Kumar Natasha R, DuVernois Gabriele, Almeida-Monroe Valerie, Siegert Nicole, De Groot Anne S
Department of Obstetrics and Gynecology, Northwestern University, Chicago IL.
Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, Texas.
R I Med J (2013). 2019 Dec 2;102(10):52-56.
Clinica Esperanza/Hope Clinic (CEHC) is a free clinic providing primary care to a predominantly Spanish-speaking, uninsured patient population in Rhode Island with limited access to gynecologic care. In 2015, medical students at the Alpert Medical School of Brown University started the Women's Clinic of Clinica Esperanza (WCCE), a "clinic within the clinic," recruiting physician preceptors and obtaining funding to support WCCE operations. For complex issues, clinic services were supplemented by a subspecialty referral system at a local hospital. Interim results over a two-year period ending in May 2017 are reported here. Medical students organized 48 women's clinics and provided 83 Pap smears, 138 breast exams, 42 mammogram referrals, 35 STI tests, and 19 vaginitis screens, among other activities. As the example of WCCE shows, student-run clinics can utilize medical students' relationships with providers and unique funding sources to expand access to specialty care for uninsured patients.
希望诊所/希望临床中心(CEHC)是一家免费诊所,主要为罗德岛州以西班牙语为母语、未参保且难以获得妇科护理的患者群体提供初级护理。2015年,布朗大学阿尔珀特医学院的医学生创办了希望诊所女性诊所(WCCE),即“诊所内的诊所”,招募医师带教老师并获取资金以支持WCCE的运营。对于复杂问题,诊所服务由当地医院的专科转诊系统予以补充。本文报告了截至2017年5月的两年期间的中期结果。医学生组织了48次女性诊所活动,并开展了83次巴氏涂片检查、138次乳房检查、42次乳房X光检查转诊、35次性传播感染检测以及19次阴道炎筛查等活动。正如WCCE的例子所示,学生运营的诊所可以利用医学生与医疗服务提供者的关系以及独特的资金来源,为未参保患者扩大获得专科护理的机会。