McCray Edwin, Atkinson William R, McCray Chelsea E, Hubler Zachary, Maher Yanal, Waguia Romaric, Kearney Molly, Kaprielian Victoria
Internal Medicine, Campbell University School of Osteopathic Medicine, Buies Creek, USA.
Internal Medicine, Campbell University School of Osteopathic Medicine, Lillington, USA.
Cureus. 2022 Jun 21;14(6):e26183. doi: 10.7759/cureus.26183. eCollection 2022 Jun.
Student-run clinics (SRCs) are becoming increasingly popular at medical schools in the United States. These clinics have provided a variety of benefits, including serving disadvantaged populations and providing early clinical exposure for students. There has been no consensus on the impact of SRCs on medical education, specialty selection, and patient care. This review provides a thorough overview of student and patient outcomes as a function of medical students volunteering at SRCs. We queried PubMed for original literature published in English between the years 2000 and 2020. Inclusion criteria included primary research articles evaluating the impact of medical student participation in SRCs on education, specialty selection, and patient care. All articles included in the final review were agreed upon by three reviewers, and the pertinent data were extracted. Of 10,200 initial search results, seven papers were included in this review. These included two studies evaluating medical education, five studies evaluating residency selection, and three studies analyzing patient care. Three studies were included in multiple evaluations. The relationship between volunteering at SRCs and academic performance is unclear. Clinic volunteers had increased retention of empathy compared to non-volunteers. Additionally, clinic volunteers provided satisfactory care as determined by patient-reported outcomes, and were not more likely to pursue primary care specialties. As SRCs are increasing in number, research into the impact on medical students and patients is necessary to understand how these clinics may affect the field of health care. It is important to further evaluate how medical student involvement in SRCs can further improve patient care and outcomes.
学生运营诊所（SRCs）在美国医学院校中越来越受欢迎。这些诊所带来了诸多益处，包括为弱势群体提供服务以及让学生尽早接触临床实践。关于SRCs对医学教育、专业选择和患者护理的影响，目前尚未达成共识。本综述全面概述了医学生在SRCs志愿服务所产生的学生和患者相关结果。我们在PubMed上检索了2000年至2020年间以英文发表的原始文献。纳入标准包括评估医学生参与SRCs对教育、专业选择和患者护理影响的原发性研究文章。最终综述纳入的所有文章均由三位评审员共同商定，并提取了相关数据。在10200条初始搜索结果中，本综述纳入了7篇论文。其中包括两项评估医学教育的研究、五项评估住院医师选择的研究以及三项分析患者护理的研究。三项研究被纳入多项评估。在SRCs志愿服务与学业成绩之间的关系尚不清楚。与非志愿者相比，诊所志愿者的同理心保留率有所提高。此外，根据患者报告的结果，诊所志愿者提供了令人满意的护理，且他们选择初级保健专业的可能性并不更高。随着SRCs数量的增加，有必要研究其对医学生和患者的影响，以了解这些诊所如何影响医疗保健领域。进一步评估医学生参与SRCs如何能进一步改善患者护理和治疗效果非常重要。
