An Interactive Curricula Experience (iCE) for Latino Immigrant Health

The Interactive Curricula Experience (iCE) is an educational platform intended for interactive education utilizing multiple forms of media. It is being utilized at Thomas Jefferson University (TJU) in various classes, among them Global Health. One of the pertinent global-health-at-home topics at TJU relates to Latino immigrant health. Latino immigrants number more than 20,000 in Philadelphia. They are located throughout the city, although the highest concentrations are in North and South Philadelphia. With respect to health care, Latino immigrants are less likely to have a regular health care provider than non-immigrant Latinos. Education to provide culturally sensitive care to Latino immigrants is vital to establish longer-lasting patient-doctor partnerships and decrease the number of Latino immigrants without a regular health care provider. iCE is an attempt to provide that education by stepping out of the lecture hall and assigned readings, and instead allowing students to engage with the material at their own pace.https://jdc.jefferson.edu/cwicposters/1021/thumbnail.jp

Adolescent Refugees Resettled in Philadelphia: A Qualitative Study with Key Informants

More than 22.5 million refugees are currently displaced globally, with refugees below the age of 18 years old making up more than half of this population. More than 3,600 have been resettled in Pennsylvania as of 2016, 875 in Philadelphia County. These families have come to the United States from countries such as Burma, Thailand, Syria, Afghanistan, and Iraq. Forced displacement, relocation, and resettlement have been shown to have long-lasting effects on youth, and there are demonstrated mental health disparities in refugee adolescents resettled in the United States when compared to the general population of US youth. The relationship between resilience and protective factors related to mental health and wellness has been shown to be important in designing appropriate intervention and prevention strategies. Some of the most important determinants may be related to the post-migration experiences and with the appropriate understanding of the adolescent experience, may be modifiable after resettlement. An exploratory, qualitative study involving cross-sectional data and thematic analysis was performed. Six semi-structured interviews were conducted with key informants to better understand factors contributing to the experience of adolescent refugees in grades 9 through 12. Analysis highlighted five major themes in the key informant responses, health and social services, education, assimilation, connectedness, and emotional health. The data suggest room for fostering of resilience in these youth through better understanding of their specific needs and inherent vulnerabilities, improved utilization and access to health and social services, and the importance of understanding the unique impact of their identity as refugee adolescents on their development and daily experiences. The explanatory model developed based on the key informant data may be useful in informing future investigation and programming for the adolescent refugee community

Mental Health and Resilience in Adolescent Refugees Resettled in Philadelphia

Introduction: Mental health in adolescents has a large impact on physical health, academic achievement, and overall well-being; moreover, refugee youth are at an increased risk for mental health disorders. While growing evidence shows that positive youth development interventions can prevent health risk behaviors, there is need for further evaluation that shows how to tailor interventions to meet population-specific needs. Objective: The aim is to assess how targeted interventions can enhance protective factors and reduce negative adult outcomes in vulnerable refugee adolescents. The goals are to understand the current status of mental health and access to resources among resettled adolescents in Philadelphia, while increasing awareness and discussion of mental health. Methods: Six semi-structured interviews with key informants were conducted to understand the scope of the problem, including social workers and refugee program directors. Individual interviews with 14 adolescents at Southeast by Southeast inquired about living in the US, performance in school, and personal life. The interviews were recorded, transcribed, and analyzed via thematic coding with NVivo12 to identify elements influencing the refugee experience. Results: The major overarching themes identified as key elements of the resettlement experience were identity, vulnerability, resource utilization, responsibility, and resilience. Themes were further split into subthemes distinguished from the key informant and adolescent interviews. Conclusion: Refugee adolescents resettled in Philadelphia high schools face unique experiences that make them vulnerable to adverse outcomes. A deeper understanding of resettlement experiences and protective factors in their personal, social, and cultural contexts can provide avenues for more accessible focused programming

The Global Health interactive Curricula Experience (iCE) Platform & App : Technology that Enables Inter-professional Innovation

