Hispanic Health and Health Care Disparities
FAMED 557
Course Director: David Acosta, M.D., FAAFP
Offered: Fall Qtr 2008 - first class starts on 9/10/08
Location: HSC, T-Wing, Rm. T-531
Time: Weds., 5:30p-7:00p
Contact: Pam Racansky, M.A., 206-616-5866, or racansky@u.washington.edu

CLASS FORMAT-GRADING-REQUIREMENTS | REQUIRED READINGS | LECTURES

FOR STUDENTS THAT ARE ENROLLED IN FAMED 557, CLICK HERE TO ACCESS COURSE WEBSITE (you will need your UWNetID)

Course Content

In 2004 there were 41.3 million Hispanics living in the U.S. making up 13% of the total U.S. population and representing the largest and fastest growing population in the nation. Similarly, Hispanics make up the largest ethnic minority population in the WWAMI region. This course will provide the medical student with an introduction to the Hispanic culture and language, the history of Hispanics in the U.S., Hispanic health status issues, and effective strategies and techniques for working across cultures and linguistic barriers. The course is designed to help the learner to better understand and more effectively respond to the needs of this growing Hispanic population.

Learning Objectives

After completing this course, the learner will be able to:

• Describe the historical perspective of health care provision for Hispanics in the U.S. over the past decade, and describe what the issues and barriers that this population has encountered;
•  Describe the changing demographics of the Hispanic population, and the impact that the predicted population growth will have on the provision of quality health care;
•  Define acculturation and the variables that affect the process, and the impact of acculturation on health outcomes;
•  Compare the epidemiology of the health of immigrant and non-immigrant Hispanics;
•  Explain the Hispanic perspective and cultural context of illness and health;
•  Recognize the major barriers and the social determinants to health care for the Hispanic population;
• Describe the epidemiology, clinical manifestations, and treatment of the most common mental health conditions and illness in Hispanics;
•  Describe common traditional Hispanic practices and its current use in the care of Hispanic health problems along with allopathic medicine;
•  Recognize the leading causes of death and illness affecting Hispanics, and compare the current status of Hispanic health with other minority and white populations.

Class Format, Grading and Requirements
Format will be a combination of lectures, outside reading and small group discussion. Credit/no-credit only - based on attendance, class participation and final exam.

Required Readings

1. National Alliance for Hispanic Health. Delivering Health Care to Hispanics: A Manual for Providers, 4^th edition, Estrella Press, Washington, D.C., 2007  (available at UW Bookstore)
2. Other readings assigned by speakers.

1. Kaiser Permanente National Diversity Council. A Provider’s Handbook on Culturally Competent Care: Latino Population, 2^nd edition, Kaiser Permanente, 2001.
2. Trotter RT, Chavira JA. Curanderismo: Mexican American Folk Healing, 2^nd edition, University of Georgia Press, Athens, GA, 1997.

Date	Time	Topic	Speaker
9/3/08		No class
9/10/08	5:30p-5:45p	Overview of FAMED 557	Acosta
	5:45p-7:00p	Disparities in Latino Health: The Inconvenient Truth	Acosta
9/17/08	5:30p-6:15p	Hispanic/Latino Acculturation: Impact on Health	Maestas
	6:15p-7:00p	Folk Medicine in the Latino Community	Acosta
9/24/08	5:30p-7:00p	History of Health Care Provision for Hispanics/Latinos in the U.S.	Saavedra
10/1/08	5:30p-7:00p	Mental Health Issues in Hispanics/Latinos	D'Allegri
10/8/08	5:30p-6:30p	Film "Que Bola?" (the delivery of health care in Cuba and  globally)	Swanger
	6:30p-7:00p	Discussion & Dialogue with Director/Producer	Swanger/Acosta
10/15/08	5:30p-6:15p	The Cultural Context of Disease	Maestas
	6:15p-7:00p	Issues Related to the Uninsured, Undocumented Hispanic/Latino Immigrant	Rodriguez
10/22/08	5:30p-7:00p	Diabetes, Obesity and the Metabolic Syndrome in Hispanics/Latinos and Case Presentations	Pedroza
10/29/08	5:30p-6:15p	Kidney Disease in Hispanics/Latinos: The Impact of Diabetes, ESRD & Dialysis	Rodriguez
	6:15p-7:00p	Transplantation and Dialysis: The Hispanic Paradox and Disparities	Rodriguez
11/5/08	5:30p-7:00p	Curanderismo and Traditional Healing Practices in the Hispanic Community	Chacon
11/12/08	5:30p-6:15p	Pesticides and the Impact on Immigrant Health and Their Families	Coronado
	6:15p-7:00p	Oral Health Disparities in Latinos: What You Should Know	Gandara
11/19/08	5:30p-7:00p	Final Exam	Acosta

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For more information on this course, please contact Pam Racansky, HHP Advisor at 206-685-2489, or at racansky@u.washington.edu.

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|  Office of Multicultural Affairs   |  CC-PriME  | Updated on 9/12/08