Wikipedia:Articles for deletion/Street Medicine Institute


 * The following discussion is an archived debate of the proposed deletion of the article below. Please do not modify it. Subsequent comments should be made on the appropriate discussion page (such as the article's talk page or in a deletion review).  No further edits should be made to this page.

The result was keep. I don't believe relisting and spinning the wheel a third time is of material use. User:Cunard has presented numerous sources which seem to me to be reasonable, and nobody has refuted that. If anyone feels they want to move, redirect, or merge this or other pages, that can be done under the usual editorial processes. Stifle (talk) 15:54, 27 August 2020 (UTC)

Street Medicine Institute

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The organization in and itself does not appear to pass WP:NORG or WP:CORPDEPTH. It is named in the LA Times, but a merely a sentence mention. None of the existing sources even mention it. I'm not confident that there are sources that multiple, reliable, independent sources that covers this organization in depth. The intent of this article appears to be advertisement. Four major contributors are SPAs. Graywalls (talk) 02:54, 4 August 2020 (UTC)
 * Note: This discussion has been included in the list of Organizations-related deletion discussions. Graywalls (talk) 02:54, 4 August 2020 (UTC)
 * Note: This discussion has been included in the list of Pennsylvania-related deletion discussions. Graywalls (talk) 02:54, 4 August 2020 (UTC)
 * Note: This discussion has been included in the list of Medicine-related deletion discussions. Graywalls (talk) 18:45, 4 August 2020 (UTC)

Keep and rename to street medicine per the significant coverage in multiple independent reliable sources. Rationale for a rename The article was originally called "street medicine". On 1 March 2016, renamed the article from street medicine to Street Medicine Institute with the rationale "The article is about the organisation, not the concept". I recommend renaming the article back to street medicine and refocusing the article to be about the concept because most of the sources I've found focus on the "street medicine" concept instead of Street Medicine Institute. Sources      </li> <li></li> <li></li> <li></li> <li></li> </ol>

