Agricultural workers are at significant risk for heat stress. Heat stress results when the body cannot get rid of excess heat and its core temperature rises. Heat stress may lead to more severe heat illness including heat exhaustion, heat cramps, heat stroke, and even death if left untreated. Agricultural work, which requires performing physically demanding work for long hours in hot and sometimes humid weather, places workers at high risk.
This guide provides information to clinicians on the prevention and treatment of heat-related illness. Since workers may not be familiar with all of the symptoms of heat stress, it is important that clinicians discuss heat illness symptoms and prevention with agricultural workers and others who are at risk.
This joint FJ and MCN publication was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of awards totaling $1,949,598 with 0% financed with non-governmental sources. The contents are those of the authors and do not necessarily represent the official views of, nor an endorsement by, HRSA, HHS, or the U.S. Government. For more information, please visit HHS.gov.
DATE: December 13, 2017, 1 pm (ET)
SPEAKERS: Juliana Simmons, MSPH, CHES and Amy K. Liebman, MPA, MA
Continuing Education Credit
To receive CME* or CNE credit after viewing this webinar, you must:
- Complete the Participant Evaluation associated with this webinar
- Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.org
Description
Jason and his crew of painters arrived at their worksite ready for the day's work. The job at hand involved stripping paint in a small room and the boss said not to come out until the job was done. It didn't take long before Jason began feeling dizzy and nauseous and then started vomiting. Soon his world was spinning and he was slipping in and out of consciousness. He looked to his coworkers and noticed them slumped on the ground. All three men had to be removed from the site and revived. Jason was lucky. The paint stripper his crew used contained methylene chloride, which is highly toxic and resulted in at least 13 worker deaths between 2000 and 2011.
Millions of workers are exposed to chemicals everyday on the job. All workers have the right to know about the chemicals they work with and community health workers can be an important source of information and support for workers. This workshop will teach community health workers how to explain what happens when someone is exposed to chemicals and how workers can best protect themselves.
Learning Objectives
- Recognize how workers become exposed to chemicals and illnesses
- Describe basic safety practices when working around chemicals
- Understand the role of community health workers in identifying and preventing work related illnesses and hazards
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS09742, Technical Assistance to Community and Migrant Health Centers and Homeless for $1,094,709.00 with 0% of the total NCA project financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
Offers basic screening questions, common occupations and ailments associated with them, as well as recommended treatment. Also includes sample letters from clinicians to employers for restricted work.
"Coccidioidomycosis or Valley Fever is an infectious disease in parts of the U.S.A. It is caused by inhaling microscopic arthroconidia (also known as arthrospores or spores) of the closely related fungal species Coccidioides immitis and C. posadasii. Areas where Coccidioides is endemic (native and common) include states in the southwestern U.S.A. such as Arizona, California, New Mexico, Nevada, Texas, and Utah and parts of Mexico, Central America and South America."
DATE: May 24, 2017, 1 pm (ET)
SPEAKERS: Juliana Simmons, MSPH, CHES
Continuing Education Credit
To receive CME* or CNE credit after viewing this webinar, you must:
- Complete the Participant Evaluation associated with this webinar
- Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.org
Description
José Navarro was excited for his new career after landing a job in the poultry industry. After five years on the job, 37 year-old Navarro began coughing up blood. He died soon after when his lungs and kidneys failed. His death triggered a federal investigation raising questions about the health risks associated with the use of toxic chemicals in poultry plants.
Millions of workers are exposed to chemicals everyday on the job. All workers have the right to know about the chemicals they work with and community health workers can be an important source of information and support for workers. This workshop will teach community health workers how to explain what happens when someone is exposed to chemicals and how workers can best protect themselves
Learning Objectives
- Recognize how workers become exposed to chemicals and illnesses
- Describe basic safety practices when working around chemicals
- Understand the role of community health workers in identifying and preventing work related illnesses and hazards
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS09742, Technical Assistance to Community and Migrant Health Centers and Homeless for $1,094,709.00 with 0% of the total NCA project financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
DATE: May 10, 2017, 1 pm (ET)
SPEAKERS: Patria Alguila and Ileana Ponce-Gonzalez, MD, MPH, CNC
Continuing Education Credit
To receive CME* or CNE credit after viewing this webinar, you must:
- Complete the Participant Evaluation associated with this webinar
- Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.org
Description
In this webinar participants will be able to identify the Health Resource Services Administration performance measures related to depression, describe symptoms of depression, understand how to encourage patients to control and manage their diabetes and depression, and understand the principle barriers faced by patients in the control and management of their diabetes and depression
Learning Objectives
- Define the term mental illness
- List at least two symptoms of depression
- Define the HRSA quality measure for depression screening
- Understand at least one barrier in the control of diabetes and depression
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS09742, Technical Assistance to Community and Migrant Health Centers and Homeless for $1,094,709.00 with 0% of the total NCA project financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
"Emerging Infectious Diseases is an open access journal published monthly by the Centers for Disease Control and Prevention (CDC)." ... "Emerging Infectious Diseases follows the International Committee of Medical Journal Editors recommendations for the conduct, reporting, editing, and publishing of scholarly work in medical journals. The journal’s peer review process allows for critical assessment of submitted manuscripts by experts who are usually not part of its editorial staff. As an independent publication, the journal’s peer-review process operates independently from CDC’s clearance processes."
Available in English and Spanish!
