UMMS Affiliation

Department of Pediatrics

Publication Date

2020-11-03

Document Type

Article

Disciplines

Community Health and Preventive Medicine | Family Medicine | Health Services Administration | Integrative Medicine | International Public Health | Medical Education | Pediatrics

Abstract

Introduction: With 70.8 million people displaced worldwide, there is an increasing need for medical professionals to provide medical care to refugees. Insufficient training on refugee health poses a barrier to effective care delivery.

Methods: This workshop addressed common challenges in providing family-centered pediatric refugee care in community settings as well as barriers related to policy changes. Presentations covered prearrival experiences, medical screening, and trauma-based care. In small groups, participants discussed cases that featured medical, behavioral health, social, and cultural factors impacting the provision of family-centered pediatric care that was culturally respectful and included shared decision-making. After the breakout session, each small group informed the larger group of topics discussed. Facilitators identified themes and reinforced key learning points. At the workshop's conclusion, participants were guided to create their own personalized action plan.

Results: This workshop was presented at two international conferences to more than 47 participants, including clinicians, nurse practitioners, pediatric residents, and medical students. Evaluations were completed by 34 individuals. Participants' overall comfort level with taking care of refugee patients increased from 3.3 to 4.0 (on a 5-point scale, p = .24) during the 3-hour version of the workshop and from 3.8 to 4.0 (p = .43) in the 1-hour version of the workshop. Mean overall ratings of the 3- and 1-hour workshop versions on conference-administered evaluations were 4.8 and 4.2, respectively, on a 5-point scale.

Discussions: This workshop was well received and equipped participants with knowledge, tools, and strategies regarding pediatric refugee health in a community setting.

Keywords

Community, Community-Based Medicine, Cultural Competence, Cultural Respect, Diversity, Ethics, Family-Centered Care, Global Health, Health Equity, Inclusion, Pediatrics, Refugees, Shared Decision Making, Trauma-Informed Care

Rights and Permissions

Copyright © 2020 Nehal et al. This is an open-access publication distributed under the terms of the Creative Commons Attribution license.

DOI of Published Version

10.15766/mep_2374-8265.10988

Source

Nehal US, Kanahara S, Tanabe M, Hayner G, Nelson BD. Pediatric Refugee Health Care Delivery in the Community Setting: An Educational Workshop for Multidisciplinary Family-Centered Care During Resettlement. MedEdPORTAL. 2020 Nov 3;16:10988. doi: 10.15766/mep_2374-8265.10988. PMID: 33204831; PMCID: PMC7666829. Link to article on publisher's site

Journal/Book/Conference Title

MedEdPORTAL : the journal of teaching and learning resources

Related Resources

Link to Article in PubMed

PubMed ID

33204831

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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