title: Teaching immigrant and refugee health to residents: domestic global health.
abstract: BACKGROUND
  Half a million immigrants enter the United States annually. Clinical providers generally lack training in immigrant health.
  
  
  METHODS
  We developed a curriculum with didactic, clinical, and analytic components to advance residents' skills in immigrant and travel health. The curriculum focused on patients and their countries of origin and encompassed (a) societal, cultural, economical, and human rights profiles; (b) health system/ policies/resources/statistics, and environmental health; and (c) clinical manifestations, tropical and travel health. Residents evaluated sociocultural health beliefs and human rights abuses; performed history and physical examinations while precepted by faculty; developed specific care plans; and discussed patients in a dedicated immigrant health morning report.
  
  
  RESULTS
  We assessed resident satisfaction using questionnaires and focus groups. Residents (n=20) found clinical, sociocultural, and epidemiological components the most helpful. Morning reports reinforced peer education.
  
  
  CONCLUSIONS
  The immigrant health curriculum was useful for residents. Multiple teaching modules, collaboration with grassroot organizations, and an ongoing clinical component were key features.
authors.affiliation: Department of Medicine, Albert Einstein College of Medicine, New York, New York 10016, USA. ramin.asgary@caa.columbia.edu
authors.forename: Ramin
authors.initials: R
authors.lastname: Asgary
authors.forename: Clyde Lanford
authors.initials: CL
authors.lastname: Smith
authors.forename: Blanca
authors.initials: B
authors.lastname: Sckell
authors.forename: Gerald
authors.initials: G
authors.lastname: Paccione
mesh_terms: D002983:Clinical Competence; D054521:Cultural Competency / Q000193:education*; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000458:organization & administration*; D004521:Educational Measurement; D054242:Emigrants and Immigrants; D014943:Global Health / Q000193:education*; D054624:Health Status Disparities; D006806:Human Rights / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D009519:New York City; D012036:Refugees; D011795:Surveys and Questionnaires; D013663:Teaching / Q000379:methods*