Literature

Curbside Consults Podcast

Published March 6, 2021

As part of our Curbside Consults series on Inclusivity in Medicine, we are joined by Dr. Sarah Kimball to discuss the relation among healthcare systems, social distance, and migrant patients. Dr. Kimball is an Internist and Assistant Professor at Boston University School of Medicine and Director of the Immigrant & Refugee Health Center at Boston Medical Center.

0:05 – Introduction
1:40 – The Immigrant & Refugee Health Center, Boston Medical Center
2:40 – Health concerns among immigrants and refugees
4:40 – Healthcare needs of immigrants and refugees
6:30 – Primary care for immigrants and refugees
9:00 – Social and cultural barriers to accessing healthcare
11:00 – Financial barriers to accessing healthcare
13:00 – How trainees can help vulnerable migrants and refugees
15:10 – Telemedicine and access to healthcare for migrants and refugees
17:30 – National healthcare policy and access to healthcare for migrants and refugees
19:30 – Outro

Resources and articles discussed in this episode:

1. Madaras L. et al. Social Distance and Mobility — A 39-Year-Old Pregnant Migrant Farmworker. N Engl J Med 2019.
2. Perreira K. et al. A New Threat to Immigrants’ Health — The Public-Charge Rule. N Engl J Med 2018.
3. Page K. et al. Undocumented U.S. Immigrants and Covid-19. N Engl J Med 2020.
4. Grace B. et al. The Violence of Uncertainty — Undermining Immigrant and Refugee Health. N Engl J Med 2018.

Inequity, inequality, and racism are once more being recognized as factors that are highly detrimental to good health and wellbeing. The Curbside Consults “Inclusivity in Medicine” series aims to explore how these factors affect patients and how they may be overcome.

The Curbside Consults series complements the foundational information in Rotation Prep by taking a deep dive into key clinical topics with expert clinicians and educators. These podcasts explore and critique the evidence behind clinical practice and break down statistical concepts for the busy clinical trainee.

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Dr. Kimball is an Internist and Assistant Professor at Boston University School of Medicine and Director of the Immigrant & Refugee Health Center at Boston Medical Center.
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James is a 2020-2021 NEJM Editorial Fellow and a graduate of the National University of Ireland, Galway. He has a Masters of Science in Evidence-Based Healthcare from University College London and completed Basic Specialist Training in general internal medicine with the Royal College of Physicians in Ireland.