Created by MCN, medical student Rachel Kelley of UCSF, and collaborators at East Tennessee State University, this guide is intended to be a reference for health care providers who work with people employed in the U.S. tomato industry. It aims to prepare providers with a more detailed understanding of hazards, health issues, and work processes associated with different tomato industry jobs.
This guide draws on published research, experienced health professionals’ advice, and information gathered from interviews and focus groups conducted with 36 tomato workers from diverse backgrounds and 14 community leaders familiar with tomato workers’ health in multiple states. It is important to note that health and safety conditions at any particular farm or company may vary from what is described here. Furthermore, individual workers may experience the same set of conditions differently.
The first section of the guide focuses on health hazards and health conditions commonly encountered in tomato production. The second section consists of detailed descriptions and illustrations of different tomato production tasks. The third section covers “human resources” information and policies that apply to U.S. agricultural workers generally. The appendices contain a Spanish-English glossary, further detail about different types of pesticides, information about agricultural occupational health policies and regulation, and a list of resources and readings.
Substance Use Warmline
Peer-to-Peer Consultation and Decision Support
10 am – 6 pm EST Monday - Friday
855-300-3595
Free and confidential consultation for clinicians from the Clinician Consultation Center at San Francisco General Hospital focusing on substance use in primary care
Objectives of the Substance Use Warmline:
- Support primary care providers in managing complex patients with addiction, chronic pain, and behavioral health issues
- Improve the safety of medication regimens to decrease the risk of overdose
- Enhance the treatment, care and support for people living with or at risk for HIV
- Discuss useful strategies for clinicians in managing their patients living with substance use, addiction and chronic pain.
Consultation topics include:
- Assessment and treatment of opioid, alcohol, and other substance use disorders
- Approaches to suspected misuse, abuse, or diversion of prescribed opioids
- Methods to simplify opioid-based pain regimens to reduce risk of misuse and toxicity
- Urine toxicology testing- when to use it and what it means
- Use of buprenorphine and the role of methadone maintenance
- Withdrawal management for opioids, alcohol, and other CNS depressants
- Harm reduction strategies and overdose prevention
- Managing substance use in special populations (pregnancy, HIV, hepatitis)
- Productive ways of discussing (known or suspected) addiction with patients.
The CCC’s multi-disciplinary team of expert physicians, clinical pharmacists and nurses provides consultation to help clinicians manage complex patient needs, medication safety, and a rapidly evolving regulatory environment.
Learn more at http://nccc.ucsf.edu/clinician-consultation/substance-use-management
This 90-minute webinar was created for physicians, nurses, and other health professionals who treat and case manage patients with active TB. The webinar introduced the 2016 Official American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America Clinical Practice Guidelines: Treatment of Drug-Susceptible Tuberculosis. This training highlighted the guidelines development process, the key changes in recommendations, and discussed the evidence supporting the changes. The webinar was originally presented on November 4, 2016. This training was jointly sponsored by all 5 RTMCCs.
DATE RECORDED: September 14, 2016 at 1 pm ET
PRESENTED BY: Robert Harrison, M.D., M.P.H.
This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.
Links
- https://youtu.be/MpNJ-qxL1O0
- http://www.migrantclinician.org/
- https://www.osha.gov/Publications/OSHA3707.pdf
- https://www.thoracic.org/statements/resources/eold/an-official-ats-statement-work-exacerbated-asthma.pdf
- http://journal.publications.chestnet.org/article.aspx?articleid=1044851
- http://www.nj.gov/health/eoh/survweb/wra/documents/asthmagens.pdf
- http://www.ccohs.ca/oshanswers/diseases/asthma.html
- http://www.aoec.org
DATE RECORDED: September 14, 2016 at 1 pm ET
PRESENTED BY: Robert Harrison, M.D., M.P.H.
- Recorded Webinar
- Participant Evaluation
- Presentation Slides (PDF)
This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.
DATE RECORDED: August 17, 2016 at 1 pm ET
PRESENTED BY: Amy Liebman, MPA, MA and Wilson Augustave, member of MCN’s Board of Directors and Senior HIV Case Manager at Finger Lakes Community Health
This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.
Links
- http://migrantclinician.adobeconnect.com/p50hmpih2ti/?OWASP_CSRFTOKEN=3e2b187aeeb1282a41d5df37d8a98c307a7e00006662aca9d5f21dc12aa036c4
- http://www.migrantclinician.org/
- http://workerscomphub.org/
- http://workerscomphub.org/navigating-system
- https://www.osha.gov/workers/index.html
- http://www.coshnetwork.org/know-your-rights
- http://hesperian.org/books-and-resources/
A CDC resource page where there is current Zika updates and resources.
DATE RECORDED: June 22, 2016
PRESENTED BY: Kerry Brennan
This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.
DATE RECORDED: June 15, 2016
PRESENTED BY: Dra. Maura Patricia García Castillo, MD, MPH
Links
- http://www.migrantclinician.org/
- http://www.chegg.com/etextbooks/an-introduction-to-community-public-health-8th-edition-9781449689896-1449689892
- http://ccsdh.ca/publications/results/051a9d49e8044812976859b07cc2507a/
- http://www.phac-aspc.gc.ca/publicat/hpcdp-pspmc/36-2/index-eng.php
- http://www.ncbi.nlm.nih.gov/pubmed/27018728
- http://openheart.bmj.com/content/3/1/e000356.full
- http://nam.edu/wp-content/uploads/2016/05/Numbers-Get-In-the-Way.pdf
- http://www.nap.edu/catalog/21863/food-literacy-how-do-communications-and-marketing-impact-consumer-knowledge
- http://circ.ahajournals.org/content/133/13/1302
- http://www.nap.edu/author/FNB/health-and-medicine-division/food-and-nutrition-board
- https://www.epa.gov/sites/production/files/2016-02/documents/childrens_health_environmental_impacts_and_social_determinants.pdf
DATE RECORDED: May 25, 2016
PRESENTED BY: Antonio Tovar, PhD
This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.
