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AMA J Ethics. 2019 Jan 1;21(1):E44-49. doi: 10.1001/amajethics.2019.44.

Best Practices for Teaching Care Management of Undocumented Patients.

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An associate professor at the University of Pennsylvania Perelman School of Medicine in Philadelphia, where she is also the associate program director for the Primary Care Internal Medicine Residency Program; and serves as director of Puentes de Salud, an ambulatory clinic that serves the Latino community in the Philadelphia area, teaches about social determinants of health and health disparities, and is the creator of an Indian Health Service elective for medical students and residents.


Different standards of care for undocumented Latino patients raises ethical questions for teachers and learners. This lack of parity can cause moral distress for both and prompts consideration of whether decisions made on a patient's behalf are ethical. Teaching advocacy and creating projects and partnerships to improve access and quality of care for this vulnerable population can help fight burnout and improve health outcomes.

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