<ol> <li> The article notes: "In 1992, Jim Withers, a faculty attending physician at the University of Pittsburgh Medical Center Mercy Hospital Internal Medicine Residency Program, dressed like a homeless person and, with a backpack filled with medicine, began clan- destinely providing free healthcare on the streets at night for the unsheltered in his community [1]. What began as one doctor’s mission to create a BClassroom of the Streets^ to teach about caring for excluded people, has grown over the last 25 years into the Street Medicine Institute (SMI) and movement (www. streetmedicine.org). Through the Street Medicine Institute’s annual international symposium, the movement has developed global reach. Based on information from the SMI website as well as anecdotal reports, Street Medicine colleagues on every continent are innovating and defining best practices, in partnership with a wide range of brick and mortar settings from academic centers to rural health clinics, all geared towards serving the unsheltered. As the Street Medicine movement has grown, so has learn- er interest, as evidenced by the many clubs and programs that have popped up in affiliation with various medical institutions around the world. Despite the anecdotal growth in learner interest in homelessness and street medicine, its true extent has yet to be formally studied. It is important to distinguish between educational initiatives about homelessness (some- times done via panels, didactics, speaker series, and electives) and the practice of street medicine—where medical care is provided on the street and in transitional settings where unsheltered homeless people live: under bridges and over- passes, in parks, alleys, and on street corners."</li> <li> The abstract notes: "Street Medicine is an emerging model to engage homeless people in health care. Most Street Medicine programs involve attending physicians and medical students conducting after hours “rounds” to encounter homeless children and adults, try to engage them in care, and make appropriate connections to primary and mental health services. In the field, urgent care is offered. Providing a human connection and being available to listen are important for both street carers and street homeless. Medical students and their physician preceptors are able to connect with communities they serve and learn new ways to communicate with this vulnerable population. We report on the Jacobs School of Medicine and Biomedical Sciences Street Medicine program, its goals, development, and early achievements."</li> <li> The article notes: "Jim Withers, MD, and his colleagues make house calls for people who have no home. Withers, medical director of Pittsburgh Mercy’s Operation Safety Net, coined the term street medicine more than a quarter-century ago to describe his team’s work. Street medicine practitioners care for the unsheltered homeless, or “rough sleepers,” where they live—not only on the street but beneath overpasses and bridges, along riverbanks, and behind supermarkets. ... For each of the past 27 years, Withers has cared for about 1200 rough sleepers around downtown Pittsburgh. Thanks in large part to his efforts, street medicine has become an international movement, as evidenced by attendees representing 15 countries at the 15th Annual International Street Medicine Symposium, held recently in Pittsburgh. ... Withers, an internist who is a member of the teaching faculty at the University of Pittsburgh School of Medicine, helped found the Street Medicine Institute a decade ago and volunteers as its medical director."</li> <li> The book notes: "Meeting People Where They Are: Street Medicine and Mobile Clinic Programs Another intervention used to address homeless individuals' health-care needs is the street medicine or mobile clinic model of service provision. These practices involve service providers going directly to the recipients and providing care at their location, rather than the traditional model in which services are rendered at the care provider's fixed location. Physician Jim Withers began doing street medicine work in Pennsylvania in 1992, later collaborating with fellow international street medicine providers and eventually founding the Street Medicine Institute in 2008 (Withers 2011). Reflecting on beginning his street medicine work, Dr. James O'Connell, president of the Boston HCH program, recalls that the end of his scholastic training was the beginning of his practical training in understanding the consequences of homelessness and poverty (O'Connell 2015). Extending the street medicine model, medical schools at universities such as the University at Buffalo have created student-run street medicine programs, which offer unique training opportunities for students as well as critical services to people experiencing homelessness (University at Buffalo School of Medicine and Biomedical Sciences 2017)."</li> <li> The article notes: "Funded by USC, Feldman’s team is one of several providing medical care on the street for L.A. County’s growing homeless population. There are about 59,000 people in the county living in streets, shelters or vehicles. These so-called street medicine teams are multiplying nationwide as well, with more than 90 across the country and some doctors weighing whether the practice should be taught in medical schools. The shift acknowledges not just the humanity of homeless people but also a nationwide failure to house them and provide healthcare to everyone who needs it."</li> <li> The article notes: "The concept of “street medicine” is to deliver what the Feldmans call “transitional primary care” wherever a homeless patient resides, which is often in urban campsites, public parks, and under bridges. The quality metrics and scope of practice — everything from dispensing medications, drawing labs, and conducting a variety of point-of-care testing — are equal to that of what one would expect from a traditional clinic. The structure of street medicine teams and programs can vary widely, but many include a key team member known as a “street guide.” The street guide is a non-medical provider familiar with where the homeless populations are located, which areas are safe, and which should be avoided, as well as where specific patients can typically be found. ... Around the world, the number of street medicine programs, similar in concept to the one the Feldmans started, has been on the rise in recent years. But the practice has been around for decades. ... Care Connections in Fort Worth, Texas, is a prime example of a program that can attest to the value of street medicine. A component of the JPS Health Network, the program has gained significant traction within the region largely due to increased provider collaboration and training opportunities."</li> <li> The article notes: "Street medicine got its start more than 30 years ago as an altruistic pursuit of individual doctors and nurses. In cities scattered around the country and the world, they left the office and headed outside to care for the chronically homeless, a population that is generally sicker and dies far younger than people with homes. Until recently, though, relatively few of the 60 street medicine programs that operate nationwide have been affiliated with a hospital or health system. As health networks face increasing pressure to rein in costs, that could change. Homeless people use the emergency room more often than the general population, stay longer and are readmitted at higher rates — a triple financial blow that’s inflicting “open wounds, bleeding wounds for hospitals,” says Dr. Jim Withers, a street medicine pioneer who launched Pittsburgh Mercy’s Operation Safety Net program in 1992."</li> <li> The article notes: "That description — “a hard life” — could easily apply to the entire caseload of homeless patients served by the still-emerging field of street medicine. “Street medicine,” which had only a few resolute practitioners when it got its start in the mid-1980s, has surged within the past decade, growing into a network of programs in over 85 cities and in 15 countries. In the United States, street medicine programs are operating in more than 20 states and at least 45 cities, including New York, Chicago, Atlanta, Los Angeles, Minneapolis, Detroit and Washington, D.C. Advocates attribute much of the growth to organized efforts by street medicine supporters to expand awareness and create new programs. The first street medicine symposium was held in 2005 in Pittsburgh, followed by the creation of the Street Medicine Institute four years later. A 2017 symposium in Allentown, Pennsylvania, drew more than 500 international participants, compared with a handful at the Pittsburgh gathering."</li> <li> The article notes: "Street medicine is what it sounds like: the practice of providing health care to the unsheltered homeless—people who live in the streets, in abandoned buildings, or in their cars. There are more than 44,000 unsheltered homeless people in Los Angeles alone, the most in any American city. ... On March 20 the Institute of Street Medicine, a governing body, released a guide—Street Medicine Practice During the COVID-19 Pandemic, available for free—providing practical suggestions for street medicine teams. In 2005, fewer than a dozen street medicine programs existed in the world. Today there are more than 100, and the Institute provides consistent support, training, and guidelines to local affiliates."</li> </ol>