Global Health Initiatives Committee (GHIC) Serves the Jefferson community as the premier point of engagement for students & faculty interested in medical and public health issues that transcend national boundaries Creates an institutional focus on preparing students for public service careers in population health and public policy at local, national, and global levels To enable all TJU faculty to: - Deliver global health education, in a friendly, interactive format - Does not require an expert to deliver - Can be used in very small or large pieces depending on your need

The Global Health Interactive Curricula Experience (iCE) Platform & App : Technology that Enables Inter-professional Innovation

17 slide PowerPoint presentation. Presented at APHA in Chicago Illinois

Qualitative Research Tools

Presentation Outline: Introduction: Perspectives on Research What is qualitative research? Why and when to use qualitative research? What are some qualitative research methods? Focus Groups/In-Depth Interviews/Semi-Structured interviews Participant Observation Narrative Methods Issues in qualitative research analysis? QICD and Qualitative Research Presentation: 38 minute

Partnerships for Health—Jeff HEALTH and the Rwanda Village Concept Project—A Model of Interdisciplinary Health Professions Student Global Education

Objectives: 1. Describe a method to develop a collaborative international health professional interdisciplinary student driven initiative. 2. Identify strategies for sustaining programs through cooperative agreements between students at a United States Academic Health Center and an East African Medical School. 3. Develop an interdisciplinary student global education program based on student experiences and interest. 4. Describe IPE strategies utilized in this program that could be applied to other areas. Presentation: 42 minute

