive Evaluation of Eye Clinic Performance. 新冠肺炎疫情对学生自办免费诊所无医保糖尿病患者眼科护理的影响:眼科诊所绩效综合评价

Journal of student-run clinics

Pub Date : 2022-12-20

Benton G Chuter, Alexander Lieu, John Kevin O Dayao, Jennifer J Bu, Kevin Chen, Taiki Nishihara, Sally L Baxter

Background: Diabetic retinopathy is the leading cause of blindness among working-age adults in the United States and requires timely screening and management. This study evaluates the impact of the coronavirus disease 2019 (COVID-19) pandemic on diabetic retinopathy screening (DRS) for uninsured, predominantly Latino patients at the University of California San Diego Student-Run Free Clinic Project (SRFCP).

Methods: A retrospective chart review was conducted of all living diabetic patients at SRFCP who were seen in 2019 (n=196), 2020 (n=183), and 2021 (n=178). Ophthalmology clinic referrals, scheduled patient visits, and visit outcomes were analyzed longitudinally to determine the impact of the pandemic on screening patterns.

Results: The study population was 92.1% Latino, 69.5% female, with a mean age of 58.7 years. The distribution of patients seen (p<0.001), referred (p=0.012), and scheduled (p<0.001) in 2020 and 2021 significantly differed from 2019. In 2019, 50.5% of 196 patients eligible for DRS were referred, 49.5% were scheduled, and 45.4% were seen. In 2020, 41.5% of 183 eligible patients were referred, but only 20.2% were scheduled and 11.4% were seen. In 2021, there was a rebound: 63.5% of 178 patients were referred, 56.2% scheduled and 46.1% seen. No shows and cancellations represented 12.4% and 6.2% of the 97 encounters scheduled in 2019, but were markedly higher (10.8% and 40.5% respectively) for the 37 encounters scheduled in 2020.

Conclusions: The COVID-19 pandemic significantly impacted the delivery of eye care at SRFCP. The need for annual DRS exceeded the capacity of the ophthalmology clinic in all years studied, but the difference was especially pronounced with more stringent COVID-19 restrictions in 2020. SRFCP patients could benefit from telemedicine DRS programs to improve screening capacity.

背景:糖尿病视网膜病变是美国工作年龄成年人失明的主要原因，需要及时筛查和治疗。本研究评估了2019冠状病毒病(COVID-19)大流行对加州大学圣地亚哥分校学生自由诊所项目(SRFCP)中未投保的拉美裔患者的糖尿病视网膜病变筛查(DRS)的影响。方法:对2019年(n=196)、2020年(n=183)和2021年(n=178)在SRFCP就诊的所有在世糖尿病患者进行回顾性图表分析。纵向分析眼科门诊转诊、预定患者就诊和就诊结果，以确定大流行对筛查模式的影响。结果:研究人群中92.1%为拉丁裔，69.5%为女性，平均年龄58.7岁。结论:COVID-19大流行显著影响了SRFCP眼科保健的提供。在研究的所有年份中，年度DRS的需求都超过了眼科诊所的能力，但在2020年更严格的COVID-19限制下，这种差异尤为明显。SRFCP患者可以从远程医疗DRS项目中受益，以提高筛查能力。

{"title":"Impact of COVID-19 on the Delivery of Eye Care to Uninsured Diabetic Patients at a Student-Run Free Clinic: A Comprehensive Evaluation of Eye Clinic Performance.","authors":"Benton G Chuter, Alexander Lieu, John Kevin O Dayao, Jennifer J Bu, Kevin Chen, Taiki Nishihara, Sally L Baxter","doi":"","DOIUrl":"","url":null,"abstract":"Background: Diabetic retinopathy is the leading cause of blindness among working-age adults in the United States and requires timely screening and management. This study evaluates the impact of the coronavirus disease 2019 (COVID-19) pandemic on diabetic retinopathy screening (DRS) for uninsured, predominantly Latino patients at the University of California San Diego Student-Run Free Clinic Project (SRFCP).Methods: A retrospective chart review was conducted of all living diabetic patients at SRFCP who were seen in 2019 (n=196), 2020 (n=183), and 2021 (n=178). Ophthalmology clinic referrals, scheduled patient visits, and visit outcomes were analyzed longitudinally to determine the impact of the pandemic on screening patterns.Results: The study population was 92.1% Latino, 69.5% female, with a mean age of 58.7 years. The distribution of patients seen (p<0.001), referred (p=0.012), and scheduled (p<0.001) in 2020 and 2021 significantly differed from 2019. In 2019, 50.5% of 196 patients eligible for DRS were referred, 49.5% were scheduled, and 45.4% were seen. In 2020, 41.5% of 183 eligible patients were referred, but only 20.2% were scheduled and 11.4% were seen. In 2021, there was a rebound: 63.5% of 178 patients were referred, 56.2% scheduled and 46.1% seen. No shows and cancellations represented 12.4% and 6.2% of the 97 encounters scheduled in 2019, but were markedly higher (10.8% and 40.5% respectively) for the 37 encounters scheduled in 2020.Conclusions: The COVID-19 pandemic significantly impacted the delivery of eye care at SRFCP. The need for annual DRS exceeded the capacity of the ophthalmology clinic in all years studied, but the difference was especially pronounced with more stringent COVID-19 restrictions in 2020. SRFCP patients could benefit from telemedicine DRS programs to improve screening capacity.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9991481/pdf/nihms-1875792.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9096916","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}

