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Electives - Humanities and Ethics in Medicine
Global Health: Caring for Immigrants, Refugees & Asylum Applicants
Elective Number: 3526 (arranged)
Course Supervisor: Dr. Preston Reynolds
Evaluation should be given to: Dr. Reynolds
Duration: 2 weeks
Report to: Dr. Reynolds
Time to Report: 1:00 pm
Place to Report: Center for Biomedical Ethics and Humanities, Barringer 5
Typical day: 1:00 pm - 3:00 pm
Attendance: Attendance at elective activities is mandatory.
Number of students per rotation: 10
Course Description: Medical professionals with an interest in global health will encounter patients with a history of human rights violations whether working here or abroad. In addition, physicians working in urban areas with large immigrant populations and near INS Detention Centers including county prisons, often will provide care to individuals with a history of torture that often manifests as physical and/or mental health problems. This course will offer instruction on the legal process of refugee placement and application for asylum, and training in diagnosing and evaluating medical evidence of human rights violations. Emphasis will be given to conducting an appropriate history and physical examination with a patient with a history of torture, and a medical evaluation for asylum in the United States.
Didactic sessions will provide participants:
Readings will include literature on US military involvement in torture, physician complicity in torture, and a first-hand account of an individual with a history of torture and his effort to establish asylum status in the United States. Selected book chapters and articles will cover information on the mental and physical health consequences of INS detention in county prisons, and human rights violations abroad. Using standardized patients, participants will practice conducting an interview with an individual with a history of torture. They will spend a half-day session in the International Family Medicine Clinic assessing the extent of human rights violations among these refugees. The class will tour a legal advocacy center for torture survivors and a law school clinic devoted to assisting immigrants, refugees and asylum applicants here at UVA.
Through the use of didactic discussion and simulated patients, participants will be able to:
This course will be taught by Dr. P. Preston Reynolds. Dr. Fern Hauck will give a lecture on immigrants and refugees in the Charlottesville community, describe the patients seen in the International Family Medicine Clinic, and discuss the problems these patients face integrating into US society. Dr. Reynolds will lead the other didactic sessions, teach skills in conducting a history and physical examination on an individual with a history of human rights violation, demonstrate how to write-up a history and physical examination for use in an asylum application, and make arrangements for a tour of human rights clinics involved in advocacy and care of torture survivors, immigrants and refugees here at UVA.
Day 1 – Global Health and Human Rights: History of Human Rights and the Epidmic of Torture
Day 2 and 3 – Torture and US Military Involvement (Select one of the following):
Day 4 – Physician Complicity in Torture
Day 5 – Medical Health and Physical Consequences of Torture and INS Detention
Week 2: Class discussion – 3 hours per day + SP interview + write-up of interview of applicant for asylum + one-half day in IFMC + field trip to Washington, DC
Day 1 + 2 – Immigrants, Refugees, Asylum Applicants
Day 1 + 2 – How to Conduct an Interview with an Asylum Applicant
Day 3 – Conducting an Interview with a Torture Survivor
Day 4 – Conducting an Interview with a Torture Survivor
Day 5 – Tour of Human Rights Law Clinic for Immigrants and Refugees
This description is a general overview. The instructor will establish the schedule and particular requirements at the time of the course.