Training Students as Navigators for Patients Experiencing Homelessness

Liu, Alison; Suarez, Arlen; Lehnen, Jamie; Mitchell, Dalia N; Ray, Garrett; Lanier, Heather; Golla, Chandana; Bonner, Natalie; Rossopoulos, Thanos; Barrie, Umaru; Pagels, Patti; Day, Philip; Gimpel, Nora

doi:10.22454/fammed.55.143409

Cited by 6 publications

(10 citation statements)

References 16 publications

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“…Prior to volunteering, students take a semester-long course educating them about the barriers faced by PEH and available resources. 4 The fellowship is structured as teams of three to five student navigators serving clients for three 15-week cycles during a calendar year. Each team and their client establish five to six SMART goals to achieve over the course of the cycle.…”

Section: Methodsmentioning

confidence: 99%

“…A previous study investigated the impact of the semesterlong training elective on a student cohort from one year. 4 Our study included the previous study's data as well as additional data from that cohort following the fellowship and another full-year's cohort data. This study has been approved by the University of Texas Southwestern Medical Center Institutional Review Board.…”

Section: Methodsmentioning

confidence: 99%

“…3 To meet the needs of PEH in DFW, medical students established the student-run Patient Navigator Program (PNP), which began as a training elective course on the experiences of PEH. 4 Subsequently, the PNP fellowship was developed to improve the health and wellbeing of PEH in Dallas by pairing them with student navigators who connect them with available community resources. 4 To our knowledge, PNP is the only patient navigation program that is fully run by medical students and the only program involving medical students with PEH.…”

Section: Introductionmentioning

confidence: 99%

“…4 Subsequently, the PNP fellowship was developed to improve the health and wellbeing of PEH in Dallas by pairing them with student navigators who connect them with available community resources. 4 To our knowledge, PNP is the only patient navigation program that is fully run by medical students and the only program involving medical students with PEH. [5][6][7] While impact of the PNP training elective has been studied previously, an understanding of how participation as a patient navigator impacts student navigators is lacking.…”

Section: Introductionmentioning

confidence: 99%

“…[5][6][7] While impact of the PNP training elective has been studied previously, an understanding of how participation as a patient navigator impacts student navigators is lacking. 4 The purpose of this study was to build on previously published data and determine how medical students' attitudes, knowledge, and confidence working with PEH have changed during their involvement in PNP, particularly after experiential involvement as a patient navigator.…”

Section: Introductionmentioning

confidence: 99%

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Assessing Educational and Attitudinal Outcomes of a Student Learner Experience Focused on Homelessness

Annapureddy,

Teaw,

Kumar

et al. 2024

Fam Med

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Background and Objectives: Patient navigation programs help guide vulnerable populations, such as those experiencing homelessness, through the health care system. Medical students developed the student-run Patient Navigator Program (PNP) to serve persons experiencing homelessness (PEH) in the Dallas area. The objective of this study was to build on previously published data to determine how medical student attitudes, knowledge, and confidence working with PEH changed during involvement in the PNP, particularly after participating as a patient navigator. Methods: Student fellows completed a survey prior to a training elective (time point 1), immediately after the training elective (time point 2), and after acting as a patient navigator (time point 3). The PNP survey, which intended to measure student attitudes and knowledge regarding PEH, included the Health Professionals’ Attitudes Toward the Homeless Inventory (HPATHI) and the Student-Run Free Clinic Project (SRFCP) surveys. In our analysis, we compared responses among the different time points. Results: Seventy-six of 88 students who completed the training elective chose to participate in the PNP fellowship. Skills, knowledge, and self-efficacy improved from time points 1 to 2, 1 to 3, and 2 to 3. Social advocacy also improved from time points 1 to 2 and 1 to 3. Conclusions: Improvements from time point 1 to 2 demonstrated the value of didactic learning, while further improvements from time point 2 to 3 demonstrated the added benefit of hands-on experiential learning. Our study illustrates the potential educational benefits that a PNP provides to medical students who may encounter or care for this population during their careers.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessing Educational and Attitudinal Outcomes of a Student Learner Experience Focused on Homelessness