Links
- http://migrantclinician.adobeconnect.com/p7ivm2ufeen/?OWASP_CSRFTOKEN=ac591cd08f9863f71c6bcfb170562ec542246ffe6bcc46dd96e925e4d31b1e6d
- http://www.migrantclinician.org/
- https://www.osha.gov/SLTC/heatstress/prevention.html
- http://www.farmworkerjustice.org/sites/default/files/FJpesticidetrainingspanish2016.pdf
The National LGBT Health Education Center provides educational programs, resources, and consultation to health care organizations with the goal of optimizing quality, cost-effective health care for lesbian, gay, bisexual, and transgender (LGBT) people.
Video interview with COPE Executive Director Mark Sullivan, MD, PhD.
About COPE: The University of Washington’s COPE for Chronic Pain CME Program offers evidence-based clinical knowledge and training on how best to treat patients experiencing chronic pain. COPE CME helps clinicians assess patients and monitor their progress, mitigate risk, and focus on restoring function and quality of life. It provides guidance on when and how to start, stop, or modify opioid therapies. COPE’s online course includes case-based video vignettes that model interactions between providers and patients, helping to improve communications that promote trust. Live and web-based CME is available.
Only 25% of physicians feel very confident in managing patients on opioids.
When many of today's physicians were in medical school, they learned that opioids were safe, and no dose seemed too high. Now, evidence-based practice paints a far more nuanced picture. More than 200 million prescriptions a year have contributed to widespread problems:
- 33% of young adults say that prescription opioids are "easy to get," with many taking their friends' or parents' pills.
- Nearly 20% of U.S. veterans with PTSD are receiving higher-dose or multiple opioids, or early refills.
- Increased prescribing to women of childbearing age has contributed to a 4-fold increase in neonatal abstinence syndrome
COPE offers free CME on safe opioid prescribing:
- COPE-REMS: an online, self-paced tutorial that awards up to 4 CME credits
- UW TelePain: Providers can call in to UW Medicine and present their most difficult chronic pain cases to a multidisciplinary panel of pain medicine experts for discussion and advice. Tune in to live, lunchtime, 1-hour sessions most Wednesdays at 12 PM to earn up to 1.5 CME credits per session.
Other resources from COPE include:
- 7 Things You Should Know about PTSD and Use of Opioid Pain Medications
- Women, Pregnancy & Prescription Opioids
- COPE-REMS has posted new content on prescribing opioids for chronic pain related to the 2015 Washington State Interagency Guideline on Prescribing Opioids for Pain. The 2015 guideline provides valuable insights for clinicians nationwide and for the federal government, which is now developing a national guideline. COPE interviewed Dr. David Tauben, Chief of the University of Washington Division of Pain Medicine.
Links
- http://www.coperems.org/
- http://www.coperems.org/register/
- http://depts.washington.edu/anesth/care/pain/telepain/index.shtml
- http://www.coperems.org/wp-content/uploads/2015/06/flyer-ptsd-opioids-rev.pdf
- http://www.coperems.org/wp-content/uploads/2015/05/factsheet-womenpregnancy.pdf
- http://www.coperems.org/new-washington-state-opioid-guidelines/
DATE RECORDED: Friday, July 11
PRESENTED BY: Ed Zuroweste, MD. Chief Medical Officer, Migrant Clinicians Network
 | |
  | |
MCN’s Environmental and Occupational Health Programs
Learn more about MCN’s training and technical assistance programs to help clinicians and health centers improve the recognition and management of pesticide exposures and other environmental/occupational health conditions.
Migrant workers are often employed in some of the most dangerous jobs in the United States. Lack of training, poor safety precautions, regulatory exclusions, lack of health insurance, language barriers, piece-rate pay, undocumented worker status, and geographical and cultural isolation can put these workers at increased risk for occupationally related injuries and illnesses and chronic sequelae.
This webinar will discuss health risks facing migrants as a result of their working conditions and highlight best practices and resources to incorporate environmental and work-related health into the primary care setting. It will aslo showcase successful initiatives employed in Community and Migrant Health Centers. Participants will become familiar with the importance of and feasible approaches to integrate environmental and occupational health into primary care from both a clinical and social justice perspective.
SPONSORED BY: Migrant Clinicians Network
OBJECTIVES: Participants will be able to:
- Understand the reasons for integratin environmental and occupational health into primary care
- Recognize the role of the clinician in work-related exposure
- Be familiar with tools and resources to address occupational injuries and exposures in primary care
CLINICAL TOOLS & RESOURCES |
|
PATIENT EDUCATION MATERIALS |
|
ARCHIVED WEBINARS & TRAINING RESOURCES |
|
DATE RECORDED: Wednesday, June 17, 2014
PRESENTED BY: Matthew Keifer, MD, MPH, Dean Emanuel Endowed Chair/Director National Farm Medicine Center
 | |
| |
MCN’s Environmental and Occupational Health Programs
Learn more about MCN’s training and technical assistance programs to help clinicians and health centers improve the recognition and management of pesticide exposures and other environmental/occupational health conditions.
