Lessons from a clinic for the homeless. The Camillus Health Concern

Area of Science:

• Medical Education
• Public Health
• Homeless Healthcare

Background:

• The Camillus Health Concern clinic in Miami, Florida, previously operated solely as a service model for homeless individuals.
• Affiliation with the University of Miami School of Medicine prompted a transition to an integrated education and service model.

Purpose of the Study:

• To describe the educational opportunities and outcomes of a model clinic serving homeless persons.
• To evaluate the impact of integrating medical education within a healthcare service for the homeless population.

Main Methods:

• A descriptive study design was employed.
• Data were collected on patient numbers, clinic encounters, and student/resident participation (rotations, numbers, hours).
• The study focused on the shift from a service-only model to an education and service model.

Main Results:

• The transition to an education and service model increased clinic productivity.
• A unique, multifaceted educational experience was provided to students, residents, and faculty.
• The model offered valuable clinical training and professional satisfaction.

Conclusions:

• Key success factors include professional satisfaction, a collaborative team approach (faculty, students, nurses, social workers), emphasis on clinical judgment over extensive testing, and teaching social responsibility.
• The model demonstrates the potential for homeless clinics to serve as effective alternative ambulatory training sites.
• Other medical schools are encouraged to consider developing similar clinics for the homeless.