Indiana University Student Outreach Clinic Works
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The Indiana University School of Medicine Student Outreach Clinic (IUSOC) is a student-run free clinic that provides healthcare services to underserved communities in Indianapolis. It brings together students and faculty from medicine, nursing, pharmacy, social work, and other disciplines to deliver primary care, education, and resources to patients while offering students hands-on clinical experience and opportunities for interprofessional collaboration.
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Item Needs Finding for Diabetes Education Day(2025-10-03) Kertes, Paige; Puderbaugh, Anna; Zhang, Tony; Sevilla-Martir, JavierAt a student run free clinic in Indianapolis, diabetes mellitus is a common condition as the disease is more prevalent among low-income groups due to income-related inequalities. Due to the prevalence of diabetes among the clinic patient population, the clinic planned to host a day at the clinic focused on diabetes-specific education and care. Diabetes education and counseling for patients is associated with significant improvements in HbA1c, blood glucose levels, and other related outcomes. However, it was not previously known what types of diabetes educational programing and services patients would be interested in receiving. To investigate this, researchers at the clinic asked patients with a diagnosis of diabetes (n = 30) to fill out surveys regarding what opportunities would interest them at a potential diabetes education day. Results revealed that 86% (n = 26) of patients would be interested in attending diabetes education day, with strong interest in group education and diabetes-specific food and meal kits. Findings discovered that more than half of patients (n = 19) surveyed were not up to date on at least one of the recommended diabetes-related health maintenance screenings that were asked with strong interest in completing those screenings at a diabetes education day. These findings will help the clinic create a tailored experience for the patient population at the designated clinic day.Item Ethical Mindfulness in Directing Research at a Student Run Free Clinic: A Case Study(Society for Student Run Free Clinics, 2025-10-05) Russell, Carl; Billingsley, Caylin; Sevilla, JavierEthical Mindfulness in Directing Research at a Student Run Free Clinic: A Case Study Background Student-run free clinics (SRFCs) often conduct research to evaluate clinical offerings, improve operations, and contribute to the distribution of knowledge. While Institutional Review Boards (IRBs) ensure regulatory compliance, ethical tensions frequently arise in the day-to-day oversight of research involving underserved and structurally vulnerable populations. At this SRFC, student research co-chairs hold a leadership role in reviewing, guiding, and managing research activity. This case study examines how ethical decision-making was integrated into this role, beyond formal IRB review. Methods Over an 8-month period, the student research co-chairs documented key decisions, policy developments, and stakeholder discussions surrounding research activities at the clinic. A narrative case study approach was used to reflect on ethical questions related to project selection, patient autonomy, data stewardship, and clinic-wide collaboration. The ethical frameworks of Beauchamp and Childress’s Four Principles of Biomedical Ethics1 and the Structural Competency Framework2 were used to analyze the decision-making process. Results The case study will describe several ethically complex moments in clinic research leadership, such as implementing new research bylaws, evaluating proposals from external collaborators, addressing concerns around patient burden, and negotiating the impact to clinic flow. Each scenario will be interpreted using the selected ethical frameworks, offering insight into how abstract ethical principles were applied in real-world student leadership contexts. Particular attention will be paid to how justice and beneficence were balanced in a structurally vulnerable patient population. Conclusion Ethical leadership in SRFC research requires proactive reflection, shared decision-making, and sensitivity to both biomedical ethics and social context. This case study illustrates how student leaders can meaningfully engage with ethical frameworks to guide research oversight and shape institutional norms. The lessons drawn may inform similar leadership roles at other SRFCs seeking to ethically ground their research infrastructure. References 1. Beauchamp TL, Childress JF. Principles of Biomedical Ethics. 8th ed. Oxford University Press; 2019. ISBN: 9780190640873 2. Metzl JM, Hansen H. Structural competency: Theorizing a new medical engagement with stigma and inequality. Soc Sci Med. 2014;103:126-133. doi:10.1016/j.socscimed.2013.06.032