Expand your knowledge about how--and how well--we manage the health of incarcerated patients in the United States, with the expert knowledge of correctional health experts Drs. Aaron Fox @adfoxmd, Jon Giftos @JonGiftosMD, and Emily Wang @ewang422. Correctional medicine is a black box for many providers who do not work in prison and jail settings. But it’s ever more relevant to primary care physicians everywhere, with increasing rates of incarceration the last decade.  In this episode, recorded live at SGIM 2019 #SGIM19, Dr. Fox, Dr. Giftos, and Dr. Wang talk us through the variability of the correctional healthcare systems throughout the country, the challenges to health for patients both while incarcerated and in the transition after release, and some essential nuts and bolts for providers about how to provide better care to this vulnerable population.   Full show notes available at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written and produced by: Justin Berk MD MPH MBA, Nora Taranto MD Cover Image: Beth Garbitelli MS2 Infographic: Beth Garbitelli MS2 Hosts: Matthew Watto MD, Paul Williams MD, Justin Berk MD MPH MBA Edited by: Matthew Watto MD Guests: Aaron Fox MD, Jon Giftos MD, Emily Wang MD MAS Sponsor This episodes was recorded LIVE at #SGIM19 in Washington DC! Join the Society for General Internal Medicine today! Time Stamps 00:00 Intro, disclaimer and guest bios 05:10 One liners, book recommendations, career advice 13:00 Why does incarceration matter for healthcare?; Defining terms: jail, prison, probation 18:47 What is healthcare like during incarceration? What services are available? Who provides the care? How does it breed “passive patients”? 21:10 HIV in incarcerated patients 27:02 Opioid use disorder in prisons -MAT is rarely available 31:44 Prison is a toxic environment —exposure to solitary confinement, PTSD, self harm 34:23 How to ask about incarceration 36:49 Trauma informed care and the unique challenges to providing patient care after release from prison 43:22 Systemic barriers after release from jail or prison e.g. lifetime ban from public housing or food stamps 44:45 Discharge planning and transitioning care after release from prison; community health workers 51:32 Resources for learning more and advocacy —AAJH, The Fortune Society, Just Health, Dr Wang’s research —why you should visit and learn more about the correctional settings in your locale 57:20 Outro