{"id":3813,"date":"2024-03-19T10:00:51","date_gmt":"2024-03-19T09:00:51","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=3813"},"modified":"2024-03-08T10:37:54","modified_gmt":"2024-03-08T09:37:54","slug":"turning-good-intentions-into-good-outcomes-ethical-dilemmas-at-a-student-run-clinic-and-a-rubric-for-reflective-action","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2024\/03\/19\/turning-good-intentions-into-good-outcomes-ethical-dilemmas-at-a-student-run-clinic-and-a-rubric-for-reflective-action\/","title":{"rendered":"Turning Good Intentions into Good Outcomes: Ethical Dilemmas at a Student-Run Clinic and a Rubric for Reflective Action"},"content":{"rendered":"<p><strong>Blog by Nicholas Peoples, Thomas Gebert and Dana L Clark<\/strong><\/p>\n<p>Student-run clinics represent a unique medical education and healthcare delivery model powered largely by good intentions. These good intentions may produce questionable results, however, when juxtaposed with intense academic pressure for students to fill their curriculum vitae with personal achievements, leadership roles, and peer-reviewed publications. It becomes a legitimate ethical question, then, whether student-run clinics consistently and materially enrich the care of underserved communities, or merely inspire a litany of rushed, short-term and low-quality projects that sidestep patient welfare or even cause brazen harm.<\/p>\n<p>As co-directors of HOMES Clinic, a student-managed clinic which offers free health and social services to people experiencing housing insecurity, we routinely encounter such well-intentioned but ethically questionable proposals. In this essay, we present four short case studies that dissect some of these common yet suspect assumptions underpinning student-run clinics. We then conclude with a rubric for reflective, calibrated action.<\/p>\n<p>To be sure, SRCs can be a powerful mechanism to promote health equity. At the heart of this work, we simply ask students to think critically about what constitutes \u2018benefit\u2019 and what constitutes \u2018harm\u2019, recognising that activities which are conventionally assumed to offer benefit may not, in fact, always do so. Such directed reflection is the path towards serving our patients with both the necessary initiative to effect meaningful change and the requisite humility to first do no harm.<\/p>\n<p>&nbsp;<\/p>\n<h3>Read the full article on the <strong><a href=\"https:\/\/mh.bmj.com\/content\/50\/1\/179\"><em>Medical Humanities<\/em> journal website<\/a><\/strong>.<\/h3>\n<p>&nbsp;<\/p>\n<p><em><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3816 alignleft\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE3-282x300.jpg\" alt=\"Portrait of Nicholas Peoples\" width=\"282\" height=\"300\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE3-282x300.jpg 282w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE3-768x817.jpg 768w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE3-1444x1536.jpg 1444w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE3-1925x2048.jpg 1925w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE3-640x681.jpg 640w\" sizes=\"auto, (max-width: 282px) 100vw, 282px\" \/>Nicholas Peoples is a 4<sup>th<\/sup>\u00a0year M.D. student at Baylor College of Medicine in Houston, TX and a <a href=\"https:\/\/www.schwarzmanscholars.org\/scholars\/?y=2025%7C2024&amp;q=nicholas#nicholas-peoples\">Schwarzman Scholar<\/a> at Tsinghua University in Beijing, China. He is the former Co-Executive Director of <a href=\"https:\/\/www.homesclinic.org\/\">HOMES Clinic<\/a>\u00a0in Houston, TX.\u00a0<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><em><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-3817\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE1-300x257.jpg\" alt=\"Portrait of J Thomas Gebert\" width=\"282\" height=\"242\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE1-300x257.jpg 300w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE1-768x658.jpg 768w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE1-1536x1317.jpg 1536w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE1-2048x1755.jpg 2048w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE1-640x549.jpg 640w\" sizes=\"auto, (max-width: 282px) 100vw, 282px\" \/>Thomas Gebert is an MD\/PhD student at the Baylor College of Medicine in Houston, TX. He is the former Co-Executive Director of <a href=\"https:\/\/www.homesclinic.org\/\">HOMES Clinic<\/a> in Houston, TX.\u00a0<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><em><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-3818\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE2-300x300.jpg\" alt=\"Portrait of Dana L Clark\" width=\"282\" height=\"282\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE2-300x300.jpg 300w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE2-150x150.jpg 150w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE2-250x250.jpg 250w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE2.jpg 504w\" sizes=\"auto, (max-width: 282px) 100vw, 282px\" \/>Dana L Clark, MD is an Assistant Professor of Family Medicine and Community Health at Baylor College of Medicine and the Medical Director of both HOMES Clinic and Reed Family Clinic, both operated by Healthcare for the Homeless-Houston.<\/em><\/p>\n<p>&nbsp;<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Blog by Nicholas Peoples, Thomas Gebert and Dana L Clark Student-run clinics represent a unique medical education and healthcare delivery model powered largely by good intentions. These good intentions may produce questionable results, however, when juxtaposed with intense academic pressure for students to fill their curriculum vitae with personal achievements, leadership roles, and peer-reviewed publications. [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2024\/03\/19\/turning-good-intentions-into-good-outcomes-ethical-dilemmas-at-a-student-run-clinic-and-a-rubric-for-reflective-action\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":345,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15070],"tags":[15068],"class_list":["post-3813","post","type-post","status-publish","format-standard","hentry","category-blog","tag-blog"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Turning Good Intentions into Good Outcomes: Ethical Dilemmas at a Student-Run Clinic and a Rubric for Reflective Action - Medical Humanities<\/title>\n<meta name=\"description\" content=\"Today&#039;s blog summary considers well-intentioned yet ethically questionable assumptions that underpin proposals for projects at student-run clinics.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/?p=3813\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Turning Good Intentions into Good Outcomes: Ethical Dilemmas at a Student-Run Clinic and a Rubric for Reflective Action - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"Today&#039;s blog summary considers well-intentioned yet ethically questionable assumptions that underpin proposals for projects at student-run clinics.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/medical-humanities\/?p=3813\" \/>\n<meta property=\"og:site_name\" content=\"Medical Humanities\" \/>\n<meta property=\"article:published_time\" content=\"2024-03-19T09:00:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2024\/03\/PEOPLE3-282x300.jpg\" \/>\n<meta name=\"author\" content=\"Chris Pak\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Chris Pak\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?p=3813#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?p=3813\"},\"author\":{\"name\":\"Chris Pak\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#\\\/schema\\\/person\\\/0e11c1a9a0f1f9f2aa898a719652c44c\"},\"headline\":\"Turning Good Intentions into Good Outcomes: Ethical Dilemmas at a Student-Run Clinic and a Rubric for Reflective Action\",\"datePublished\":\"2024-03-19T09:00:51+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?p=3813\"},\"wordCount\":379,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?p=3813#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/files\\\/2024\\\/03\\\/PEOPLE3-282x300.jpg\",\"keywords\":[\"Blog\"],\"articleSection\":[\"Blog\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?p=3813#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?p=3813\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/?p=3813\",\"name\":\"Turning Good Intentions into Good Outcomes: Ethical Dilemmas at a Student-Run Clinic and a Rubric for Reflective Action - 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