INTRODUCTION: Healthcare needs among homeless populations are difficult to meet within the scope of a standard healthcare model. A street medicine model addresses the specific needs of those experiencing homelessness; healthcare professionals seek to build trust and rapport with people who are living unsheltered by taking their clinical practice to the streets. The street medicine program evaluated in this study provides primary and behavioral care in a metropolitan area in the Southeastern United States. AIM: This program evaluation aimed to answer the following questions: how has the street medicine program affected the perceptions of ill-health and access to healthcare among its current patients? Further, how would the current patients of the street medicine program rate their satisfaction with the program and are they aware of all available services? METHODS: Using a mixed methods approach, 40 semi-structured interviews and participant observations were conducted with patients of the street medicine program. Participants were asked to rate their satisfaction with the program and their overall health status on a 5 point Likert scale. Informed by Consensual Qualitative Research (CQR) analysis methods, the qualitative data were transcribed and coded. All quantitative analyses were done using SPSS. RESULTS: Overall, 70% of participants rated their satisfaction with the street medicine program as excellent (n=28). For self-rated health status, there was a normal distribution across the Likert scale with 43% reporting their overall health status as moderate (n=17). Using CQR, four key domains emerged from the qualitative data: community trust, rapport building, needs addressed, and needs not addressed. These domains encompassed specific participant responses. Examples include: heard about the street medicine program through word of mouth (community trust), team showed kindness (rapport building), received diagnosis and treatment (needs addressed), and needing help getting into housing (needs not addressed). CONCLUSION: Overall, this study validated the effectiveness of the street medicine program in building trust and rapport with its patients. Satisfaction with the street medicine was high across patients. This study contributes information regarding patient experiences within an alternate healthcare model serving a highly vulnerable population.

INTRODUCTION: Street medicine programs utilize a nontraditional healthcare model to provide care to populations experiencing homelessness. Through street medicine programs, clinicians take to the streets to offer services to individuals who are living unsheltered. Many street medicine programs offer health professional students the opportunity to volunteer and provide care to this vulnerable population. AIM: This exploratory study aimed to answer the following question: what influence does volunteering with a street medicine program have on the career trajectories of student volunteers who ultimately choose to work with medically underserved populations (MUPs)? METHODS: This study used an exploratory mixed methods approach to answering the research question. The core ideas that emerged from the qualitative data collected from street medicine student volunteers were used to inform the development of a web-based survey administered to a broader, national sample of street medicine student volunteers. The survey included closed- and opened- ended questions, as well as demographic questions. The Health Professionals’ Attitude Towards the Homeless Inventory (HPATHI; Buck et al., 2005) questionnaire was embedded into the survey to measure students’ attitudes towards the population experiencing homelessness before and after volunteering with a street medicine program. RESULTS: The results suggested that 15 (65.22%) of the 23 participants who completed the web-based survey reported that volunteering with a street medicine program influenced their decision to ultimately work with MUPs. Of the 19 participants who provided qualitative feedback, 7 (36.84%) mentioned that their decision to work with MUPs was influenced by their increased exposure and awareness to the barriers and needs of MUPs while volunteering with a street medicine program. Additionally, 6 (31.58%) participants mentioned that their previous decision to work with MUPs was reinforced while volunteering with a street medicine program. CONCLUSION: Volunteering with a street medicine program appears to help motivate students to work with MUPs. Incorporating opportunities to volunteer with a street medicine program into current health professional school curriculum has the potential to impact a greater network of students, as well as influence decisions regarding the students’ careers.