TY - JOUR KW - Adult KW - Altruism KW - Ambulatory Care Facilities/organization & administration/utilization KW - Clinical Competence KW - Community Health Services/organization & administration/utilization KW - Community-Institutional Relations KW - Comorbidity KW - Education, Medical, Undergraduate/methods KW - Female KW - Homeless Persons/statistics & numerical data KW - Humans KW - Male KW - Medically Underserved Area KW - Middle Aged KW - New York City KW - Patients/statistics & numerical data KW - Primary Health Care/organization & administration/statistics & numerical data KW - Students, Medical KW - Substance-Related Disorders/epidemiology AU - P. Batra AU - J. S. Chertok AU - C. E. Fisher AU - M. W. Manseau AU - V. N. Manuelli AU - J. Spears A1 - AB - 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. BT - Journal of urban health : bulletin of the New York Academy of Medicine C5 - Education & Workforce; Healthcare Disparities; Medical Home CP - 5 CY - United States DO - 10.1007/s11524-009-9386-z IS - 5 JF - Journal of urban health : bulletin of the New York Academy of Medicine N2 - 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. PP - United States PY - 2009 SN - 1468-2869; 1099-3460 SP - 781 EP - 790 EP - T1 - The Columbia-Harlem Homeless Medical Partnership: A new model for learning in the service of those in medical need T2 - Journal of urban health : bulletin of the New York Academy of Medicine TI - The Columbia-Harlem Homeless Medical Partnership: A new model for learning in the service of those in medical need U1 - Education & Workforce; Healthcare Disparities; Medical Home U2 - 19585243 U3 - 10.1007/s11524-009-9386-z VL - 86 VO - 1468-2869; 1099-3460 Y1 - 2009 ER -