Mistakes can be dangerous. Accurate identification of pesticides responsible for a patient's illness is important to avoid iatrogenic errors with respect to acute treatment. Join us for an important webinar that will focus on key decision points in the diagnosis of pesticide exposures and emphasize the usefulness of the newly revised resource for clinicians - The Recognition and Management of Pesticide Poisonings, 6th ed. Through interactive case studies, this webinar will illustrate effective recognition and treatment of patients over exposed to pesticides.
The webinar, sponsored by Migrant Clinicians Network, the National Farm Medicine Center and AgriSafe Network features Dr. Keifer, a board certified occupational medicine specialist and internationally renowned researcher regarding pesticides and agricultural health and safety. For over 30 years, Dr. Keifer has focused his clinical practice and research largely on farmworkers.
SPONSORED BY: AgriSafe Network, Migrant Clinicians Network, and the National Farm Medicine Center
OBJECTIVES: Participants will be able to:
- Better recognize the signs and symptoms of pesticide overexposure
- Identify key decision points in diagnosing pesticide exposures
- Demonstrate an understanding of how to use The Recognition and Management of Pesticide Poisonings, 6th ed. in a clinical setting
We encourage all participants to order The Recognition and Management of Pesticide Poisonings, 6th ed. prior to attending this webinar. Order here. PDF versions are also available at http://www2.epa.gov/pesticide-worker-safety/recognition-and-management-pesticide-poisonings
If you have experienced any trouble ordering your copy please contact: kbrennan@migrantclinician.org
CLINICAL TOOLS & RESOURCES |
|
PATIENT EDUCATION MATERIALS |
|
ARCHIVED WEBINARS & TRAINING RESOURCES |
|
LOCAL PESTICIDE RESOURCES |
The following will provide information regarding the pesticides used in your areas:
|
Links
- http://migrantclinician.adobeconnect.com/p77irjl7cvq/
- http://www.marshfieldclinic.org/nfmc/
- http://www.agrisafe.org/
- http://1.usa.gov/1aF9rHY
- http://www2.epa.gov/pesticide-worker-safety/recognition-and-management-pesticide-poisonings
- http://1.usa.gov/1fFUSZm
- http://bit.ly/1imO43V
- http://npic.orst.edu/
- http://www.aapcc.org/
- http://extoxnet.orst.edu/
- http://www.pesticidemededucation.com/
- http://www.extension.umn.edu/agriculture/pesticide-safety/program-team/
- http://www3.extension.umn.edu/county
- http://web.extension.illinois.edu/psep/about/psepteam.cfm
- http://web.extension.illinois.edu/state/findoffice.cfm
Part 5 of the 6 webinar series: Essential Clinical Issues in Migration Health
DATE RECORDED: June 5, 2014
PRESENTED BY: Katherine Brieger, RD and Elizabeth Magenheimer
To receive CME* or CNE credit after viewing any of these webinars you must do the following:
|
Diabetes continues to be one of the most common and challenging health condition confronting migrants and other underserved populations. It is clear that a healthy lifestyle is critical to mitigating the impact of diabetes on individuals and the population, however effective and appropriate interventions can be difficult to design. Fairhaven Community Health Center in Connecticut and Hudson River Healthcare in New York, are two health centers that have long led the way in creating culturally appropriate lifestyle programs for migrants and other underserved patients. In this session the presenters will discuss lessons learned from the development of a variety of programs for diabetics and other patients including a community garden, nutrition classes, cooking classes, weight management and strategies to encourage exercise. The session will address the clinical core measures related to nutrition and BMI and will also discuss current research test second line drug effectiveness in Type 2 DM. Available in English
Learning Objectives:
- Describe culturally appropriate diabetes intervention strategies
- Identify strategies to address clinical core competencies related to nutrition and BMI to improve quality care.
- Receive “take home” examples of how to incorporate effective nutrition, weight loss, exercise and other health lifestyle strategies.
FURTHER READING |
Download the Spanish Toolkit Materials
National Diabetes Information Clearinghouse, http://diabetes.niddk.nih.gov/dm/pubs/preventionprogram Bright Bodies, http://brightbodies.org |
Links
- https://youtu.be/s9tdKcyE5OE
- http://www.cdc.gov/diabetes/ndep/pdfs/16-road-to-health-user-guide-spanish.pdf
- http://www.cdc.gov/diabetes/ndep/pdfs/17-road-to-health-activities-guide-spanish.pdf
- http://www.cdc.gov/diabetes/ndep/pdfs/18-road-to-health-resource-guide-spanish.pdf
- http://www.cdc.gov/diabetes/ndep/pdfs/19-road-to-health-flipchart-spanish.pdf
- http://www.cdc.gov/diabetes/ndep/pdfs/20-road-to-health-physical-activity-quiz-spanish-508.pdf
- http://www.cdc.gov/diabetes/ndep/pdfs/21-road-to-health-city-of-excuses-spanish.pdf
- http://www.cdc.gov/diabetes/ndep/pdfs/22-road-to-health-future-poster-spanish.pdf
- http://diabetes.niddk.nih.gov/dm/pubs/preventionprogram/
- http://diabetes.niddk.nih.gov/dm/pubs/preventionprogram
- http://brightbodies.org/
- http://brightbodies.org
Part 4 of the 6 webinar series: Essential Clinical Issues in Migration Health
DATE RECORDED: May 14, 2014
PRESENTED BY: Candace Kugel, FNP, CNM and Megan Danielson, CNM
To receive CME* or CNE credit after viewing any of these webinars you must do the following:
|
Migrant women face significant disparities with an additional layer of complexity and require different intervention strategies. Among them are reproductive health, pregnancy and childbirth, sexual and intimate partner violence, and cancers that disproportionately affect women, including cervical and breast cancer. Women often face environmental and occupational health exposures both in the home and in the workplace that heighten health risks. This session will provide a follow-up to the July 2013 presentation “Women’s Health at the Intersection of Poverty and Migration” that was part of our Clinician Orientation to Migration Health webinar series. During this presentation Candace Kugel, FNP, CNM, and Meagan Danielson, CNM will discuss quality improvement and health care services for migrant women. The HRSA clinical performance measures related to women’s health will be reviewed as well as resources and best practices for improving the health of migrant women.
