Bringing healthcare directly to individuals experiencing homelessness, the University of �鶹��ý at Mānoa (JABSOM) is expanding its street medicine efforts across the state thanks to a new $1.7 million grant.

Awarded by the (HRSA), the multi-year funding will support outreach and training on Oʻahu, �鶹��ý Island and Kauaʻi through JABSOM‘s . The five-year grant begins with $362,140 in year one, and prepares the next generation of family medicine physicians to serve �鶹��ý‘s most vulnerable populations.

“This is an absolute blessing,” said Robert Carlisle, project director and JABSOM associate professor. “This is good for the state. This is good for the family medicine physicians. This is good for the people of �鶹��ý.”

Expanding outreach

The funding will launch new street medicine experiences for family medicine residents in Waiʻanae, �鶹��ý Island, and JABSOM’s new Kauaʻi program, which will train the first cohort on Oʻahu in 2026.

Carlisle credited partners, including HRSA’s Steven Coulter, JABSOM’s Chip Hixon, and site leads Cynthia Ohata, Ellen Bell, Megan Martelly, Doug Rose and Thomas Quattlebaum, with support from various local organizations.

“As physicians and professionals, we have a duty to society and the community around us,” Carlisle said.

Integrating behavioral health

Program leaders also plan to expand behavioral health and addiction services.

“The really tough lift will be to integrate behavioral medicine and addiction care into our outreach on the street,” Carlisle said. “Make no mistake, this was a massive effort to bring together four different programs across the state on three different islands. There was a lot of coordination and enthusiasm from all of us to recognize the potential benefits of street medicine.”

Seed funding from the �鶹��ý Academy of Family Physicians, JABSOM’s Office of Medical Education, and the �鶹��ý Medical Association helped launch the project.

“The small seed grants grew this much larger investment in street medicine,” Carlisle said. “This experience should have a profound impact with influence lasting over the next 30 years of their careers.”

To help purchase basic supplies like bandages and footwear, consider supporting the JABSOM .

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In the wake of historic flooding on Oʻahu’s North Shore, University of �鶹��ý at Mānoa (JABSOM) students continue to provide care where it’s urgently needed. On March 23, JABSOM’s Houseless Outreach and Medical Education (H.O.M.E.) Project—a student-run initiative that provides free healthcare to unsheltered and underserved communities—set up an on-site clinic at Waialua Elementary, treating 25 patients with a team of 16 student volunteers under the guidance of faculty.

“We’ve been seeing a wide range of patients. We’ve seen a fair amount with wounds and infections, probably from the storm water,” said Jill Omori, H.O.M.E. Project director.

Other patients sought care for back pain, joint pain and eye infections, conditions that can worsen when access to routine care is disrupted.

“We also saw people with GI (gastrointestinal) problems because of the contaminated water, but also just regular medical issues like hypertension or diabetes that still need to be controlled,” Omori said.

Student dedication and rural health disparities

The clinic weaves hands-on care into the JABSOM curriculum, but Omori said the majority of the students today came on their own time.

“A lot of times, the students come down to the North Shore and do service projects here and there,” Omori said. “But something like this really hits home for them. It’s really nice for them to be able to give back to the community this way.”

Second-year medical student Michael Ajimura saw that impact firsthand.

“A lot of people weren’t able to get care because of the past few days of flooding, as well as those who were injured helping out or because of the flooding,” Ajimura said. “Just being able to help them has been really rewarding. When we say that we care for the community, it’s everyone. Being out here is fulfilling, and it’s something a lot of the students are more than willing to do.”

The response also highlighted the broader issue of rural health in �鶹��ý, which is exacerbated during a disaster.

“Rural health doesn’t just mean the neighbor islands,” Omori said. “Waialua is a great example of a rural community right here on Oʻahu. They have some of the same problems that other rural communities have, even without storms. I think it just emphasizes some of the rural health disparities and the need for more equitable care.”

As recovery continues on the North Shore, JABSOM’s H.O.M.E. Project plans to hold a pop-up clinic every day during the week of March 23. They will either be at Waialua District Park or at Haleiwa Beach Park. .

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