title: Clinical skills development in student-run free clinic volunteers: a multi-trait, multi-measure study.
abstract: BACKGROUND
  At Wayne State University School of Medicine (WSU SOM), the Robert R. Frank Student Run Free Clinic (SRFC) is one place preclinical students can gain clinical experience. There have been no published studies to date measuring the impact of student-run free clinic (SRFC) volunteerism on clinical skills development in preclinical medical students.
  
  
  METHODS
  Surveys were given to first year medical students at WSU SOM at the beginning and end of Year 1 to assess perception of clinical skills, including self-confidence, self-reflection, and professionalism. Scores of the Year 1 Objective Structured Clinical Exam (OSCE) were compared between SRFC volunteers and non-volunteers.
  
  
  RESULTS
  There were a total of 206 (68.2%) and 80 (26.5%) survey responses at the beginning and end of Year 1, respectively. Of the 80 students, 31 (38.7%) volunteered at SRFC during Year 1. Statistically significant differences were found between time points in self-confidence (p < 0.001) in both groups. When looking at self-confidence in skills pertaining to SRFC, the difference between groups was statistically significant (p = 0.032) at both time points. A total of 302 students participated in the Year 1 OSCE, 27 (9%) of which were SRFC volunteers. No statistically significant differences were found between groups for mean score (p = 0.888) and established level of rapport (p = 0.394).
  
  
  CONCLUSIONS
  While this study indicated no significant differences in clinical skills in students who volunteer at the SRFC, it is a first step in attempting to measure clinical skill development outside of the structured medical school setting. The findings lend themselves to development of research designs, clinical surveys, and future studies to measure the impact of clinical volunteer opportunities on clinical skills development in future physicians.
authors.affiliation: Wayne State University School of Medicine, Detroit 48201, MI, USA. mnakamur@med.wayne.edu.
authors.forename: Mio
authors.initials: M
authors.lastname: Nakamura
authors.forename: David
authors.initials: D
authors.lastname: Altshuler
authors.forename: Margit
authors.initials: M
authors.lastname: Chadwell
authors.forename: Juliann
authors.initials: J
authors.lastname: Binienda
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D002982:Clinical Clerkship / Q000458:organization & administration*; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D004504:Education, Medical, Undergraduate / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008824:Michigan; D015397:Program Evaluation; D013337:Students, Medical / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014838:Volunteers / Q000523:psychology / Q000706:statistics & numerical data*; D000078329:Workforce; D055815:Young Adult