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A Daily Practice to Restore Equanimity

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How to Re-establish Safety When You Have been Jolted into a Stress Response

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Healthy Sleep Tips

Questions for staff to address current organizational tensions

Part 2 of the 6 webinar series: Essential Clinical Issues in Migration Health

DATE RECORDED: April 2, 2014
PRESENTED BY:  Hans Dethlefs, MD and Ed Zuroweste, MD

View Recorded Webinar  

 Participant Evaluation  

 Presentation Slides (PDF)

If you have any follow up questions for this webinar, feel free to contact Dr. Ed Zuroweste at kugelzur@migrantclinician.org or 512.579.4540 .

To receive CME* or CNE credit after viewing any of these webinars you must complete the Participant Evaluation associated with each webinar. If you have any questions, contact our Continuing Education Assistant at contedu@migrantclinician.org

At their best, clinical core measures serve as an important window to examine the impact and quality of care being delivered at health centers. However, without an effective system in place clinical core measures can require a great deal of time and effort without yielding important quality improvement. This session will examine both short and long term strategies health centers can employ to make the best use out of the clinical core measures to improve care for patients. Drs Zuroweste and Dethlefs will examine the building blocks health centers need for an effective quality improvement system. Through a series of case studies, this session will explore the role of clinical leadership, technology and strategies for building a short and long term quality infrastructure that works.

Learning Objectives:

  1. Identify common pitfalls health centers encounter related to the clinical core measures.
  2. Discuss strategies for assessing a health center’s current capacity to engage in meaningful quality improvement.
  3. Through case studies, evaluate different approaches to clinical quality improvement using the clinical core measures.

FURTHER READING

Approved Uniform Data System (UDS) Changes for Calendar Year 2014 Program Assistance Letter

New Clinical Measures 2014

Effective Data Management for the Pursuit of Quality Health Care: OneWorld Health Center. MCN's Streamline. Winter 2014 Issue 1.

330 Clinical Grant Requirements

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

View Recorded Webinar  

 Participant Evaluation  

 Presentation Slides (PDF)

To receive CME* or CNE credit after viewing any of these webinars you must do the following:
  • Complete the Participant Evaluation associated with each webinar
  • Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.org

**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:

  1. Identify the structures that shape clinical interactions;
  2. Discuss the means of developing an extra-clinical language of structure;
  3. Rearticulate “cultural” formulations in structural terms;
  4. Explain the process of observing and imagining structural interventions; and
  5. 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.

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.  

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

This is the final webinar in a series of seven in our Clinician Orienatation to Migration Health.

DATE RECORDED: Wednesday, August 7th, 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 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.

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.

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.

Good article on cultural humility--basically the groundbreaking one used to propose the term

Journal of Health Care for the Poor and Underserved; May 1998; 9, 2; Research Library
Melanie Tervalon; Jann Murray-Garcia 

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.

The California Healthcare News regularly posts jobs around the state. Check back frequently for updated information.

This blog post from the North Carolina Medical Board discusses issues around physician burnout. The blog states: "Burnout among physicians has reached epidemic proportions since it was first described among human services workers in the 1970s. When physicians experience overload, loss of control (autonomy) and a lack of reward (perceived or real) for their contributions, their risk for emotional exhaustion, otherwise known as the burnout syndrome, is astronomical. When physicians begin the downward spiral into burnout, they no longer contribute with their leadership and motivational energy. Instead, they become needy and unintentionally sap energy away from the group. Worse, this syndrome is highly contagious and can systematically infect a whole practice or clinic by reducing meaningful contact among its individual members."

Program pays tuition, required fees, other reasonable costs and a monthly stipend. Preference is given to qualified applicants with the greatest financial need who are enrolled full-time in an undergraduate nursing program.

The National Institutes of Health (NIH) Undergraduate Scholarship Program (UGSP) offers competitive scholarships to students from disadvantaged backgrounds who are committed to careers in biomedical, behavioral, and social science health-related research. The program offers:

  • Scholarship support
  • Paid research training at the NIH during the summer
  • Paid employment and training at the NIH after graduation

SCHOLARSHIP REQUIREMENTS
The NIH Undergraduate Scholarships are awarded on a competitive basis to students who show a commitment to pursuing careers in biomedical, behavioral, and social science health-related research. The following are the basic requirements:

  • U.S. citizen, national, or qualified non-citizen.
  • Enrolled or accepted for enrollment as a full-time student for the 2012-2013 academic year at an accredited, 4-year undergraduate institution.
  • High school seniors are not eligible to apply.
  • 3.5 GPA or higher (on a 4.0 scale) or within the top 5 percent of your class.
  • From a disadvantaged background. Disadvantaged background means that your financial aid office has certified you as having "exceptional financial need." (Federal Register, Vol. 76, No. 51)

Scholarship Support

The NIH UGSP will pay up to $20,000 per academic year in tuition, educational expenses, and reasonable living expenses to scholarship recipients. Scholarships are awarded for 1 year, and can be renewed up to 4 years.

