Learning in student-run clinics: A systematic review

Medical Education

Volumn 49, Issue 3, 2015, Pages 249-263

  Schutte, Tim ^a,b   Tichelaar, Jelle ^a,b   Dekker, Ramon S ^b   van Agtmael, Michiel A ^a,b   de Vries, Theo P G M ^a,b   Richir, Milan C ^a,b  

^a Research and Expertise Centre in Pharmacotherapy Education   (Netherlands)

^b VU UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL COMPETENCE; HEALTH PERSONNEL ATTITUDE; HUMAN; LEARNING; MEDICAL EDUCATION; MEDICAL STUDENT; ORGANIZATION AND MANAGEMENT; OUTPATIENT DEPARTMENT; PATIENT CARE; PATIENT SATISFACTION; PROCEDURES; VULNERABLE POPULATION;

AMBULATORY CARE FACILITIES; ATTITUDE OF HEALTH PERSONNEL; CLINICAL COMPETENCE; EDUCATION, MEDICAL, UNDERGRADUATE; HUMANS; LEARNING; PATIENT CARE; PATIENT SATISFACTION; STUDENTS, MEDICAL; VULNERABLE POPULATIONS;

EID: 84923005492     PISSN: 03080110     EISSN: 13652923     Source Type: Journal    
DOI: 10.1111/medu.12625     Document Type: Article

References (71)

