Residency Requirements Research Articles

US Nonprofit Hospitals Have Widely Varying Criteria To Decide Who Qualifies For Free And Discounted Charity Care.

US nonprofit hospitals are required by law to have a charity care policy, but hospitals have significant discretion in determining specific eligibility criteria. Using a novel national database, this analysis revealed that nonprofit hospitals have chosen widely varying charity care eligibility guidelines. Among hospitals that offered free care, income limits ranged from 41percent to 600percent of the federal poverty guideline. Many hospitals considered assets when determining eligibility for charity care, and a significant minority also had residency requirements and restrictions for insured patients. Hospitals generally allowed charity care in cases of hardship, with a median cutoff of a given hospital bill being 20percent of the patient's income. Hospitals in counties with lower levels of poverty and uninsurance had more generous eligibility policies. The wide variation in requirements for hospital financial assistance poses barriers to equitable access to care.

Smart Product-Service System for Parking Furniture—Sale of Storage Space in Parking Places

Growing competition, changing customer needs, and growing environmental protection requirements mean companies are forced to change their approach to business. Traditional product sales are being replaced by systemic solutions focused on meeting specific customer requirements while reducing negative impacts on the environment. One such solution is the Product-Service System (PSS). This allows manufacturers to offer their products’ functionalities and features through related services. By extending the life of products, promoting the reuse of materials, and reducing the amount of waste, the implementation of PSS strongly supports sustainable development. The paper focuses on a new product group—garage boxes (GB). It discusses a new PSS business model that responds to the needs of people living in blocks of flats with no tenant storage lockers or rooms in the basement. The new business model sells the function (storing various possessions) and eliminates problems faced by tenants due to the lack of sufficient storage space. It provides customers with high-quality GB for as long as they need them. Customers can pick and choose equipment with additional services depending on their needs. The idea of the model is the outcome of a nationwide study carried out in Poland on a group of 500 residents of blocks of flats and consultations with manufacturers, homeowner associations, wholesale and retail traders, and the financial sector. The study provided us with information and data that provided a comprehensive picture of the problem of the absence of storage lockers or rooms for residents and the needs connected with GB. The results of the conducted research indicate that the developed business model responds to the diverse requirements of residents and supports sustainable solutions. It is an alternative to the lack of a storage unit assigned to each apartment. The business model developed in the paper is highly innovative and comprehensive. This makes it an attractive solution for residents of apartment blocks, and its implementation can significantly reduce the environmental impact.

The impact of perfectionism on suicidal ideation among medical residents in Iran: the mediating role of psychological distress.

Among medical residents, suicide is the second most prevalent cause of mortality. In Iran, the suicide of medical residents has become one of the most important challenges. This study aimed to investigate the mediating role of psychological distress in the relationship between perfectionism and suicidal ideation among medical residents in Iran. This research was a descriptive-correlational study based on structural equation modeling. The statistical population of the present research included all the residents in Shahid Beheshti University of Medical Sciences (SBMU) in 2023, of whom 277 people were selected as a sample using the available sampling method. The Beck Scale for Suicidal Ideation (BSSI-1997), the Tehran Multidimensional Perfectionism Scale (TMPS-2007) and the Depression, Anxiety and Stress Scale (DASS-21-1995) were used to collect the data. Data was analyzed using structural equation modeling with SPSS and Amos software version 22. Out of 277 participants, 30% (N = 83) were male and 70% (N = 194) were female. The findings showed that the research model had goodness of fit. There was a significant relationship between perfectionism and psychological distress (β = 0.76, P < 0/001) and between psychological distress and suicidal thoughts (β = 0.66, P < 0/001). However, there was no direct relationship between perfectionism and suicidal ideation (P > 0.01), but perfectionism played a role in residents' suicidal ideation through psychological distress (β = 0.50, P < 0/001). In other words, perfectionism led to suicidal ideation by increasing the psychological distress of the residents. In addition, perfectionism and psychological distress were able to explain 42% of the variances of suicidal ideation (R2 = 0/42). The results highlighted the crucial role of psychological distress in suicidal ideation of medical residents. Accordingly, substantial support from health-sector managers and policymakers is essential to meet the requirements of medical residents.

