Acad Med. 2012 Mar 23. [Epub ahead of print]
The Crimson Care Collaborative: A Student-Faculty Initiative to Increase Medical Students' Early Exposure to Primary Care.
Source
Dr. Berman is founder and executive director, Crimson Care Collaborative, fellow, John D. Stoeckle Center for Primary Care Innovation, internist, Massachusetts General Hospital, and instructor in medicine, Harvard Medical School, Boston, Massachusetts. Dr. Powe is founder and former student director, Crimson Care Collaborative, Boston, Massachusetts. At the time this article was written, she was a fourth-year medical student, Harvard Medical School, Boston, Massachusetts. Dr. Carnevale is founder and former student director, Crimson Care Collaborative, Boston, Massachusetts. At the time this article was written, she was a fourth-year medical student, Harvard Medical School, Boston, Massachusetts. Dr. Chao is founder and former student director, Crimson Care Collaborative, Boston, Massachusetts. At the time this article was written, he was a fourthyear medical student, Harvard Medical School, Boston, Massachusetts. Ms. Knudsen is student director of research, Crimson CareCollaborative, and a second-year medical student, Harvard Medical School, Boston, Massachusetts. Mr. Nguyen is a member of the Crimson CareCollaborative research team and a second-year medical student, Harvard Medical School, Boston, Massachusetts. Ms. Edgman-Levitan is executive director, John D. Stoeckle Center for Primary Care Innovation, Massachusetts General Hospital, Boston, Massachusetts.
Abstract
The current shortage of primary care physicians (PCPs), particularly as more individuals obtain health insurance and seek primary care services, is a growing national concern. The Crimson Care Collaborative (CCC) is a joint student-faculty initiative in post-healthcare-reform Massachusetts that was started with the explicit goal of attracting medical students to primary carecareers. It fills a niche for student-run clinics, providing evening access to primary care services for patients without a PCP and urgent care services for patients of a Massachusetts General Hospital-affiliated internal medicine clinic, with the aim of decreasing emergency department use in both groups. Unlike other studentrun clinics, CCC is integrated into the mainstream health care structure of an existing primary care clinic and, because of universal health insurance coverage in Massachusetts, can bill for its services. In addition to the clinical services offered, the student-run research team evaluates the quality of care and the patients' experiences at the clinic. This article describes the creation and development of CCC, including a brief overview of clinic operations, social services, research, laboratory services, student and patient education programs, and finance. In the wake of the Patient Protection and Affordable Care Act of 2010, CCC is an example of how students can aid the transition to universal health care in the United States and how medical schools can expose students early in their training to primary care and clinic operations.
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