Smith Danielle, Ramesh Sharanya, Smith Matthew, Jensen Ashley, Ellaway Rachel
Cumming School of Medicine, University of Calgary, Alberta, Canada.
Can Med Educ J. 2019 Jul 24;10(3):e27-e38. eCollection 2019 Jul.
Student Run Clinics (SRCs) provide students with clinical education while caring for underserved populations. While much of the research on SRCs comes from the USA, SRCs in other contexts need to be appraised in the context of the systems they interact with. This study explored how stakeholders in the University of Calgary's SRC perceived its purpose and beneficiaries with respect to patients, students, undergraduate medical education, and its intersections within the healthcare system in Calgary.
Data came from the SRC's EMR and stakeholder interviews at the Inn from the Cold (IFTC) shelter. Qualitative data were analyzed using standard grounded theory techniques.
There were 13 interviews - seven with student clinicians and six with preceptors and other stakeholders. Interviews highlighted the uncertainty of the SRCs role. Majority of participants saw the SRC as facilitating further access to other healthcare services, while some commented on its primarily education-focused role. Major limitations in the SRC's scope of care and its integration with other services were identified.
SRCs need to consider their accountabilities, both educational and healthcare-focused at individual and organization levels, in order to function as responsible healthcare providers in Calgary.
学生运营诊所（SRCs）在为服务不足人群提供护理的同时，也为学生提供临床教育。虽然关于SRCs的许多研究来自美国，但其他背景下的SRCs需要在其与之互动的系统背景下进行评估。本研究探讨了卡尔加里大学SRCs的利益相关者如何看待其在患者、学生、本科医学教育以及其在卡尔加里医疗系统中的交叉点方面的目的和受益者。
数据来自SRCs的电子病历以及在“寒舍客栈”（IFTC）收容所对利益相关者的访谈。使用标准的扎根理论技术对定性数据进行分析。
共进行了13次访谈——7次访谈学生临床医生，6次访谈带教老师和其他利益相关者。访谈突出了SRCs角色的不确定性。大多数参与者认为SRCs有助于进一步获得其他医疗服务，而一些人则评论了其主要以教育为重点的角色。确定了SRCs护理范围及其与其他服务整合方面的主要局限性。
SRCs需要在个人和组织层面考虑其在教育和医疗保健方面的责任，以便在卡尔加里成为负责任的医疗服务提供者。