Matthew Keifer, MD, MPH, a board certified occupational medicine specialist and internationally renowned researcher regarding pesticides and worker health, overviews the importance of recognizing and managing pesticide exposure.  To obtain free CME* credit, please complete this evaluation at the end of the webinar http://www.migrantclinician.org/national_webinar_eval. Sponsored by AgriSafe Network, Migrant Clinicians Network and the National Farm Medicine Center.

*Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

The Alliance of Nurses for Healthy Environments (ANHE) is a network of nurses from around the country (and world) who are acting on the notion that our environment and health are inextricably connected. We are a group of nurses from all walks of our profession – hospital-based, public health, school-based, academics, and advanced practice, to name a few.   

We are helping to integrate environmental health into nursing education, greening our many workplaces, incorporating environmental exposure questions into our patient histories, providing anticipatory guidance to pregnant women and parents about environmental risks to children, implementing research that addresses environmental health questions, and advocating for environmental health in our workplaces and governmental institutions.

Three newsletters the NHSC has developed for each of its primary member segments -- Clinicians in Service, Scholars in School, and NHSC sites.

The Association of Clinicians for the Underserved (ACU) has partnered with over 220 leading healthcare associations to form the National Healthcare Career Network (NHCN). The network gives employers a better way to immediately connect with a wide array of health professionals, including physicians, nurse practitioners, physician assistants, and mental health workers.

ACU Career Center Benefits

  • Post your job to the ACU Career Center and have your posting distributed to other job boards in the NHCN.
  • Use the Network Wizard to see how your job will be distributed throughout the Network.
  • Have your job viewed not only job seekers that posted their resume to the ACU Career Center but also job seekers that posted their resume on other sites throughout the Network.
  • Get access to over 50,000 searchable Network resumes with your active job posting.

Global Health Pathway includes online training in global health, Global Health Open Access Lecture Library, Tanzania Education Exchange, In-person Global Health Course, Community Activities, and Resident Training.

This webcast discusses the design, development and use of photonovelas as an effective tool for HIV/AIDS education in rural latino communiites.

Therapies that integrate mind and body, seek health as well as cure, and incorporate a patient's beliefs and values are increasingly popular among consumers. Not to mention, they are supported by strong biologic and outcomes evidence. But for many physicians, this “new age” medicine has been an understandable cause for suspicion.

Now, some rigorous scientists, featured in these videoclips, are conducting groundbreaking studies of the mind-body connection. They are uncovering how and to what extent psychosocial states and events significantly influence physical phenomena like pain and wound healing.

The Community Clinic Voice (the Voice) is a free, online community for Community Health Centers and other safety net health care professionals and partners to network, share information and exchange ideas. It provides one convenient, easy to navigate center to access news, resources, and colleagues. Voice members are clinic CEOs, Medical Directors, clinicians and allied health providers, CFOs, fundraisers, CIOs, operations and administrative staff, and more. There is no cost to join or use the Voice, and it is open to anyone concerned with community health. No commercial or marketing activity is permitted.

The Clinical and Translational Science Collaborative (CTSC) KL2, a post-doctoral training program with an emphasis on multidisciplinary clinical and translational research. Qualified candidates are being offered an opportunity to apply to an innovative career development program whose purpose is to train clinician investigators.  The CTSC KL2 is designed to train the nation’s future leaders in clinical and translational research, and is part of the NIH Roadmap aimed at “re-engineering the clinical research enterprise.”

The California Department of Public Health’s Occupational Lead Poisoning Prevention Program is pleased to announce a new online course - Overview of Adult/Occupational Lead Poisoning in California.  Based on the latest health information about lead poisoning, this course:
 
    • Describes the problem of adult lead poisoning
    • Uses a case to illustrate issues and challenges in diagnosing lead poisoning in adult patients
    • Offers guidelines for providing state-of-the-art clinical management of adult lead poisoning
    • Provides an overview of the medical responsibilities under OSHA Lead Standards
 
CME Credit: 1.0 AMA PRA Category 1 Credit

A listing of unique opportunities on the Texas-Mexico Border. Internships and fellowships offered by HSHPS.

