Announce
Dr. Monica Saxena JD, MD joins us to discuss the recent overturning of Roe v. Wade. How will this affect access to abortions, particularly for marginalized communities? What relevance does this ruling have to the role of the EM physician in caring for emergencies in pregnancy? What role with the emergency department play in states that allow and don't allow abortions? What actions may we take for our patients, in the ED and outside the ED? Objectives 1. Explore the changing landscape of safe abortion access in the US 2. Learn how your practice in the emergency department may...
info_outline Nutrition and Food InsecurityAnnounce
Dr. Seth Berkowitz and Economist Hunt Alcott join us to discuss nutrition, food insecurity, and their relevance to emergency medicine. What questions can we ask to identify food insecurity quickly? What resources can we offer patients? How might it affect our clinical decision making?
info_outline AlcoholAnnounce
Drs. Otis Warren and Shannon Smith-Bernardin join us to discuss how alcohol relates to social issues. What more can we do for patients that are brought in drunk? What solutions exist at both the individual ED and healthcare system level?
info_outline Health Disparities in the Time of COVIDAnnounce
Across the US, LatinX and Black people are dying from COVID-19 at twice the rate of their white counterparts. In this special episode of Announce, hosts Drs. Ayesha Khan & Quincy Moore explore some of the issues underlying these disparities and what EM providers need to be aware of to combat them.
info_outline RaceAnnounce
Drs. Sheryl Heron and Camara Phyllis Jones join us to discuss race and how it affects our practice in the ED.
info_outline Happy New Year!Announce
Our team took a breather for the holidays. Tune in February 1st for another episode!
info_outline HomelessnessAnnounce
In the U.S., a homeless person’s lifespan is 25 years less than average. In this episode, hosts Dr. Ayesha Khan & Dr. Quincy Moore explore how the EM providers can be pivotal in improving health outcomes for those that lack basic shelter with Dr. Kelly Doran and Stephen Brown.
info_outline Structural determinants of health and unmet social needsAnnounce
Drs. Lewis Goldfrank and Phil Levy join us to discuss structural determinants of health, unmet social needs, and what we can do to address them in the emergency department.
info_outline OpioidsAnnounce
Drs. Gail D’Onofrio and Lewis Nelson join us to discuss the most up to date and practical topics related to opioids in the emergency department.
info_outline Firearm ViolenceAnnounce
Drs. Megan Ranney and Emmy Betz discuss the role of the emergency physician in treating firearm violence, with focus on both interpersonal violence and suicide.
info_outlineIn our debut episode, hosts Drs. Ayesha Khan & Quincy Moore along with special guest host Dr. Vibha Gupta sit down with our guests, Dr. Mary Cheffers (LA County), Dr. Todd Schneberk (LA County) and Mrs. Mayra Joachin (Attorney, National Immigration Law Center) to discuss what emergency providers should know about their patients with immigration-related issues.
Objectives:
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Learn the effects of anti-immigrant legislation on seeking care and ED presentation
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Learn barriers immigrants and undocumented patients face in seeking care
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Learn what rights undocumented patients in the ED have
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Learn where you can connect your patients to legal aid and healthcare resources
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Know your options when ICE shows up to your ED
Resources:
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Community health centers, migrant health centers, and free clinics
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Legal aid
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Nonprofit organizations that provide low-cost help https://www.immigrationlawhelp.org
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List of lawyers that provide free services via immigration courts https://www.justice.gov/eoir/list-pro-bono-legal-service-providers
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Search engine for legal services near you https://www.adminrelief.org
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American Immigration Lawyers Association’s online directory https://www.ailalawyer.com
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National Immigration Project of the National Lawyers Guilde https://www.nationalimmigrationproject.org/find.html
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National Immigration Law Center Health Care Toolkits - https://healthtoolkit.nilc.org
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How to make sure your ED is safe space
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Signs / posters / message to patients (in various languages)
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Know-your-rights cards for patients
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Designating private and public spaces
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Make an ED protocol for interaction with ICE authorities
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Relationship with legal team
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Take-home points:
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All ED docs are going to encounter undocumented immigrants in the ED and in the community
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Understand the barriers to care- much is related to fear
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ED docs can be advocates and create a safe space- create posters, talk to your hospital administration to come up with programs/direct people to resources
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Patients present to the ED more and more critically ill because they delay care
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It is important to note that the protections that HIPAA provides as well as the stance on whether or not it is best to document a patient's immigration status in their medical record is controversial. The NILC states "Providers are strongly encouraged to avoid collecting or recording immigration-related information in the event that they are legally required to disclose their otherwise protected information". For further discussion of this challenging question, please reference the NILC Healthcare Toolkit or your hospital's legal department.
Contributors:
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Vibha Gupta
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Lia Losonczy
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Sonali Gandhi
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Annette Dekker
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Jorge Aceves