A Descriptive Analysis of Patient Outcomes and Experiences at a Student-Run Athletic Training Clinic

Author:

Curran Camas12,Baker Jayme G.3,Smitley Matthew3,Baker Russell T.134

Affiliation:

1. *WWAMI [Washington, Wyoming, Alaska, Montana, Idaho] Medical Education Program

2. §WWAMI Medical Education Program, University of Washington, Seattle

3. †Department of Movement Sciences, University of Idaho, Moscow

4. ‡Idaho Office of Underserved and Rural Medical Research, University of Idaho, Moscow

Abstract

Context The prevalence of student-run clinics is rising due to educational benefits and the ability to provide cost-effective care to underserved patients. Current literature on the effect of athletic training student-run clinics on patient outcomes and experiences is limited. Objective To explore patient-reported outcomes (PROs), patient experiences, and patient demographics in an athletic training student-run clinic. Design Mixed-methods study: cross-sectional survey with retrospective analysis of deidentified patient outcomes from November 2017–October 2021. Setting Athletic training student-run clinic. Patients or Other Participants A total of 388 patients from the university (ie, students and staff) and local community with a variety of musculoskeletal injuries. Main Outcome Measure(s) Participants completed a packet to provide their responses to demographic items and PRO scales: Disablement in the Physically Active Scale Short Form-8, Numeric Pain Rating Scale, Patient-Specific Functional Scale, and Global Rating of Change Scale at 3 time points. They also completed an electronic patient experience survey after their final visit to the student-run clinic. Results Most participants reported clinically significant improvements across all PRO scales: an average improvement of 39.1% in pain, 39.3% in function, and 43.1% in quality of life in <11 days, on average. Furthermore, they described a high level of satisfaction with care and a globally positive experience at the student-run clinic. Conclusions Patients experienced clinically significant improvements in pain, function, disablement, and quality of life when receiving care from athletic training students at a student-run clinic. In addition, they indicated a high level of satisfaction with the care provided and a positive overall experience with an athletic training student-run clinic.

Publisher

Journal of Athletic Training/NATA

Subject

Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,General Medicine

Reference33 articles.

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2. Schutte T, Tichelaar J, Dekker RS, van Agtmael MA, de Vries TPGM, Richir MC. Learning in student-run clinics: a systematic review. Med Educ. 2015;49(3):249–263. doi:10.1111/medu.12625

3. Simpson SA, Long JA. Medical student-run health clinics: important contributors to patient care and medical education. J Gen Intern Med. 2007;22(3):352–356. doi:10.1007/s11606-006-0073-4

4. Cadzow RB, Servoss TJ, Fox CH. The health status of patients of a student-run free medical clinic in inner-city Buffalo, NY. J Am Board Fam Med. 2007;20(6):572–580. doi:10.3122/jabfm.2007.06.070036

5. Wang EC, Prior M, Van Kirk JM, et al. Student-run clinics—a short-term solution to a systemic problem. Virtual Mentor. 2011;13(8):559–564. doi:10.1001/virtualmentor.2011.13.8.pfor1-1108

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