Students learn systems-based care and facilitate system change as stakeholders in a free clinic experience

Advances in Health Sciences Education

Volumn 15, Issue 4, 2010, Pages 533-545

  Colbert, Colleen Y ^a,b   Ogden, Paul E ^a,b   Lowe, Darla ^a,b   Moffitt, Michael J ^a,b  

^a SCOTT AND WHITE MEMORIAL HOSPITAL   (United States)

^b TEXAS A M COLLEGE OF MEDICINE   (United States)

Author keywords

Competencies; Medical students; Qualitative research; Systems based care; Systems based practice

Indexed keywords

ARTICLE; CLINICAL EDUCATION; CURRICULUM; EDUCATION; HEALTH CARE QUALITY; HUMAN; INFORMATION PROCESSING; INTERNAL MEDICINE; MEDICAL EDUCATION; MEDICAL STUDENT; ORGANIZATION; ORGANIZATION AND MANAGEMENT; OUTPATIENT DEPARTMENT; PROSPECTIVE STUDY; SYSTEMS THEORY; UNITED STATES;

AMBULATORY CARE FACILITIES; CLINICAL CLERKSHIP; CURRICULUM; EDUCATION, MEDICAL, GRADUATE; FOCUS GROUPS; HUMANS; INTERNAL MEDICINE; ORGANIZATIONAL INNOVATION; PROGRAM EVALUATION; PROSPECTIVE STUDIES; STUDENTS, MEDICAL; SYSTEMS THEORY; TEXAS;

EID: 78049435858     PISSN: 13824996     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10459-009-9216-9     Document Type: Article

References (38)

