Evidence map›Paper›PMID 42186634›Full record

ArticleCureus2026

Implementation of a Specialty-Focused Musculoskeletal Service in a Medical Student-Run Free Clinic in Puerto Rico.

Gonzalo F Del Rio Montesinos, Andrea Fabregas, Andrea Vazquez

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Gonzalo F Del Rio MontesinosOrthopaedics, Universidad Central del Caribe, Bayamon, USA.
Andrea FabregasOrthopaedics, Universidad Central del Caribe, Bayamon, USA.
Andrea VazquezOrthopaedics, Universidad Central del Caribe, Bayamon, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Musculoskeletal (MSK) conditions are a leading cause of pain, disability, and functional limitation worldwide and disproportionately affect underserved populations. Student-run free clinics frequently provide essential primary care services but often lack the specialty capacity needed to address MSK-related complaints. This study describes the implementation of a specialty-focused MSK clinic within a community-based student-run free clinic in Puerto Rico. A specialty-focused MSK clinic was implemented within an existing student-run free clinic in Puerto Rico from April 2025 through March 2026 using an interdisciplinary model that integrated volunteer orthopedic surgeons and physical medicine and rehabilitation specialists into the clinic's care structure. During this period, a total of 54 patients attended the clinic. The clinic emphasized functional assessment, patient education, and management planning within a trusted community-based setting. Evaluation relied on descriptive clinic metrics, patient-reported presenting complaints, reflective practice through post-clinic debriefings, and informal feedback from patients and volunteers to guide iterative refinement. During the study period, MSK pain, prior injuries, and mobility-related concerns were among the most common patient-reported complaints. Implementation of the MSK clinic expanded the clinic's capacity to evaluate and manage chronic and acute MSK conditions that had previously been under-addressed because of limited specialty access. Early observations included improved identification of MSK conditions, greater emphasis on pain management and functional restoration, increased patient understanding of care plans, and strong interdisciplinary collaboration among specialty and primary care volunteers. Integrating specialty MSK services into a student-run free clinic is a feasible approach to addressing an important service gap in underserved populations. This model highlights the value of interdisciplinary collaboration and may be adaptable to similar resource-limited clinical settings seeking to strengthen community-based specialty care and address MSK health needs.

Indexed as

medically underserved areasmusculoskeletal assessmentstudent-run clinicunderserved populationsurban and rural community

Identifiers

PMID42186634
PMCPMC13198622

What OpenQuestion holds

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LicenceCC BY
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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.