AHRQ Innovations Exchange | Cross-Training of Medical, Dental, and Psychiatric Fellows Enhances Access to Comprehensive Care for Homeless and Formerly Homeless Older Adults

Cross-Training of Medical, Dental, and Psychiatric Fellows Enhances Access to Comprehensive Care for Homeless and Formerly Homeless Older Adults

Snapshot
Summary
The Harvard Geriatrics Fellowship Program cross-trains medical, psychiatric, and dental fellows to provide comprehensive health care services to underserved older adults. Fellows complete a 6-week rotation in which they collaborate with their peers to offer consultations and care to homeless and formerly homeless older adults living in group residences on a weekly basis. Fellows also participate in monthly conferences to review cases and weekly didactic sessions designed to improve their skills and knowledge in serving this population. The program has enhanced access to care for a population that previously had little means of securing such services, and has received positive feedback from both patients and fellows. A formal evaluation of the impact on health outcomes is underway.
Evidence Rating
Suggestive: The evidence consists of post-implementation data on program use and anecdotal feedback from patients and fellows.

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AHRQ Innovations Exchange | Cross-Training of Medical, Dental, and Psychiatric Fellows Enhances Access to Comprehensive Care for Homeless and Formerly Homeless Older Adults