Predicting the Elements of Life Necessities for Students at UiTM Melaka

This research delves into the hotly contested topic of residency requirements in our country, which is now receiving a lot of attention from the media. Students at public colleges, especially those from low-income families who already face many obstacles, should pay special attention to this issue. Students who must manage the challenges of university life in addition to having to repay student loans are even more disadvantaged. Thus, the purpose of this study is to investigate the social, psychological, and financial aspects that impact the need for living on campus. 200 questionnaires in all were disseminated using Google Forms and then analyzed. The study utilized multiple regression analysis to evaluate the predictor factors that influence kids' fundamental survival needs. According to the findings, societal factors (b = -.455) had the biggest impact on the fundamental requirements of UiTM Melaka degree and diploma holders. The kids' basic needs were also strongly impacted by psychological (b = -.310) and economic (b = -.357) aspects. These results highlight the vital role that social, economic, and psychological interventions have in improving people's quality of life—not just in college settings, but also in general. The study's high R Square value (.978) indicates that these factors together account for almost all variances in quality of life. As a result, this research supports all-encompassing approaches that target these important factors to enhance people's general well-being, especially those of those who are vulnerable.

특성화고등학교 이주배경학생 진로교육 문제점의 요인 및 개선방안: 외국출생 외국국적 학생을 중심으로

This study examines the current challenges and solutions in career education for migrant-background students in specialized vocational high schools in Korea. Based on in-depth interviews with five teachers and five experts, two key categories of limitations were identified: migrant-background characteristics and educational environment factors. The former includes difficulties arising from language barriers, residency restrictions, and cultural differences, while the latter encompasses inadequate teacher understanding, lack of parental support, and limitations in school programs. To address these, two improvement categories were proposed: support tailored to migrant-background characteristics-including customized Korean language education, easing residency requirements, and enhancing practical career preparation-and enhancements to the educational environment, such as strengthening teacher training, expanding dedicated personnel, and developing monitoring systems for post-employment management. These insights offer comprehensive strategies to improve career education for migrant-background students in vocational schools.

A Survey of Post-Graduate Satisfaction With Orthopaedic Residency Training at a Single Institution.

The Accreditation Council for Graduate Medical Education (ACGME) has called for self-study within residency programs. Post-graduate surveys allow the graduate to reflect upon their residency experience after years of autonomous practice. Despite their potential utility, a standardized assessment of residency training from the perspective of orthopaedic alumni does not exist. In this study, we aimed to create, analyze, and share with our alumni a post-graduate survey based on ACGME core competencies. The survey was developed by full-time orthopaedic faculty and reviewed by a survey methodologist to ensure clarity and an ideal survey format. In May 2020, the survey was emailed to all 90 graduates from 2000 to 2019. Respondents were polled on current clinical practice and satisfaction with program-specific initiatives, residency requirements, and learning environment issues based on a 7-point Likert scale. Respondents were also given the opportunity to provide open-ended responses. Data were collected within the survey platform and subdivided into 3 cohorts based on years since graduation. The response rate was 71% (64/90). The likelihood of fellowship training increased with recency since graduation. Most respondents are in either private or health-system-owned practice but 23% work in an academic center.The oldest cohort had greater variability in clinical practice. Most program-specific initiatives received high satisfaction scores, but graduates within the past 5 years had the lowest satisfaction scores. Instruction of skills included in ACGME competencies received generally favorable reviews, but professional development skills, such as starting a practice and evaluating job opportunities, received low marks.The overall satisfaction with the program was high (86%) but was lowest among most recent graduates. The post-graduate survey demonstrates areas of strength and weakness and highlights dissatisfaction among recent graduates. The data will drive specific curricular changes within our program. The survey will be shared to promote self-study within other programs.

Friend or foe? Engaging public can save the critically endangered common hamster (Cricetus cricetus)

