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Username Password Keep me logged in What is the Street Medicine Institute. The Street Medicine Institute SMI facilitates and enhances the direct provision of health care to the unsheltered homeless where they live. SMI does this by providing communities and clinicians with expert training guidance and support to develop and grow their own Street Medicine programs. SMI has become the global leader in developing the field and practice of Street Medicine and has helped cultivate or improve Street Medicine programs in over 140 cities in 27 countries across 6 continents.