Smith Sunny D, Johnson Michelle L, Rodriguez Natalie, Moutier Christine, Beck Ellen
Department of Family and Preventive Medicine, University of California San Diego, La Jolla, CA 92093-0696, USA.
Fam Med. 2012 Oct;44(9):646-9.
Many medical schools have student-run free clinics (SRFCs), yet their educational value has not been well studied. We performed a one-time cross-sectional survey to assess medical student perceptions of the educational value of an SRFC at their institution.
The authors designed and validated a survey instrument including six statements on a 5-point Likert-scale. The questionnaire was distributed from February through May 2010 to all students enrolled at the University of California San Diego (UCSD) School of Medicine as part of a larger yearly, anonymous, internet-based survey regarding their experiences at the institution.
The response rate was 66.5% with 347 of 522 eligible students participating. Ninety percent agreed or strongly agreed that the SRFC was a valuable educational experience, mean score: 4.51 on a scale of 5. Eighty-two percent agreed or strongly agreed that the teaching was excellent, mean score: 4.23. Students agreed or strongly agreed that the SRFC improved attitudes toward working with underserved patients (72%, mean score 3.99), helped students stay connected to sense of purpose, (71%, mean score 3.98), improved overall sense of well-being (67%, mean score 3.88), and influenced their decision to come to UCSD (52%, mean score 3.37). Eighty-four percent of qualitative responses in a free text comment box were positive (46 of 55).
To the authors' knowledge, this is the first study to report the perceptions of an entire medical student body of a SRFC at their institution. The majority felt that this was a valuable educational experience.
许多医学院校都设有学生运营的免费诊所（SRFCs），但其教育价值尚未得到充分研究。我们开展了一项一次性横断面调查，以评估医学生对本校SRFC教育价值的看法。
作者设计并验证了一份调查问卷，其中包含六条基于5分李克特量表的陈述。该问卷于2010年2月至5月分发给加利福尼亚大学圣地亚哥分校（UCSD）医学院的所有在校学生，作为该校每年开展的一项规模更大的、匿名的、基于网络的关于学生在校经历调查的一部分。
回复率为66.5%，522名符合条件的学生中有347名参与。90%的学生同意或强烈同意SRFC是一次有价值的教育经历，平均得分：5分制下为4.51分。82%的学生同意或强烈同意教学很棒，平均得分：4.23分。学生们同意或强烈同意SRFC改善了对为服务不足患者提供服务的态度（72%，平均得分3.99），帮助学生保持使命感（71%，平均得分3.98），提升了总体幸福感（67%，平均得分3.88），并影响了他们选择来UCSD就读的决定（52%，平均得分3.37）。在自由文本评论框中的定性回复中，84%是积极的（55条中有46条）。
据作者所知，这是第一项报告整个医学院学生群体对本校SRFC看法的研究。大多数人认为这是一次有价值的教育经历。