Learning Objectives:
- Describe strategies to address clinical core measures that relate to women’s health .
- Discuss case studies that assist participants in understanding how creative collaborations and models of care can improve health outcomes for migrant women.
- Participants will be able to access clinical resources for working with female migrant patients.
FURTHER READING |
Low Birth Weight Resources
Cervical Cancer Resources
Other Resources
|
Links
- https://youtu.be/AJe7SVQxWTA
- http://www.healthcare.gov/
- http://www.healthcare.gov
- http://www.text4baby.org/
- http://www.text4baby.org
- http://www.migranthealth.org/
- http://www.migranthealth.org
- http://www.acog.org
- http://www.cdc.gov
- http://www.cancer.org
- http://www.rwhp.org
- http://cdc.gov/cancer/nbccedp
- http://bphc.hrsa.gov/policiesregulations/performancemeasures/index.html
- http://www.nashp.org/
- http://www.nashp.org
- http://bphc.hrsa.gov/spotlight/eriefamilyhc/index.html
- http://transform.childbirthconnection.org/
Part 6 of the 7 webinar series: Clinician Orientation to Migration Health
DATE: presented live on July 17th, 2013
PRESENTED BY: Candace Kugel, FNP, CNM, Specialist in Clinical Systems & Women's Health and Melissa Bailey, Executive Director of North Carolina Field, Inc.
 | ||
| |  |
Additional Resources: |
MCN Women's Health page MCN Health Network: Any prenatal patient who may move out of your area before giving birth is eligible to be enrolled in the Health Network. MCN will provide care coordination throughout the course of her pregnancy, until her postpartum visit is completed, to help ensure that there are no gaps in her health care. 512-327-2017 or 800-825-8205.
MCN Environmental Health/Pesticides Resources
MCN Family Violence Resources
MCN Streamline articles
Other Women’s Health Resources for Migrant/Immigrant Care
|
Historically, the field of women's health consisted of issues surrounding reproduction and childbirth. However, increasingly, the health care community has come to see women as a distinct patient group that has unique health concerns over a lifetime. Migrant farmworker women experience unique risks during pregnancy and otherwise, due to the physical demands, environmental exposures and other circumstances of their lives. The provision of healthcare services to migrant women presents distinctive challenges for both clinicians and organizations. MCN’s Candace Kugel, CRNP, CNM, and Melissa Bailey, Executive Director of NC FIELD, Inc., both with many years of experience with this population will discuss the problems, solutions and rewards of working with migrant women, through case illustrations and review of resources.
After taking this webinar:
- Participants will be able to identify at least 2 health risks unique to women farmworkers and the impact of those challenges on work, nutrition and health.
- Participants will be able to describe environmental and occupational health exposures relevant to farmworker women of reproductive age.
- Case studies will assist participants in understanding how creative collaborations and models of care can improve health outcomes for migrant women.
- Participants will be able to access clinical resources for working with female migrant patients.
PRESENTER BIOS:
Candace Kugel, FNP, CNM, Specialist in Clinical Systems & Women's Health, Migrant Clinicians Network |
Candace Kugel is a Family Nurse Practitioner and Certified Nurse-Midwife with over twenty years of experience in health care for the underserved. She has worked in various clinical settings, including family planning, migrant health, community health center, and private practice. She has worked almost exclusively in rural settings. Candace has also been active in aspects of health care other than direct patient services. She has served as a clinical instructor for nurse practitioner, nurse-midwife, nursing, and medical students, and currently has faculty appointments with the University of Cincinnati and Penn State University’s Schools of Nursing. She has worked in program development in various arenas, including co-founding a “Stork’s Store” prenatal incentive program, initiating a natural family planning education program, and teaching childbirth education classes. |
Melissa Bailey, Executive Director of North Carolina Field, Inc. |
Melissa Bailey is a native of southern West Virginia. She has worked in North Carolina migrant education programs since 2001. In 2010 AFOP’s Children in the Fields Campaign assisted community workers with forming the nonprofit NC FIELD. This effort aimed to establish an organizational empowerment and advocacy model to build capacity in farmworker communities, particularly among child laborers in agriculture. In 2012 Melissa became the Executive Director of NC FIELD. She has presented to local, state, and national stakeholders; assisted media; has worked as a research assistant on farmworker studies; assisted with organizational development and the leadership training of child farmworkers, and is a successful field organizer, consultant, and project manager. Melissa holds a certificate in Nonprofit Management from Duke University, among other certifications related to the delivery of supplemental education services and data. In her spare time Melissa enjoys reading, writing, gardening, and spending time with loved ones. |
Links
- http://migrantclinician.adobeconnect.com/p17n4u7kxek/
- http://252Fwww.migrantclinician.org/toolsource/resource/aunque-cerca...sano-pesticide-comic-book.html
- http://www.text4baby.org
- http://www.nccc.ucsf.edu/about_nccc/perinatal_hotline/
- http://www.centeringhealthcare.org
- http://www.rwhp.org
- http://www.augercommunications.com
- http://www.wakehealth.edu/Research/Family-Medicine/Educational-Materials.htm
- http://www.migranthealth.org
- http://www.womenshealth.gov
- http://www.marchofdimes.com/professionals/professionals.asp
- http://www.cdc.gov/spanish/mujer.htm
- http://www.nationalperinatal.org/trans.php
- http://www.cdph.ca.gov/programs/cdapp
- http://www.effectivehealthcare.ahrq.gov/ehc/products/107/510/Diabetes%20Spanish.pdf
- http://afop.org/wp-content/uploads/2010/07/The-Fields-PDF-2.13-version.pdf
- http://www.hrw.org
- http://www.legalmomentum.org/
- http://www.acf.hhs.gov/trafficking
These files are part of the Engaging Migrant Men project.
