SMI Program Collaborations Around the World

The map below depicts most of the cities throughout the world where Street Medicine Institute leaders have engaged in collaborative efforts toward the development and improvement of Street Medicine Programs.  To become a Program Member, click here.



Symposium XV is Just Around the Corner!

Almost time! International Street Medicine Symposium XV takes place on October 20 - 23, 2019, in Pittsburgh, Pennsylvania, USA.  The very first ISMS occurred in Pittsburgh 15 years ago -- so this October we are celebrating our roots.  Dr. Jim Withers, founder of the Institute, will give the keynote address, reflecting on his lifelong work going to the people.  The Final Program is now available here.

If you haven’t yet registered, please click here to reserve your place and join Pittsburgh Mercy’s Operation Safety Net and the Allegheny Health Network’s Center for Inclusion Health as they jointly host this homecoming event. More information regarding the program and the venue may be found on the Symposium 2019 Tab.


Street Medicine Institute Recruiting a Transition Manager

If you have experience managing a nonprofit organization and would like to assist the Street Medicine Institute in expanding, growing and moving toward greater sustainability, consider applying as Transition manager.  This fall, we intend to engage an experienced individual to aid in developing and implementing the strategy to transition from our current status as an all-volunteer organization to a more sustainable model with paid staff.  Interested parties should contact us at [email protected].


Check Out Our New Clinical Guidelines and Other Street Medicine Content

We continue to expand the resources available to the Street Medicine community on our website. Several new clinical guidelines including Frostbite, Immersion Foot, Scabies, Stasis Ulcers and Opioid Overdose, are now available. Click on our Resources tab to learn more. Dr. Withers’ most recent blog and Ted Talk are also now available. Check in regularly at, as we continue to update and expand our content.




We are pleased to introduce the launch of a new Street Medicine Fellowship in Pittsburgh, Pennsylvania!  This one-year position started July of 2019 under the medical direction of Jim Withers, MD, and is available to physicians who have successfully completed a residency such as Internal Medicine, Family Medicine, Emergency Medicine or Psychiatry.   The Department of Medicine at the UPMC Mercy Hospital of Pittsburgh is the academic host for the program in collaboration with Pittsburgh Mercy’s Operation Safety Net. This is the first known Street Medicine Fellowship and is non-accredited.  The year will be focused on the development of expertise and leadership within the new field of Street Medicine.  

For more information contact Medical Director James Withers at [email protected].


The Street Medicine Institute recently published its first set of Street Medicine Clinical Guidelines (click on our Resources tab)!  

Street Medicine represents the intersection where evidence-based medicine and reality-based medicine meet.  It is the first essential step in obtaining the necessary levels of medical, mental health, and social care; and, it's the conduit for assertive, coordinated, and collaborative care management in general.  Street Medicine, then, is best viewed as a form of intermediate "home" care, with the aim of transitioning patients to a comprehensive, longitudinal primary-care relationship.  Therefore, the care that we, as providers of Street Medicine, deliver to our patients must be of the highest possible quality, aligned as far as possible with traditional standards of care.

Our new quick reference tool for providers of Street Medicine was created specifically to guide the treatment of rough sleeping homeless persons.  Of course, the guidelines are not intended to be comprehensive, and the recommendations are not a prescriptive protocol.  Each guideline is linked to a published guidelines accepted by the general medical community.  Clinicians must exercise their own clinical judgment in the treatment of an particular patient.

Creation of these guidelines began in 2016 at the 12th Annual International Street Medicine Symposium in Geneva, Switzerland, with a workshop attended by experienced Street Medicine clinicians from around the globe.  Then from 2016 until present the guidelines have been circulated among the Street Medicine community to ensure a thorough vetting process and allow for additional contributions to the body of knowledge.  We hope that the guidelines will continue to adapt and evolve, much as our patients surviving on the streets of our cities and towns.  SMI welcomes your suggestions on these guidelines at any time.