Medical student-run health clinics: Important contributors to patient care and medical education
Medical student-run health clinics: Important contributors to patient care and medical education
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DOI：
10.1007/s11606-006-0073-4
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发表时间：
2007-03-01
影响因子：
5.7
通讯作者：
Long, Judith A.
中科院分区：
文献类型：
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作者：
Simpson, Scott A.;Long, Judith A.
背景：尽管医科学生开办的诊所在美国医学院中很受欢迎，但没有关于有多少诊所，有多少学生在那里志愿服务，他们看了多少病人，他们提供了什么服务的信息。目的：我们首次描述了全国范围内医学生开办卫生诊所的流行和运营情况。设计和参与者：一项基于网络的调查发送到了50个州的所有124所美国医学院联盟的对位学校。结果：94所学校回应(76%)；49所学校至少有1所学生开办的诊所(52%)。Fitynine学生开办的诊所提供了他们运作的详细数据。诊所平均每周有16名学生志愿者，大多数是临床前学生(56/59，93%)。在全国范围内，诊所报告的人数超过了3.6万人。每年一次的患者-医生访问，以及更多的非访问接触。患者主要是少数族裔：31%是西班牙裔；31%是黑人/非裔美国人；25%是白人；11%是亚裔；3%是美洲原住民或其他人。大多数学生开办的医疗诊所都有资源既可以治疗急性疾病，也可以管理慢性病。诊所最常由私人资助(42/59，71%)；在27家披露财务状况的诊所中，报告的年运营预算中位数为12,000美元。结论：医学生办的卫生诊所为弱势患者提供多种服务，也是医学教育中的一个显著现象。对社区健康和医学教育的更广泛的考虑不应该忽视学生经营的健康诊所在当地的作用。
BACKGROUND: Despite the popularity of medical student-run health clinics among U.S. medical schools, there is no information about how many clinics exist, how many students volunteer there, or how many patients they see and what services they offer.OBJECTIVE: We describe, for the first time, the prevalence and operation of medical student-run health clinics nationwide.DESIGN AND PARTICIPANTS: A web-based survey was sent to all 124 Association of American Medical Colleges allopathic schools in the 50 states.RESULTS: Ninety-four schools responded (76%); 49 schools had at least 1 student-run clinic (52%). Fiftynine student-run clinics provided detailed data on their operation. The average clinic had 16 student volunteers a week, and most incorporated preclinical students (56/59, 93%). Nationally, clinics reported more than 36,000. annual patient-physician visits, in addition to more nonvisit encounters. Patients were predominantly minority: 31% Hispanic; 3 1 % Black/African American; 25% White; 11% Asian; and 3% Native American or other. Most student-run health clinics had resources both to treat acute illness and also to manage chronic conditions. Clinics were most often funded by private grants (42/59, 71%); among 27 clinics disclosing finances, a median annual operating budget of $12,000 was reported.CONCLUSIONS: Medical student-run health clinics offer myriad services to disadvantaged patients and are also a notable phenomenon in medical education. Wider considerations of community health and medical education should not neglect the local role of a studentrun health clinic.