Domestic Opportunities in Global Health
You're passionate about global health, but cannot travel outside of the United States. Can you still become meaningfully involved in global health work? Yes!
Did you know?
- The United States is home to more than 40 million immigrants.1
- In 2013, nearly 70,000 new refugees arrived in the United States as part of the State Department’s resettlement program.2
- In 2013, nearly 89,000 asylum seekers sought refuge in the United States.3
Immigrants, refugees, and asylum seekers are dispersed in communities across the United States. These populations share backgrounds, cultural practices, and languages with the people in their home countries. They also present with unique social, psychological, and medical needs and risk factors, making their care complex and challenging, yet interesting and rewarding to many clinicians.You may encounter patients from other countries during your training or in daily practice, particularly if you work in a federally qualified health center (FQHC).
Opportunities for Domestic Global Health Work
Sign up to work or volunteer at a local refugee clinic. Refugees are people who are forced out of their country due to war or persecution for political, ethnic, or religious reasons.
Volunteer with a U.S.-based nongovernmental organization (NGO) or faith-based organization that provides services to refugees and immigrants domestically. Options include the following:
- Church World Service (CWS)(www.churchworldservice.org)
- Ethiopian Community Development Council (ECDC)(www.ecdcus.org)
- Episcopal Migration Ministries (EMM)(www.episcopalchurch.org)
- Hebrew Immigrant Aid Society (HIAS)(www.hias.org)
- International Rescue Committee(www.rescue.org)
- Lutheran Immigration and Refugee Service (LIRS)(lirs.org)
- United States Conference of Catholic Bishops (USCCB)(www.usccb.org)
- U.S. Committee for Refugees and Immigrants (USCRI)(www.refugees.org)
- Women for Women International(www.womenforwomen.org)
- World Relief Corporation (WR)(www.wr.org)
Migrant Farm Workers
Work with migrant farm workers. More than 70% of farmworkers are foreign born; most are from Mexico. Their health care is complicated by access issues, their transitional status, and work-related exposure to dangerous equipment and harmful pesticides. The following resources provide information about medical work with migrant farm workers:
- Migrant Clinicians Network(www.migrantclinician.org)
- University of Connecticut (UConn) Migrant Farm Worker Clinics(www.publichealth.uconn.edu)
- National Center for Farmworker Health(www.ncfh.org)
- List of migrant health clinics by state(www.kaiserhealthnews.org)
Become a Civil Surgeon
Civil surgeons are physicians (including those specializing in primary care) who have been designated by the United States Citizenship and Immigration Services (USCIS) to conduct mandatory immigration medical examinations according to specific Centers for Disease Control and Prevention (CDC) guidelines. Newly arriving refugees and some immigrants are required to have these specialized medical examinations during their naturalization process. Civil surgeons are not volunteers and may get paid for their services. To become a civil surgeon, you must be an MD or DO licensed and authorized to work in the United States, and have at least four years of post-residency professional experience. Information on applying to become a civil surgeon is available at www.uscis.gov/i-910(www.uscis.gov)(www.uscis.gov).
Provide Medical Evaluations of Asylum Seekers
Asylum seekers (i.e., men and women who fled their country because of persecution and are now seeking legal status in the United States) often require a medical evaluation during their legal proceedings to provide documentation of torture and ill treatment.
Physicians and mental health professionals are needed across the country to conduct these evaluations and provide expert advice. These evaluations can be time consuming, but they are also extremely rewarding. The following organizations offer periodic training and have established networks of health care professionals who provide evaluations to asylum seekers: