Abstract
Though altruism and patient advocacy are promoted in medical education curricula, students are given few opportunities to develop these skills. Student-run clinics focusing on the health needs of the underserved can provide important health services to needy patients while providing students with career-influencing primary care experiences. The Columbia-Harlem Homeless Medical Partnership (CHHMP)—a project initiated by medical students to provide primary care to Northern Manhattan's homeless population—serves as a new model of service learning in medical education. Unlike many other student-run clinics, CHHMP has developed direct patient outreach, continuous care (stable “student–patient teams” and a weekly commitment for all volunteers), and regular internal data review. Chart review data presented demonstrate the project's success in providing care to the clinic's target population of homeless and unstably housed patients. Targeted outreach efforts among clients have increased rates of patient follow-up at each subsequent review period. Additionally, CHHMP has used review data to develop services concordant with identified patient needs (psychiatric care and social services). CHHMP has recruited a committed group of volunteers and continues to engender an interest in the health needs of the underserved among students. Not only does CHHMP provide a “medical home” for homeless patients, it also provides a space in which students can develop skills unaddressed in large teaching hospitals. This project, a “win–win” for patients and students, serves as a unique model for community health-based service learning in medical education.
Similar content being viewed by others
References
American Association of Medical Colleges. Learning objectives for medical student education—guidelines for medical schools: report I of the Medical School Objectives Project. Acad Med. 1999; 74: 13-18.
Weigert KM. Academic service learning: its meaning and relevance. New Dir Teach Learn. 1998; 73: 3-10.
Hastings J, Zulman D, Wali S. UCLA mobile clinic project. J Health Care Poor Underserved. 2007; 18: 744-748.
Levy BD, O'Connell JJ. Health care of homeless persons. N Engl J Med. 2004; 350: 2329-2332.
Brown JD, Bone L, Gillis L, Treherne L, Lindamood K, Marsden L. Service learning to impact homelessness: the result of academic and community collaboration. Public Health Rep. 2006; 121: 343-348.
Buchanan D, Witlen R. Balancing service and education: ethical management of student-run clinics. J Health Care Poor Underserved. 2006; 17: 477-485.
Clark DL, Melillo A, Wallace D, Pierrel S, Buck DS. A multidisciplinary, learner-centered, student-run clinic for the homeless. Fam Med. 2003; 35(6): 394-397.
Fournier AM, Perez-Stable A, Greer PJ Jr. Lessons from a clinic for the homeless: the Camillus health concern. JAMA. 1993; 270(22): 2721-2724.
Buchanan D, Jain S. Teaching students about health care of the homeless. Acad Med. 2001; 76(5): 524-525.
Porterfield DS, Konrad TR, Porter CQ, et al. Caring for the underserved: current practice of the Alumni of the National Health Service Corps. J Health Care Poor Underserved. 2003; 14(2): 256-271.
Fournier A. Service learning in a homeless clinic. J Gen Intern Med. 1999; 14: 258-259.
Wright NM, Tompkins CN. How can health services effectively meet the health needs of homeless people? Br J Gen Pract. 2006; 56: 286-293.
New York City Departments of Health and Mental Hygiene and Homeless Services. The Health of Homeless Adults in New York City. December 2005. Accessed on: 22 Feb 2009 and Available at: http://nyc.gov/html/doh/downloads/pdf/epi/epi-homeless-200512.pdf.
Coalition for the Homeless. State of the Homeless 2007. Accessed on: 9 Feb 2009 and Available at: http://www.coalitionforthehomeless.org/basicfacts.html.
SAS software, version 9.1 of the SAS System for Windows. Copyright (c) 2002–2003. SAS Institute Inc., Cary, NC, USA.
Funding support
The Houston Family Foundation; The Gold Humanism Society; the Alpha Omega Alpha Honor Society's Grant for Medical Student Service; The Center for Family and Community Medicine, Columbia University; and St. Mary's Church, New York, NY.
Disclosures
The authors have nothing to disclose.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Batra, P., Chertok, J.S., Fisher, C.E. et al. The Columbia-Harlem Homeless Medical Partnership: A New Model for Learning in the Service of Those in Medical Need. J Urban Health 86, 781–790 (2009). https://doi.org/10.1007/s11524-009-9386-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11524-009-9386-z