1. Accreditation Council for Graduate Medical Education. (2009). ACGME outcome project. Common program requirements: General competencies. Available electronically at: http://www. acgme. org/outcome/comp/compFull. Accessed Jan 13 2009.
2. Balmer, D., Ruzek, S., Ludwig, S., & Giardino, A. P. (2007). Learning about systems-based practice in the informal curriculum: A case study in an academic pediatric continuity clinic. Ambulatory Pediatrics, 7(3), 214-219.
3. Barbour, R. S. (2005). Making sense of focus groups. Medical Education, 39, 742-750.
4. Beck, E. (2006). The UCSD student-run free clinic project: Transdisciplinary health professional education. Journal of Health Care for the Poor and Underserved, 16(2), 207-219.
5. Boltri, J. M., Vogel, R. L., Tindall, W. N., & Tedders, S. H. (2002). Improving medical students' knowledge of systems-based practice. Managed Care Quarterly, 10(1), 29-32.
6. Cadzow, R. B., Servoss, T. J., & Fox, C. H. (2007). The health status of patients of a student-run free medical clinic in inner-city Buffalo, NY. JABFM, 20(6), 572-580.
7. Colbert, C. Y., Mirkes, C., Cable, C. T., Sibbitt, S. J. B., VanZyl, G. O., & Ogden, P. E. (2009). The patient panel conference experience: What patients can teach our residents about competency issues. Academic Medicine, 84(12), 1833-1839.
8. Cottingham, A. H., Suchman, A. L., Litzelman, D. K., Frankel, R. M., Mossbarger, D. L., Williamson, P. R., et al. (2008). Enhancing the informal curriculum of a medical school: A case study in organizational culture change. Journal of General Internal Medicine, 23(6), 715-722.
9. Der, D. E., You, Y., Wolter, T. D., Bowen, D. A., & Dale, L. C. (2001). A free smoking intervention clinic initiated by medical students. Mayo Clinic Proceedings, 76(2), 144-151.
10. Englander, R., Agostinucci, W., Zalneraiti, E., & Carraccio, C. L. (2006). Teaching residents systems-based practice through a hospital cost-reduction program: A "win-win" situation. Teaching and Learning in Medicine, 18(2), 150-152.
11. Gay, L. R. & Airasian, P. (2000). Educational research (6th Ed.). In Competencies for analysis and application (Chapter 6). Qualitative research: data collection. (pp. 201-234). Upper Saddle River, NJ: Merrill, an Imprint of Prentice Hall.
12. Graham, M. J., Naqvi, Z., Encandela, J. A., Bylund, C. L., Dean, R., Calero-Breckheimer, A., et al. (2008). What indicates competency in systems based practice? An analysis of perspective consistency among healthcare team members. Advances in Health Science Education, 14(2), 187-203.
13. Hafferty, F. W. (1998). Beyond curriculum reform: Confronting medicine's hidden curriculum. Academic Medicine, 73(4), 403-407.
14. Hafferty, F. W., & Franks, R. (1994). The hidden curriculum, ethics teaching, and the structure of medical education. Academic Medicine, 69(11), 861-871.
15. Hoepfl, M. (1997). Choosing qualitative research: A primer for technology education researchers. Journal of Technology Education, 9(1). Available electronically at: http://scholar. lib. vt. edu/ejournals/JTE/v9n1/hoepfl. html. Accessed July 29 2009.
16. Kalet, A. L., Juszczak, L., Pastore, D., Fireman, A., Soren, K., Cohall, A., et al. (2007). Medical training in school-based health centers: A collaboration among five medical schools. Academic Medicine, 82(5), 458-464.
17. Leenstra, J. L., Beckman, T. J., Reed, D. A., Mundell, W. C., Thomas, K. G., Krajicek, B. J., et al. (2007). Validation of a method for assessing resident physicians' quality improvement proposals. Journal of General Internal Medicine, 22(9), 1330-1334.
18. Lie, D., Shapiro, J., Pardee, S. & Najm, W. (2008). A focus group study of medical students' views of an integrated complementary and alternative medicine (CAM) curriculum: Students teaching teachers. Medical Education Online, 13(3), 1-13. Available at http://www. med-ed-online. org.
19. Makeham, M., Dovey, S., Runciman, W., Larizgoitia, I. (2009). Methods and measures used in primary care patient safety research. Results of a literature review. World Health Organization. Available electronically at: http://www. who. int/patientsafety/research/methods_measures/makeham_dovey_full. pdf. Accessed Oct 30 2009.
20. Miles, M. B., & Huberman, A. M. (1994). An expanded sourcebook. Qualitative data analysis (2nd ed.). Thousand Oaks, CA: Sage.
21. Morgan, D. L. (1997). Focus groups as qualitative research (2nd edition). Qualitative research methods series (Vol. 16) (2nd ed.). Thousand Oaks, CA: Sage.
22. Moskowitz, D., Glasco, J., Johnson, B., & Wang, B. (2006). Students in the community: An interprofessional student-run free clinic. Journal of Interprofessional Care, 20(3), 254-259.
23. Nelson, E. C., Godfrey, M. M., Batalden, P. B., Berry, S. A., Bothe, A. E., McKinley, K. E., et al. (2008). Clinical microsystems, part 1. The building blocks of health systems. Joint Commission Journal on Quality and Patient Safety, 34(7), 367-378.
24. Niescierenko, M. L., Cadzow, R. B., & Fox, C. H. (2006). Insuring the uninsured: A student-run initiative to improve access to care in an urban community. Journal of the National Medical Association, 98(6), 906-911.
25. O'Connell, M. T., Rivo, M. L., Mechaber, A. J. & Weiss, B. A. (2004). A curriculum in systems-based care: Experiential learning changes in student knowledge and attitudes. Family Medicine, 36(January suppl), S98-S104.
26. Patton, M. Q. (1980). Qualitative Evaluation Methods. Beverly Hills, CA: Sage.
27. Rivo, M. L., Keller, D. R., Teherani, A., O'Connell, M. T., Weiss, B. A. & Rubenstein, S. A. (2004). Practicing effectively in today's health system: teaching systems-based care. Family Medicine, 36(January suppl), S63-S67.
28. Sandelowski, M. (2000). Focus on research methods. Whatever happened to qualitative description? Research in Nursing and Health, 23, 334-340.
29. Smego, R. A., & Costante, J. (1996). An academic health center-community partnership: The Morgantown health right free clinic. Academic Medicine, 71(6), 613-621.
30. Soderquist, K. E. (2004). Ph. D seminar series: qualitative research methodology. Defining and conducting case-based research. Analyzing case study data. http://www. dmst. aueb. gr/gr2/diafora2/YPD2/PhD%20Sem%20March%2004. ppt#2. Accessed July 30 2009.
31. Strauss, A., & Corbin, J. (1990). Basics of qualitative research. Grounded theory procedures and techniques. Newbury Park, CA: Sage.
32. Suchman, A. L., Williamson, P. R., Litzelman, D. K., Frankel, R. M., Mossbarger, D. L., Inui, T. S., et al. (2004). Toward an informal curriculum that teaches professionalism. Transforming the social environment of a medical school. Journal of General Internal Medicine, 19, 501-504.
33. Temple Community Free Clinic. (2008). Available electronically at: http://www. templefreeclinic. org/services. asp. Accessed Jan 21 2009.
34. Turley, C. B., Roach, R., & Marx, M. (2007). Systems survivor: A program for house staff in systems-based practice. Teaching in Learning and Medicine, 19(2), 128-138.
35. Varkey, P., Natt, N., Lesnick, T., Downing, S., & Yudkowsky, R. (2008). Validity evidence for an OSCE to assess competency in systems-based practice and practice-based learning and improvement: A preliminary investigation. Academic Medicine, 83(8), 775-780.
36. Werhane, P. H. (2002). Moral imagination and systems thinking. Journal of Business Ethics, 38, 33-42.
37. White, C. B., Kumagai, A. K., Ross, P. T., & Fantone, J. C. (2009). A qualitative exploration of how the conflict between the formal and informal curriculum influences student values and behaviors. Academic Medicine, 84(5), 597-603.
38. Ziegelstein, R. C., & Fiebach, N. H. (2004). "The mirror" and "The village": A new method for teaching practice-based learning and improvement and systems-based practice. Academic Medicine, 79(1), 83-88.