Challenges in Founding and Developing Medical School Student-Run Asylum Clinics

J Immigr Minor Health. 2021 Feb;23(1):179-183. doi: 10.1007/s10903-020-01106-2. Epub 2020 Oct 21.

Abstract

In response to the rapidly rising number of asylum applications, student-run asylum clinics (SRACs) designed to provide pro bono forensic medical evaluations have emerged at medical schools across the United States. Distinct from traditional student-run clinics in the services they provide and in their operational models, SRACs face a unique set of challenges. This study aims to identify the common challenges in building SRACs and to collect insights to inform a structured approach to collaborative problem-solving. This study gathered data from online surveys and semi-structured phone interviews with representative medical student SRAC leaders. 14 clinics participated in the 2017 online survey, 15 clinics in the 2018 online survey, and eight clinics in the 2018-2019 phone interviews. We identified common challenges in five areas: volunteer recruitment, clinic operations, case demand, institutional support, and leadership. SRACs stand to benefit from ongoing extramural collaborations to overcome shared challenges.

Keywords: Asylum seekers; Forensic medical evaluation; Human rights education; Student-run asylum clinics.

MeSH terms

  • Ambulatory Care Facilities
  • Humans
  • Refugees*
  • Schools, Medical
  • Students, Medical*
  • Surveys and Questionnaires
  • United States