Service Learning: Addressing Health Disparities Here and Abroad

Ellen Plumb, MD Ellen Plumb is an Assistant Professor in the Departments of Family and Community Medicine at both Thomas Jefferson University and Christiana Care Health System. She is the Family Medicine Clerkship Director and a core global health faculty member of the Global Health Residency Track in Family Medicine at Christiana Care Health System. She is also the Director of Special Programs and helps lead the Rwanda Health and Healing Program for Sidney Kimmel Medical College. Dr. Plumb also holds an adjunct appointment with TJU’s College of Population Health, where she teaches the introductory global health course. She received her undergraduate training in anthropology and public health from Boston University and completed her medical, residency, and research and faculty development fellowship training at Thomas Jefferson University. Dr. Plumb’s longitudinal global health work has been in Uganda and Rwanda and her areas of expertise and interest are global health education program development and evaluation, trauma and global mental health, refugee health, human rights/asylum, and community-based research methods. Marc Altshuler, MD Marc Altshuler is an Associate Professor of Family and Community Medicine at Sidney Kimmel Medical College at Thomas Jefferson University. Dr. Altshuler also serves as an Attending Physician and the Associate Resident Director for the Department of Family and Community Medicine at Thomas Jefferson University Hospital. Dr. Altshuler’s volunteer work began in the late 1990’s with his involvement in Jeff HOPE, the Medical College’s free student-run clinic serving the homeless community of Philadelphia. Dr. Altshuler’s passion for the underserved community’s health has expanded beyond the homeless population to the refugee population in Philadelphia. In 2007, Dr. Altshuler started and is now serving as the Director of the Jefferson Center for Refugee Health (CRH), the largest medical provider of refugee healthcare in Philadelphia. At CRH, refugee clients receive comprehensive care in a medical home model. This model has been recognized both locally and nationally, and replicated throughout Philadelphia, as well as several other U.S. cities. In 2010, Dr. Altshuler worked closely with the Nationalities Service Center, a local refugee resettlement center, to form the Philadelphia Refugee Health Collaborative, a coalition of local refugee resettlement agencies and eight area medical clinics, focusing on comprehensive refugee health care. Dr. Altshuler has been recognized for his work, both locally and nationally, where he has routinely presented at national conferences, as well as published articles in several peer-reviewed medical journals. Jack Ludmir, MD Jack Ludmir is Professor of Obstetrics and Gynecology at the Perelman School of Medicine of the University of Pennsylvania. He is the former Chair of Obstetrics and Gynecology at Pennsylvania Hospital, and the Past Chair of the Governing Council, Maternal and Child Health for the American Hospital Association. A graduate of Temple University School of Medicine, he completed his residency in Obstetrics and Gynecology and fellowship in Maternal-Fetal Medicine at the Hospital of the University of Pennsylvania. He has been on the faculty at the University of Pennsylvania and Harvard University for the last thirty years. Dr. Ludmir was awarded the Alfred Stengel Penn Health System Champion Award for improving and transforming the entire University of Pennsylvania Health System’s Obstetrical Services, ensuring that every patient has a right to prenatal care. He is a founder of the Academy of Master Clinicians at Penn Medicine. He was the President of Women and Children’s Health Services, a not for profit organization devoted to the care of women from the surrounding community and a co-founder of Puentes de Salud and Latina Community Health Services. The Maternity Care Coalition in Philadelphia awarded him the Spirit of Motherhood Award for strengthening families and inspiring change every day and The March of Dimes gave him the Roosevelt Award for Service to Humanity. Dr. Ludmir is currently serving as the liaison coordinator between The Federation of Latin American Societies of Obstetrics and Gynecology (FLASOG) and the American College of Obstetricians and Gynecologists (ACOG). He has established formal relationships with several universities in Latin America and Botswana to improve the care of women, including exchange programs involving residents and attending physicians, and is a leader in Latin America to improve the safety and quality of obstetric care. In recognition for these services he received the Outstanding District Service Award and the Community Service Award from ACOG, and has received honorary degrees from several universities in Latin America. James D. Plumb, MD, MPH James Plumb is a Professor in the Department of Family and Community Medicine and Vice Chair of Community Medicine. A 1969 Honors graduate of the University of Virginia and a 1974 AOA graduate of Jefferson Medical College, Dr. Plumb joined the Thomas Jefferson University Family Medicine Residency Program in 1974, then served as Residency Director from 1977-1982. In 2003, he received his Master’s in Public Health Degree from the Bloomberg School of Public Health at Johns Hopkins University. Since 1995, Dr. Plumb has maintained a clinical practice in Lower North Philadelphia, in partnership with Project H.O.M.E., which serves uninsured and formerly homeless individuals. This site serves as a clerkship and elective site for medical students interested in population health. In 2002 he helped initiate the TJUH Center for Urban Health and has fostered partnerships with organizations serving five underserved, diverse neighborhoods. Together with its partners, the Center has received over eleven million dollars in grants and contracts to date that have supported innovative community-based public health programs. For the past eight years, Dr. Plumb has been involved in the Rwanda Health and Healing Project in Gisenyi, Rwanda, and served as a visiting lecturer at the National University of Rwanda in Butare. He has also developed an exchange program involving Rwandan Medical students coming to Jefferson to experience the interface between medical and public health education. To date, 28 students from Rwanda have spent two months at Jefferson, and more than 100 Jefferson students have travelled to Rwanda. Susan Wainwright, PT, PhD Susan Wainwright is an Associate Professor and Chair in the Department of Physical Therapy at Thomas Jefferson University. Dr. Wainwright received a Bachelor of Science in Health Science, a Masters in Physical Therapy and a Masters in Neurology, all from the Philadelphia College of Pharmacy and Science, now University of the Sciences. She subsequently received a PhD in physical therapy from Temple University. She is a physical therapy educator with more than 25 years of experience in academic and clinical education. She is a recipient of the 2009 Bright Idea Award, a peer nominated education award. She is a qualitative researcher with numerous publications, and national and international presentations on her research interests that include professionalism and ethics, the development of expertise, clinical reasoning, and educational outcomes. She is the Secretary of the Qualitative Research Special Interest Group and member of the Programming Committee of the Research Section of the American Physical Therapy Association. In addition to professional service activities in research, Dr. Wainwright is involved locally and nationally in professional service. She serves as treasurer for the Southeast District of the Pennsylvania Physical Therapy Association. She is currently an editorial board member for the Journal of Physical Therapy Education. She will assume the position of editor of this international journal July 2017. She is an on-site reviewer for the Commission for Accreditation of Physical Therapy Education. She provides consultation to Doctor of Physical Therapy programs on curriculum development and assessment. Her prior clinical practice has focused on adult neurologic rehabilitation, specifically adults s/p stroke and traumatic brain injury. Dr. Wainwright currently participates in global health service initiatives locally through the TJU DPT / Methodist pro bono physical therapy practice as well as globally providing physical therapy service in Guatemala in collaboration with Hearts in Motion