EM1806G "Emergency Dialysis for Undocumented Immigrants: The Parkland Experience" (IM GR-061518)

The purpose is to address the issue of unscheduled, emergency-based dialysis for undocumented immigrants with a focus on the experience and evolution of the problem at Parkland Hospital.

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Target Audience

UT Southwestern faculty, fellows, residents and medical students, community physicians, nurse clinicians, physician assistants and nurses.

Learning Objectives

At the conclusion of this activity, the participant should be able to:

  • Understand how treatment for end-stage renal disease (ESRD) is funded in the US and the limitations this places on treatment options for undocumented immigrants.
  • Understand the process by which emergent dialysis is delivered at Parkland Hospital, including the scope of the problem.
  • Identify ways in which quality of care has been improved for patients receiving emergent dialysis at Parkland.
  • Describe possible future alternative care models.
Course summary
Available credit: 
  • 1.00 AMA
Course opens: 
Course expires: 

Photo: Joseph Berger, M.D.Joseph Berger, M.D.
Assistant Professor of Internal Medicine
Division of Nephrology

Dr. Berger is a nephrologist who has been on faculty in the Division of Nephrology since 2012. His primary clinical focus has been providing dialysis care to undocumented immigrants in the Parkland Acute Dialysis Unit, and he is the senior faculty member providing care to this population on a day-to-day basis. He is also board certified in Geriatric Medicine and runs a new Geriatric Nephrology clinic at Parkland.

Available Credit

  • 1.00 AMA


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