1. Vollebregt JA, van Oldenrijk J, Kox D, van Galen SR, Sturm B, Metz JCM, Richir MC, de Haan M, Hugtenburg JG, de Vries TP. Evaluation of a pharmacotherapy context-learning programme for preclinical medical students. Br J Clin Pharmacol 2006;62 (6):666-72.
2. Coles C. How students learn: the process of learning. In: Jolly B, Rees L, eds. Medical Education in the Millennium. Oxford: Oxford Medical Publications 1998;63-82.
3. Koens F, Mann KV, Custers EJFM, ten Cate OTJ. Analysing the concept of context in medical education. Med Educ 2005;39:1243-9.
4. Dolmans DHJM, de Grave W, Wolfhagen IHAP, van der Vleuten CPM. Problem-based learning: future challenges for educational practice and research. Med Educ 2005;39:732-41.
5. Schmidt HG, Norman GR, Boshuizen HP. A cognitive perspective on medical expertise: theory and implication. Acad Med 1990;65 (10):611-21.
6. Chen HC, Sheu L, O'Sullivan PS, ten Cate O, Teherani A. Legitimate workplace roles and activities for early learners. Med Educ 2014;48:136-45.
7. Dornan T. Workplace learning. Perspect Med Educ 2012;1 (1):15-23.
8. van der Zwet J, Hanssen VG, Zwietering PJ, Muijtjens AM, van der Vleuten CP, Metsemakers JF, Scherpbier AJ. Workplace learning in general practice: supervision, patient mix and independence emerge from the black box once again. Med Teach 2010;32 (7):e294-9.
9. Meah YS, Smith EL, Thomas DC. Student-run health clinic: novel arena to educate medical students on systems-based practice. Mt Sinai J Med 2009;76 (4):344-56.
10. Tong ST, Phillips RL, Berman R. Is exposure to a student-run clinic associated with future primary care practice? Fam Med 2012;44 (8):579-81.
11. Kirkpatrick DI. Evaluation of training. In: Craig R, Bittel I, eds. Training and Development Handbook. New York, NY: McGraw-Hill 1976;18-2.
12. Greenhalgh T, Peacock R. Effectiveness and efficiency of search methods in systematic reviews of complex evidence: audit of primary sources. BMJ 2005;331 (7524):1064-5.
13. Reed DA, Cook DA, Beckman TJ, Levine RB, Kern DE, Wright SM. Association between funding and quality of published medical education research. JAMA 2007;298 (9):1002-9.
14. Whitcomb ME. Using clinical outcomes data to reform medical education. Acad Med 2005;80 (2):117.
15. Chen FM, Bauchner H, Burstin H. A call for outcomes research in medical education. Acad Med 2004;79 (10):955-60.
16. Hammick M, Dornan T, Steinert Y. Conducting a best evidence systematic review. Part 1: from idea to data coding. BEME Guide No. 13. Med Teach 2010;32 (1):3-15.
17. Smith SD, Johnson ML, Rodriguez N, Moutier C, Beck E. Medical student perceptions of the educational value of a student-run free clinic. Fam Med 2012;44 (9):646-9.
18. Doyle MA, Caplan JP, Marcil W. A student-run psychiatry clinic and its use for a medical-student training experience. Acad Psychiatry 2012;36 (3):237-9.
19. Gu CN, McElroy JA, Corcoran BC. Potential advantage of student-run clinics for diversifying a medical school class. J Educ Eval Health Prof 2012;9:8.
20. Hamso M, Ramsdell A, Balmer D, Boquin C. Medical students as teachers at CoSMO, Columbia University's student-run clinic: a pilot study and literature review. Med Teach 2012;34 (3):e189-97.
21. Sheu LC, Zheng P, Coelho AD, Lin LD, O'Sullivan PS, O'Brien BC, Lu AY, Lai CJ. Learning through service: student perceptions on volunteering at interprofessional hepatitis B student-run clinics. J Cancer Educ 2011;26 (2):228-33.
22. Sheu L, Lai CJ, Coelho AD, Lin LD, Zheng P, Hom P, Diaz V, O'Sullivan PS. Impact of student-run clinics on preclinical sociocultural and interprofessional attitudes: a prospective cohort analysis. J Health Care Poor Underserved 2012;23 (3):1058-72.
23. Shrader S, Thompson A, Gonsalves W. Assessing student attitudes as a result of participating in an interprofessional healthcare elective associated with a student-run free clinic. J Res Interprof Pract Educ 2010;1 (3):23.
24. Wee L, Yeo W, Tay C, Lee J, Koh G. The pedagogical value of a student-run community-based experiential learning project: the Yong Loo Lin School of Medicine Public Health Screening. Ann Acad Med Singapore 2010;39 (9):686.
25. Simmons BB, DeJoseph D, Diamond J, Weinstein L. Students who participate in a student-run free health clinic need education about access to care issues. J Health Care Poor Underserved 2009;20 (4):964-8.
26. Abrão MN, Bensi CG, Goncalves MS et al. A medical student-staffed outpatient oncology clinic: a 10-year Brazilian experience. J Cancer Educ 2008;23 (1):63-4.
27. Simpson SA, Long JA. Medical student-run health clinics: important contributors to patient care and medical education. J Gen Intern Med 2007;22 (3):352-6.
28. Borges NJ, Hartung PJ. Service learning in medical education: project description and evaluation. Int J Teach Learn High Educ 2007;19 (1):1-7.
29. Gilkey MB, Earp JA. Effective interdisciplinary training: lessons from the University of North Carolina's student health action coalition. Acad Med 2006;81 (8):749-58.
30. Clark DL, Melillo A, Wallace D, Pierrel S, Buck DS. A multidisciplinary, learner-centred, student-run clinic for the homeless. Fam Med 2003;35 (6):394-7.
31. Christensen D, Belgard A, Craig C, Stephens M. Interest and perceptions of student-run health clinics: a survey at the Uniformed Services University of the Health Sciences. Mil Med 2013;178 (11):1245-9.
32. Stoddard HA, Risma JM. Relationship of participation in an optional student-run clinic to medical school grades. Teach Learn Med 2011;23 (1):42-5.
33. Schweitzer PJ, Rice TR. The student-run clinic: a new opportunity for psychiatric education. Acad Psychiatry 2012;36 (3):233-6.
34. Zucker J, Lee J, Khokhar M, Schroeder R, Keller S. Measuring and assessing preventive medicine services in a student-run free clinic. J Health Care Poor Underserved 2013;24 (1):344-58.
35. Berman R, Powe C, Carnevale J, Chao A, Knudsen J, Nguyen A, Edgman-Levitan S. The crimson care collaborative: a student-faculty initiative to increase medical students' early exposure to primary care. Acad Med 2012;87 (5):651-5.
36. Butala NM, Murk W, Horwitz LI, Graber LK, Bridger L, Ellis P. What is the quality of preventive care provided in a student-run free clinic? J Health Care Poor Underserved 2012;23 (1):414-24.
