D.D. Rupert is a seventh-year MD-PhD student, Medical Scientist Training Program, Stony Brook University, Stony Brook, New York, and Department of Neuroscience, Cold Spring Harbor Laboratory, Cold Spring Harbor, New York; ORCID: https://orcid.org/0000-0002-3426-3912 .
G.V. Alvarez is resident physician, Department of Family Medicine, Northwell Glen Cove Hospital, Glen Cove, New York.
Acad Med. 2022 Jun 1;97(6):824-831. doi: 10.1097/ACM.0000000000004542. Epub 2022 May 19.
Student-run free clinics (SRFCs) act as primary care providers that bring health care to populations in need and are an important source of undergraduate medical education (UME), guiding trainees through the art of history taking and physical examination. However, they are also social justice and advocacy initiatives-addressing disparity in access to care and educating medical trainees with firsthand exposure to socioeconomic determinants of health as well as language and medical illiteracy barriers. Here, the authors review academic literature examining the impact of SRFCs in their 3 roles: as medical care providers, as components of medical education, and as advocacy organizations. Based on the evidence of that literature and decades of direct SRFC leadership experience, the authors make the case that SRFCs are an undersupported means by which UME institutions contribute to correcting health care disparities and to serving social justice reform.
学生经营的免费诊所 (SRFCs) 充当初级保健提供者，为有需要的人群提供医疗服务，是本科医学教育 (UME) 的重要来源，通过病史采集和体检指导学员掌握医学艺术。然而，它们也是社会正义和宣传倡议的一部分，旨在解决获得医疗服务的差距，并通过让医学受训者直接接触健康的社会经济决定因素以及语言和医学文盲障碍，对其进行教育。在这里，作者回顾了考察 SRFC 在其三个角色中的作用的学术文献：作为医疗保健提供者、作为医学教育的组成部分以及作为宣传组织。基于该文献的证据和几十年的直接 SRFC 领导经验，作者认为，SRFC 是 UME 机构为纠正医疗保健差距和服务社会正义改革做出贡献的一种支持不足的手段。
