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Perceptions and Improvements in Providing Patient Education During a Student Run Free Clinic Visit

Carl Russell III, Michael Cheng, Caroline Vieira, Micaela Gaviola, Javier Sevilla-Martir, MD

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Indiana University SOC

  • In 2023:
    • 95 clinic days
    • 755 unique patients
    • 2074 total clinic visits

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Education Empowerment Team at the IUSOC

  • 23 members
  • Responsibilities include:
    • Development of education materials
    • Research
    • Patient Education

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Patient Education

  • Motivational Interviewing
  • Goal Setting
  • Topics include:
    • Chronic conditions (HTN, T2DM, Hyperlipidemia, CKD, Mental Health, etc)
    • Other subjects such as sleep, nicotine cessation, alcohol cessation, etc)

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Where does education visit fit?

Intake & Triage

Student Evaluation

Staff Evaluation

Pharmacy/Labs

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What is the perception of the education service among patients?

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Where does our survey fit?

Intake & Triage

Student Evaluation

Staff Evaluation

Pharmacy/Labs

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Survey and Results

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What brings you to clinic today? What health conditions do you have?

On a scale of 1-10 (1 being not confident at all, 10 being extremely confident), how confident are you in accomplishing your goals?

What health care goals have you set with the Education Empowerment Team today? If you have set more than one goal, please rank your goals in order of priority.

On a scale of 1-10 (1 being not important at all, 10 being extremely important), how important is achieving each of your healthcare goals to you?

What resources would help you accomplish your healthcare goals?

On a scale of 1-10 (1 being not helpful at all, 10 being extremely helpful), how helpful was meeting with the Education Empowerment Team?

What did you find helpful about meeting with the Education Empowerment Team?

On a scale of 1-10 (1 being not satisfied at all, 10 being extremely satisfied), how satisfied are you with your Education Empowerment Team experience?

What can the Education Empowerment Team do to improve your experience?

If you have been working towards specific health goals, how satisfied do you feel with your progress for each goal on a scale of 1-10 (1 being not at all satisfied, 10 being extremely satisfied)?

What lifestyle changes have you made since you last spoke with the Education Empowerment Team?

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What did we see?

    • N = 23 surveys
    • Patients were English speaking, often multilingual
    • Patients that the education team were seeing stated that they were there because of their “sugar”/T2DM (11) and/or “high blood pressure”/HTN (14)
    • Patient set a variety of goals during the visit:
      • “Taking medicine regularly”
      • “Healthy eating habit”
      • “Exercise”

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What did we see?

    • To accomplish their goals, they wanted
      • “Medication”
      • “Medical personnel”
      • “Education sheet” and “Data paper”
      • “More knowledge”

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What did we see?

    • Patients found that the education visit was helpful in the following ways:
      • “education about chronic conditions + their complications”
      • “helpful information”
      • “explanation of medication”
      • “feeling validated”

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What did we see?

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What did we see?

Patients:

    • are confident in accomplishing their goals after the education visit
    • understand the importance of accomplishing their goals
    • find education visits helpful
    • are satisfied with their experience

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What did we see?

    • We can do more by
      • providing “constant information/advice” and “regular pep talks”
      • making “a list of foods to avoid depending on culture”
      • adding a nutritionist as a part of the team

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What does this mean?

  • Education is a vital tool for SRFCs
  • Setting aside time for an education-only session provides a benefit to the patient
  • Feedback has been positive after the IUSOC implemented education service
  • Education visits can help patients gain self confidence, direction and knowledge

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Benefits an Education Service Would Bring to Your Clinic

Purposeful distribution of knowledge about chronic conditions

Fills waiting time between different stages of a clinic visit

Patients will be more motivated and goal oriented

Participating students will be able to practice educating patients in lay communication and learn how to deliver culturally sensitive materials

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Thank you for your attention!��Questions?