AbstractThe common hamster (Cricetus cricetus) occupies a controversial position among mammals inhabiting agricultural areas, as it is possibly the only critically endangered species that is legally targeted by lethal control methods, making it a conflict‐generating pest. We surveyed various stakeholders, agrarian consultants, wildlife rangers, and residents for the first time in Hungary, with two interrelated questionnaires to obtain accurate information about hamster populations, and to learn about the participants knowledge of, and attitude toward hamsters in order to provide fundamental information for planning and strengthening social embeddedness. Additionally, we prepared the current distribution map of the hamster. Based on the relatively wide distribution and locally high abundance of the species, Hungary has a key role in hamster conservation. We identified several factors, which can contribute to successful species protection. The results indicated that more than 60% of the respondent's liked hamsters. In contrast, only a few residents considered hamsters in their settlement to be beneficial. Our results suggest that the hamster's reputation is disproportionately negative due to vaguely known perceptions of harm as compared with actual reported damage. This imbalance could be rectified through enhanced communication efforts. Improving the species' reputation is integral to effective species conservation initiatives. Current pest control practices (poisons and snap traps) kill the hamsters, even though 82% of the residents would prefer to keep the hamsters alive, conforming to conservation efforts. The results also indicated that the hamster could be a flagship species in Hungary. Knowledge of the protected status of the hamster predicted a positive attitude toward the species and related to nature conservation consciousness. We conclude that requirements of residents should be included in the species action plan along with the experts' knowledge, as this could contribute to successful, long‐term conservation of the hamster.

Migration policy and the supply of foreign physicians: Evidence from the Conrad 30 waiver program

In the United States, rural and low-income communities have difficulty attracting and retaining physicians, potentially adversely impacting health outcomes. With a limited supply of physicians completing medical school at US universities, foreign-born and educated physicians provide a potential source of supply in underserved areas. Although nearly a quarter of medical residents in US hospitals received their medical degrees abroad, the terms of the commonly used J-1 visa require a return to the home country for two years, which may limit the capacity of international medical graduates (IMGs) to pursue employment in the US market. Our analysis examines the extent to which reducing visa barriers impacts the supply of physicians at state and local levels, particularly in areas designated as medically underserved. The Conrad 30 Visa Waiver program gives states the opportunity to attract foreign IMGs to practice in underserved areas by waiving the two-year home residency requirement for those with J-1 visas and providing a path to obtaining US citizenship. Changes in the federal limit on the number of waivers per state, combined with variations in the state-level restrictions on eligible specialties and geographies in which physicians can work, provide evidence of the role of visa restrictions in limiting the supply of doctors. We find that the expansion of the cap on visa waivers increased the supply of IMGs in states impacted by the cap lift. There is little evidence of reductions in US-trained doctors in states where IMGs increases were the largest, suggesting little evidence for crowding out. Health Professional Shortage Areas (HPSAs) in states with fewer restrictions on the program had relatively more IMGs but no fewer US-trained doctors. Importantly, HPSAs in states with less restriction to the program also had relatively lower early mortality rates and lower COVID-19 death rates.

Between a rock and a hard place: Introduction program teachers’ narrated experiences of residency and citizenship language requirements in Scandinavia

This study investigates how language requirements for residency and citizenship influence the professional identities and sense of agency of introduction program language teachers throughout Scandinavia. While Denmark introduced formal language requirements two decades ago, language requirements were effectuated in Norway starting in 2017. In Sweden, requirements have been proposed, but not introduced. The data comprises narrative interviews with 24 experienced language and literacy teachers. Drawing on street-level bureaucracy theory and narrative positioning analysis, the study shows that the introduction of formal requirements represents a turning point in teachers’ professional narratives that are recognized as a gradual reduction of agency and a narrowing of the space where professional identities can be negotiated. Whereas the Swedish teachers largely identify as students’ agents, Norwegian and Danish language teachers to a larger extent, yet partly unwillingly, negotiate their professional roles at the intersection between policy and professional standards and in dialog with the policy demands.

Impact of operation strategies on performance of integrated kang-floor heating system in severe cold areas

Efficiently and cost-effectively meeting the heating requirements of residents in severely cold regions by utilizing solar energy is currently a pressing need. Therefore, a solar heating system that integrated Kang-floor heating was established and tested for a passive solar house in Gan-nan Tibetan. This study reveals the effects of adjusting the flow/intermittent time periods and implementing variable flow rate operations on performance of system, to improve energy efficiency and optimize sleeping comfort. Findings indicated decreasing flow/intermittent time to 15/15 min had strengthened the average heat transfer from the water side, and mitigated the influence of returning water on internal water temperature of the tank, ultimately enhancing heat supply. The heating period was divided into three stage (18–24, 0–4, 4–8 o'clock), with a specific flow rate assigned to each stage. Under five flow rate configurations(A-E) with identical initial conditions: during constant flow rate, the greater the initial supply water temperature of the system, the more heat was transferred to room, and the higher heating efficiency was achieved, however, under variable flow rate, the effect of the water temperature on heating efficiency was significantly less evident. Mode B (low-to-high flow rate) had the highest heating efficiency and heat supply. The heating rate and cooling rate of Kang surface, temperature variations were notably less compared to the other four modes. Shortening the flow/intermittent periods and implementing variable flow method could improve the system's heat supply and sleep comfort with limited capital and resource investment.

