We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

The 'sizable' homeless population: a growing challenge for medicine

Charles Marwick
JAMA. 1985;253(22):3217-3225. doi:10.1001/jama.1985.03350460011001.
Text Size: A A A
Published online


Currently, I see approximately 1,000 to 1,500 patients a year. They suffer from a variety of medical conditions and diseases—in particular, hypothermia due to accidental exposure. The consequences range from severe irreparable brain damage, renal failure, pneumonia, and cardiac arrest to untimely death. Many are victims of gunshot wounds, knife wounds, and trauma associated with secondary contusions from baseball bats, tire irons, or bottles."

This is a much abbreviated description of some of the medical conditions seen in the emergency room at California Hospital Medical Center, Los Angeles. It is given by Gary Rapaport, MD, a staff physician. The patients Rapaport is describing form a particular group: the homeless.

By even the most conservative estimates, they form a sizable, and growing, underbelly of American society. On an average night a couple of winters ago, between 250,000 and 350,000 persons were homeless, according to the Department of Housing and Urban Development (HUD)


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.