Migrant Workers Project
I.
Elective Description
This is a volunteer or elective rotation for up to two weeks wherein residents participate in the Migrant
Worker Project which has historically been organized by the Physician Assistant Program, which is part of
the Department of Family and Preventive Medicine at Emory University School of Medicine.
Resident physicians will personally evaluate migrant workers in the field and in their living environs.
Residents will provide clinical care and prescribe treatment as appropriate. Additionally, resident
physicians will have the opportunity to supervise PA students providing clinical care and treatment.
Resident physicians who have a GA license (not just a GA training permit) are able to individually
supervise and sign off on PA student charts and care. Residents who do not have a GA license will still
need their charts signed by a licensed physician.
The care provided is in the farming fields and in living communities of migrant workers.
II.
Goal
The goal of this elective is to expose family medicine residents to an alternative model of delivering
healthcare in a setting that benefits those who would not otherwise have access to primary care.
Residents will, through a process of immersion and field training:
III.
Competencies
Medical Knowledge
Objectives:
A. Become aware of and personally experience environmental medicine, to include recognition and
treatment of heat injuries.
B. Diagnose and treat common musculoskeletal injuries.
C. Diagnose and treat common dermatologic conditions.
Learning Activities
Attending Rounds
Multidisciplinary Rounds
Grand Rounds
Sub-Specialty Conference
Morning Report
Didactics
Other
Evaluation Methods
X
Attending Evaluation
Program Dir
Review
360 ᵒ evaluation
Other
Last Updated March 7, 2013
X
X
Research Conference
Ethics/Comm Conference
Specialty Conference
Noon Conference
Faculty Supervision
Procedures
Directly Supervised Procedures
In-Training Exam
Videotape Review
X
X
Outpatient Clinics
Direct Patient care
Resident Seminar
Journal Club
Readings
Morning Report
Faculty Supervision
and Feedback
Quarterly Review
Patient Care
Objectives:
A. Demonstrate physical exam skills in a nonstandard environment. (the field or community
building)
B. Make use of medical therapies in the field or at local pharmacies.
C. Use the MWP formulary to provide care as able.
D. Use the $4 formulary at local pharmacies to supplement the MWP formulary as necessary.
E. Demonstrate excellent patient examination techniques to PA students through modeling.
Learning Activities
Attending Rounds
Multidisciplinary Rounds
Grand Rounds
Sub-Specialty Conference
Morning Report
Didactics
Other
Evaluation Methods
X
Attending Evaluation
Program Dir
Review
360 ᵒ evaluation
Other
X
X
Research Conference
Ethics/Comm Conference
Specialty Conference
Noon Conference
Faculty Supervision
Procedures
X
X
Directly Supervised Procedures
In-Training Exam
Outpatient Clinics
Direct Patient care
Resident Seminar
Journal Club
Readings
Morning Report
Faculty Supervision
and Feedback
Quarterly Review
Videotape Review
Professionalism
Objectives:
A. Come to the field environment physically strong, mentally awake, and clinically robust.
B. Be prepared to see patients in any environment, leading with an attitude of confidence and
competence.
C. Present for duty in a timely fashion with all required equipment.
Learning Activities
Attending Rounds
Multidisciplinary Rounds
Grand Rounds
Sub-Specialty Conference
Morning Report
Didactics
Other
Evaluation Methods
X
Attending Evaluation
Program Dir
Review
360 ᵒ evaluation
Last Updated March 7, 2013
X
X
Research Conference
Ethics/Comm Conference
Specialty Conference
Noon Conference
Faculty Supervision
Procedures
Directly Supervised Procedures
In-Training Exam
Videotape Review
X
X
Outpatient Clinics
Direct Patient care
Resident Seminar
Journal Club
Readings
Morning Report
Faculty Supervision
and Feedback
Quarterly Review
Interpersonal and Communication Skills
Objectives:
A. Improve cultural sensitivity and competency through the interaction with multiple people groups,
to include Mexican, Guatemalan, Haitian, and others.
B. Teach students with excellence and competence in a manner befitting Emory SOM.
C. Become adept at use translators in the medical care team.
Learning Activities
Attending Rounds
Multidisciplinary Rounds
Grand Rounds
Sub-Specialty Conference
Morning Report
Didactics
Other
Evaluation Methods
X
Attending Evaluation
Program Dir
Review
360 ᵒ evaluation
Other
X
X
Research Conference
Ethics/Comm Conference
Specialty Conference
Noon Conference
Faculty Supervision
Procedures
X
Directly Supervised Procedures
In-Training Exam
Outpatient Clinics
Direct Patient care
Resident Seminar
Journal Club
Readings
Morning Report
Faculty Supervision
and Feedback
Quarterly Review
Videotape Review
Practice-based Improvement
Objectives:
A. While in the field environment, seek to improve the manner in which care is provided to Migrant
Workers.
1. Medical care
2. Care environment – privacy in the shelters provided, field lab resources, etc…
Learning Activities
Attending Rounds
Multidisciplinary Rounds
Grand Rounds
Sub-Specialty Conference
Morning Report
Didactics
Other
Evaluation Methods
X
Attending Evaluation
Program Dir
Review
360 ᵒ evaluation
Other
Last Updated March 7, 2013
X
X
Research Conference
Ethics/Comm Conference
Specialty Conference
Noon Conference
Faculty Supervision
Procedures
Directly Supervised Procedures
In-Training Exam
Videotape Review
X
X
Outpatient Clinics
Direct Patient care
Resident Seminar
Journal Club
Readings
Morning Report
Faculty Supervision
and Feedback
Quarterly Review
Systems-based Practice
Objectives:
A. Become aware of and actively engage all member resources as part of the medical team:
MD and PA faculty, MD and PA students, translators, local/county staff, local medical staff
(hospitals, on site EMT, etc…)
Learning Activities
Attending Rounds
Multidisciplinary Rounds
Grand Rounds
Sub-Specialty Conference
Morning Report
Didactics
Other
Evaluation Methods
X
Attending Evaluation
Program Dir
Review
360 ᵒ evaluation
Other
IV.
X
X
Research Conference
Ethics/Comm Conference
Specialty Conference
Noon Conference
Faculty Supervision
Procedures
Directly Supervised Procedures
In-Training Exam
Videotape Review
X
X
Outpatient Clinics
Direct Patient care
Resident Seminar
Journal Club
Readings
Morning Report
Faculty Supervision
and Feedback
Quarterly Review
Implementation
Residents will participate in the MWP in one of three fashions:
1. One week summer volunteer rotation
2. Two week summer elective
3. Fall weekend volunteer experience
V.
Required Readings
The resident participating on either the one or two week summer MWP must complete the pre- and posttests on the following AAFP Monographs:
Monograph #337 - Medical Aspects of Disaster Mgmt
Monograph #370 – Travel Medicine
VI.
Evaluation (see above)
A. Program or MWP faculty will complete a resident evaluation for the one or two week experience.
B. Residents must complete the Monographs above for the one or two week rotations.
C. Faculty on the weekend experience are encouraged to write an evaluation letter to the Program
Director; however, this is not required given the brevity of the experience.
For any questions or specific resident concerns, please contact the program office at:
Emory Family Medicine
404 727 8843/8868
sprice@emory.edu
Last Updated March 7, 2013