The Primary Care Training and Enhancement—Residency Training in Street Medicine (PCTE-RTSM) program, funded by the Health Resources and Services Administration (HRSA), aims to enhance the training of primary care residents in street medicine. This program is designed for accredited residency programs in family medicine, internal medicine, pediatrics, and combined internal medicine-pediatrics. The initiative seeks to equip residents with the necessary knowledge and skills to provide medical care for individuals experiencing homelessness, offering both didactic and experiential training. The program emphasizes an interdisciplinary approach, integrating behavioral health, legal, and social services to address the complex needs of this population​.

The purpose of this funding opportunity is to develop and expand street medicine clinical rotations, enhance residency curricula, and improve medical education by incorporating social determinants of health (SDoH). The program also seeks to prepare physicians to deliver trauma-informed, patient-centered care outside of traditional clinical settings. Training will focus on chronic disease management, substance use disorders, mental health conditions, and community-based partnerships that strengthen care networks for homeless populations​.

For Fiscal Year 2025, HRSA has allocated approximately $9.5 million to fund 19 grants, each with a maximum award of $500,000 per year. The grants will support projects for a five-year period from July 1, 2025, to June 30, 2030. The program does not require cost-sharing or matching funds. However, recipients must ensure continued maintenance of effort with non-federal funding sources​.

Eligible applicants include public or private nonprofit institutions such as hospitals, schools of medicine or osteopathic medicine, and other nonprofit entities operating ACGME-accredited primary care residency programs. Individuals are not eligible to apply. Applicants must provide documentation of their ACGME accreditation and detail their proposed curriculum enhancements, clinical partnerships, and training rotations​.

The application process requires several key components, including a project narrative, budget justification, and a high-level work plan. The evaluation criteria include the proposed program's alignment with HRSA’s objectives, the effectiveness of the training plan, the feasibility of the work plan, the organization's capacity to implement the project, and the sustainability of the program beyond federal funding​.

The deadline for application submission is March 20, 2025, at 11:59 PM ET. Applications must be submitted via Grants.gov. Funding awards are expected to be announced by July 1, 2025. A technical assistance webinar is available to provide additional guidance to potential applicants​.