Report: The University Health Clinic: Definition, educational practices and outcomes

Keri Marie Moore; Rachel Bacon; Thomas Bevitt; Andrea Bialocerkowski; Natalie Ciccone; Navine Haworth; Louise Horstmanshof; Nikki Milne; Fiona Naumann; Brooke Sanderson; Cherie Wells

doi:10.11157/fohpe.v19i2.213

Authors

Keri Marie Moore http://orcid.org/0000-0003-4939-8729
Rachel Bacon
Thomas Bevitt University of Canberra
Andrea Bialocerkowski Griffith University
Natalie Ciccone Edith Cowan University
Navine Haworth Victoria University
Louise Horstmanshof Southern Cross University
Nikki Milne Bond University
Fiona Naumann Queensland University of Technology
Brooke Sanderson Queensland University of Technology
Cherie Wells Griffith University

DOI:

https://doi.org/10.11157/fohpe.v19i2.213

Keywords:

university clinics, student-led clinical services, clinical education

Abstract

Introduction: Increasingly, universities are allocating substantial resources and efforts towards developing their own student-led clinical services (SLCS) within university health clinics (UHCs). For that reason, under the umbrella of the Australian and New Zealand Association for Health Professional Educators (ANZAPHE), clinical educationalists from 12 Australian universities have come together as a hot topic action group (HTAG) to collaboratively explore and enhance learning outcomes from this setting.

Context: SLCS within UHCs increase placement capacity to meet growing demand. Moreover, SLCS within UHCs have the potential to provide an outstanding learning opportunity through high-quality supervision and activities designed to develop clinical competencies. However, the benefits of providing clinical education experiences for health and medical students in this setting has not been formally assessed.

Typically, SLCS within UHCs are developed through consultation between universities and local health providers and are purposefully designed clinical placements with a focus on clinical educational activities for pre-registration students. UHCs may be located on or off campus and offer SLCS or other services to university staff, students and/or the wider community. In SLCS, students’ delivery of health services is supervised by university employed health professionals.

Scope: The work of the HTAG to date is presented in this paper, which defines the setting and outlines assumptions, aspirations, challenges and enablers. The next phase of work for the HTAG is to formally explore the educational value for health professional students’ of SLCS delivered in UHCs and to develop resources and a quality assurance framework to guide the evaluation of these services.

Author Biography

Keri Marie Moore

Dr Keri Moore, PhD, is a clinical education consultant specialising in clinical education in university clinics. I am currently working for QUT and an private education provider to manage documentation and application to TEQSA under the 2015 HESF. I have has 27 years’ experience as a registered health professional with 20 years working in higher education - clinical curriculum of numerous health disciplines in Australia and Ireland. My reserach area is the assessment of clinical skills during workplace-based learning.

References

Allan, J., O’Meara, P., Pope, R., Higgs, J., & Kent, J. (2011). The role of context in establishing university clinics. Health & Social Care in the Community, 19(2), 217–224.

Australian Tertiary Education Quality and Standards Agency (TEQSA). (2015). Higher education standards framework (Threshold standards). Retrieved from https:// www.legislation.gov.au/Details/F2015L01639

Australian Tertiary Education Quality and Standards Agency (TEQSA). (2017). Guidance note: Work-integrated learning (Version 1.2). Retrieved 20 October 2017, from https://www.teqsa.gov.au/latest-news/publications/guidance-note-work- integrated-learning

Bacon, R., Williams, L., & Grealish, L. (2015). Aged care facilities and primary health-care clinics provide appropriate settings for dietetic students to demonstrate individual case management clinical competence. Nutrition and Dietetics, 72(1), 54–62. doi:10.1111/1747-0080.12156

Bacon, R., Williams, L., Grealish, L., & Jamieson, M. (2015). Student-assisted services (SAS): An innovative clinical education model that prepares graduates for the future, contributes to health service delivery, and addresses internship shortages. Journal of the Academy of Nutrition and Dietetics, 115(3), 351–352.

Barnett, T., Cross, M., Jacob, E., Shahwan-Akl, L., Welch, A., Caldwell, A., & Berry, R. (2008). Building capacity for the clinical placement of nursing students. Collegian, 15(2), 55–61.

Barrow, M., & McKimm, J. (2010). Assuring and maintaining quality in clinical education. British Journal of Hospital Medicine, 71(4), 224–228.

Bostick, G., Hall, M., & Miciak, M. (2014). Novel clinical learning from a student‐ led clinic. The Clinical Teacher, 11(7), 512–515.