引用次数: 0

Exploring the Influence of an Interprofessional Student-Run Clinic on Matriculation to Health Professional School: A Retrospective Cross-Sectional Study 探讨跨专业学生开办诊所对卫生专业学校入学的影响:回顾性横断面研究

Journal of student-run clinics

Pub Date : 2022-12-13 DOI: 10.59586/jsrc.v8i1.307

Erik Vanstrum, Sukriti Mohan, Janis W Yue, D. Veloria, Justin Quon, R. Lee, Kevin P. Knox, C. Fung

Background: Projected demographic trends in the United States suggest increasing racial and ethnic diversity. It is important that the healthcare workforce reflects these trends to reduce healthcare disparities among underserved populations. For example, concordant backgrounds between patients and providers improve communication and increase probability that patients seek and receive healthcare among marginalized populations. Building in curricular opportunities to connect with the underserved community is one way to recruit students from diverse backgrounds into this pipeline that will lead to a diverse workforce in healthcare. The objective of this study was to assess the influence of an interdisciplinary student-run clinic (SRC), which focuses on caring for underserved and vulnerable populations, on students’ decisions to matriculate in four health professional programs (medical, occupational therapy, pharmacy, and physician assistant) at a single institution. Methods: In this retrospective cross-sectional survey study, we examined factors influencing first-year students’ decisions to attend a private university in a large metropolitan area. The primary outcome was students’ self-reported ratings of the university’s SRC as a factor in their matriculation decisions. Two-tailed Mann-Whitney-U tests was applied to compare the relative importance of SRC on matriculation. Free response data were evaluated by a qualitative content approach. Results: A total of 419 students completed the survey (73% completion rate) across the 4 programs. We found that underrepresented minorities in medicine (URM) (p < 0.05) and first-generation (p < 0.01) students rated the importance of an SRC on their matriculation decision significantly higher than non-URM and non-first-generation students. Conclusions: Our findings suggest that the presence of an SRC may positively impact matriculation decisions and diversification of the student body across certain health professional disciplines.

背景：预计美国的人口趋势表明，种族和族裔多样性正在增加。重要的是，医疗保健工作人员应反映这些趋势，以减少服务不足人群中的医疗保健差距。例如，患者和提供者之间的一致背景改善了沟通，增加了患者在边缘化人群中寻求和接受医疗保健的可能性。建立与服务不足社区联系的课程机会是招募来自不同背景的学生加入这一管道的一种方式，这将导致医疗保健领域的多样化劳动力。本研究的目的是评估一个跨学科学生经营的诊所（SRC）对学生决定在一所机构参加四个健康专业项目（医学、职业治疗、药学和医生助理）的影响，该诊所专注于照顾服务不足和弱势群体。方法：在这项回顾性横断面调查研究中，我们调查了影响大城市地区私立大学一年级学生入学决定的因素。主要结果是学生自我报告的对大学SRC的评分，这是他们决定录取的一个因素。采用双尾Mann--Whitney-U检验来比较SRC对录取的相对重要性。免费响应数据采用定性内容法进行评估。结果：共有419名学生完成了4个项目的调查（完成率为73%）。我们发现，在医学（URM）和第一代（p<0.01）学生中，代表性不足的少数群体对SRC对其入学决定的重要性的评价显著高于非URM和非第一代学生。结论：我们的研究结果表明，SRC的存在可能会对某些卫生专业学科的入学决定和学生群体的多样化产生积极影响。

{"title":"Exploring the Influence of an Interprofessional Student-Run Clinic on Matriculation to Health Professional School: A Retrospective Cross-Sectional Study","authors":"Erik Vanstrum, Sukriti Mohan, Janis W Yue, D. Veloria, Justin Quon, R. Lee, Kevin P. Knox, C. Fung","doi":"10.59586/jsrc.v8i1.307","DOIUrl":"https://doi.org/10.59586/jsrc.v8i1.307","url":null,"abstract":"Background: Projected demographic trends in the United States suggest increasing racial and ethnic diversity. It is important that the healthcare workforce reflects these trends to reduce healthcare disparities among underserved populations. For example, concordant backgrounds between patients and providers improve communication and increase probability that patients seek and receive healthcare among marginalized populations. Building in curricular opportunities to connect with the underserved community is one way to recruit students from diverse backgrounds into this pipeline that will lead to a diverse workforce in healthcare. The objective of this study was to assess the influence of an interdisciplinary student-run clinic (SRC), which focuses on caring for underserved and vulnerable populations, on students’ decisions to matriculate in four health professional programs (medical, occupational therapy, pharmacy, and physician assistant) at a single institution. \u0000Methods: In this retrospective cross-sectional survey study, we examined factors influencing first-year students’ decisions to attend a private university in a large metropolitan area. The primary outcome was students’ self-reported ratings of the university’s SRC as a factor in their matriculation decisions. Two-tailed Mann-Whitney-U tests was applied to compare the relative importance of SRC on matriculation. Free response data were evaluated by a qualitative content approach. \u0000Results: A total of 419 students completed the survey (73% completion rate) across the 4 programs. We found that underrepresented minorities in medicine (URM) (p < 0.05) and first-generation (p < 0.01) students rated the importance of an SRC on their matriculation decision significantly higher than non-URM and non-first-generation students. \u0000Conclusions: Our findings suggest that the presence of an SRC may positively impact matriculation decisions and diversification of the student body across certain health professional disciplines.","PeriodicalId":73958,"journal":{"name":"Journal of student-run clinics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48411560","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}

引用次数: 0