学生开办的免费诊所中的进修生:弥补关键知识差距的潜在桥梁

David Lee
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摘要

背景:学生开办的免费诊所(SRFCs)正日益成为为社区服务不足和无保险患者提供多学科医疗服务的中心。虽然 SRFC 不断推进各方面的研究,以提高为患者提供的医疗服务的质量,但有关住院医师和研究员,或者说各学科的进修生参与 SRFC 环境的文献仍然很少。因此,对于如何最好地将他们及其技能组合纳入 SRFC,以及如何设计出对 SRFC 和进修培训项目都有利的机会,人们的理解还很有限。 目的:呼吁SRFC投入资源,更好地了解进修学员在SRFC中的参与情况,以及他们对SRFC的教育和患者护理经验可能产生的影响。 总结:关于进修学员在 SRFC 中的参与和影响的信息仍然有限。因此,这些领域的研究仍未得到充分开发,而 SRFC 完全有能力弥补知识方面的关键差距。这方面的潜在方法包括:1)询问目前参与 SRFC 的进修学员参与的动机;2)鼓励进修学员讨论如何让其他学员也参与进来,并帮助确保他们的参与;3)调查设有 SRFC 的院校的培训项目领导,了解如何在 SRFC 和培训项目之间建立互利的合作关系。在更好地描述其作用的过程中,SRFCs 有机会推动健康教育和病人护理领域的重大变革。
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Advanced Trainees in Student-Run Free Clinics: Potential Bridges to Critical Gaps in Knowledge
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.
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