There is sufficient coverage in reliable sources to allow street medicine to pass Notability, which requires "significant coverage in reliable sources that are independent of the subject". Cunard (talk) 10:02, 9 August 2020 (UTC)</li></ul>

Comment to above. Street medicine redirects here. I'm not sure if it's Wikipedia convention to convert an article from one thing to another, such as from a general concept to a company. Perhaps the redirect can be terminated and contents related to concept can go there, and this page can be DELETED. Graywalls (talk) 17:53, 9 August 2020 (UTC) <div class="xfd_relist" style="border-top: 1px solid #AAA; border-bottom: 1px solid #AAA; padding: 0px 25px;"> Relisted to generate a more thorough discussion and clearer consensus.

Please add new comments below this notice. Thanks, North America1000 04:54, 12 August 2020 (UTC) Comment I copied over the contents to Street Medicine so a sentence or two about the existence of the institute can be mentioned if it is decided that this article should be deleted. Graywalls (talk) 06:22, 12 August 2020 (UTC) <div class="xfd_relist" style="border-top: 1px solid #AAA; border-bottom: 1px solid #AAA; padding: 0px 25px;"> Relisted to generate a more thorough discussion and clearer consensus.

Please add new comments below this notice. Thanks, North America1000 12:08, 19 August 2020 (UTC)
 * Redirectto street medicine, I think the appropriate content has been merged already. PainProf (talk) 06:02, 22 August 2020 (UTC)
 * They're not the only one involved in this branch of medical service and it's wildly inappropriate to create a re-direct for every organization to a subject matter article. The hole in the wall "Street Medicine Institute" 501c3 have not sufficiently established a recognition status like Styrofoam, or Kleenex. Graywalls (talk) 15:41, 22 August 2020 (UTC)
 * From this comment, I suspect you did not read the very significant article in JAMA, a highly reliable source for medical news. That coverage makes clear, the concept was coined by Withers and the Street Medicine Institute was the first, it also describes the critical role he played in founding the initiative. As such its an incredibly plausible search term. I have never seen churnalism in JAMA. Why not just make it easy for readers? Redirects are cheap and there is no rationale for not having one. PainProf (talk) 17:48, 22 August 2020 (UTC)


 * The above discussion is preserved as an archive of the debate. <b style="color:red">Please do not modify it.</b> Subsequent comments should be made on the appropriate discussion page (such as the article's talk page or in a deletion review). No further edits should be made to this page.