MCN developed 3 vignettes that portray the three messages developed in video and printed form.
These files are part of the Engaging Migrant Men project.
Accompanying discussion guides were created to be used by male peers, community leaders, or outreach workers for one-on-one and small group discussions with men.
Part 1 of the 6 webinar series: Essential Clinical Issues in Migration Health
DATE RECORDED: March 19, 2014
PRESENTED BY: Deliana Garcia, MA, International Research and Development, Migrant Clinicians Network
To receive CME* or CNE credit after viewing any of these webinars you must do the following:
|
**Note: Due to technical difficulities the first 7 minutes of the presentation are not recorded. Please refer to the pdf of the slides for the content that was covered in those 7 minutes.
Over the last 30 years, considerable attention has been paid in the clinical setting to cultural competency- the ability to mitigate against the effects of the sociocultural differences between clinicians and patients and to take into account how culture affects the symptoms presented or the patients’ attitude about health care. More recently, scholars and clinicians have encouraged those in practice or health professions training to focus not only on the behaviors and beliefs of cultural groups but more importantly to consider the structural determinants, prejudices, injustices and blind spots, the “pathologies of social systems” that affect health outcomes and the stigma experienced by patients. The session will introduce participants to the broad framework of structural competency and the five core structural competencies.
Learning Objectives:
- Identify the structures that shape clinical interactions;
- Discuss the means of developing an extra-clinical language of structure;
- Rearticulate “cultural” formulations in structural terms;
- Explain the process of observing and imagining structural interventions; and
- Describe the concept of structural humility.
FURTHER READING |
Farmer, Paul, Bruce Nizeye, Sara Stulac, Salmaan Keshavjee. 2006. Structural Violence and Clinical Medicine. PLoS Medicine 2006 (3): 1686-1691. Holmes, Seth, Fresh Fruit Broken Bodies, 2013 Messac, Luke, Dan Ciccarone, Jeffrey Draine, Philippe Bourgois. 2013. The good-enough science-and-politics of anthropological collaboration with evidence-based clinical research: Four ethnographic case studies. Social Science & Medicine 99 (2013): 176-186 Quesada, James, Laurie Kain Hart, & Philippe Bourgois. 2011. Structural Vulnerability and Health: Latino Migrant Laborers in the United States. Medical Anthropology, Vol. 30, No. 4: 339- 362 Srivastava, Ranjana. Complicated Lives—Taking the Social History. New England Journal of Medicine 2011 (365): 587-589. Willen, Sarah. 2012. How is Health-Related “Deservingness” Reckoned? Perspectives from Unauthorized Im/migrants in Tel Aviv. Social Science & Medicine 74 (2012): 812-821. |
Links
- https://youtu.be/smEPZKr-6gg
- http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.0030449
- http://sethmholmes.com/
- http://www.sciencedirect.com/science/article/pii/S0277953613002207
- http://www.haverford.edu/anthropology/faculty/hart/Medical-Anthropology-Structural-Vulnerability-and-Health--Latino-Migrant-Laborers-in-the-United-States.pdf
- http://www.ranjanasrivastava.com/wp-content/uploads/2013/01/Complicated-Lives.pdf
- http://www.sciencedirect.com/science/article/pii/S0277953611003984
Hombres Unidos is a peer-led workshop focused on the primary prevention of sexual and intimate partner violence (s/ipv) with Latino migrant men. Developed in 2005 with the support from the Centers for Disease and Control, this five session workshop is implemented using a popular education technique (Paulo Freire) which is a concept that incorporates notions of class, political struggle and social transformation.
This webinar (sponsored by the Washington Coalition of Sexual Assault Programs) focuses on the collaborative development of a primary prevention workshop for Latino migrant men, the evaluation of the workshop, and the continuing effort on engaging Latino migrant men as allies with women in s/ipv prevention after the five session workshop.
After this webinar, participants will be able to identify:
- methods on how to begin a conversation on sexual and intimate partner violence with Latino migrant men
- process and outcome evaluation techniques on a primary prevention workshop developed for a specific population
- efforts to continue to engage Latino migrant men in sexual and intimate partner violence prevention
- how to incorporate existing efforts with your population
Recording & Materials
During the webinar, Adrian referenced a few handouts that are used in the program. Below you will find a few of these in Spanish.
