PRESCRIBING FOR REAL PATIENTS
In 2012, we founded the first European Student Run Clinic (SRC) focused on medical education with insured patients in Amsterdam University Medical Centers, location VUmc. This new learner-centred SRC (LC-SRC; “Studentenpoli” in Dutch) was set up with a view to providing medical students with clinical learning opportunities, such as patient consultations, patient management, and pharmacotherapy. Participation in this LC-SRC is an extracurricular activity, available to all medical students, pharmacy students and specialized nursing students following their training in VU University Amsterdam, University of Utrecht and Hogeschool Inholland. Recently we are also welcoming medical and pharmacy students from other universities and colleges in the Netherlands and started multiple inter-professional LC-SRC.
As the results of a pilot and feasibility study of the LC-SRC were encouraging, the project was scaled-up and now includes projects focused on adverse drug reactions, cardiovascular risk management, polypharmacy, geriatric and general internal medicine and also includes a service for reporting adverse drug reactions in Amsterdam University Medical Centers. Numerous studies regarding our LC-SRC have been published in international peer-reviewed journals (see below). In these studies, we have analyzed the educational value for students and described how participation contributes to learning and how learning is influenced. Additionally, we have also examined the added value of our interventions for modern day healthcare practices. Our scientific publications about the LC-RSC can be found here.
Since the foundation the LC-SRC has been nominated for multiple awards and prices. Currently, we are busy to implement the SRC in two other academic centres in the Netherlands, namely Erasmus University Medical Center and Amsterdam University Medical Centers, location AMC.
• Schutte T, Tichelaar J, Dekker RS, van Agtmael MA, de Vries TP, Richir MC. Learning in student-run clinics: a systematic review. Med Educ. 2015 Mar;49(3):249-63.
• Dekker RS, Schutte T, Tichelaar J, Thijs A, van Agtmael MA, de Vries TP, Richir MC. A novel approach to teaching pharmacotherapeutics--feasibility of the learner-centered student-run clinic. Eur J Clin Pharmacol. 2015 Nov;71(11):1381-7.
• Schutte T, Tichelaar J, van Agtmael M. Learning to prescribe in a student-run clinic. Med Teach. 2016 Apr;38(4):425.
• Schutte T, Tichelaar J, Reumerman MO, van Eekeren R, Rolfes L, van Puijenbroek EP, Richir MC, van Agtmael MA. Feasibility and Educational Value of a Student-Run Pharmacovigilance Programme: A Prospective Cohort Study. Drug Saf. 2017 May;40(5):409-418.
• Schutte T, Tichelaar J, Dekker RS, Thijs A, de Vries TP, Kusurkar RA, Richir MC, van Agtmael MA. Motivation and competence of participants in a learner-centered student-run clinic: an exploratory pilot study. BMC Med Educ. 2017 Jan 25;17(1):23.
• Schutte T, Prince K, Richir M, Donker E, van Gastel L, Bastiaans F, de Vries H, Tichelaar J, van Agtmael M. Opportunities for Students to Prescribe: An Evaluation of 185 Consultations in the Student-run Cardiovascular Risk Management Programme. Basic Clin Pharmacol Toxicol. 2018 Feb;122(2):299-302.
• Schutte T, Tichelaar J, Donker E, Richir MC, Westerman M, van Agtmael MA. Clarifying learning experiences in student-run clinics: a qualitative study. BMC Med Educ. 2018 Oct 26;18(1):244.
• Reumerman MO, Richir MC, Domela Nieuwenhuis PM, Sultan R, Daelmans HEM, Springer H, Muller M, van Agtmael MA, Tichelaar J. The clinical and educational outcomes of an inter-professional student-led medication review team, a pilot study. Eur J Clin Pharmacol. [accepted augustus 2020]
• Reumerman M, Tichelaar J, Richir MC, van Agtmael MA. Medical students as adverse drug event managers, learning about side effects while improving their reporting in clinical practice. Naunyn Schmiedebergs Arch Pharmacol. 2021 Mar 5. doi: 10.1007/s00210-021-02060-y. Epub ahead of print. PMID: 33666715.
• Reumerman MO, Tichelaar J, Richir MC, van Agtmael MA. Medical Students as Junior Adverse Drug Event Managers facilitating reporting of ADRs. Br J Clin Pharmacol. 2021 May 5. doi: 10.1111/bcp.14885. Epub ahead of print. PMID: 33955031.
• Sultan R, & van den Beukel TO, Reumerman MO, Daelmans HEM, Springer H, Grijmans E, Muller M, Richir MC. van Agtmael MA, & Tichelaar J. The clinical outcomes of an inter-professional student-led medication review program at a geriatric outpatient clinic [submitted 2021].
• Reumerman MO, Richir MC, Sultan R, Daelmans HEM, Springer H, Grijmans E, Muller M, van Agtmael MA, & Tichelaar J. The inter-professional student-led medication review team. Reducing adverse drug reactions in a memory outpatient clinic [submitted 2021].