EU policy on agricultural land turnover: general characteristics

The evolving land reforms in Ukraine and its recent strides towards EU membership accentuate the critical importance of addressing the circulation of agricultural land. This article analyzes the European Union's policies concerning the formulation and execution of regulations governing the transfer of agricultural land, given its doctrinal and practical significance in the context of Ukraine's transitional phase. This academic article examines the intricate relationship between European Union (EU) legislation and the regulation of land ownership within its member states, with a particular focus on agricultural land. The analysis delves into the legal framework provided by Article 345 of the Treaty on the Functioning of the European Union, which preserves member states' autonomy in land ownership decisions while emphasizing compliance with the principles of free movement of capital. The article reviews key EU guidelines and directives, such as those concerning land policy design and reform processes, common agricultural policy, and financial regulations, which indirectly impact land transactions and ownership. Additionally, it explores the Union's response to challenges such as land grabbing and concentration of ownership, including guidelines for member states to protect agricultural land from speculative practices and monopolization. Furthermore, the article discusses recent legal precedents, notably the CJEU's ruling on Bulgaria's residency requirement for land acquisition, which highlights the tension between national policy objectives and EU principles. Through an analysis of EU legislation, court decisions, and policy recommendations, this article offers insights into the evolving dynamics of land ownership regulation within the EU, aiming to contribute to a deeper understanding of the balance between capital movement and national sovereignty in land governance.

Optimizing bikeshare service to connect affordable housing units with transit service

Affordable housing and transit accessibility have long been focal points for housing and urban development agencies at all levels, from national to regional. However, these elements are often considered and planned for independently, leading over time to an expanding spatial gap between affordable housing and transit services. This separation creates issues of mobility equity. Fortunately, bikeshare, an emerging mobility solution, provides the potential to bridge this spatial gap between affordable housing communities and transit services. To leverage this, we designed a bikeshare station (BSS) location optimization tool that aims to alleviate the impacts of this spatial divide through bikeshare services. Specifically, we developed a multimodal agent-based modeling (ABM) and simulation framework aimed at enhancing accessibility to a variety of destinations. To solve this optimization problem, we developed a genetic algorithm to determine the optimal locations for BSS. There are three main conclusions from this research. First, the strategic positioning of BSS will enhance accessibility for affordable housing community (AHC) residents by reducing average transit travel time and walk distance, or increasing the number of destinations accessible by transit. This underscores the advantages of combining bikeshare and transit systems to cater to the mobility requirements of AHC residents, especially for non-work-related trips in suburban areas. Second, the relationship between transit and bikeshare is twofold: complementation and substitution. In instances where a lengthy trip involves multiple transit transfers and significant waiting time, bikeshare could replace some transit trips. Lastly, but most importantly, this study advises a forward-looking approach for governments and operators to avoid the waste of public resources when planning bikeshare systems. The tool developed by this research can facilitate this forward-looking approach in practice.

Оценка потенциала развития индустриального парка на базе АО «Пластик»

The tendencies of the industrial park creation based on the Russian chemical enterprises are explored in the article, the potential resident basic requirements to the new manufacturing location are determined. The multiyear experience of the industrial park making in the JSC “Plastic” territory is summarized: from the engineering infrastructure modernization to the participation in the federal project “Proffessionalitet”.

Architectural and Configurational Study of Senior Housing with Steel Volumetric Modular Technology: Towards Age-Ready and Process-Efficient Sustainable Living

The aging population requires housing developments that can adapt to their changing needs. The study examines the use of steel volumetric modular technology to construct collective senior housing for independent, sustainable living. The authors explore the qualities of senior housing projects through a literature survey and case studies. Projects appreciated in the architectural industry, illustrating the best practices, are considered. For the development part, the feasible design variants are proposed, BIM modeled, and expertly assessed. Optimization of the types and numbers of modules is carried out to make the most effective use. The potential for generating appropriate flow and social interaction in the shared spaces is also tested. The results prove that a single dwelling unit may embody many features of a suitable architecture for older adults and be used to construct collective senior housing buildings. However, a 3D module with two rooms on either end and a corridor in the middle (the most economical form of 3D prefabrication) is unsuitable for senior housing. Additionally, a narrow 3D module cannot accommodate a complete dwelling unit due to increased dimension needs. Designers and builders must balance economics with the requirements of aging residents to widen the range of volumetric prefabrication areas.