Links
- http://www.wcsap.org/engaging-latino-migrant-men-violence-prevention-webinar
- http://www.wcsap.org/sites/wcsap.huang.radicaldesigns.org/files/uploads/webinars/Hombres_Unidos/index.htm
- http://www.wcsap.org/sites/wcsap.huang.radicaldesigns.org/files/uploads/trainings_events/recorded_webinars/EngagingLatinoMigrantMenViolencePrevention_10.29.13.pdf
- http://www.wcsap.org/sites/wcsap.huang.radicaldesigns.org/files/uploads/webinars/ContinuumSpanish_EmotionalPsychological.pdf
- http://www.wcsap.org/sites/wcsap.huang.radicaldesigns.org/files/uploads/webinars/WheelSpanish_Equality.pdf
- http://www.wcsap.org/sites/wcsap.huang.radicaldesigns.org/files/uploads/webinars/WheelSpanish_PowerandControl.pdf
Reducing exposure to toxic environmental agents is a critical area of intervention for obstetricians, gynecologists, and other reproductive health care professionals. The evidence that links exposure to toxic environmental agents and adverse reproductive and developmental health outcomes is sufficiently robust, and the American College of Ostetricicans and Gynecologists and the American Society for Reproductive Medicine join leading scientists and other clinical practitioners in calling for timely action to identify and reduce exposure to toxic envrionmental agents while addressing the consequences of such exposure.
Files
Families Talking Together (FTT) is an evidence based program designed to help Latino parents better communicate with their children and teens about healthy relationships, sex, contraceptive use, and preventing pregnancy. Dr. Vincent Guilamo-Ramos, the creator of the program and co-director of the Center for Latino Adolescent and Family Health at New York University’s Silver School of Social work, along with Planned Parenthood Los Angeles and Visión y Compromiso, recently enlisted 25 promotores (community health workers) from three communities in California with high rates of teen pregnancy and high percentages of Latinos in an effort to help Latino parents address teen pregnancy. Over a four-day period, the 25 promotores were trained to deliver the FTT intervention. In the next two months, the promotores will deliver the intervention to 250 families in California. The National Campaign wishes to recognize and thank Dr. Guilamo-Ramos, PPLA, and Visión y Compromiso for their work on this innovative and important project.
The FTT intervention—both the community health worker curriculum and parent materials---are available online, free of charge.
Files
Links
- http://store.thenationalcampaign.org/site/R?i=iOPIGHCt4_sel75YCj4CNg
- http://store.thenationalcampaign.org/site/R?i=zbpZq567mdRyAhRMqfLBfw
- http://store.thenationalcampaign.org/site/R?i=oFELeuVlpFN4_3HuvAZKVg
- http://store.thenationalcampaign.org/site/R?i=8sPNa0ckhtnq8c2n-KUhDQ
- http://store.thenationalcampaign.org/site/R?i=uejouwu2KrBvV0GyidmHLA
- http://store.thenationalcampaign.org/site/R?i=63niYLc_nPHYmxs-ZRZJHQ
Two high-production value, Spanish radio public service announcements(PSAs) to promote HIV testing services at local agencies. One PSA targets men and the other women. Each PSA features a blank space for you to record your organization’s contact information. Provided by Farmworker Justice
Comprehensive Spanish-language curriculum for individuals interested in training promotores de salud in HIV prevention. The curriculum is based on popular education techniques, and is culturally competent and linguistically sensitive.
Provided by Farmworker Justice
A directory of organizations working to promote health and prevent HIV/AIDS in California, Florida, North Carolina, Oregon, and Texas.
Provided by Farmworker Justice
This webinar is the sixth in a series of seven in our Clinician Orienatation to Migration Health.
DATE RECORDED: Wednesday, July 17, 2013
PRESENTED BY: Candace Kugel, FNP, CNM, Specialist in Clinical Systems & Women's Health and Melissa Bailey, Executive Director of North Carolina Field, Inc.
To view the recorded version of this webinar, click here.
Geoffrey M. Calvert, Walter A. Alarcon, Ann Chelminski,
Mark S. Crowley, Rosanna Barrett, Adolfo Correa, Sheila
Higgins, Hugo L. Leon, Jane Correia, Alan Becker,
Ruth H. Allen and Elizabeth Evans
doi:10.1289/ehp.9647 (available at http://dx.doi.org/)
Online 21 February 2007
Geoffrey M. Calvert, Walter A. Alarcon, Ann Chelminski,Mark S. Crowley, Rosanna Barrett, Adolfo Correa, SheilaHiggins, Hugo L. Leon, Jane Correia, Alan Becker,Ruth H. Allen and Elizabeth Evans
doi:10.1289/ehp.9647 (available at http://dx.doi.org/) Online 21 February 2007
Links
Introduction
In August of 2005, the North Carolina Division of Public Health, Occupational and Environmental Epidemiology Branch (OEEB) was notified that three women who had worked on farms in North Carolina owned by Ag-Mart had delivered infants with birth defects. All three births took place in Florida where the women also worked on Ag-Mart farms and lived near each other. This report summarizes the OEEB’s investigation and assessment of the pesticide exposures likely experienced by these women while in North Carolina.
Files
The Occupational Health and Safety Resource Center is a virtual repository of Spanish educational materials, data sources, and links to bilingual informational websites on occupational health and safety issues related to agricultural work. It also contains an ample list of national and state agencies that have produced materials in Spanish for farmworkers’ health-related problems.
MCNs own Deliana Garcia helped in being a part of the advisory committee to this resource center.
What is the objective? To facilitate a central access point to high quality Spanish educational materials on agricultural occupational health and safety issues for people conducting work on health promotion and prevention activities and on workers’ rights and problems related to agricultural work.
