1. RESEARCH POSTER PRESENTATION DESIGN © 2011 www.PosterPresentations.com A Novel Interprofessional Student-Run Clinic: Student Involvement and Patient Satisfaction There are currently at least 184 student-run clinics (SRCs) in the United States. The number of interprofessional (IP) SRCs is unknown. 1 With increased demands for access to health care in the United States, the need for IP team-based primary care continues to grow. However, evidence suggests that patients do not always view their primary care teams as coherent, nor the team as an asset to their care. 2 The University of Southern California (USC) SRC model is designed to meet this need. The USC SRC consists of USC’s Medicine, Physician Assistant (PA), Pharmacy, and Occupational Therapy (OT) programs, in collaboration with community health clinics. Background: This preliminary survey data builds upon data collected from a pilot one-question patient satisfaction survey conducted two years prior. Hsiao W 1, Beasley K 2, Germain N 3, Ku S 4, Durham M 2, Forest CP 3 1 USC Keck School Of Medicine, 2 USC School of Pharmacy, 3 USC Keck School of Medicine Division of Physician Assistant Studies, 4 USC Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy CONCLUSIONS The USC SRC uses a novel IP model of health care delivery that utilizes each discipline’s strengths to create a unified team-based approach. Through student-student/faculty-student teaching, tangible clinical experiences, and integration into established community health clinics, this model potentially better prepares students to address the nation’s growing health care needs. Using interdisciplinary care teams, the SRC is likely to deliver team- based care at a high level of patient satisfaction. Further research on the impact of this model on student IP competencies, efficiency of delivery process, and patient health outcomes is warranted. 1.To assess patient perceptions of IP team-based medical care; 2.To measure patient satisfaction with care received from this SRC model. OBJECTIVES INTRODUCTION ACKNOWLEDGEMENTS The USC Student-Run Clinic model is made possible by the USC+Eisner Pediatric & Family Medical Center, the John Wesley Community Health Institute Center for Community Health, and LAC+USC Department of Emergency Medicine. PHASE 1 RESULTS CONTACT: uscstudentrunclinic@gmail.com STUDENT INVOLVEMENT METHODS Setting: USC+Eisner Pediatric & Family Medical Center (FQHC; publicly insured patients) John Wesley Community Health Institute Center for Community Health (FQHC in Los Angeles’ Skid Row district serving homeless patients) Patients: ≥18 years of age and seen by a SRC Care Team Survey: IRB-approved, Likert scale surveys were administered to consented patients immediately following their visit to the SRC. Phase 1: One-question patient satisfaction survey (April 2011-May 2012) Phase 2: Four-question patient survey assessing more detailed perceptions about IP care at the SRC, began September 2014 and ongoing ProfessionsUnique Volunteers 1 Experienced Volunteers 2 Medical252101 (40%) Physician Assistant12651 (40%) Pharmacy15452 (34%) Occupational Therapy8550 (59%) Total617254 (41%) Table 1. Student Involvement, September 2011-December 2014 INTERPROFESSIONAL TEAM PROTOCOL Mean Age44 years Men10 (77%) Ethnicity Black 8 (62%) White 2 (15%) Hispanic 3 (23%) Table 2. Phase 2 Patient Demographics (n=13) Figure 3. Phase 2 Preliminary Patient Survey Results (n=13) REFERENCES 1.Society of Student-Run Free Clinics, Personal Communication, November 2014. 2.Safran DG. Ann Intern Med. 2003;138:248-255. The SRC Team Protocol is a systematic, IP team-based approach to assessing patients under the supervision of licensed medical providers. Integration into existing clinics results in a self- sustaining educational experience requiring minimal fundraising. PRELIMINARY PHASE 2 RESULTS Patient satisfaction survey data (n=88) from April 2011-May 2012 indicated that 98.2% were “Satisfied” or “Very Satisfied”. Figure 2. Phase 1 Patient Satisfaction with Their Visit to the SRC 1 Students with direct patient contact; excludes those present in only a supervisory capacity 2 Students who participated in assessing patients on more than one visit Overall Patient Satisfaction with physician-guided student care: 75% Very Satisfied; 25% Somewhat Satisfied Insurance Medicaid 4 (31%) Medicare 5 (38%) Private 1 (08%) None 3 (23%) Unemployed 9 (70%) Figure 1. Patient Assessment Protocol Coordinator selects patient for the Care Team. The Care Team reviews the patient’s chart. Step 0. Patient Selection Step 1. Chart Review Medical Student takes the patient’s vitals and asks preventive health screening questions. Step 2. Pre-Assessment Pharmacy Student takes the medication history. Step 3. Medication Reconciliation Medical and Physician Assistant Students take the patient’s chief complaint, a focused history, and perform a focused physical exam. Step 4. Assessment Occupational Therapy Student interviews the patient, determining potential OT goals. Step 5. OT Assessment Step 6. Planning All students on the Care Team report findings to the attending physician or PA, and come up with a treatment and follow-up plan. Step 7. Treatment and Follow-up Attending physician or PA sees the patient to verify students’ assessment and implement the treatment and follow-up plan. Step 8. (optional) OT Treatment and Follow-up Occupational Therapy Student works with patient to further discuss OT goals. Step 9 Patient Discharged