Primary Care Training and Enhancement -- Residency Training in Street Medicine - Project Title: Improving Street Medicine Training in Oklahoma Residency Programs through Collaboration and Interprofessional Approaches Applicant Organization: Board of Regents of the University of Oklahoma Health Sciences Center, Office of Research Administration; 865 Research Parkway – URP865-450, Oklahoma City, OK 73104; The University of Oklahoma, College of Medicine, 800 Stanton L. Young, Blvd., AAT Suite 4000, Oklahoma City, Oklahoma 73126-0901 Project Director: Brian Lich, MD; Phone: 405.271.5882 Ext. 2; brian-lich@ouhsc.edu; https://www.oumedicine.com/college-of-medicine Grant Funds Requested: $2,500,000 ($500,000 per year) Funding Priority & Preference: Funding Priority (Rural); Preference (High MUC Placement) The University of Oklahoma Health Sciences Center College of Medicine is submitting the Improving Street Medicine Training in Oklahoma Residency Programs through Collaboration and Interprofessional Approaches. The goal of the project is to increase the number of primary care physicians (i.e., family medicine, internal medicine, pediatrics, combined internal medicine-pediatrics) who are prepared to provide care for people experiencing homelessness, by bringing care to people outside of traditional clinical settings. We will do this by focusing on three primary objectives each with several subobjectives: Objective 1: Develop or enhance trainings, clinical rotations, and didactic and clinical curricula content to train residents in street medicine to provide sensitive and quality care for people experiencing homelessness. Attention to mental health and substance use disorders is expected. Sub-Objective 1.1: Build or expand a targeted curriculum that focuses on delivering primary care services to a population experiencing homelessness. Sub-Objective 1.2: Develop partnerships between academic, community-based organizations (CBOs), and other service providers to develop clinical rotations for residents to learn to provide care for homeless populations, including at least two one-month rotations that focus on providing health care to the homeless. Objective 2: Increase residents’ knowledge and skills to meet the unique needs of people experiencing homelessness and assist patients with navigation of the medical, behavioral health, legal, and social support systems related to clinical care. Sub-Objective 2.1: Provide residents with training in the prevention, identification, diagnosis, treatment, and referral of services for behavioral health conditions, with a focus on substance use disorders and Medication for Opioid Use Disorder (MOUD) as part of their primary care training. Sub-Objective 2.2: Provide residents with a robust education in SDoH as they relate to the causes, epidemiology, and treatment of health conditions experienced by homeless populations. Sub-Objective 2.3: Provide residents with didactic and experiential learning experiences about cultural and linguistic competency. Objective 3: Increase residents’ knowledge and skills to work in interprofessional teams, including chronic disease management, mental health, substance use, and medical-legal interprofessional teams, to address the SDoH that impact patient care. Sub-Objective 3.1: Provide experiential training in the use of an interprofessional teams to provide treatment for health conditions experienced by homeless populations, specifically focusing on the treatment of chronic conditions. Sub-Objective 3.2: Provide training to residents regarding how to interact with the legal systems that may impact their patients’ care, through partnerships with legal-aid organizations or medical legal.
