Case-Based Immigrant Health Ethics Curriculum: A Pathway to Improve Care and Advocacy.

Autor:	Texler CE; Hospital Medicine, Ohio State University, Nationwide Children's Hospital, Columbus, USA., Fernandes AK; Pediatrics, Ohio State University, Nationwide Children's Hospital, Columbus, USA., Athale AH; Pediatric Emergency Medicine, Ohio State University, Nationwide Children's Hospital, Columbus, USA., Cobb CE; Hospital Medicine, University of California San Francisco School of Medicine, San Francisco, USA., Lauden SM; Hospital Medicine, University of Colorado School of Medicine, Aurora, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Dec 04; Vol. 15 (12), pp. e49900. Date of Electronic Publication: 2023 Dec 04 (Print Publication: 2023).
DOI:	10.7759/cureus.49900
Abstrakt:	Introduction Immigrants comprised a significant portion of the total population in the United States (US), and a considerable number of children in the US live with at least one immigrant parent, which has continued to increase over the past decades. However, healthcare providers (HPs) in the US report lack of comfort in interacting with immigrant and refugee populations. Methods The authors, in partnership with the Midwest Consortium of Global Health Educators, developed an innovative, interactive ethics curriculum within the Immigrant Partnership Advocacy and Curricular Kit (I-PACK). They sought to increase HPs' confidence in navigating complex encounters with immigrant families by teaching a relevant ethical framework, highlighting the importance of cultural humility, and equipping learners with an ethics tool (five-box Method) for use in clinical encounters. They piloted the curriculum during three workshop sessions in 2020-2021, and this curriculum continues to be used nationally as a part of I-PACK. Results Pre- and post-session surveys indicated that all participants (100%, n=22) reported acquisition of new skills/knowledge and 19 (86%) felt confident applying this to their clinical practice. The participants reported appreciation for an ethical framework with which to analyze cases, enjoyment of active participation in small group discussions, and utility of the five-box method tool. Some areas of improvement offered were to have more cases and more time dedicated to small-group discussions. Conclusions Given the success of the I-PACK ethics curriculum pilot, the authors plan to incorporate immigrant health cases in the general ethics training in medical school classes and pediatric residency training. Furthermore, they will advocate for the importance of including immigrant health ethics across graduate medical education, as fluency and competence in navigating the ethics of immigrant health are required to provide patient-centered, culturally informed care to all populations. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Texler et al.)
Databáze:	MEDLINE
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