Taylor Mark A, Hollett Yvette R, Anderson Jacob P, Schwenk Thomas L
School of Medicine, University of Nevada.
Fam Med. 2016 Feb;48(2):127-31.
The Student Outreach Clinic (SOC) at the University of Nevada School of Medicine is one of several student-run free medical clinics associated with US medical schools. We report on the educational value of the SOC to medical students who volunteer at this clinic.
The records of all patients seen between August 1, 2012, and July 31, 2013, at the SOC were abstracted on a deidentified basis to collect key demographic and clinical components of the visit, including past medical history, components of the physical exam performed, clinical diagnoses recorded, patient disposition, and medications prescribed.
A total of 593 clinic visits were reviewed. Students performed a full physical exam on 80% of patients, primarily for educational purposes. The most frequent diagnoses mapped to a considerable extent to the top diagnoses seen in primary care as well as to the medical school curriculum, and the most frequent medications prescribed mapped to a considerable extent to the pharmacology curriculum.
The SOC provides incremental opportunities for medical students to gain valuable clinical experience during their first 2 years of medical school. The diagnoses encountered and medications prescribed parallel and supplement the medical school curriculum, with a particular focus on primary care. The educational value of these experiences should influence curriculum development and decisions.
内华达大学医学院的学生外展诊所(SOC)是与美国医学院相关的几个学生运营的免费医疗诊所之一。我们报告了SOC对在该诊所志愿服务的医学生的教育价值。
对2012年8月1日至2013年7月31日期间在SOC就诊的所有患者的记录进行匿名化提取,以收集就诊的关键人口统计学和临床信息,包括既往病史、进行的体格检查项目、记录的临床诊断、患者处置情况以及所开药物。
共审查了593次诊所就诊记录。学生们对80%的患者进行了全面体格检查,主要是出于教育目的。最常见的诊断在很大程度上与初级保健中常见的诊断以及医学院课程中的诊断相符,最常开具的药物在很大程度上与药理学课程相符。
SOC为医学生在医学院的前两年提供了增加获得宝贵临床经验的机会。所遇到的诊断和开具的药物与医学院课程并行且相互补充,尤其侧重于初级保健。这些经历的教育价值应影响课程开发和决策。