Design of a service project that provides a model for interprofessional collaboration and layered learning within the refugee and asylum seeker community
Keywords:Asylum-seeker, Interprofessional education, Layered-learning, Refugee, Service
Background: Development of an interprofessional service outreach within the refugee and asylum-seeker population gives pharmacy trainees the opportunity to develop healthcare skills and gain cultural awareness.
Programme description: The interprofessional team prepared for the medical service trip through meetings, gathering supplies, and engaging in fundraising events. The team partnered with Siguiendo los Pasos de Jesús (SPJ) and Annunciation House while observing and partaking in service. A retrospective review of medical records was completed to develop the research project.
Evaluation: A team of nine participated in a service project providing medical care and support for asylum-seekers. Layered learning and the importance of interdisciplinary communication were demonstrated within the team. The most common medical ailments for patients were respiratory, gastrointestinal diagnoses and headache/pain.
Future plans: Service outreach offers the experience of caring for underserved populations and increases awareness of cross-cultural development, which is transferable in any clinical setting.
ACPE. (2016). Accreditation standards and key elements for the professional program in pharmacy leading to the doctor of pharmacy degree. Accreditation Council for Pharmacy Education. https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf
Annunciation House. (n.d.). About. Retrieved December 10, 2020, from https://annunciationhouse.org/
APhA. (n.d.). Interprofessional education: Growing focus on preparing students for team-based care. American Pharmacists Association. Retrieved February 23, 2021, from: https://www.pharmacist.com/article/interprofessional-education-growing-focus-preparing-students-team-based-care?is_sso_called=1#:~:text=The%20Institute%20of%20Medicine%20
Buring, S. M., Bhushan, A., Broeseker, A., Conway, S., Duncan-Hewitt, W., Hansen, L., & Westberg, S. (2009). Interprofessional education: Definitions, student competencies, and guidelines for implementation. American Journal of Pharmaceutical Education, 73(4), 59. https://doi.org/10.5688/aj730459
Busari, J. O., Moll, F. M., & Duits, A. J. (2017). Understanding the impact of interprofessional collaboration on the quality of care: A case report from a small-scale resource limited health care environment. Journal of Multidisciplinary Healthcare, 10, 227‒234. https://doi.org/10.2147%2FJMDH.S140042
Castañeda, E., Morales, M. C., & Ochoa, O. (2014). Transnational behavior in comparative perspective: The Relationship between Immigrant integration and transnationalism in New York, El Paso, and Paris. Comparative migration studies, 2(3), 305‒333. https://link.springer.com/article/10.5117/CMS2014.3.CAST
CDC. (2021). Social determinants of health at CDC. Centers for Disease Control and Prevention. https://www.cdc.gov/socialdeterminants/about.html
Chuah, F. L. H., Tan, S. T., Yeo, J., & Legido-Quigley, H. (2018). The health needs and access barriers among refugees and asylum-seekers in Malaysia: A qualitative study. International Journal Equity Health, 17(1), 120. https://doi.org/10.1186%2Fs12939-018-0833-x
Delgado, R. I., De la Rosa, M., Picado, M. A., Ayoub-Rodriguez, L., Gonzalez, C. E., & Gemoets, L. (2022). Cost of care for asylum seekers and refugees entering the United States: The case of volunteer medical providers in El Paso, Texas. PLoS One, 17(12), e0278386. https://www.doi.10.1371/journal.pone.0278386
Elmore, C. E., Tingen, J. M., Fredgren, K., Dalrymple, S. N., Compton, R. M., & Carpenter, E. L. (2019). Using an interprofessional team to provide refugee healthcare in an academic medical centre. Family Medicine and Community Health, 7(3), e000091. https://doi.org/10.1136%2Ffmch-2018-000091
Fitzgerald, S. N., Leslie, K. F., Simpson, R., Jones, V. F., & Barnes, E. T. (2018). Culturally effective care for refugee populations: Interprofessional, interactive case studies. The Journal of Teaching and Learning Resources, 14, 10668. https://doi.org/10.15766/mep_2374-8265.10668
Hallin, K., Kiessling, A., Waldner, A., & Henriksson, P. (2009). Active interprofessional education in a patient based setting increases perceived collaborative and professional competence. Medical Teach, 31(2), 151‒157. https://doi.org/10.1080/01421590802216258
Jobst, S., Windeisen, M., Wuensch, A., Meng, M., & Kugler, C. (2020). Supporting migrants and refugees with posttraumatic stress disorder: Development, pilot implementation, and pilot evaluation of a continuing interprofessional education for healthcare providers. BMC Medical Education, 20(1), 311. https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-020-02220-3
McDonald, Y. J., & Grineski, S. E. (2012). Disparities in access to residential plumbing: A binational comparison of environmental injustice in El Paso and Ciudad Juárez. Population and environment, 34(2), 194‒216. https://link.springer.com/article/10.1007/s11111-011-0154-0
Mirza, M., Luna, R., Mathews, B., Hasnain, R., Hebert, E., Niebauer, A., & Mishra, U. D. (2014). Barriers to healthcare access among refugees with disabilities and chronic health conditions resettled in the US Midwest. Journal of Immigrant and Minority Health, 16(4), 733‒742. https://doi.org/10.1007/s10903-013-9906-5
Pechak, C., Howe, V., Padilla, M., & Frietze, G. A. (2020). Preparing students to serve a refugee population through a health-focused interprofessional education experience. Journal of Allied Health, 49(3), e131‒e138
Pinelli, N. R., McLaughlin, J. E., Khanova, J., Eckel, S. F., Vu, M. B., Weinberger, M., & Roth, M. T. (2018). Identifying the presence of cognitive apprenticeship in the layered-learning practice model. American Journal of Pharmaceutical Education 82(1), 6155. https://doi.org/10.5688%2Fajpe6155
SPJ. (n.d.). About. Siguiendo los Pasos de Jesus, Inc. Retrieved December 10, 2020, from: https://www.spjinc.org
UNHCR. (n.d.). Refugee statistics. United Nations High Commissioner for Refugees. Retrieved December 10, 2020, from https://www.unhcr.org/refugee-statistics/
VanderWielen, L. M., Halder, G. E., Enurah, A. S., Pearson, C., Stevens, M. P., & Crossman, S. H. (2015). Short-term service trips and the interprofessional team: A perspective from Honduras. Journal of Interprofessional Care, 29(2), 168‒169. https://doi.org/10.3109/13561820.2014.942775