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Training Students as Navigators for Patients Experiencing Homelessness.

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Medical students trained in a novel Patient Navigator Program (PNP) showed improved attitudes and skills in caring for homeless individuals. This education enhances preparedness for serving underserved populations.

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Area of Science:

  • Medical Education
  • Public Health
  • Health Disparities

Background:

  • Homelessness significantly impacts health outcomes.
  • Medical and health professions students often lack formal training in caring for individuals experiencing homelessness.

Purpose of the Study:

  • To implement and evaluate a novel student-run Patient Navigator Program (PNP).
  • To assess the impact of a prerequisite elective on student preparedness in patient navigation for homeless populations.

Main Methods:

  • Pre- and post-surveys analyzed matched student responses using validated instruments (HPATHI, SRFCP).
  • Paired t tests and Wilcoxon signed-rank tests examined differences.
  • End-of-curriculum evaluations assessed student satisfaction.

Main Results:

  • Students (n=45) showed improved attitudes towards homeless individuals (P=.03), including increased social advocacy (P<.001).
  • Self-perceived knowledge (P<.001), efficacy (P=.01), and skills (P<.001) in caring for underserved groups increased.
  • The elective received high student satisfaction ratings.

Conclusions:

  • Formal education in patient navigation improves healthcare students' preparedness.
  • Training enhances skills for serving homeless and underserved populations effectively.