Finding the Missing Pieces: Career Information for the International Trained ESL Student

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1 Finding the Missing Pieces: Career Information for the International Trained ESL Student Sonia Aguirre San Antonio Welcome Back Center at Alamo Colleges

2 Objectives Population National Statistics Welcome Back Initiative The Missing Pieces Identifying Students Resources Career Pathways Next Steps Q & A

3 Population 4 year degree or higher The internationally trained healthcare professional Doctor Dentist Nurse Other Professions

4 Population % of foreign-born U.S. residents possess at least a 4 year degree 27% of immigrants possess an advanced degree this is a greater proportion than the 14.3% rate among native-born residents. U.S. Census. (2010). Educational Attainment in the United States. Migrationinformation.org

5 Population Education Level Obtained by Foreign-Born Adults (ages 16-65) 50.06% 17.69% 32.43% 0-8th grade 9th-12th, No diploma HS Graduate, Some college to 2 yr and Bachelor's + Migration Policy Institute (2008). Fact Sheet on the Foreign Born: Language & Education

6 Population In two-thirds of all the foreign-born lived in the traditional "big six" immigrant states California New York Texas Florida Illinois New Jersey decreased by 33%. US Census Bureau

7 Population-Trend 1990 to 2000 The foreign-born population increase by 145% in 22 "new growth" states Compared to 57 % average growth nationwide US Census Bureau

8 Population-Trend The biggest growth between 1990 and 2000 occurred in the Southeast, Mountain, and Plains states led by: North Carolina 274 % Georgia 233 % Nevada 202 % Arkansas 196 % Utah 171 % US Census Bureau

9 Population-Trend The averaged 25 % of the population in central cities in 2000, with the highest percentages in Miami 60 % Los Angeles 40 % San Francisco, San Jose, and New York 35% or higher More immigrants now live in suburbs 12.8 million Compared to central cities 9.8 million US Census Bureau

10 National Statistics Immigrant numbers and growth rates are significant Past four decades- United States foreign-born population tripled Currently totals about 37 million, nearly 12 percent of the total population. By 2010, the foreign-born population is expected to increase to 43 million, or 13.5 percent of the total population. US Census Bureau

11 Welcome Back Initiative

12 Welcome Back Initiative Mission To build a bridge between the pool of internationally trained health workers living in the United States and the need for linguistically and culturally competent health services in underserved communities.

13 Welcome Back Initiative San Antonio Northwest Washington (WA) Boston Colorado San Francisco Rhode Island New York Puget Sound (WA) San Diego Suburban Maryland

14 San Antonio Welcome Back Center Overview of services: Educational Case Management Career Ladders ESL for Healthcare Professionals Class Peer Meetings Peer Lead Study Groups Lending Library for Testing and Licensing Resources

15 WBC Model Case Management Navigate though State Boards Career Counseling Career Ladders

16 WBC Model Case Management Group Support Navigate though State Boards Career Counseling Career Ladlers Networking Peer Support Study Groups

17 WBC Model Case Management Group Support Referral Navigation through State Boards Career Counseling Career Ladlers Networking Peer Support Study Groups Transcript Evaluation Test Preparation College Programs (I-BEST) ESL Curriculum

18 Welcome Back Components Welcome Back Center Internationally Trained Healthcare professional Doctor Dentist Nurse Pharmacist

19 Welcome Back Components Welcome Back Center Data Collection & Evaluation Internationally lly Trained Healthcare professional Doctor Dentist Nurse Pharmacist t Data Collection & Data Entry National Statistic 12,245

20 Welcome Back Components Welcome Back Center Data Collection & Evaluation Educational Case Management Internationally Trained Healthcare professional Doctor Dentist Nurse Pharmacist Data Collection & Data Entry National Statistic 12,245 The Case Management Process Evaluation Healthcare Credentials Professional Licensing Processes Career & Employment Options

21 Welcome Back Components Welcome Back Center Data Collection & Evaluation Educational Case Management Orientation to Health Care in the U.S. Internationally Trained Healthcare professional Doctor Dentist Nurse Pharmacist Data Collection & Data Entry National Statistic 12,245 The Case Management Process Evaluation Healthcare Credentials Professional Licensing Processes Career & Employment Options Types Types of Courses of & Group Activities Courses & Group Activities Public Health & Society Health Professional & Practice Organization of Health Services Course

