Evidence map›Paper›PMID 39574083›Full record

ReviewBMC medical education2024

Preventative care in student-run free clinics: a narrative review on feasibility, ethics, and recommendations.

Anhmai Vu, Andrea R Hsu, Nicholas M Baumel, Jordan Holthe, Jade Y Ho, Sophia Y Goldberg, Leonardo Garcia Cerecedo, Nada Abou-Haiba, Robyn Kuchler, Zoe Fanning and 6 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Anhmai VuMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Andrea R HsuMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Nicholas M BaumelMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Jordan HoltheMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Jade Y HoMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Sophia Y GoldbergMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Leonardo Garcia CerecedoMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Nada Abou-HaibaMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Robyn KuchlerMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Zoe FanningMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Victoria HeighMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Edward TrimbleMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Eilene YangMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Julia DebertinMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Larry J ProkopMayo Clinic Library System, Mayo Clinic, Rochester, MN, USA.
Jane W NjeruDivision of Community Internal Medicine, Geriatrics and Palliative Care, Department of Medicine, Mayo Clinic, 200 1st St. SW, Rochester, MN, 55905, USA. Njeru.Jane@mayo.edu.

Funding

Medical Scientist Traning Program at Mayo ClinicT32GM065841 · NIGMS · MAYO CLINIC ROCHESTER · PI KAUFMANN, SCOTT H, SCHIMMENTI, LISA A · 2003 to 2022
$5.8M
MSTP at Mayo Clinic RochesterT32GM145408 · NIGMS · MAYO CLINIC ROCHESTER · PI SCOTT H KAUFMANN, LISA A SCHIMMENTI · 2023 to 2026
$4.7M
NIGMS NIH HHS T32 GM065841NIGMS NIH HHS T32 GM145408NIH HHS T32GM145408
6 · The paper itself

Abstract

backgroundStudent-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.

methodsA 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.

resultsThe 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.

conclusionStudent-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.

Indexed as

Preventive Health ServicesStudent Run ClinicFeasibility StudiesHumansStudents, MedicalVaccinationCancer screeningEthicsFree clinicMedical educationPreventative careStudent-run clinicVaccines

Identifiers

PMID39574083
PMCPMC11583544

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.