37. Liberman KM, Meah YS, Chow A, Tornheim J, Rolon O, Thomas DC. Quality of mental health care at a student-run clinic: care for the uninsured exceeds that of publicly and privately insured populations. J Community Health 2011;36 (5):733-40.
38. Lough LE, Ebbert JO, McLeod TG. Evaluation of a student-run smoking cessation clinic for a medically underserved population. BMC Res Notes 2011;4:55.
39. Zucker J, Gillen J, Ackrivo J, Schroeder R, Keller S. Hypertension management in a student-run free clinic: meeting national standards? Acad Med 2011;86 (2):239-45.
40. Wee L, Koh G, Lim V. Caring for underserved patients through neighbourhood health screening: outcomes of a longitudinal, interprofessional, student-run home visit programme in Singapore. Acad Med 2011;86 (7):829-39.
41. Ellett JD, Campbell JA, Gonsalves WC. Patient satisfaction in a student-run free medical clinic. Fam Med 2010;42 (1):16-8.
42. Dvoracek JJ, Cook KM, Klepser DG. Student-run low-income family medicine clinic: controlling costs while providing comprehensive medication management. J Am Pharm Assoc 2010;50 (3):384-7.
43. Ryskina KL, Meah YS, Thomas DC. Quality of diabetes care at a student-run free clinic. J Health Care Poor Underserved 2009;20 (4):969-81.
44. Spector A, Alpert H, Karam-Hage M. Smoking cessation delivered by medical students is helpful to homeless population. Acad Psychiatry 2007;31 (5):402-5.
45. Niescierenko ML, Cadzow RB, Fox CH. Insuring the uninsured: a student-run initiative to improve access to care in an urban community. J Natl Med Assoc 2006;98 (6):906-11.
46. Bennard B, Wilson JL, Ferguson KP, Sliger C. A student-run outreach clinic for rural communities in Appalachia. Acad Med 2004;79 (7):666-71.
47. Hsu LD, DeJong W, Hsia R, Chang M, Ryou M, Yeh E. Student leadership in public health advocacy: lessons learned from the hepatitis B initiative. Am J Public Health 2003;93 (8):1250-2.
48. Der DE, You YQ, Wolter TD, Bowen DA, Dale LC. A free smoking intervention clinic initiated by medical students. Mayo Clin Proc 2001;76 (2):144-51.
49. Mota A, Uehara R, Rezende LF. Teaching oncology through a student-staffed outpatient clinic: preliminary experience of the ABC foundation school of medicine. J Cancer Educ 1999;14 (4):219-22.
50. Haq CL, Cleeland L, Gjerde CL, Goedken J, Poi E. Student and faculty collaboration in a clinic for the medically underserved. Fam Med 1996;28 (8):570-4.
51. Werman DS, Agle D, McDaniel E, Schoof KG. Survey of psychiatric treatment effectiveness in a medical student clinic. Am J Psychother 1976;30 (2):294-302.
52. Campos-Outcalt DE. Specialties chosen by medical students who participated in a student-run, community-based free clinic. Am J Prev Med 1985;1 (4):50-1.
53. Kent F, Keating J. Patient outcomes from a student-led interprofessional clinic in primary care. J Interprof Care 2013;27 (4):336-8.
54. Bowen A, Ryan SL, Sogani J, Cortijo A, Nosal SC, Joo P. Patient transition from a free clinic to a medical home. Am J Med Qual 2013;28 (5):446.
55. Butala NM, Chang H, Horwitz LI, Bartlett M, Ellis P. Improving quality of preventive care at a student-run free clinic. PLoS One 2013;8 (11):e81441.
56. Ouyang D, Yuan N, Sheu L, Lau G, Chen C, Lai CJ. Community health education at student-run clinics leads to sustained improvement in patients' hepatitis B knowledge. J Community Health 2013;38 (3):471-9.
57. Gorrindo P, Peltz A, Ladner TR, Reddy I, Miller BM, Miller RF, Fowler MJ. Medical students as health educators at a student-run free clinic: improving the clinical outcomes of diabetic patients. Acad Med 2014;89 (4):625-31.
58. Sheu L, O'Brien B, O'Sullivan PS, Kwong A, Lai CJ. Systems-based practice learning opportunities in student-run clinics: a qualitative analysis of student experiences. Acad Med 2013;88 (6):831-6.
59. Colbert CY, Ogden PE, Lowe D, Moffitt MJ. Students learn systems-based care and facilitate system change as stakeholders in a free clinic experience. Adv Health Sci Educ Theory Pract 2010;15 (4):533-45.
60. Campbell DJ, Gibson K, O'Neill BG, Thurston WE. The role of a student-run clinic in providing primary care for Calgary's homeless populations: a qualitative study. BMC Health Serv Res 2013;13:277.
61. Guirguis L, Sidhu K. An exploration of pharmacist preceptors' and pharmacy students' experiences at an interprofessional student-run clinic. Can Pharm J (Ott) 2011;144 (4):179-85.
62. 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 (3):310-27.
63. Batra P, Chertok JS, Fisher CE, Manseau MW, Manuelli VN, Spears J. The Columbia-Harlem Homeless Medical Partnership: a new model for learning in the service of those in medical need. J Urban Health 2009;86 (5):781-90.
64. Onyon C. Problem-based learning: a review of the educational and psychological theory. Clin Teach 2012;9:22-6.
65. Antonelli MA. Accuracy of second-year medical students' self-assessment of clinical skills. Acad Med 1997;72 (10 Suppl):63-5.
66. Kusurkar RA, Croiset G, ten Cate TJ. Twelve tips to stimulate intrinsic motivation in students through autonomy-supportive classroom teaching derived from self-determination theory. Med Teach 2011;33 (12):978-82.
67. Al Ansari A, Ali SK, Donnon T. The construct and criterion validity of the mini-CEX: a meta-analysis of the published research. Acad Med 2013;88 (3):413-20.
68. World Health Organization. Framework for Action on Interprofessional Education and Collaborative Practice. Geneva: WHO 2010.
69. Tichelaar J, van Kan C, van Unen RJ, Schneider AJ, van Agtmael MA, de Vries ThPGM, Richir MC. The effect of different levels of realism of context learning on the prescribing competencies of medical students during the clinical clerkship in internal medicine: an exploratory study. Eur J Clin Pharmacol 2011;71(2), 237-42.
70. Centraal Bureau voor de Statistiek. Statline - Onverzekerden tegen ziektenkosten 2006-2010. CBS Statline 2012. http://statline.cbs.nl/StatWeb/publication/?VW=T%26DM=SLNL%26PA=71433NED%26D1=1%26D2=a%26D3=a%26D4=a%26HD=130222-1330%26HDR=T, G3%26STB=G1, G2. [Accessed 21st march 2014.]
71. Todd SR, Sommers BD. Overview of the Uninsured in the United States: A Summary of the 2012 Current Population Survey Report. Washington, DC: Department of Health and Human Services, ASPE office of Health Policy 2012.