Brewer, M. L., & Barr, H. (2016). Interprofessional education and practice guide No. 8: Team-based interprofessional practice placements. Journal of Interprofessional Care, 30(6), 747–753.

Burrows, T., Patterson, A., Bacon, A., Mitchell, L., Wicks, L., Baines, S., & Williams, L. T. (2013). Client satisfaction and weight loss outcomes of student centred dietetic outpatient clinics. Obesity Research & Clinical Practice, 7(5), e421–e430.

Campbell, D. J., Gibson, K., O’Neill, B. G., & Thurston, W. E. (2013). The role of a student-run clinic in providing primary care for Calgary’s homeless populations: A qualitative study. BMC Health Services Research, 13(1), 277.

Copley, J. A., Allison, H. D., Hill, A. E., Moran, M. C., Tait, J. A., & Day, T. (2007). Making interprofessional education real: A university clinic model. Australian Health Review, 31(3), 351–357.

Haines, T., Isles, R., Jones, A., & Jull, G. (2011). Economic consequences in clinical education. Focus on Health Professional Education: A Multi-disciplinary Journal, 12(3), 53.

International Association of Public Participation (IAP2). (2016). Public participation spectrum and core values. Retrieved from http://www.iap2.org.au/resourcebank

Kavanagh, J., Kearns, A., & McGarry, T. (2015). The benefits and challenges of student-led clinics within an Irish context. The Journal of Practice Teaching and Learning, 13(2–3), 58–72.

Kent, F., & Keating, J. (2013). Patient outcomes from a student-led interprofessional clinic in primary care. Journal of Interprofessional Care, 27(4), 336–338.

Meah, Y. S., Smith, E. L., & Thomas, D. C. (2009). Student‐run health clinic: Novel arena to educate medical students on systems‐based practice. Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine, 76(4), 344–356.

Moore, K. (2012). Professional placement educational processes: Balancing student- centred education and client-centred care during clinical education. Journal of Cooperative Education and Internships, 45(2), 37–48.

Nicole, M., Fairbrother, M., Nagarajan, S. V., Blackford, J., Sheepway, L., Penman, M., & McAllister, L. (2015). Student-led services in a hospital aged care temporary stay unit: Sustaining student placement capacity and physiotherapy service provisions. Asia-Pacific Journal of Cooperative Education, 16(4), 327–342.

Nicole, M., Fairbrother, M., Nagarajun, S. V., Blackford, J., & McAllister, L. (2014). Student-led clinics: Building placement capacity and filling service gap. Paper presented at the Australian Collaborative Education Network, Gold Coast, Australia.

Palombaro, M., Dole, R., & Lattanzi, J. (2011). A case report of a student-led pro bono clinic: A proposed model for meeting student and community needs in a sustainable manner. Physical Therapy, 91(11), 1627.

Ramani, S., & Leinster, S. (2008). AMEE guide no. 34: Teaching in the clinical environment. Medical Teacher, 30(4), 347–364.

Schutte, T., Tichelaar, J., Dekker, R. S., Agtmael, M. A., Vries, T. P., & Richir, M. C. (2015). Learning in student‐run clinics: A systematic review. Medical Education, 49(3), 249–263.

Sheu, L., O’Brien, B., O’Sullivan, P. S., Kwong, A., & Lai, C. J. (2013). Systems- based practice learning opportunities in student-run clinics: A qualitative analysis of student experiences. Academic Medicine, 88(6), 831–836.

Siggins Miller Consultants. (2012). Promoting quality in clinical placements: Literature review and national stakeholder consultation. Health Workforce Australia. Retrieved from file:///C:/Users/Keri%20Marie/AppData/Local/Microsoft/ Windows/INetCache/IE/8HSTTCD0/Promoting-quality-in-clinical-placements- report-20130408.pdf

Smith, S., Thomas, R., Cruz, M., Griggs, R., Moscato, B., & Ferrara, A. (2014). Presence and characteristics of student-run free clinics in medical schools. JAMA, 312(22), 2407–2410.

Swanepoel, E., Tweedie, J., & Maher, J. (2016). Building dietetic student confidence and professional identity through participation in a university health clinic. Nutrition & Dietetics, 73(3), 229–234.

Warner, P., Jelinek, H., & Davidson, P. M. (2010). A university clinic: An innovative model for improving clinical practice. Australian Journal of Advanced Nursing, 27(4), 38.

Whitman, N. (1993). A review of constructivism: Understanding and using a relatively new theory. Family Medicine, 25(8), 517–521.