Apply For a BrainTrack Nursing Scholarship

In addition to being a college and university directory BrainTrack also features its own scholarship opportunity. To help nursing students currently studying to become a nurse, such as an LPN or RN, or to advance their education as a nurse via associate, bachelor, master, or doctoral degree programs, BrainTrack's Nursing Schools Scholarship offers a winning and second place award every semester. The scholarship essays submitted by entrants are designed to help others consider becoming a nurse or advancing their nursing education and career options.

There has never been a better time to recruit and retain clinicians through the National Health Service Corps(NHSC). Clinicians working in NHSC‐approved sites with HPSA scores as low as zero have greater opportunities and access to funding than ever before in the history of the program.

HHS Deputy Secretary Bill Corr today announced the release of $13.4 million for loan repayments to nurses who agree to practice in facilities with critical shortages and for schools of nursing to provide loans to students who will become nurse faculty. The funds were made available by the American Recovery and Reinvestment Act (ARRA), signed Feb. 17, 2009, by President Obama.

“The need for more nurses is great. Over the next decade, nurse retirements and an aging U.S. population, among other factors, will create the need for hundreds of thousands of new nurses,” Deputy Secretary Corr said. “The awards from these two HRSA programs will help us meet projected demand for their services.”

This site holds many medical Spanish material, including a comprehensive medical Spanish dictionary, complete with audio.

Migrant Health Promotions (MHP) and MCN have jointly sponsored a series of webcasts on promotora programs in migrant health. This link takes you to a list of these webcasts which are archived and can be viewed at a convenient time for you.

The Nurse Oncology Education Program (NOEP) is a nonprofit project of the Texas Nurses Foundation funded by the Cancer Prevention & Research Institute of Texas (CPRIT), providing cancer education for nurses in all fields of practice.

In Texas alone, it is estimated that over 97,000 people will be diagnosed yearly with cancer (American Cancer Society, 2008). And we know that racial/ethnic minorities and the financially disadvantaged are diagnosed with cancer later and have a shorter and lower survival rate than non-minorities.

The educated nurse has an opportunity to reduce the impact of cancer throughout the continuum of care by promoting screening, delivering quality care at the bedside, through participation with professional organizations, and as advocates with friends and family members.

This website offers some free online lessons which teach basic Spanish concepts. More detailed and advanced lessons can be purchased on CDs from the website.
The goal of this project is to create awareness about less common languages. This website offers a database of less commonly taught language classes, instructional materials, and other resources for teaching these languages. There are some resources for Zapoteco, Nahuatl, and Mayan indigenous languages.
The town of Greenfield, CA has a high population of indigenous immigrants from Oaxaca, Mexico, many of whom speak little Spanish and/or English. This website is a compilation of work done by students from the UC,Berkeley Graduate School of Journalism and reports on what the town of Greenfield is doing to improve communications and relations with these indigenous peoples

FIOB has a good presentation that they use to teach the general community about indigenous cultures. This PowerPoint could be used to teach staff about indigenous languages.

M E J Personal Business Services, Inc. is an interpreting, translation, and financial service based in New York City.  They provide Foreign Language Interpreting, Telephone interpreting, video remote Interpreting, and Financial and Translation Services.  Their website specifies that they provide document translations in Mixteco.  

General information or a free quote:  866-557-5336

The MICOP is an organization of English,Spanish,and indigenous language speakers who are working to aid Oaxacan immigrants in Ventura County California.They mostly provide direct services.The“Necessities of Life” program distributes clothing, diapers, blankets, and other items to those in need.The organization also has programs which provide food, resources for medical care,education and literacy classes for adults, and weekly community meetings.Contact info:325 W. ChannelIslands Blvd. Oxnard, California 93033805) 385-8662

The CDI is an organization that was created in 2003 to ensure that indigenous communities and people in Mexico have the rights guaranteed to them by the Mexican Constitution. It collaborates with state governments and federal dependencies to evaluate current strategies and works to form new programs that will ensure equality and fight against indigenous discrimination. It also works to help indigenous peoples to improve their quality of life. Their website includes a number of resources on indigenous areas of Mexico including news stories (some of which are written in an indigenous language), music, and research information on the indigenous populations. There is also a section of basic information on the indigenous languages of Mexico.

Radio Bilingüe is a Spanish language network on public radio.  Although it is mostly California based, there are affiliate stations in Carrboro, Asheville, and Greenville, North Carolina.  There is also a radio program broadcast in Mixteco called La Hora Mixteca.

 

Contact: Filemón López, Coordinator of La Hora Mixteca

lopez.f@radiobilingue.org

(559) 455-5784

The Oaxacan Indigenous Binational Front (FIOB) is a non-profit organization based in California. It is a coalition of indigenous organizations, communities, and individuals from Oaxaca, Baja California and in the State of California. This organization works to empower the indigenous peoples of Oaxaca and make sure that human rights are upheld for these communities in both Mexico and the United States.

