Service-Learning in a Free Clinic

Abstract

The focus of the chapter is the effect of service-learning at a free clinic on healthcare students' attitudes toward their low-income patients. A free clinic was established to provide a service-learning experience for nurse practitioner students. The service requirement addresses the lack of clinical experience with low-income patients for whom health outcomes are disproportionately poor. Survey results and reflections of students demonstrated significant learning and attitudinal change. Major lessons learned include how living in chronic need affects its members' cultural view, how important this is in providing effective care, and the impact of poverty on social determinants. Among other benefits, the clinic provides collaborative practice, diversity experience, and a vehicle for research and evidence-based practice with underserved populations. The chapter includes advice on establishing a school-affiliated free clinic as an essential part of healthcare education.