Primary Care Training and Enhancement—Residency Training in Street Medicine (PCTE-RTSM)

For program and eligibility questions:
Steve Coulter, MD
301.945.3336
pcte-rtsm@hrsa.gov

For financial and budget questions:
Reginal Baker
301.945.3937
Rbaker@hrsa.gov

Grants.gov contact center:
800.518.4726
support@grants.gov
Self-service knowledge base

HRSA contact center:
877.464.4772
TTY: 877.897.9910
HRSA contact page

SAM.gov:
866.606.8220
Federal service desk

This opportunity, PCTE-RTSM, offers funding to enhance training in street medicine for residents enrolled in accredited primary care residency programs.

Objectives:

• Develop or enhance trainings, clinical rotations, and didactic and clinical curricula content to train residents in street medicine to provide sensitive and quality care for people experiencing homelessness
• Increase residents' knowledge and skills to meet the unique needs of people experiencing homelessness and assist patients with navigation of the medical, behavioral health, legal, and social support systems related to clinical care
• Increase residents' knowledge and skills to work in interprofessional teams, including chronic disease management, mental health, substance use, and medical-legal interprofessional teams, to address the SDOH that impact patient care

Required activities and expectations:

• Build or expand a targeted curriculum that focuses on delivering primary care services to a population experiencing homelessness
• Provide residents with training in the prevention, identification, diagnosis, treatment, and referral of services for behavioral health conditions, with a focus on substance use disorders and Medication for Opioid Use Disorder (MOUD) as part of their primary care training
• Provide experiential training in the use of an interprofessional team to provide treatment for health conditions experienced by homeless populations, specifically focusing on the treatment of chronic conditions
• Develop partnerships between academic, community-based organizations (CBOs), and other service providers to develop clinical rotations for residents to learn to provide care for homeless populations, including at least two one-month rotations that focus on providing healthcare to the homeless
• Provide residents with a robust education in social determinants of health (SDOH) as they relate to the causes, epidemiology, and treatment of health conditions experienced by homeless populations
• Provide residents with didactic and experiential learning experiences about cultural and linguistic competency
• Provide training to residents regarding how to interact with the legal systems that may impact their patients' care, through partnerships with legal-aid organizations or medical legal partnerships
• Ensure that residents have a National Provider Identifier (NPI) number
• Maintain ACGME accreditation of the qualifying residency program, and promptly report to HRSA any change in accreditation status
• Participate in federally designed evaluations to assess program effectiveness and efficiency upon request

Priority will be given to applicants that train residents in rural areas, including for tribes or tribal organizations in rural areas.

Eligible applicants include accredited public or nonprofit private hospitals, schools of medicine or osteopathic medicine, and public or private nonprofit entities.

Award ceiling: $500,000 per year
Project period: 5 years
Estimated number of awards: 19
Estimated total program funding: $9,500,000

Links to the full announcement, application instructions, and the online application process are available through grants.gov.