David Geffen School of Medicine, 10833 Le Conte Ave, Los Angeles, CA, 90095, USA.
Weill Cornell Medicine, New York, NY, USA.
J Immigr Minor Health. 2021 Feb;23(1):179-183. doi: 10.1007/s10903-020-01106-2. Epub 2020 Oct 21.
In response to the rapidly rising number of asylum applications, student-run asylum clinics (SRACs) designed to provide pro bono forensic medical evaluations have emerged at medical schools across the United States. Distinct from traditional student-run clinics in the services they provide and in their operational models, SRACs face a unique set of challenges. This study aims to identify the common challenges in building SRACs and to collect insights to inform a structured approach to collaborative problem-solving. This study gathered data from online surveys and semi-structured phone interviews with representative medical student SRAC leaders. 14 clinics participated in the 2017 online survey, 15 clinics in the 2018 online survey, and eight clinics in the 2018-2019 phone interviews. We identified common challenges in five areas: volunteer recruitment, clinic operations, case demand, institutional support, and leadership. SRACs stand to benefit from ongoing extramural collaborations to overcome shared challenges.
为了应对不断增加的庇护申请数量，美国各地的医学院纷纷成立了学生运营的庇护诊所（SRAC），旨在提供免费的法医医疗评估服务。与传统的学生运营诊所相比，SRAC 在服务内容和运营模式上存在显著差异，因此也面临着一系列独特的挑战。本研究旨在确定建立 SRAC 所面临的常见挑战，并收集相关见解，为协作解决问题提供结构化方法。本研究通过在线调查和对代表性医学生 SRAC 负责人的半结构化电话访谈收集数据。共有 14 家诊所参加了 2017 年的在线调查，15 家诊所参加了 2018 年的在线调查，8 家诊所参加了 2018-2019 年的电话访谈。我们在五个方面确定了常见的挑战：志愿者招募、诊所运营、案件需求、机构支持和领导力。SRAC 可以通过持续的外部合作来克服共同的挑战，从中受益。
