Develop your approach to refugee health in the primary care setting.  We discuss important considerations for primary care of the refugee patient with Dr. Tanuja Devaraj (Penn State), an internist with expertise in migration health.  We review barriers to primary care, how to take a migration history, and common health concerns that occur in this patient population.  We also discuss strategies for screening for trauma and mental health issues, which are common among patients who have gone through migration. Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com Credits Producer: Paul Williams MD, FACP Writer: Tanuja Devaraj MD and Paul Williams MD, FACP Infographic: Emi Okamoto MD Cover Art: Paul Williams MD, FACP Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP    Editor: Clair Morgan of Nodderly.com (audio), Emi Okamoto MD (written) Guest: Tanuja Devaraj MD Sponsor ACP’s Medical Knowledge Self Assessment Program, MKSAP 18. MKSAP provides the latest and most comprehensive educational content needed by internists today. It’s THE internal medicine go-to resource for continuous learning and Board preparation. Visit http://www.acponline.org/mksapcurbsiders to place your order! Time Stamps 00:00 Sponsor -ACP’s MKSAP 18 http://www.acponline.org/mksapcurbsiders  00:15 Intro, disclaimer, guest bio 02:08 Guest one-liner, book recommendations, career advice 07:12 Picks of the Week*: Full Catastrophe Living - Jon Kabat-Zinn (book); Exit West: A novel - Mohsin Hamid; Ad Astra (film); Snuff - Terry Pratchett (book) 09:36 Sponsor -ACP’s MKSAP 18 http://www.acponline.org/mksapcurbsiders  10:30 Defining terms refugee, asylee, migrant 12:08 Bhutan and The Buthanese refugee population 15:08 The overseas medical examination (prior to arrival in the US) 17:28 The initial domestic medical examination, primary care visit; Vaccinations; Initial lab testing 21:54 Barriers to refugee health 26:12 Taking a migration history 29:25 Who’s paying for refugee care? 31:08 Mental health and the refugee population 34:20 Screening and addressing past trauma, torture 40:14 Recap; Quick discussion of parasitic infections 45:08 Audience questions: Visits with multiple family members; Additional resources available for refugee health 47:50 Outro *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra. Goal Listeners will develop an approach for the management of the refugee patient in the primary care setting. Learning objectives After listening to this episode listeners will…   Describe the differences between refugees, asylees, and migrants. Recognize the exposure to healthcare and health screenings that have occurred prior to the initial primary care visit. Be able to obtain a thorough and relevant migration history. Navigate the potential barriers that can arise during the refugee primary care visit. Demonstrate the ability to screen for trauma and common mental health concerns in the refugee population. Disclosures Dr. Devaraj reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Citation Devaraj T, Williams PN, Brigham SK, Okamoto E, Watto MF. “#196 LIVE! Refugee Health with Tanuja Devaraj MD”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list February 24, 2020.