223 The Impact of a Community Tour on Incoming Residents During Orientation at an Inner-City Hospital

Lupicki, K.; Parish, Austin J; Caldwell, Cleopatra Howard; Josephson, Elaine B.; Rosario, Davami; Waseem, Muhammad

doi:10.1016/j.annemergmed.2021.09.235

Cited by 1 publication

(3 citation statements)

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“…After the conference, there was a reported 78.2% increase in self-assessed “very good” or “excellent” knowledge on homelessness and pregnancy among the participants. 89 Lupicki and colleagues 90 described a community tour for residents that included a homeless shelter, and after the intervention a significantly larger percentage of participants reported feeling highly prepared to work with impoverished patients. However, less than 13.3% of residents who participated were in surgical specialties.…”

Section: Resultsmentioning

confidence: 99%

“…However, less than 13.3% of residents who participated were in surgical specialties. 90 Both of these studies were published only as abstracts at the time of our review. A primary study by Sayal and colleagues 91 explored the attitudes of medical students and ophthalmology residents working with PEH.…”

Section: Resultsmentioning

confidence: 99%

“… 122 However, although only available in the form of abstracts, the studies that investigated educational initiatives found positive responses among the learners involved. 89 , 90 As interacting with patients with complex social needs without “quick-fix” solutions can be emotionally draining for medical professionals and learners, more interventions to properly prepare students and professionals should be put in place. This, in turn, has the potential to reduce the negative interactions PEH face when interacting with the medical system for there is a negative association between burnout and empathy.…”

Section: Discussionmentioning

confidence: 99%

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A scoping review of surgical care for people experiencing homelessness: prevalence, access, and disparities

Hircock,

Huan,

Pizzola

et al. 2024

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Background: Numerous studies have highlighted the inequitable access to medical and psychiatric care that people experiencing homelessness (PEH) face, yet the surgical needs of this population are not well understood. We sought to assess evidence describing surgical care for PEH and to perform a thematic analysis of the results. Methods: Ovid MEDLINE, Embase, and Web of Science were searched using the terms “surgery” AND “homelessness.” Grey literature was also searched. We used a stepwise scoping review methodology, followed by thematic analysis using an inductive approach. Results: We included 104 articles in our review. Studies were included from 5 continents; 63% originated in the United States. All surgical specialties were represented with varying surgical conditions and procedures for each. Orthopedic surgery (21%) was the most frequently reported specialty. Themes identified included characteristics of PEH receiving surgical care, homeless-to-housed participants, interaction with the health care system, educational initiatives, barriers and challenges, and interventions and future strategies. Conclusion: We identified significant variation and gaps, representing opportunities for further research and interventions. Further addressing the barriers and challenges that PEH face when accessing surgical care can better address the needs of this population.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%