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Updated: Mar 7, 2026

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Student Volunteer Retention and Operational Stability in U.S. Student-Run Free Clinics.

Kyle Backston1, Yann Chemali1, Isha Lodhawala1

  • 1College of Medicine, Northeast Ohio Medical University, Rootstown, OH, USA.

Journal of Community Health
|March 5, 2026
PubMed
Summary
This summary is machine-generated.

Student volunteer retention is key for student-run free clinics (SRFCs). Higher retention improves staffing stability and reduces operational disruptions, ensuring consistent patient care.

Keywords:
Clinic operationsContinuity of careCross-sectional surveyStaffing stabilityStudent-run free clinicsVolunteer retention

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Area of Science:

  • Healthcare Delivery
  • Public Health
  • Medical Education

Background:

  • Student-run free clinics (SRFCs) are vital safety nets for underserved populations in the U.S.
  • These clinics rely heavily on student volunteers, raising concerns about staffing consistency and operational continuity.
  • Volunteer turnover can impact the reliability of care provided by SRFCs.

Purpose of the Study:

  • To investigate factors influencing staffing stability and operational disruptions in SRFCs.
  • To identify predictors of staffing difficulty and operational disruptions within these clinics.
  • To inform strategies for enhancing the sustainability and reliability of SRFC operations.

Main Methods:

  • A cross-sectional survey was administered to attendees of the 2025 Society of Student-Run Free Clinics annual conference.
  • Data were collected anonymously via a web-based platform using convenience sampling and QR-code recruitment.
  • Multivariable ordinal logistic regression was used to analyze predictors of staffing difficulty and operational disruptions, with estimates pooled using Rubin's rules.

Main Results:

  • Higher student volunteer retention beyond one year was significantly associated with reduced odds of staffing difficulty (OR 0.43) and operational disruptions (OR 0.42).
  • Most clinics utilized electronic medical records (83%) and reported substantial student participation (64% with ≥10 volunteers/shift).
  • Staffing difficulty was reported as occasional (48%) or rare (32%), and operational disruptions were uncommon (57% never, 34% rare).

Conclusions:

  • Student volunteer retention is a critical factor for maintaining staffing stability and minimizing operational disruptions in SRFCs.
  • Promoting longitudinal student engagement through operational models can enhance clinic reliability.
  • Improving volunteer retention is essential for the sustainable delivery of safety net care by SRFCs.