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Medical Student-Run Health Clinics: Important Contributors to Patient Care and Medical Education

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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%). Fifty-nine 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; 31% 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 student-run health clinic.

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References

  1. Kushel MB, Vittinghoff E, Haas JS. Factors associated with the health care utilization of homeless persons. JAMA. 2001;285:200–6.

    Article  PubMed  CAS  Google Scholar 

  2. Weinick RM, Zuvekas SH, Cohen JW. Racial and ethnic differences in access to and use of health care services, 1977 to 1996. Med Care Res Rev. 2000;57:36–54.

    Article  PubMed  Google Scholar 

  3. Burt M, Aron L, Douglas T, Valente, J., Lee, E., Iwen, B. Homelessness: programs and the people they serve: Findings from the National Survey of Homeless Assistance Providers and Clients, Technical Report. December 1999. The Urban Institute.

  4. Wilson DE, Balotin JK. Quality health care for all: the American illusion. J Assoc Acad Minor Phys. 2005;16:1–8.

    Google Scholar 

  5. Bardack MA, Thompson SH. Model prenatal program of rush medical college at St. Basil’s free people’s clinic, Chicago. Public Health Rep. 1993;108:161–5.

    PubMed  CAS  Google Scholar 

  6. Cohen J. Eight Steps for starting a student-run clinic. JAMA. 1995;273:434–5.

    Article  PubMed  CAS  Google Scholar 

  7. Nordling MK. Starting a student-run homeless clinic. Bureau of Primary Health Care, HRSA. (Undated) Available at: http://www.amsa.org/programs/homelessclinic.cfm. Accessed June 4, 2006.

  8. Hadley J, Cunningham P. Availability of safety net providers and access to care of uninsured persons. Health Serv Res. 2001;39:1527–46.

    Article  Google Scholar 

  9. Hadley J, Cravens M, Coughlin T, Holahan J. Federal spending on the health care safety net from 2001–2004: has spending kept pace with the growth in the uninsured? November 2005. Kaiser Commission on Medicaid and the Uninsured publication #7425.

  10. National Association of Community Health Centers. Fact sheet. August 2005. Available at: http://www.nachc.com/research/files/medicaidfactsheet.pdf. Accessed June 4, 2006.

  11. Forrest CB, Whelan E. Primary care safety-net delivery sites in the United States. JAMA. 2000;284:2077–83.

    Article  PubMed  CAS  Google Scholar 

  12. Hoffman C, Sered SS. Threadbare: holes in America’s health care safety net. November 2005. The Kaiser Commission on Medicaid and the Uninsured. Publication #7245.

  13. Politzer RM, Yoon J, Shi L, Regan J, Gaston MH. Inequality in America: the contribution of health centers in reducing and eliminating disparities in access to care. Med Care Res Rev. 2001;58:234–48.

    Article  PubMed  CAS  Google Scholar 

  14. Medical Student-Run Clinics of America. Website available at http://www.student-clinics.org. Accessed June 4, 2006.

  15. Davenport BA. Witnessing and the medical gaze: how medical students learn to see at a free clinic for the homeless. Med Anthropol Q. 2000;14:310–27.

    Article  PubMed  CAS  Google Scholar 

  16. Poulsen EJ. Student-run clinics: a double opportunity. JAMA. 1995;273:430.

    Google Scholar 

  17. Steinbach A, Swartzeberg J, Carbone V. The Berkeley suitcase clinic: homeless services by undergraduate and medical student teams. Acad Med. 2001;76:524.

    Article  PubMed  CAS  Google Scholar 

  18. Pi R. The Asian clinic at UC Davis: serving a minority population for two decades. JAMA. 1995;273:432.

    Google Scholar 

  19. Collins AC. The Hahnemann homeless clinics project: taking health care to the streets and shelters. JAMA. 1995;273:433.

    Article  PubMed  CAS  Google Scholar 

  20. Clark DL, Melillo A, Wallace D, Pierrel S, Buck DS. A multidisciplinary, learner-centered, student-run clinic for the homeless. Fam Med. 2003;35:394–7.

    PubMed  Google Scholar 

  21. Association of American Medical Colleges. Member list available at: http://services.aamc.org/memberlistings. Accessed June 4, 2006.

  22. Yap OWS, Thornton DJ. The Arbor Free Clinic at Stanford: a multidisciplinary effort. JAMA. 1995;273:431.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

We would like to thank Erin Engelstad and Jon Morris MD, at PennMed’s Office of Student Affairs for their helpfulness in contacting schools. More information about our research can be found online at http://www.med.upenn.edu/studentrunclinics.

Potential Financial Conflicts of Interest

None disclosed.

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Correspondence to Scott A. Simpson BA.

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Simpson, S.A., Long, J.A. Medical Student-Run Health Clinics: Important Contributors to Patient Care and Medical Education. J GEN INTERN MED 22, 352–356 (2007). https://doi.org/10.1007/s11606-006-0073-4

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