812 New Project Proposal: Reaching Across Continents: Educating Medical Students And Future Family Doctors (Fd) And General Practitioners (Gp) About The Medical Needs Of Homeless Families: Early Lessons From Homeless Women Of Boston (Massachusetts,

Tanur M, Means R, Smalarz M, Banks J, Malfoy-Camine E, Goodman E
United States
Introduction: The number of homeless families residing in shelters in the state of Massachusetts rose 32% during 2008. Our teams caring for homeless women now see more geriatric and complex medicine than previously. Reform of American health care stimulates medical educators to create community-based classrooms and multidimensional, social awareness of primary care.
Aims: 1.To understand the medical needs and challenges of homeless patients, starting with experiences with women in homeless shelters in Boston 2.To assess the short term effects of exposure to ’shelter medicine' upon doctors in training 3.To follow up by surveying how GPs have integrated training in 'shelter medicine’ into their long term practices years hence 4.To explore with European GP collaborators how this 'shelter medicine' teaching model could be transferred to European cities.
Materials /Methods: Our model has affected the training of many medical and nursing students, residents, and physicians, helping them to better treat underserved patients. Immediate, post hoc reflective writing pieces demonstrate the valuable insights gained by GP trainees. A qualitative analysis of these trainee evaluations is an initial goal. An email survey of past participants will be conducted spring, 2011; this survey will follow participants' satisfaction, career choices, and community service long term.
Results: Preliminary qualitative results reveal significant initial impact on medical trainees. Such results have been presented at the Society of General Internal Medicine and the American Public Health Association. A related geriatric program will be discussed at the Society of Teachers in Family Medicine in New Orleans, spring 2011
Conclusion: Our training medical students and new GPs in caring for this special population-seen on early evaluation seems fruitful. We plan on further evaluations as our trainees progress in their careers; we hope to share this model with our European colleagues; we look forward to learning from European GPs about approaches to underserved communities.
New project proposal: Reaching Across Continents: educating medical students and future Family Doctors (FD) and General Practitioners (GP) about the medical needs of homeless families: early lessons from homeless women of Boston (Massachusetts,