Residency Blues: The Unintended Consequences of Police Residency Requirements

Residency Blues: The Unintended Consequences of Police Residency Requirements

Rethinking Jurisdictional Barriers to Practising Law Abroad: A Soft Technological Deterministic Approach

The regulation of legal practice has been based predominantly on geographical boundaries. To varying degrees, foreign lawyers are prohibited from engaging in the practice of law in host jurisdictions without local admission, and in some cases with the added complexity of nationality or residency requirements. This is notwithstanding that increasing international trade and other transnational activities, enabled by advancements in technology that facilitate efficient transportation and communication, are creating a growing demand for legal services across borders. While much has been written about how technology is changing the nature of legal practice, the approach taken by this article is to assess whether technology is playing this change-role in a solely deterministic manner. In examining this question, this article applies soft technological determinism to argue that, while technology is an important factor, it does not have a mono-causal effect in shaping changes to cross-border legal practice. Rather, these changes are being influenced by an interplay of technological progress and non-technological factors such as similarities in legal systems, harmonisation of laws and trade affiliations.

144 UCSF TIPR: Expanding scholarly training opportunities for community-based residency programs.

OBJECTIVES/GOALS: Community-based residency programs often lack formal training in research scholarship required by ACGME. To address this need, UCSF’s CTSI collaborated with residency leaders to implement a self-paced online curriculum for residents called Training in Practice Based Research (TIPR). We describe characteristics of the initial trainee cohort. METHODS/STUDY POPULATION: In the 2022-23 academic year, TIPR was offered to 10 UCSF-affiliated family medicine residency programs across Northern California and the Central Valley, and 8 chose to participate. An additional community-based psychiatry residency independently contacted our team and was also granted permission to participate. We conducted baseline surveys with participants to understand their prior research experience and motivation to join TIPR. Descriptive data for demographics of trainees and their prior research experience were collected using Qualtrics. Thematic analyses were conducted on qualitative responses. RESULTS/ANTICIPATED RESULTS: Of 32 participants, 29 completed the survey (91%). Learners identified as 40% non-Hispanic White, 28% Asian, 16% Hispanic, 9% non-Hispanic Black, and 15% non-Hispanic other. 28% were motivated to participate in the program because it was a residency requirement, 31% wanted to improve their scholarly skills and confidence, 16% were interested in career development, and 6% were interested in networking. 19% reported no research experience. Participants are currently working on scholarly projects designed during the first year of TIPR. In 2023-2024, with the addition of two new family medicine residency programs, an additional 40 residents have enrolled in TIPR. In April 2024, we will present data on projects completed, and demographics of the full cohort. DISCUSSION/SIGNIFICANCE: With CTSI support, TIPR has reached a large cohort of ethnically diverse physician trainees in community-based settings. Future evaluation will focus on whether TIPR increases the quantity and quality of practice-based research within residency training programs served by this program.

Psychiatry Trainees’ Perspectives on Psychotherapy Training in Residencies Worldwide

