Literature DB >> 23462491

Integrated models of education and service involving community-based health care for underserved populations: Tulane student-run free clinics.

Casey M Rebholz1, Meghan W Macomber, Meghan D Althoff, Meghan Garstka, Andrej Pogribny, Amanda Rosencrans, Sydney Selzer, Benjamin Springgate.   

Abstract

OBJECTIVES: Throughout the United States numerous models of local programs, including student-run clinics, exist to address the issue of access to care. The role of these clinics in serving the local community and contributing to medical education has been documented only in limited detail, however. The purpose of this article is to describe the clinic models, patient demographics, and services provided by four student-run clinics in New Orleans.
METHODS: This is a retrospective, multisite chart review study of adult patients examined at student-run clinics between January 1, 2010 and July 31, 2011.
RESULTS: During a 19-month period, 859 patients collectively were seen at the clinics, for a total of 1455 visits. The most common reasons for seeking care were medication refills (21.6%) and musculoskeletal pain (12.0%). Counseling and health education were provided primarily for smoking cessation (9.0%), diabetes management (7.1%), and hypertension management (5.8%). Nearly one-fifth of patients were given a referral to primary care services. In the 2010-2011 academic year, 87.6% of preclinical medical students volunteered at ≥1 of these clinics and spent 4508 hours during 1478 shifts.
CONCLUSIONS: This article highlights the role of student-run clinics in the community, the safety-net healthcare system, and medical education. Future directions include the establishment of a new clinic, fundraising, and prospective studies to further assess the impact of student-run clinics.

Entities:  

Mesh:

Year:  2013        PMID: 23462491      PMCID: PMC3988527          DOI: 10.1097/SMJ.0b013e318287fe9a

Source DB:  PubMed          Journal:  South Med J        ISSN: 0038-4348            Impact factor:   0.954


  9 in total

1.  Witnessing and the medical gaze: how medical students learn to see at a free clinic for the homeless.

Authors:  B A Davenport
Journal:  Med Anthropol Q       Date:  2000-09

Review 2.  Medical students as teachers at CoSMO, Columbia University's student-run clinic: a pilot study and literature review.

Authors:  Magni Hamso; Amanda Ramsdell; Dorene Balmer; Cyrus Boquin
Journal:  Med Teach       Date:  2012       Impact factor: 3.650

Review 3.  Student-run health clinic: novel arena to educate medical students on systems-based practice.

Authors:  Yasmin S Meah; Eric L Smith; David C Thomas
Journal:  Mt Sinai J Med       Date:  2009-08

4.  Specialties chosen by medical students who participated in a student-run, community-based free clinic.

Authors:  D E Campos-Outcalt
Journal:  Am J Prev Med       Date:  1985 Jul-Aug       Impact factor: 5.043

5.  Revisiting the behavioral model and access to medical care: does it matter?

Authors:  R M Andersen
Journal:  J Health Soc Behav       Date:  1995-03

6.  Quality of mental health care at a student-run clinic: care for the uninsured exceeds that of publicly and privately insured populations.

Authors:  Kate M Liberman; Yasmin S Meah; Andrew Chow; Jeffrey Tornheim; Omayra Rolon; David C Thomas
Journal:  J Community Health       Date:  2011-10

7.  Community perspectives on post-Katrina mental health recovery in New Orleans.

Authors:  Diana Meyers; Charles E Allien; Donisha Dunn; Ashley Wennerstrom; Benjamin F Springgate
Journal:  Ethn Dis       Date:  2011       Impact factor: 1.847

8.  Identification of cardiovascular risk factors in homeless adults.

Authors:  Molly I Szerlip; Harold M Szerlip
Journal:  Am J Med Sci       Date:  2002-11       Impact factor: 2.378

9.  Medical student-run health clinics: important contributors to patient care and medical education.

Authors:  Scott A Simpson; Judith A Long
Journal:  J Gen Intern Med       Date:  2007-03       Impact factor: 5.128

  9 in total
  4 in total

1.  The feasibility of establishing a free clinic for uninsured patients with neurologic disorders.

Authors:  Joseph J Taylor; Thomas Larrew; Armina Omole; Mallory Roberts; Adam Kornegay; Kelly Kornegay; Lidia Yamada; Gonzalo J Revuelta; Mimi Sohn; Thomas Hughes; Jonathan C Edwards
Journal:  Neurol Clin Pract       Date:  2015-08

2.  Community-based free clinics: opportunities for interprofessional collaboration, health promotion, and complex care management.

Authors:  Martha A Kaeser; Cheryl Hawk; Michelle L Anderson; Richard Reinhardt
Journal:  J Chiropr Educ       Date:  2015-08-04

3.  Helping Trainees Develop Scholarship in Academic Medicine From Community Service.

Authors:  Sunny Nakae; Maria Soto-Greene; Renee Williams; Daniel Guzman; John P Sánchez
Journal:  MedEdPORTAL       Date:  2017-12-14

Review 4.  Understanding Student-Run Health Initiatives in the Context of Community-Based Services: A Concept Analysis and Proposed Definitions.

Authors:  Daniel A Nagel; Taylor T Naccarato; Mark T Philip; Victoria K Ploszay; Janice Winkler; Diana C Sanchez-Ramirez; Jamie L Penner
Journal:  J Prim Care Community Health       Date:  2022 Jan-Dec
  4 in total

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