Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, NY, 10029, New York, USA.
The Mount Sinai Hospital, 1468 Madison Ave, NY, 10029, New York, USA.
J Community Health. 2021 Dec;46(6):1132-1138. doi: 10.1007/s10900-021-01001-3. Epub 2021 May 13.
The East Harlem Health Outreach Partnership (EHHOP) is a medical student-run and attending-supervised clinic that provides primary care to predominantly Spanish-speaking, uninsured patients living in East Harlem, New York. In 2010, the clinic launched a Women's Health Clinic (WHC), to offer comprehensive gynecologic and reproductive healthcare under the guidance of faculty gynecologists. In this cross-sectional study, we analyzed WHC data from January 2018 to March 2021. Over this period, 59 individual patients were seen over 39 clinical sessions through a total of 164 clinical encounters staffed by 43 medical students and 19 faculty preceptors from the Department of Obstetrics and Gynecology at Mount Sinai. The most common reasons for referral to the EHHOP WHC were abnormal uterine bleeding, contraception counseling, and management of abnormal Pap smears; the most common procedures performed were Pap smears, long-acting reversible contraception placements and removals, and colposcopies. We discuss the critical role that student-run, physician-supervised reproductive health clinics play in reducing disparities in gynecologic care for uninsured women.
东哈莱姆健康外展伙伴关系（EHHOP）是一个由医学生运营并由主治医生监督的诊所，为居住在纽约东哈莱姆的以西班牙语为主要语言、没有保险的患者提供初级医疗服务。2010 年，该诊所开设了妇女健康诊所（WHC），在妇产科教员的指导下提供全面的妇科和生殖保健服务。在这项横断面研究中，我们分析了 2018 年 1 月至 2021 年 3 月 WHC 的数据。在此期间，通过总共 164 次临床就诊，由西奈山妇产科的 43 名医学生和 19 名教员指导，为 59 名个别患者提供了 39 次临床服务。转介到 EHHOP WHC 的最常见原因是异常子宫出血、避孕咨询和异常巴氏涂片的管理；最常见的操作是巴氏涂片、长效可逆避孕措施的放置和取出以及阴道镜检查。我们讨论了学生运营、医生监督的生殖健康诊所在减少无保险妇女妇科护理差距方面所发挥的关键作用。
