Development of a Standardized Protocol for Free Student-Run Orthopaedic Clinics

Authors: Guo L , Ross D , Hatcher L , Hackett N , Baasansukh T , Rolanda Willacy* and Richardson JA

DOI: 10.23880/jobd-16000281

Volume 9, Issue 1

Abstract

Introduction: Student-run free clinics (SRFCs) reduce healthcare inequities by providing essential care to underserved populations while offering medical students valuable clinical experience. Despite their benefits, SRFCs face challenges such as time management, resource limitations, and inconsistent protocols, which hinder patient outcomes and satisfaction. The Free Orthopaedic Clinic (FOC) at Howard University Hospital exemplifies both the successes and challenges of SRFCs. This study aims to develop a standardized protocol to optimize SRFC operations, improve patient care, and ensure long-term sustainability. Methods: A comprehensive scoping review was conducted using the NIH PubMed database and the Journal of Student- Run Clinics. Articles published since 2014 were included if they addressed SRFC management or patient care. Search terms included "student-run free clinic," "protocols," "management," "experience," and "improve”. The review discovered findings on mission statements, team building, resource management, time optimization, patient feedback mechanisms, and sustainability strategies. Results: Ten key papers were identified, highlighting critical components for establishing and enhancing SRFCs. Findings emphasized the importance of a clear mission statement, effective team recruitment, and structured operations. Time management emerged as a consistent challenge, scheduling systems and workflow optimization, proved effective in improving clinic efficiency. Studies also underscored the significance of patient feedback, community partnerships, and long-term sustainability through funding and alignment with broader healthcare systems. These insights informed a 10-step action plan addressing clinic design, team training, patient logistics, progress monitoring, and sustainability. Discussion: The proposed protocol addresses core SRFC challenges, offering a replicable framework to enhance operations and patient outcomes. Standardized guidelines reduce inefficiencies, improve satisfaction, and foster trust within underserved populations. By equipping medical students with tools for equitable care, the protocol bridges gaps in healthcare access and quality. Future research should evaluate these protocols across diverse SRFC settings to optimize their impact.

Keywords: Orthopaedic Clinics; Healthcare; Protocols

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