Who are the target audiences? Health-outreach workers (promotores), community advocates, health providers, contractors/employers, farmworkers and their families, and others interested in the health and safety issues of agricultural workers.
What areas are included? The materials cover five key relevant areas: 1) Farmworkers’ rights; 2) Injury prevention; 3) Respiratory illnesses; 4) Heat illnesses; and 5) Pesticide exposure.
How did we do it? To develop the Virtual Resource Center, the process entailed:
- Asset mapping of educational, informational and research materials available in Spanish related to the five mentioned areas.
- Selection of materials using the following criteria: accurate information, culturally and linguistically adequate (including literacy level), relevant to health area, and visually acceptable quality.
- Insertion of resources into an excel format under five different categories, including source, type of material, and description of its content.
Development of new materials: to complement the existing educational resources, we developed a “Promotores Training Manual on Occupational Health and Safety of Agricultural Workers”. Based on an ethnographic framework, the manual presents the perspective of agricultural workers on the five mentioned areas (their stories) and provides community health workers with tools on how to conduct prevention and promotion activities. It also refers them to existing resources. We also produced a series of Spanish and selected indigenous languages Public Service Announcements (PSAs) on these areas.
An informative blog about workers' compensation, risk management, business insurance, workplace health & safety, occupational medicine, injured workers, and related topics.
This webinar is the fifth in a series of seven in our Clinician Orienatation to Migration Health.
DATE RECORDED: Wednesday, June 12th, 2013
PRESENTED BY: Dr. Jennie McLaurin, MD, MPH, Specialist in Child and Migrant Health, Migrant Clinicians Network
To view the recorded version of this webinar, click here.
Much of the medical home model is predicated on a relatively stable population that can access regular care at a single network of providers. So how can this model effectively transfer to a mobile population? One of the key elements needed is a more expansive vision of a medical home beyond a single geographic location. This session will explore strategies to create a patient centered medical home for patients on the move. The session will include an update and overview of MCN’s Health Network to manage critical health care issues such as infectious disease, Cancer, Diabetes and Pre-natal patient navigations. Participants will also be engaged in a discussion around best practices in tracking outcomes and reporting test results to patients. Presenters will highlight innovative promising practices in the creation of patient centered medical homes for migrant patients.
The Diabetes and Healthy Eyes Toolkit provides community health workers with tools to inform people with diabetes about diabetic eye disease and maintaining healthy vision. The toolkit has a flipchart that is easy to use in community settings and can be incorporated into existing diabetes classes or information sessions. It is available in English andSpanish.
Part 4 of 7 webinars in the CLINICIAN ORIENTATION TO MIGRATION HEALTH series.
DATE RECORDED: May 15, 2013
PRESENTERS: Amy K. Leibman, MPA, MA, Director of Environmental and Occupational Health, Migrant Clinicians Network
Dr. Mike Rowland, MD, MPH, Vice President, Medical Affairs and Medical Director, Occupational Health, Franklin Memorial Hospital
OBJECTIVES:
- Recognize the unique health risks of migrants due to their working conditions and environment
- Identify promising practices in environmental and occupational health that are feasible to implement in Migrant and Community Health Centers
- Utilize online clinical and patient education tools and resources to recognize, prevent and manage environmental and occupaional illnesses and injuries
This webinar is the third in a series of seven in our Clinician Orienatation to Migration Health.
DATE RECORDED: Wednesday, April 17, 2013
PRESENTED BY: Edward Zuroweste, MD, Chief Medical Officer, Migrant Clinicians Network
To view the recorded version of this webinar, click here.
This webinar is the second in a series of seven in our Clinician Orientation to Migration Health.
DATE RECORDED: Wednesday, March 13, 2013
PRESENTED BY: Jennie McLaurin, MD, MPH, Specialist in Child and Migrant Health, Migrant Clinicians Network
To view the recorded version of this webinar, click here.
Files
This webinar is the first in a series of seven in our Clinician Orienatation to Migration Health.
DATE RECORDED: Wednesday, February 13, 2013
PRESENTED BY: Deliana Garcia, MA, International Research and Development, Migrant Clinicians Network
To view the recorded version of this webinar, click here.
University of Minnesota's Global Health training program is offering free short courses on immigrant and refugee health.
The purpose of this course is to prepare providers to diagnose and treat acute pesticide poisoning and to increase their awareness of health problems associated with chronic pesticide exposure. While the focus of the course is on workers in agricultural settings, the course contents are also applicable for treating all pesticide related illness.
This archived webinar originally presented by Jennie McLaurin, MD and Tillman Farley, MD, provides an overview of effective strategies to integrate behavioral health into health center operations. The presenters come with many years of experience in providing culturally appropriate and high quality health care to migrants and other underserved populations. This page includes links to other SAMHSA-HRSA sponsored archived webinars in additional topics.
Webinar Presentation by Adam Hoverman, DO, DTM&H on Exploring the Intersection of Tropical Medicine and Migrant Health. Recorded on 4/18/2012.
October 15, 2012
Background
The Centers for Disease Control and Prevention (CDC) with state and local health departments and the Food and Drug Administration (FDA)
are investigating a multistate meningitis outbreak of fungal infections among patients who have received a steroid injection of a potentially contaminated product into the spinal area. This form of meningitis is not contagious. The investigation also includes fungal infections associated with injections in a peripheral joint space, such as a knee, shoulder or ankle.