Mayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic Library System, Mayo Clinic, Rochester, MN, USA.
BMC Med Educ. 2024 Nov 21;24(1):1345. doi: 10.1186/s12909-024-06314-0.
Student-run free clinics are critical for medical education and medical care of underserved populations. This paper explores the feasibility of establishing ethical preventative health services at student-run free clinics such as the Rochester Education and Advocacy for Community Health (REACH) Clinic, affiliated with the Mayo Clinic Alix School of Medicine. Our analysis discusses the challenges and ethical considerations of providing preventative healthcare in student-run clinics. This paper also provides recommendations for implementing preventative care at REACH and other student-run clinics.
A literature search was conducted by an experienced librarian across four databases using keywords "student-run clinics" and "preventative healthcare." Additionally, contributing authors identified and gathered data about community service organizations that provide preventative healthcare services to residents of Rochester, MN and surrounding areas.
The literature search yielded 50 articles, 20 of which were included in the narrative review. Vaccinations and cancer screenings were the two preventative care initiatives most commonly undertaken by student-run clinics. The benefits of student-run clinic initiatives for both patients and students were an emerging theme. Clinics often achieved high vaccination and screening rates, and integration of preventative care topics into medical curricula was valued by students. However, the limitations of student-run clinics also emerged as a theme, particularly limitations to resources and comprehensive follow-up. 15 community health organizations in/around Rochester, MN were identified; of these, five provide preventative healthcare services.
Student-run clinics like REACH play a key role in delivering preventative care to underserved populations, bridging critical gaps in our healthcare system, and benefiting patients and students alike. However, the ethical principles of beneficence and non-maleficence should be considered when student-run clinics decide what services to offer. Preventative care has been successfully implemented at other student-run clinics but requires careful arrangement of adequate follow-up care, especially when it comes to cancer screening. Vaccinations are a low-cost, high-impact initiative that can be feasibly implemented at most student-run clinics.
学生经营的免费诊所对于医学教育和服务服务不足人群的医疗保健至关重要。本文探讨了在罗切斯特教育和倡导社区健康（REACH）诊所等学生经营的免费诊所中建立伦理预防保健服务的可行性，该诊所隶属于梅奥诊所阿里克斯医学院。我们的分析讨论了在学生经营的诊所中提供预防保健的挑战和伦理考虑。本文还为在 REACH 和其他学生经营的诊所实施预防护理提供了建议。
一位经验丰富的图书管理员在四个数据库中使用关键字“学生经营的诊所”和“预防保健”进行了文献检索。此外，撰稿人还确定并收集了向明尼苏达州罗切斯特及其周边地区居民提供预防保健服务的社区服务组织的数据。
文献检索产生了 50 篇文章，其中 20 篇被纳入叙述性评论。疫苗接种和癌症筛查是学生经营的诊所最常开展的两项预防保健举措。学生经营的诊所举措对患者和学生都有好处，这是一个新兴主题。诊所通常能够实现高疫苗接种和筛查率，并且将预防保健主题纳入医学课程也受到学生的重视。然而，学生经营的诊所的局限性也成为一个主题，特别是资源和全面随访的局限性。在明尼苏达州罗切斯特及其周边地区确定了 15 个社区卫生组织；其中 5 个提供预防保健服务。
像 REACH 这样的学生经营的诊所在向服务不足的人群提供预防保健方面发挥着关键作用，弥补了我们医疗体系中的关键差距，使患者和学生都受益。然而，当学生经营的诊所决定提供哪些服务时，应该考虑到受益和不伤害的伦理原则。其他学生经营的诊所已经成功实施了预防保健措施，但需要精心安排足够的后续护理，特别是在癌症筛查方面。疫苗接种是一项低成本、高影响力的举措，可以在大多数学生经营的诊所中实施。