IntroductionIncorporating psychotherapy into the curricula of psychiatry residency programs has been proven difficult, even in countries where psychotherapy training is a requirement for psychiatry residents to become psychiatrists. There is a risk that future psychiatrists lacking psychotherapy skills will be restricted in managing the wide scope of disorders and personalities they will face in clinical practice. It is important to assess what psychiatry trainees around the globe have to say about psychotherapy training as part of their residency curricula.ObjectivesThe primary purpose of the article was to assess psychiatry trainees’ perspectives on psychotherapy training in residency programs worldwide.MethodsThe authors performed a narrative review, resulting 19 original research studies, published between 2001 and 2021, evaluating psychiatry residents’ perspectives by the application of a questionnaire.ResultsNineteen articles were included in this review. Most of the studies were developed across European countries (47.4%) and in the USA (36.8%). Psychiatry residents are interested in and value psychotherapy training, and some consider it should be an obligatory competency for psychiatrists, as it already occurs in some countries worldwide. Even though, most psychiatry trainees feel dissatisfaction with the existing training in residency curricula, pointing out concerns related to the quality of resources such as courses of psychotherapy and supervision of cases, time within the residency period, and financial constraints. In terms of personal psychotherapy, we found contrasting views of its importance in psychotherapy training for psychiatry residents. A crucial finding was that psychiatry residents tend to lose interest in psychotherapy during the years of the residency, and dissatisfaction with the quality of the psychotherapy curricula, lack of support, and low self-perceived competence in psychotherapy by trainees were factors associated with reduced interest in psychotherapy training.ConclusionsAt a time when psychotherapy is increasingly becoming acknowledged to play a central role in the treatment of most psychiatric disorders, current training is failing to provide these competencies to psychiatry trainees. Serious reflection must be given to both the extent of the guidelines and the practical opportunities for psychotherapy training so future psychiatrists can be qualified to provide an accurate biopsychosocial model of psychiatric care. The authors postulate that maintaining residents’ interest in psychotherapy requires improvements in the residency curricula and departmental leadership must support trainees’ goals of becoming comprehensively trained psychiatrists.Disclosure of InterestNone Declared

Turnover intention of foreign trained physicians in German rehabilitation facilities—a quantitative study

BackgroundGermany’s medical specialist shortage is an acute challenge, especially in the rehabilitation segment. One countermeasure is to recruit foreign trained physicians (FTP), but the high turnover of FTP is a burden on the departments that train them and integrate them professionally. Preliminary research showed that currently one in three physician positions in German Pension Insurance (DRV) contract facilities is filled by FTP.This paper examines factors related to turnover intention of FTP in German rehabilitative departments.MethodologyIn spring 2022, we surveyed FTP across all inpatient and outpatient rehabilitation departments under the German Pension Insurance, using a two-stage cross-sectional approach. We conducted an online survey of FTP and developed a specialized questionnaire that captured sociodemographic, occupation related and professional biographical data, turnover intention, satisfaction, difficulties with professional integration and departmental structural characteristics. To analyze retention within the rehabilitation field, we used a measure of turnover intention, taking into account the direction of potential turnover, residency requirements and considerations of returning to the rehabilitation field. The data was evaluated in a subgroup analysis comparing FTP with and without turnover intention using Fisher’s exact tests.ResultsThe sample includes n = 145 FTP, 119 stating no turnover intention and 27 with turnover intention. More than half of FTP with turnover intention wished to move to an acute care hospital. FTP with turnover intention are comparatively younger and came to Germany and were employed in the rehabilitation departments more recently, indicating an earlier career stage. Besides, career-related and regional factors show the strongest relation to turnover intention.Discussion and conclusionThe results reveal a group of “established FTP” whose professional integration has been successfully completed. FTP with turnover intention are comparatively younger, career-oriented physicians for whom work in a rehabilitative facility is a career springboard to gain a foothold in acute care clinics. A limitation is that FTP with turnover intention are difficult to reach and may be underrepresented in our sample.

Evaluation of patient health outcomes of a student-run free clinic in East Harlem

BackgroundMost United States medical schools have affiliated student-run free clinics, but the quality of services provided in such contexts compared to national metrics is unknown. This study determines whether a student-run, attending-supervised free clinic servicing a low-income and minority race patient population in New York City can meet national metrics of care.MethodsThrough chart review from January 1, 2020 to December 31, 2020, patient outcomes and service utilization in the Healthcare Effectiveness Data and Information Set were examined and compared to national rates of patients using Medicaid HMO or Medicare. Patients are ≥ 21 years of age, residents of East Harlem, and ineligible for health insurance because of legal residency requirements. The majority identify as Hispanic and speak Spanish as their primary language. All patients who were seen in the clinic during the 2020 calendar year were included. The primary study outcome is the number of Healthcare Effectiveness Data and Information Set measures in which patients, seen in a student-run free clinic, meet or exceed national comparisons.ResultsThe healthcare outcomes of 238 patients, mean age 47.8 years and 54.6% female, were examined in 18 Healthcare Effectiveness Data and Information Set measures. The student-run free clinic met or exceeded national metrics in 16 out of 18 categories.ConclusionsThe student-run free clinic met or exceeded the national standard of care according to national metrics. Evidence-based priorities have been clarified for future improvement. Other student-run free clinics should similarly evaluate the quality of their services.