Because 3% to 4% of children in the United States are foreign-born, it is highly likely that most pediatric providers will encounter these children in their practice, and thus, important for all clinicians to understand best practice guidelines for their care. Immigrant health curricula are not standardized across US pediatric health professional training programs, leading to variable levels of competency in currently practicing providers.

After completing this article, readers should be able to:

  1. Describe national guidelines for the care of the immigrant child.

  2. Use concepts from the national guidelines to implement practical improvements in clinical service delivery for immigrant children, at both the facility and individual levels.

  3. Offer solutions for personal and professional obstacles that can arise when caring for immigrant children.

There are approximately 2.5 million immigrant children in the United States, (1) defined by the American Academy of Pediatrics (AAP) as “those born outside the United...

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