Department of Orthopaedic Surgery, Stanford University School of Medicine, 450 Broadway St, Redwood City, CA 94063(∗).
Department of Orthopaedic Surgery, Stanford University, Redwood City, CA(†).
PM R. 2017 Nov;9(11):1117-1121. doi: 10.1016/j.pmrj.2017.03.008. Epub 2017 Apr 5.
Student-run free clinics (SRFCs) have emerged as an important educational component of United States (U.S.) medical schools. Despite the prevalence of musculoskeletal (MSK) problems presenting to SRFCs, students and clinics are often unprepared to diagnose and to treat common MSK complaints.
We sought to determine the scope of diagnosis and treatment at a medical student-run free clinic specializing in musculoskeletal care using physical medicine and rehabilitation (PM&R) residents. Secondary goals included reviewing student satisfaction and determining the appropriateness of the clinic in medical education.
Retrospective chart review, anonymous online survey.
Primary care, free student clinic affiliated with tertiary academic medical center.
A total of 20 medical student volunteers, 6 PM&R residents, and 91 community patients.
We established a musculoskeletal clinic as a specialty referral clinic for the 2 primary care SRFCs with institutional support from a partner medical school. We then reviewed clinical operations retrospectively using electronic medical records and student satisfaction based on an online survey.
We analyzed patient demographics and chief complaints, referrals provided, and medical services rendered. We also used a 5-point Likert scale to assess student satisfaction.
A monthly musculoskeletal referral clinic was established with the oversight of PM&R attendings and residents. The clinic received 91 referrals and managed 61 unique patients over a 2.5-year study period. The most common presentations to the clinic involved knee pain (n = 17, 27.9%) and back pain (n = 16, 26.2%). Pro bono relationships with community and institutional partners enabled all patients to receive medical examinations, physical therapy visits, plain film radiographs, and insurance consultations free of charge. Student satisfaction with teaching and patient care was high, with 19 of 20 students reporting their experience as "good" or "excellent."
SRFCs represent an underused opportunity to enhance MSK education among medical students by treating a variety of common MSK complaints in an underserved population.
Not applicable.
学生经营的免费诊所（SRFC）已经成为美国医学院教育的一个重要组成部分。尽管肌肉骨骼（MSK）问题在 SRFC 中很常见，但学生和诊所通常没有准备好诊断和治疗常见的 MSK 投诉。
我们旨在确定专门从事肌肉骨骼护理的医学生经营的免费诊所使用物理医学和康复（PM&R）住院医师进行诊断和治疗的范围。次要目标包括审查学生满意度，并确定该诊所在医学教育中的适宜性。
回顾性图表审查，匿名在线调查。
初级保健，与三级学术医疗中心附属的免费学生诊所。
共有 20 名医学生志愿者、6 名 PM&R 住院医师和 91 名社区患者。
我们在一所合作医学院校的机构支持下，为 2 家初级保健 SRFC 建立了一个肌肉骨骼诊所作为专业转诊诊所。然后，我们使用电子病历回顾性地审查临床操作，并根据在线调查评估学生满意度。
我们分析了患者的人口统计学和主要投诉、提供的转诊和提供的医疗服务。我们还使用 5 分李克特量表评估学生满意度。
在 PM&R 主治医生和住院医师的监督下，每月开设一次肌肉骨骼转诊诊所。该诊所在 2.5 年的研究期间收到了 91 次转诊，并管理了 61 名独特的患者。该诊所最常见的就诊情况是膝关节疼痛（17 例，27.9%）和背痛（16 例，26.2%）。与社区和机构合作伙伴的无偿关系使所有患者都能够免费接受医疗检查、物理治疗访问、普通 X 光片和保险咨询。20 名学生中有 19 名对教学和患者护理的满意度很高，他们报告说自己的经验“良好”或“优秀”。
SRFC 是通过在服务不足的人群中治疗各种常见的 MSK 投诉来增强医学生 MSK 教育的一种未被充分利用的机会。
不适用。
