{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T08:24:19Z","timestamp":1787214259496,"version":"build-2736575974"},"reference-count":5,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Promotion Practice"],"abstract":"<jats:p>Medical students increasingly engage in community-based initiatives to address health inequities among marginalized populations, yet often lack structured guidance for translating intent into feasible practice. This Practice Note describes how the Exploration, Preparation, Implementation, and Sustainment framework was used to guide a student-led foot and wound care initiative serving people experiencing homelessness or housing insecurity in northern Minnesota. In a setting marked by extreme cold and rising homelessness, students partnered with community organizations and volunteer registered nurses to assess needs, develop evidence-informed protocols, and deliver supervised care. Bridging factors, including trusted harm reductionists and clinical supervision, proved critical for aligning outreach with safe clinical practice amid concerns about xylazine-associated wounds from the local drug supply. We illustrate how implementation science can support student-led health promotion by strengthening partnerships, clarifying roles, and enabling adaptation to evolving community needs.<\/jats:p>","DOI":"10.1177\/15248399261461739","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T11:23:15Z","timestamp":1786965795000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["From Intent to Action: Using Implementation Science to Guide Student-Led Street Medicine Outreach"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2891-0177","authenticated-orcid":false,"given":"Max","family":"Felland","sequence":"first","affiliation":[{"name":"University of Minnesota Medical School, Minneapolis, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Glanzer","sequence":"additional","affiliation":[{"name":"University of Minnesota, Mobile Health Initiative, Minneapolis, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Martin","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School, Minneapolis, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3643-775X","authenticated-orcid":false,"given":"Bradley","family":"Ray","sequence":"additional","affiliation":[{"name":"Research Triangle Institute International, Duluth, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Mazander M. Rumenapp J. Lee D. Ong C. Floramo E. Benjamins M. Chen M. (2024). Quantifying the educational value of a student-run free clinic. Family Medicine 56(3) 176\u2013179. https:\/\/doi.org\/10.22454\/FamMed.2024.568265","DOI":"10.22454\/FamMed.2024.568265"},{"key":"e_1_3_2_3_1","doi-asserted-by":"crossref","unstructured":"McFadden R. Wallace-Keeshen S. Petrillo Straub K. Hosey R. A. Neuschatz R. McNulty K. Thakrar A. P. (2024). Xylazine-associated wounds: Clinical experience from a low-barrier wound care clinic in Philadelphia. Journal of Addiction Medicine 18(1) 9\u201312. https:\/\/doi.org\/10.1097\/ADM.0000000000001245","DOI":"10.1097\/ADM.0000000000001245"},{"key":"e_1_3_2_4_1","doi-asserted-by":"crossref","unstructured":"Moullin J. C. Dickson K. S. Stadnick N. A. Rabin B. Aarons G. A. (2019). Systematic review of the exploration preparation implementation sustainment (EPIS) framework. Implementation Science 14(1) 1. https:\/\/doi.org\/10.1186\/s13012-018-0842-6","DOI":"10.1186\/s13012-018-0842-6"},{"key":"e_1_3_2_5_1","unstructured":"paleBLUEdot. (2018). Duluth Minnesota climate vulnerability and adaptation. https:\/\/palebluedot.llc\/duluth-minnesota-climate-vulnerability-and-adaptation"},{"key":"e_1_3_2_6_1","doi-asserted-by":"crossref","unstructured":"To M. J. Brothers T. D. Van Zoost C. (2016). Foot conditions among homeless persons: A systematic review. PLOS ONE 11(12) Article e0167463. https:\/\/doi.org\/10.1371\/journal.pone.0167463","DOI":"10.1371\/journal.pone.0167463"}],"container-title":["Health Promotion Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15248399261461739","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15248399261461739","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15248399261461739","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T07:47:42Z","timestamp":1787212062000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15248399261461739"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,17]]},"references-count":5,"alternative-id":["10.1177\/15248399261461739"],"URL":"https:\/\/doi.org\/10.1177\/15248399261461739","relation":{},"ISSN":["1524-8399","1552-6372"],"issn-type":[{"value":"1524-8399","type":"print"},{"value":"1552-6372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,17]]},"article-number":"15248399261461739"}}