Refugee Health Elective
Faculty Contact: Ben Davis, MD
Date Updated: 2/2019
Rotation will begin starting 2019-2020 academic year
CURRICULUM GOALS AND OBJECTIVES
PROGRAM GOALS:
Elective rotations will provide learning objectives leading to competency in areas related to the resident's future practice plans. Remedial electives will provide learning objectives leading to competency in areas of identified weaknesses. (See Resident Manual for elective guidelines.)
GOALS SPECIFIC TO THIS ROTATION:
Residents will understand the medical, social, and legal context of refugee and asylee health, and have the clinical competency and awareness of local resources to better care and advocate for these families.
Learning Objectives:
Patient Care:
1. Demonstrate knowledge around resources to help manage complex medical cases in refugee care (PC-3)
2. Understand how the refugee experience influences medical care (PC-3)
3. Form alliance with patient to help navigate new US health care system (PC-3)
Medical Knowledge (MK -1, 2)
1. Conduct new arrival refugee examinations following CDC mandated guidelines
2. Describe vaccination guidelines for newly arrived refugees and requirements for change of status
3. Demonstrate knowledge around management of patients with Hepatitis B
4. Demonstrate knowledge around management of patients with latent TB
5. Demonstrates ability to conduct interview to assess for trauma history and sequelae
6. Describe nutritional challenges of newly arrived refugees
7. Understands management for common medical conditions in newly arrived pediatric and adult refugees
8. Understand different modalities for managing chronic pain in refugees
Systems Based Practice
1. Awareness of the intersection of care between IOM, King County Public Health and the PCP role as not to provide duplicative services (SBP-1)
2. Builds network of collaboration with community groups to advocate for refugee and asylee families (SBP-3)
3. Understands role of non-clinical interventions in holistic patient care (SBP-3)
Practice Based Learning and Improvement
1. Completes assigned pre-reading and demonstrates ability to integrate into care (PBLI-2)
2. Demonstrates ability to access resources specific to refugee and asylee patients (PBLI-2)
Professionalism
1. Demonstrates ability to incorporate patient’s cultural background into care model (PROF-3)
2. Uses refugee history to provide patient centered care (PROF-3)
3. Develops role as physician advocate (PROF-3)
4. List the vital role of health professionals in promoting human rights (PROF-1)
Communication
1. Demonstrates competency using interpreters to provide care (C-2)
2. Able to develop and lead culturally appropriate medical education in refugee group settings (C-2)
** off cycle for clinic please notify clinic manager
Contact Information and Experience Description:
Notes:
There may be other residents on the elective at the same time, some of the activities can be done in a group, and others as individuals, those that are group are designated with a (G), those that are individual are designated with an (I)
The goal is to have residents complete all of the experiences in the elective, however if residents are not able to complete all experiences, ** designates a core experience which should be included in the elective
Faculty Introduction (G)**
Meeting with Dr. Aleinikoff, Dr. Puttmann, Dr. Zhang, or Dr. Davis for orientation to rotation
Pre- Reading: Refugee Health for Primary Care, Spotlight on King County – go through PPT module, either will be shared with you on google docs (UW and HP residents) or found on s-drive in folder “Refugee Asylee Health Elective” (Swedish residents), come with questions and ready for discussion
Contact Information:
Mary Puttmann
Mary.Puttmann-Kostecka@swedish.org
Or
Shoshana Aleinikoff
Saleinikoff@healthpointchc.org
301-502-8995
Or
Ying Zhang
704-649-6688
Ethnomed (G)**
- Meet with leaders at Ethnomed- UW based online resource for cross cultural health with a focus on refugee health, orientation including: history, purpose, approach, users, opportunities to contribute/collaborate and a website tour
- Introduction to Community House Calls, and meet with a CCM (Caseworker cultural mediator), may visit hospital with nurse manager or CCM depending on schedule
- If interested, can also discuss opportunity for publications/collaboration on new articles being worked on for Ethnomed
- Contact Christine via email 1-2 months in advance for scheduling
- Contact: Christine Wilson Owens
EthnoMed Program Supervisor
Interpreter Services
Harborview Medical Center
Pat Steele Building (corner of Broadway and Jefferson)
Phone: (206) 744-9091
Fax: (206) 744-9967
Box: 359959
cpw2@uw.edu
Community House Calls (G/I)
- Caseworker, cultural mediator position run out of HMC
- Work with Kim Lundgreen, Vietnamese caseworker/cultural mediator
- On FRIDAYS runs a Vietnamese elders day at Garfield community center, Attend with her, participate in food distribution, language class, thai chi, yoga, expectation to give a brief education session around a health topic for elders which she will interpret to a room of 50+ elders (communicate with Kim 1 month ahead of time to pick a topic)
- Meet Kim at 9am at Garfield community center
- Contact information Lee Ann Miyagawa (Manager of Program) to see if opportunity is available lmiyagaw@uw.edu , Tel 206-744-9265
International Rescue Committee (IRC) (G)**
- Meet with Bayle, Director, IRC Intensive Case Management program,medical caseworker to learn about the resettlement process and the role of a VOLAG (resettlement agency)
- Based on scheduling availability, observe and participate in medical culture orientation – set curriculum all refugees receive as orientation to the US medical system, *be available to answer questions about the US health care system, when to use the ER etc