The Language Materials Project works to provide a variety of materials, such as dictionaries, phrasebooks,grammars, and cultural materials.Currently, thewebsite only provides materials in one indigenous language (Nahuatl), but the project continually updates the language profiles, so additional languages may be added at a later date.
Rosetta Stone is a software company which markets a variety of language learning software.This company also has an Endangered Languages Division, which creates software to preserve less prevalent languages. The company currently does not have any software available in theIndigenous Languages of Latin America but is possibly interested in developing software with ECMHSP and its parents who speak indigenous languages.Contact Marion Bittinger:mbittinger@RosettaStone.com

This faith-based organization works to document and study lesser-known languages.  It has developed a number of materials, ranging from dictionaries to literature sources, in a wide variety of languages. 

The Native Literacy Center in Oaxaca, Mexico was founded by a group of professionals and native educators from Oaxaca to support literacy projects for indigenous peoples.  This center is involved with preservation, helping indigenous peoples to write their languages, print and publish individual works, write their histories, and record their knowledge for future generations.  People come from Central and South America to this Center, where they learn how to produce their own works.  The center also works with education, teaching indigenous peoples how to write their languages so that they are able to produce their own works. 

This digital archive features a number of recordings and texts in the indigenous languages of Latin America. Materials are available in Mixteco, Mam, Nahuatl, Otomi, Triqui, Zapoteco, and many other indigenous languages. These materials give information about the cultures of these indigenous groups. Original works of literature in indigenous languages are also published on this site. AILLA works to preserve written forms of these languages, but it also collects grammars, dictionaries, ethnographies, and research notes that can be used as teaching materials. Most of the archive is free and available to the public.

  1.  Online dicitionary in a variety of languages available under the "Foreign Language Aides for Latin America and Iberia" section, including Mixteco, Nahuatl, and Zapoteco.  http://www.oberlin.edu/faculty/svolk/latinam.htm
  2.  Mixtec-Spanish Online Dictionary   http://aulex.ohui.net/es-mix/?idioma=en                 
  3.  Mixtec dictionary created by the SIL:  http://www.sil.org/mexico/mixteca/00i-mixteca.htm
  4.  Mam-Spanish Dictionary    http://www.cscd.osakau.ac.jp/user/rosaldo/Mam_Esp_DICC_COM.html

 

This website, owned by SIL International, provides detailed background information about less common languages.  Many of the indigenous languages have profiles. 

Note: Wikipedia also contains a variety of sites describing the basic characteristics of each of the indigenous languages. 

Western NC Workers Center:  Located in Morganton, North Carolina, the Western NC Workers Center is a non-profit group of community organizers.  This organization currently has a number of outreach and education projects which work to uphold the rights of immigrant and low wage employees in Western North Carolina.  They also work with high levels of Guatemalan immigrants who speak indigenous languages.  One of their projects designed to reach indigenous language speakers is their Promotora Education project, which uses scenario picture books without words to educate low literacy populations about health and work safety. 

Contact:

Francisco Risso                                                                                                                (828) 432-5080                                                                                                             fjrisso@hotmail.com

Mayan Ministries:  Organized through the Diocese of Palm Beach in Florida, Maya Ministries works to address the needs of Mayan immigrants to the area.  These Mayan workers speak up to 25 different dialects of Mayan indigenous languages, but most can speak Spanish as well.  The organization’s main services are literacy programs for families, adult education programs, and early childhood education programs for children who have English as a second language.  They also offer a variety of social services referrals and translating specifically for Mayan immigrants.  They have a Literacy Program funded by the Department of Education that was written in the Mayan indigenous language Canjobal. 

 

Contact Information:

1615 Lake Ave.
P.O. Box 209 
Lake Worth, Fl 33460-0209

General information: http://www.mayaministry.com

As dental capacity grows, the need for dentists, dental hygienists and dental assistants committed to caring for underserved patients is growing as well. NNOHA coordinates a job bank to help connect Health Center dental openings with candidates looking for a career in service to underserved patients.

The AgriSafe Network Distance Learning Webinars aims to provide appropriate and timely training opportunities for Network members and affiliates. Through partnering with the National Rural Health Association and the Great Plains Center for Agricultural Health, the Network has been able to offer a series of fantastic speakers using the web-based Elluminate program.

Foreign Language Study and International Health Work: Selected Resources

The Commonwealth Fund/Harvard University Fellowship in Minority Health Policy is a one-year, full-time, academic degree-granting program designed to create physician-leaders, particularly minority physician-leaders, who will pursue careers in health policy, public health practice, and academia.