Journal of Urban Health

, Volume 86, Issue 5, pp 781–790 | Cite as

The Columbia-Harlem Homeless Medical Partnership: A New Model for Learning in the Service of Those in Medical Need

  • Priya BatraEmail author
  • Judy Sara Chertok
  • Carl Erik Fisher
  • Marc William Manseau
  • Victoria Nicole Manuelli
  • James Spears


Though altruism and patient advocacy are promoted in medical education curricula, students are given few opportunities to develop these skills. Student-run clinics focusing on the health needs of the underserved can provide important health services to needy patients while providing students with career-influencing primary care experiences. The Columbia-Harlem Homeless Medical Partnership (CHHMP)—a project initiated by medical students to provide primary care to Northern Manhattan's homeless population—serves as a new model of service learning in medical education. Unlike many other student-run clinics, CHHMP has developed direct patient outreach, continuous care (stable “student–patient teams” and a weekly commitment for all volunteers), and regular internal data review. Chart review data presented demonstrate the project's success in providing care to the clinic's target population of homeless and unstably housed patients. Targeted outreach efforts among clients have increased rates of patient follow-up at each subsequent review period. Additionally, CHHMP has used review data to develop services concordant with identified patient needs (psychiatric care and social services). CHHMP has recruited a committed group of volunteers and continues to engender an interest in the health needs of the underserved among students. Not only does CHHMP provide a “medical home” for homeless patients, it also provides a space in which students can develop skills unaddressed in large teaching hospitals. This project, a “win–win” for patients and students, serves as a unique model for community health-based service learning in medical education.


Homelessness Medical education Service learning Housing Clinical services 


Funding support

The Houston Family Foundation; The Gold Humanism Society; the Alpha Omega Alpha Honor Society's Grant for Medical Student Service; The Center for Family and Community Medicine, Columbia University; and St. Mary's Church, New York, NY.


The authors have nothing to disclose.


  1. 1.
    American Association of Medical Colleges. Learning objectives for medical student education—guidelines for medical schools: report I of the Medical School Objectives Project. Acad Med. 1999; 74: 13-18.CrossRefGoogle Scholar
  2. 2.
    Weigert KM. Academic service learning: its meaning and relevance. New Dir Teach Learn. 1998; 73: 3-10.CrossRefGoogle Scholar
  3. 3.
    Hastings J, Zulman D, Wali S. UCLA mobile clinic project. J Health Care Poor Underserved. 2007; 18: 744-748.PubMedGoogle Scholar
  4. 4.
    Levy BD, O'Connell JJ. Health care of homeless persons. N Engl J Med. 2004; 350: 2329-2332.PubMedCrossRefGoogle Scholar
  5. 5.
    Brown JD, Bone L, Gillis L, Treherne L, Lindamood K, Marsden L. Service learning to impact homelessness: the result of academic and community collaboration. Public Health Rep. 2006; 121: 343-348.PubMedGoogle Scholar
  6. 6.
    Buchanan D, Witlen R. Balancing service and education: ethical management of student-run clinics. J Health Care Poor Underserved. 2006; 17: 477-485.PubMedCrossRefGoogle Scholar
  7. 7.
    Clark DL, Melillo A, Wallace D, Pierrel S, Buck DS. A multidisciplinary, learner-centered, student-run clinic for the homeless. Fam Med. 2003; 35(6): 394-397.PubMedGoogle Scholar
  8. 8.
    Fournier AM, Perez-Stable A, Greer PJ Jr. Lessons from a clinic for the homeless: the Camillus health concern. JAMA. 1993; 270(22): 2721-2724.PubMedCrossRefGoogle Scholar
  9. 9.
    Buchanan D, Jain S. Teaching students about health care of the homeless. Acad Med. 2001; 76(5): 524-525.PubMedCrossRefGoogle Scholar
  10. 10.
    Porterfield DS, Konrad TR, Porter CQ, et al. Caring for the underserved: current practice of the Alumni of the National Health Service Corps. J Health Care Poor Underserved. 2003; 14(2): 256-271.PubMedCrossRefGoogle Scholar
  11. 11.
    Fournier A. Service learning in a homeless clinic. J Gen Intern Med. 1999; 14: 258-259.PubMedCrossRefGoogle Scholar
  12. 12.
    Wright NM, Tompkins CN. How can health services effectively meet the health needs of homeless people? Br J Gen Pract. 2006; 56: 286-293.PubMedGoogle Scholar
  13. 13.
    New York City Departments of Health and Mental Hygiene and Homeless Services. The Health of Homeless Adults in New York City. December 2005. Accessed on: 22 Feb 2009 and Available at:
  14. 14.
    Coalition for the Homeless. State of the Homeless 2007. Accessed on: 9 Feb 2009 and Available at:
  15. 15.
    SAS software, version 9.1 of the SAS System for Windows. Copyright (c) 2002–2003. SAS Institute Inc., Cary, NC, USA.Google Scholar

Copyright information

© The New York Academy of Medicine 2009

Authors and Affiliations

  • Priya Batra
    • 1
    Email author
  • Judy Sara Chertok
    • 2
  • Carl Erik Fisher
    • 3
  • Marc William Manseau
    • 4
  • Victoria Nicole Manuelli
    • 1
  • James Spears
    • 2
  1. 1.College of Physicians and SurgeonsColumbia UniversityNew YorkUSA
  2. 2.Center for Family and Community MedicineColumbia UniversityNew YorkUSA
  3. 3.Department of PsychiatryColumbia University and New York State Psychiatric InstituteNew YorkUSA
  4. 4.Department of PsychiatryNew York University School of MedicineNew YorkUSA

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