22 Welcome Back Components Welcome Back Center Data Collection & Evaluation Educational Case Management Orientation to Health Care in the U.S. English for Health Professionals Internationally Trained Healthcare professional Doctor Dentist Nurse Pharmacist Data Collection & Data Entry National Statistic 12,245 The Case Management Process Evaluation Healthcare Credentials Professional Licensing Processes Career & Employment Options Types Types of Courses of & Group Activities Courses & Group Activities Public Health & Society Health Professional & Practice Organization of Health Services Course Module 1: Exploring Career Goals in Health Module 2: Patient Communication Skills Module 3: Co-Worker Communication Skills Module 4: Critical Issues in Health Care Module 5: Intercultural Communication

23 Welcome Back Initiative

24 San Antonio Top 15 Countries of Origin (as of the 2nd Quarter of 2012) Mexico 31 Iraq 5 Colombia 3 El Salvador Peru 2 2 Armenia Costa Rica Cuba Guatemala Hungary Japan Spain Unites Sates Vietnam

25 Welcome Back Initiative WBI Top 15 Countries of Origin (as of the 2nd Quarter of 2012) Mexico Philippines El Salvador China Peru Colombia Russia India United States Iraq Ukraine Ethiopia Haiti Brazil Iran ,268 2, ,000 1,500 2,000 2,500 3,000

26 Professions Welcome Back Initiative Other: 13.4% Other: 18% Welcome Back Center San Antonio DDS: 9.4% MD: 35.1% DDS: 6% MD: 23% Nurse: 42.1% Nurse: 53%

27 The Cost Savings Average cost for medical school in the US $

28 The Cost Savings Average cost for medical school in the US $ Over the last 10 years, cost to operate the Welcome Back Centers is about $8 million. 108 doctors have become re-certified

29 The Cost Savings Average cost for medical school in the US $ Over the last 10 years, cost to operate the Welcome Back Centers is about $8 million. 108 doctors have become re-certified $27 million vs. $8 million

30 Welcome Back Centers Center s Name Hosted by Phone Number San Francisco, CA City College of San Francisco (415) San Diego, CA Grossmont College (619) Boston, MA Bunker Hill Community College (617) Rhode Island, RI Dorcas Place (401) x155 Puget Sound, WA Highline Community College (206) x33 Suburban Maryland, MD Montgomery County DHHS (240) San Antonio, TX Alamo Community College District (210) New York, NY La Guardia Community College (718) Colorado, CO Spring Institute for Intercultural Learning (303) x113 Northwest Washington Edmonds Community College (425)

31 The Missing Piece Identify Students o Intake Forms o Screening Tools o Registration Forms o Self Identify

32

33

34

35 Career Pathways

36 Resources for Nurses in Texas Texas Board of Nursing- BON

37 Resources for Nurses in Texas Texas Board of Nursing- BON Acceptable Credential Evaluation Service: Commission on Graduates of Foreign Nursing Schools (CGFNS) The Educational Records Evaluation Service, Inc. (ERES) The International Education Research Foundation, Inc. (IERF)

38 Resources for Nurses in Texas Texas Board of Nursing- BON Acceptable Credential Evaluation Service: Commission on Graduates of Foreign Nursing Schools (CGFNS) The Educational Records Evaluation Service, Inc. (ERES) The International Education Research Foundation, Inc. (IERF) TOEFL

39

40 Resources for Doctors in Texas Texas Medical Board-TMB

41 Resources for Doctors in Texas Texas Medical Board-TMB ECFMG The Educational Commission for Foreign Medical Graduates USMLE United States Medical Licensing Examinations

42 Resources for Doctors in Texas Texas Medical Board-TMB ECFMG The Educational Commission for Foreign Medical Graduates USMLE United States Medical Licensing Examinations KAPLAN Online educational website ERAS The Electronic Residency Application Services

43

44 The Good News!

45 Welcome Back Initiative 3,309 Validated their Credentials 1,841 Passed Licensing Exams 1,031 Obtained License in their Original Professions 591 Obtained Advancement in Health Career 1,683 Obtained Employment in the US Health Sector for the First Time 108 MDs Accepted into Residency Programs Our participants have seen an annual income increment of 255% from initial contact to completion of their goals As of the 2st Quarter of 2012

46 Sonia R. Aguirre Welcome Back Center Alamo Colleges If you have questions.

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