BOSTON - Medical students study a lot, but one thing frequently missing from their training is how to interact with patients who have intellectual or developmental disabilities.

A proven program to address that shortcoming, begun at Boston University School of Medicine, is expanding to other area schools. Operation House Call sends medical students to the homes of families with special-needs children, to get acquainted in a non-clinical setting.

Maura Buckley, who has two sons with autism spectrum disorder and mitochondrial disease, says many doctors simply don't know how to communicate and work with children with these challenges.

"Even a good doctor who's inexperienced can be discouraged. They can have shorter exams. They can pass on taking children with problems or difficulties that they're not comfortable with."

The students also attend an instructional session - Buckley is one of the instructors - and are required to post their observations from the "house call" on a chat board to be shared with fellow students and instructors alike. Tufts University Medical School and Simmons School of Nursing and Health Sciences are adopting the program that began in the 1990s at BU.

Christopher Strader, a third-year medical student at BU, says Operation House Call is a great way to become comfortable with a different demographic of patients that he'll be seeing as a physician.

"You go to the house, spend an hour with the kids, an hour with the parents. And then, the final part is that you have to - in a chat room, you have to - write about your experience. Everybody posts their experience on the board. You can read other people’s and your own."

Mandy Nichols, director of public policy and outreach for The Arc of Massachusetts, administers Operation House Call and points out that current medical-school exams include no questions related to disability awareness. She's pleased the program has been welcomed at Tufts and Simmons.

"That's pretty good progress for us to be able to get there, but I think what we really want is other schools to adopt this, which does mean that schools are going to have to fund this."

Some similar courses exist at other medical schools but don't involve family members or family interaction. Nichols believes Operation House Call can and should be adopted widely across the nation.


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Halloween is a busy time of year for some of Wyoming's historical sites, where staff throw thematic events to help fund programming for the rest of the year.

In October, Wyomingites can experience their state's history in new ways - like paranormal investigations at Fort Caspar, and a haunted evening tour of the Wyoming Frontier Prison in Rawlins.

That prison served as the state penitentiary between 1901 and 1981, during which Historic Site Director Tina Hill said nearly 14,000 people served time.

"When you go through the 80 years of history here," said Hill, "you see how the people who lived in Wyoming thought about crimes, and punishment, and the penal system. And so you can kind of see how things evolved."

In the 1950s, the concept of rehabilitation spread through the penal system - and with it, Hill says, gymnasiums, libraries and classes.

Now, the site is on the National Registry of Historic Places, and about 15,000 people tour it each year.

Northeast of the prison at Fort Caspar, Halloween visitors can use infrared thermometers, laser grids and more on the site's ghost investigations tours.

Aside from the fort's paranormal activities, museum Director Rick Young said it's on a historic migration corridor.

"Oregon, California, Mormon Pioneer, Pony Express trails," said Young. "We had a ferry crossing at our location. We had a bridge crossing at our location. It was a Pony Express station. And then it became a military fort."

These days, the site has a central Wyoming history museum and a park.

The historic fort buildings are furnished as they would have been in 1865, the year of two battles there and when the site was formally named Fort Caspar.





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Summerlike temperatures are still around but winter is lurking and Minnesotans will soon have to crank up their thermostats.

Now, there is outreach to help Latinos use federal incentives to lower their energy bills. The Inflation Reduction Act provides a mix of tax credits and rebates for households considering options like solar panels or more efficient heating systems. Such information is often slow to reach underserved populations and Minnesota's Communities Organizing Latino Power and Action doesn't want it to happen this time.

Danny Garcia, virtual navigator for the group, said his team is taking a multifaceted approach.

"We translate this information to make it more accessible," Garcia outlined. "We are relying heavily on social media, creating videos, creating flyers to distribute."

A specific Inflation Reduction Act initiative, the Home Energy Rebate program, will be carried out by the state and agencies are still preparing for launch. Other incentives, namely tax credits, are already available. Beyond creating awareness, community navigators will focus on application assistance. A 2022 national analysis found Hispanic families were less likely to take advantage of government programs due to anti-immigrant politics and other factors.

It is not just overcoming trust issues. Garcia suggested some residents might feel overwhelmed when considering all their options. He stressed they want them to look at the bigger picture: A more energy-efficient home with cleaner air running through it stands a better chance of improving outcomes as opposed to sticking with aging systems and appliances.

"You can get sick more often and this just creates a circle, a burden," Garcia pointed out. "Then you need to spend more money on your health and then you don't have enough money to cover other bills."

The U.S. Energy Department reported the Hispanic community faces a median energy burden 24% higher than white households. The Inflation Reduction Act has a bonus credit program specifically geared for those often stuck with higher energy bills with increased tax credits for solar and wind projects built in these communities or serving low-income residents.

Over the weekend, Hispanic Heritage Month got underway. In Minnesota, people are recognizing the diversity within these populations, as well as leadership opportunities.

Becky Valencia, operations manager of Communities Organizing Latino Power and Action (COPAL) said not all of Minnesota's Latino residents are from Mexico, as is often assumed.

Many have connections to places like Ecuador and have different needs. As they establish roots here, national polls show Latinos have a growing distrust of government.

However, Valencia noted that young adults are increasingly interested in fostering a better relationship between elected leaders and community members.

"A lot of the times it's been very rewarding to see that in our community, organizers continue to plant that seed," said Valencia. "And so, we have seen a lot more people be active and actually searching for opportunities to be more involved."

As for weaving in culture, entrepreneurship is one avenue. Minnesota is now home to more than 12,000 Latino-owned businesses.

Valencia said several organizations help these business owners overcome obstacles in expanding their reach.

She said younger generations want to keep alive their distinct heritage and traditions, and access to resources is a big part of that.

Valencia said fostering more civic engagement is especially important in an election year. She said Latinos have pressing needs that resonate with the rest of Minnesota.

"There's this huge gap between healthcare and what's accessible," said Valencia. "That's an area for sure that we've heard a lot of communication, which I think it's not only for the Latino community, Latina community, but also for other communities in general."

According to Census data from Minnesota Compass, nearly 370,000 people of Latino descent call Minnesota home. This population increased 38% between 2010 and 2020.

In addition to Mexicans and Ecuadorians, the largest Latino cultural groups in the state are Salvadorans, Guatemalans, and Colombians.