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Area of Science:

  • Medical Education
  • Public Health
  • Health Equity

Background:

  • Over 47 million immigrants reside in the U.S. as of 2021, often facing higher uninsured rates.
  • Immigrant populations frequently utilize emergency departments (EDs) due to healthcare access barriers.
  • Emergency physicians (EPs) often lack specialized training for the unique needs of immigrant patients.

Purpose of the Study:

  • To develop and implement educational interventions for emergency medicine residency programs.
  • To enhance EPs' knowledge of immigration-specific patient resources and best practices.
  • To improve awareness of ED-relevant policies affecting immigrant care.

Main Methods:

  • Utilized Kern's six-step curriculum development model for targeted educational interventions.
  • Collaborated with legal organizations and community experts to create comprehensive training modules.
  • Administered pre- and post-surveys to 64 emergency physicians to assess intervention effectiveness.

Main Results:

  • Significant increases observed in EPs' confidence and knowledge regarding immigrant patient care (average 1.47-point Likert scale improvement, P < .001).
  • Knowledge-based test scores improved by 30.66% overall (P < .001) and 33% in paired responses (P = .02).
  • Demonstrated a 1.40-point improvement in paired responses on the Likert scale (P < .001).

Conclusions:

  • Highlights a successful model for interprofessional collaboration in curriculum design for healthcare equity.
  • Emphasizes the importance of multipronged educational strategies to improve care for immigrants in EDs.
  • Provides a framework for other EDs to address healthcare disparities among immigrant populations.