Do Student Run Free Clinics Influence Chinese Medical Students’ Career Interests in Primary Care?
Abstract
Background and Objectives: The Sunshine and Love Free Clinic (SLFC) was founded in 2010, and is currently only student-run free clinic (SRFC) in China. With China being only in the early stage of developing and promoting primary care nationally, SLFC serves as the earliest primary care model for the urban poor. It also is one of the only exposures to primary care for its medical student volunteers. The United States researches on the impact of volunteering at SRFCs have not shown a statistically significant impact on volunteers’ career choices. Our study explores the influence of volunteering at SLFC on student volunteers’ interest in primary care among Chinese medical students.
Methods: We surveyed 34 volunteers who have spent various length of time volunteering at SLFC regarding their interests in primary care before and after volunteering. We used chi-square to analyze the significance of this influence.
Results: 27 volunteers had an increase in their interests in choosing primary care, and 8 more students are considering primary care as a career than before volunteering. This is statistically important with a p<0.05.
Conclusions: SLFC is one of the earliest primary care clinic model for China’s urban poor, in the back ground of the absence of primary care in China. Volunteering at SLFC has a positively influence students to consider primary care as their future career paths. Promoting SRFCs nationally can be a good thing for the future of primary care in China.
References
Wang M. On the model of higher education(浅谈我国高ç‰æ•™è‚²æ¨¡å¼). Qiqihar Medical College Journal. 2008;29.
Albanese M, Snow M, Skochelak S, Huggett K, Farrell P. Assessing Personal Qualities in Medical School Admissions. Academic Medicine. 2003;78(3):313-321. doi:10.1097/00001888-200303000-00016.
Sun Z., Cai, Huang Y. Modern medical education medical students: Reflections on Humanistic Education(现代医å¦æ•™è‚²ä¸åŒ»å¦ç”Ÿäººæ–‡ç´ è´¨æ•™è‚²çš„å‡ ç‚¹æ€è€ƒ). Chinese Medical Ethics. 2002;16:56-57.
Yang Wang S. From medical humanities to see the spirit of the reshaping of medical humanities(从医å¦äººæ–‡ç´ 养缺失看医å¦äººæ–‡ç²¾ç¥žçš„é‡å¡‘). Jiujiang Medicine, Psycho-social medical. 2016;23.
Zhang. Professionalism of medical students(医å¦ç”ŸèŒä¸šç²¾ç¥žå…»æˆæœ‰æ•ˆæ¨¡å¼çš„探讨). Chinese Medical Ethics. 2007;20.
Seifer S. Service-learning. Academic Medicine. 1998;73(3):273-7. doi:10.1097/00001888-199803000-00015.
北京大å¦åŒ»å¦éƒ¨2014届本专科åŠé•¿å¦åˆ¶æ¯•ä¸šç”Ÿç•™æ ¡åå•_北京大å¦åŒ»å¦éƒ¨. Bjmueducn. 2016. Available at: http://www.bjmu.edu.cn/zl/bysfwzl/2014/jyc/122028.htm. Accessed June 9, 2014.
Herold A, Woodard L, Pamies R, Roetzheim R, Van Durme D, Micceri T. Influence of longitudinal primary care training on medical studentsʼ specialty choices. Academic Medicine. 1993;68(4):281-4. doi:10.1097/00001888-199304000-00015.
Tong S, Phillips R, Berman R. Is exposure to a student-run clinic associated with future primary care practice?. Fam Med. 2012;44(8):579-581.
Hesketh T, Wu D, Mao L, Ma N. Violence against doctors in China. BMJ. 2012;345:e5730-e5730. doi:10.1136/bmj.e5730.