Annapureddy,

Teaw,

Kumar

et al. 2024

Fam Med

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Graduate and Undergraduate Medical Curricula That Address the Needs of People Who Experience Homelessness: A Scoping Review Protocol

Linvill,

Verlaque,

O’Sullivan

et al. 2024

HRB Open Res

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Background The impact that increased homelessness has on the healthcare system should be of great concern to medical providers and the institutions that train them. While the demand for medical providers who understand the healthcare needs of homeless individuals is high, traditional medical curricula do not adequately address this. Objectives This scoping review aims to examine published undergraduate and graduate medical curricula that address the healthcare needs of homeless individuals to support the development and evaluation of homeless healthcare curricula globally. Methods This paper will utilise Arksey & O’Malley’s framework for scoping reviews to ensure a systematic scoping review. Research will be conducted in accordance with the Joanna Briggs Institute's (JBI) Updated Methodological Guidance for the Conduct of Scoping Reviews and the Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Review (PRISMA-ScR). Due to financial and time constraints, only articles published after 2000 and written in English will be reviewed. A comprehensive search strategy will be developed that includes searches in PubMed, Scopus, Embase and CINAHL with additional hand-searching of key articles. Each article will be screened independently by two reviewers. A third reviewer will resolve any disagreements. Data extraction will begin with a pre-defined extraction form (Extended Data File 3) and will be subsequently analysed with JBI’s current guidelines on inductive approaches to qualitative content analysis. Conclusion Research findings will be distributed to individuals who oversee the university’s medical curricula at the Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences. Discussions will be held to assess opportunities for the implementation/integration of homeless healthcare curricula. Furthermore, these findings will be disseminated globally to healthcare providers and administrators at conferences, hospitals and clinics.

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Growth and Experiences of a Student-Led Patient Navigation Program Serving Individuals Experiencing Homelessness

2024

MSRJ

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Background: Those experiencing homelessness face disproportionately large barriers in access to healthcare. Patient Navigation is a service that provides disadvantaged populations with guidance through healthcare systems. Acting as a patient navigator is found to help enhance learning in the pre-clinical years of medical school. Developed by medical students, the Patient Navigator Program (PNP) pairs medical students trained as patient navigators with individuals experiencing homelessness. The uniqueness of this program lies in its fully student-run format, simultaneously providing individuals experiencing homelessness with longitudinal navigation services toward self-defined goals and medical students with exposure to a disadvantaged and underserved population in their early years of medical school. The purpose of this study is to evaluate the growth and student experiences of PNP from its inception and inform those who aim to develop similar student-run patient navigation programs. Methods: Participation metrics in the program were extracted from volunteer records, and five 30-min student leader semi-structured interviews were conducted using open-ended questions to investigate the experiences of those who developed the program. Interviews were transcribed, and responses were categorized by themes. Results: Enduring involvement in PNP over years was demonstrated quantitatively through participation metrics and qualitatively through interviews. Positive aspects of participation in PNP were meeting and working with other students, utilizing their creative vision in developing the program, learning about those experiencing homelessness and the local resources available to them, shaping career goals and academic interests, and learning the soft skills necessary for medical clerkships. Negative experiences primarily revolved around time constraints of the program in addition to their academic responsibilities. Commonly stated advice included identifying an appropriate faculty mentor and building strong relationships with community partners. Conclusions: Participation in PNP was felt to be beneficial both personally and professionally. Reporting these perspectives and experiences will provide insight to future student-led programs at other institutions.

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Training Students as Navigators for Patients Experiencing Homelessness

Cited by 6 publications

References 16 publications

Assessing Educational and Attitudinal Outcomes of a Student Learner Experience Focused on Homelessness

Assessing Educational and Attitudinal Outcomes of a Student Learner Experience Focused on Homelessness

Graduate and Undergraduate Medical Curricula That Address the Needs of People Who Experience Homelessness: A Scoping Review Protocol

Growth and Experiences of a Student-Led Patient Navigation Program Serving Individuals Experiencing Homelessness

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