Academic Medicine

Skip Navigation LinksHome > May 2001 - Volume 76 - Issue 5 > The Berkeley Suitcase Clinic: Homeless Services by Undergrad...
Academic Medicine:

The Berkeley Suitcase Clinic: Homeless Services by Undergraduate and Medical Student Teams


Section Editor(s): ANDERSON, M. BROWNELL

Free Access
Article Outline
Collapse Box

Author Information

Association of American Medical Colleges


Inquiries: Alan Steinbach, MD, UCB-UCSF Joint Medical Program, Division of Health and Medical Sciences, 570 University Hall, Berkeley, CA 94720-1190.

Objective: Ten years ago, medical and public health students at the University of California, Berkeley were inspired to provide direct services to the homeless population. The name Suitcase Clinic (SC) was adopted to symbolize the format of going wherever the clients could be found.

Description: The SC is based on service and student-centered learning and is coordinated on an all-volunteer basis by UC Berkeley undergraduate, medical, and optometry students. Medical, chiropractic, vision screening, legal, and dental services are among those provided. This model of an interdisciplinary team approach administered overall by students provides the unique foundation of the clinic.

The Suitcase Clinic has three divisions: General Clinic, Women's Clinic, and a new Youth Clinic. Each offers a drop-in clinic providing holistic care one night a week at local churches. Client services are coordinated by a council of undergraduate student coordinators who have worked in the clinic and are elected to their positions. Clients meet individually with an undergraduate student caseworker (SCW) who follows the client throughout the visit. During medical services, the SCW and medical student first interview the client, then present the client to the attending physician, who examines the client and facilitates final treatment decisions. The SCW arranges follow-up visits and referrals to outside resources as needed.

A UCB undergraduate class provides training and produces the students who run the organization. The class is also entirely organized and run by student volunteers. Co-coordinators and a staff of six to eight undergraduate instructors are elected from volunteers who have already completed the class. Physicians provide advice and often lecture on topics pertinent to the clinic's work. Until last year, the class used a conventional lecture- and section-based format, but the students began a reorganization to improve training of student caseworkers. The first six sessions of class now have less lecture and more small-group process. Each session deals with a service issue, such as suicidal ideation, and emphasizes discussion of attitudes towards service and skills in communication rather than academic knowledge of homeless issues. A mock interview forms the final test of this basic training.

The graduate-level course is open to master's-degree and medical students, with much of the content woven into teaching during client conferences in the clinic. Medical students volunteering in the clinic have an opportunity to practice team care in a less pressured setting then they will experience in more formal medical curricula.

Discussion: Students working together to run the Suitcase Clinic experience the problems inherent in working in teams. They learn to identify solutions in a setting, though, where they are in control and under less pressure to perform. The operating hypothesis is that early team experiences will make for more effective professionals as they enter their careers. Exactly which parts of the experience have the effect remain to be elucidated by studies now being planned. This unique and positive learning experience suggests that medical schools located near undergraduate institutions might do well to consider establishing such clinics to promote early awareness of effective teamwork.

Back to Top | Article Outline

Section Description

Annual, Peer-reviewed Collection of Reports of Innovative Approaches to Medical Education

Cited By:

This article has been cited 6 time(s).

Journal of Health Care for the Poor and Underserved
UCLA mobile clinic project
Hastings, J; Zulman, D; Wali, S
Journal of Health Care for the Poor and Underserved, 18(4): 744-748.

Journal of the American Board of Family Medicine
The health status of patients of a student-run free medical clinic in inner-city Buffalo, NY
Cadzow, RB; Servoss, TJ; Fox, CH
Journal of the American Board of Family Medicine, 20(6): 572-580.
Journal of General Internal Medicine
Medical student-run health clinics: Important contributors to patient care and medical education
Simpson, SA; Long, JA
Journal of General Internal Medicine, 22(3): 352-356.
Journal of Health Care for the Poor and Underserved
Balancing service and education: Ethical management of student-run clinics
Buchanan, D; Witlen, R
Journal of Health Care for the Poor and Underserved, 17(3): 477-485.

Journal of Health Care for the Poor and Underserved
Engaging Student Health Organizations in Reducing Health Disparities in Underserved Communities through Volunteerism: Developing a Student Health Corps
Mays, VM; Ly, L; Allen, E; Young, S
Journal of Health Care for the Poor and Underserved, 20(3): 914-928.

Mount Sinai Journal of Medicine
Student-Run Health Clinic: Novel Arena to Educate Medical Students on Systems-Based Practice
Meah, YS; Smith, EL; Thomas, DC
Mount Sinai Journal of Medicine, 76(4): 344-356.
Back to Top | Article Outline

© 2001 Association of American Medical Colleges


Article Tools


Article Level Metrics