- Possibility of meeting a refugee family at the airport on arrival to the US if interested (arrival is typically late night at Seatac) **ASK ABOUT THIS
- Contact information:
Bayle Conrad/ Medical Caseworker
International Rescue Committee
1200 South 192nd Street, Suite 101
SeaTac, WA 98148
bayle.conrad@rescue.org
T +1 206 693 3524 | F +1 206 243 6666 | Rescue.org
Jewish Family Services (JFS) (G)**
- Meet with Cordelia Director, JFS referrlement programs manager, to learn about the resettlement process and the role of a VOLAG (resettlement agency), in particular as related to medically complex refugees
- Based on scheduling availability, observe and participate in medical culture orientation – set curriculum all refugees receive as orientation to the US medical system, *be available to answer questions about the US health care system, when to use the ER etc
- Possibility of meeting a refugee family at the airport on arrival to the US if interested (arrival is typically late night at Seatac) **ASK ABOUT THIS
- contact information:
Cordelia Revells
Resettlement Programs Manager
1209 Central Ave S, Suite 134, Kent, WA 98032
P (253) 850-4065x12
crevells@jfsseattle.org
Refugee Health Program, Washington State Dept of Health (G)
- Meet with Jasmine Matheson, Refugee program coordinator to understand what the WADOH’s role in Refugee health is
- Get overview of “big picture” refugee health in WA
- Contact information:
Jasmine Matheson
Refugee Health Program, Program Manager and Refugee Health Coordinator
Washington State Dept of Health
1610 NE 150th St, Shoreline, WA 98155
206-418-5603
Public Health, Refugee Screening Clinic (I)**
- Spend one half day in refugee screening clinic- seeing newly arrived refugee families on their initial screening—for vaccines, labs, review of overseas records and referral to primary care and mental heatlh
-
- Contact Information:
DO NOT contact Refugee screening clinic directly, contact Dr. Aleinikoff with your schedule requests : saleinikoff@healthpointchc.org
Downtown Public Health Center – 4th floor
2124 - 4th Ave
Seattle, WA 98121
Newly Arrived Refugee Healthpoint Clinic (I)**
Spend one half day working with Dr. Shoshana Aleinikoff at Healthpoint in Des Moines WA in her newly arrived refugee follow up clinic (follow up to the PH visit)
Pre- Reading: PPt Refugee Health for Primary Care, Spotlight on King County
Typically the third thursday of the month from 1-5pm- contact her 2 months ahead of time to confirm date
After confirming the date with Dr. Aleinikoff please contact Chris: cschei@healthpointchc.org to sign needed paperwork
Contact information
Shoshana Aleinikoff
Saleinikoff@healthpointchc.org
301-502-8995
HealthPoint Midway Medical
26401 Pacific Hwy S
Des Moines, WA 98198,
International Counseling & Community Services (ICCS) (G)**
- Spend one half day at ICCS, meeting with Beth Farmer, about mental health services related to hx of trauma and refugee journey, learn how to take a trauma history and discuss mental health care needs with survivors of torture
- Pre-reading: “walking together”, on S-drive (Swedish Residents)
- Contact Information:
Beth Farmer
ICCS
Lutheran Community Services NW
4040 S. 188th St #200 Seattle WA 98188
206-816-3252
Lutheran Community Services NW RHPP Program (Refugee Health Promotion Program ) (G)
- Meet with Lea Paz Castillo, director of Refugee Health Promotion Program to learn about programs to support medically and socially complex refugee patients
- possibility of home visits to medically complex refugee patients to help coordinate medical care/follow up and learn about barriers to medical care
- Contact information:
Lea Paz Castillo
ICCS, Lutheran Community Services NW
206-602-1344
Daryel, The Somali Women’s Wellness Project (G/I)
- Participate in one group visit for Somali women (massage, yoga), a Harborview program
- Give a health information talk – contact Bria ahead of time to prepare topic
- SUNDAYS 10-2 in Southeast Seattle
6727 Rainier Ave S. (½ block south of S. Holly)
- Contact Information:
Bria Chakofsky-Lewy
206-915-6365
Dr. Chia Wang, Infectious Diseases, Hepatitis B Clinic (Swedish Residents Only) (I)
- Spend one half day seeing refugee and immigrant Hepatitis B patients with Dr. Chai Wang at ID clinic
- Email 1-2 months ahead of time to schedule
- MONDAY afternoon only
- Contact Information:
Dr. Chia Wang
Chia.Wang@virginiamason.org
720 8th Ave S.
Seattle WA 98104
Faculty Contact: Mark Johnson, MD
Scheduling:
This elective is best combined with another elective or experience. The resident should identify 2- 6 half days during the block to work with the dental residents and attendings in the Swedish Community Specialty Clinic
The clinic is typically open Monday – Friday almost every week of the year. The preferred time of year for residents do their rotations is from November-June so the dental residents are up to speed themselves. Patients are seen from 8AM – noon and then from noon till 5PM. Family medicine residents are welcome to rotate in the morning, afternoon or both.
Goals and Objectives:
1. Gain a basic understanding of common dental urgencies/emergencies and their treatment
2. Gain a basic understanding of head and neck anatomy as it pertains to understanding the spread of infection of odontogenic origin and understand the urgency for treatment of odontogenic infection based on presentation, location and history.
3. Gain a basic understanding of head and neck anatomy as it pertains to providing local anesthetic to alleviate pain, including:
a. Anesthetic selection
b. Provision of infiltrative anesthesia
c. Provision of block anesthesia
4. Understand the basic techniques, including instrumentation, case selection and patient evaluation, involved with providing simple exodontia.
Contact Information:
Contact Dr. Noah Letwin, DDS, PhD
By email: Noah.letwin@swedish.org
Noah E Letwin DDS PhD
Dental Director
Swedish Community Specialty Clinic
801 Broadway Suite 901
Seattle, WA 98122
Phone (206) 860-6656