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参与学生运营的健康诊所的学习成果:一项系统综述。

Learning Outcomes from Participation in Student-Run Health Clinics: A Systematic Review.

作者信息

Wilson Oliver W A, Broman Patrick, Tokolahi Ema, Andersen Patrea, Brownie Sharon

机构信息

Centre for Health and Social Practice, Waikato Institute of Technology Te Pūkenga, Hamilton, New Zealand.

Department of Kinesiology, Pennsylvania State University, University Park, PA, USA.

出版信息

J Multidiscip Healthc. 2023 Jan 19;16:143-157. doi: 10.2147/JMDH.S385709. eCollection 2023.

Abstract

Student-run clinics (SRCs) offer unique opportunities for students to engage in healthcare delivery, but the student learning outcomes of such clinics have not yet been systematically examined in a comprehensive manner. The purpose of this review was to appraise and synthesize existing literature pertaining to student learning outcomes associated with participation in SRCs. A systematic review was undertaken using PubMed, CINAHL, and Web of Science databases. The quality of articles that met inclusion criteria articles was appraised using the Mixed Methods Appraisal Tool (MMAT). Study details, such as learning outcomes, were also extracted. Ninety-two studies met inclusion criteria. Most studies were conducted in North America (n = 73, 79.3%), and related to clinics involving solely medical students (n = 35, 38.0%) or multi-professional clinics (n = 34, 37.0%). Demonstrated learning outcomes of SRC participation include clinical skills, interprofessional skills, empathy/compassion for underserved patients, and leadership. SRC participation had little apparent impact on students' future career directions. Quality appraisal via the MMAT found mixed levels of research quality amongst reviewed studies. In summary, while SRC participation appears to offer benefits for student learning, improved study design and research outside of North American contexts would further advance knowledge.

摘要

学生运营的诊所(SRCs)为学生提供了参与医疗服务的独特机会,但此类诊所中学生的学习成果尚未得到系统全面的研究。本综述的目的是评估和综合与参与SRCs相关的学生学习成果的现有文献。使用PubMed、CINAHL和科学网数据库进行了系统综述。使用混合方法评估工具(MMAT)对符合纳入标准的文章质量进行评估。还提取了学习成果等研究细节。92项研究符合纳入标准。大多数研究在北美进行(n = 73,79.3%),且与仅涉及医学生的诊所(n = 35,38.0%)或多专业诊所(n = 34,37.0%)相关。参与SRCs所展示的学习成果包括临床技能、跨专业技能、对服务不足患者的同理心/同情心以及领导力。参与SRCs对学生未来的职业方向几乎没有明显影响。通过MMAT进行的质量评估发现,所审查的研究中研究质量参差不齐。总之,虽然参与SRCs似乎对学生学习有益,但改进研究设计以及在北美以外的背景下开展研究将进一步推动相关知识的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caa8/9869697/1deccc5f15e3/JMDH-16-143-g0001.jpg

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