Establishing Medical Students’ Cultural and Linguistic Competence for the Care of Spanish-Speaking Limited English Proficient Patients

Vela, Mónica; Fritz, Cassandra; Jacobs, Elizabeth A.

doi:10.1007/s40615-015-0165-0

Cited by 7 publications

(3 citation statements)

References 19 publications

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“…Literature has demonstrated a significant connection between limited English proficiency and poorer health outcomes (18,19). In addition, patients who experience language barriers often report worse medication adherence and lower satisfaction with their medical care (20,21).…”

Section: Medical Spanish Coursementioning

confidence: 99%

Founding a League of United Latin American Citizens (LULAC) council in a U.S. medical school: A new blueprint for Latino medical student organizations to enhance their public health outreach efforts.

Gonzalez¹,

Gonzalez²,

Moreira³

et al. 2019

Preprint

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Background: In the next 40 years, the Hispanic population will represent 29% of the U.S. population. Hispanics living in the U.S. face cultural and economic barriers to receiving healthcare. To address the health disparities faced by Hispanic populations at the local level, an inter-professional group of Hispanic students from the University of Arkansas for Medical Sciences (UAMS) founded the first League of United Latin American Citizens (LULAC) at an academic medical center. Methods: This article represents a descriptive guide to the methods we utilized to establish the organization, the health fairs, a mentoring program, and a medical Spanish curriculum. Additionally, this article demonstrates how our partnership with LULAC facilitated each of the activities we organized by enhancing public awareness, increasing available resources, and enabling community partnerships with local businesses and media outlets. Results: Since the organization was established in 2017, 87 students from the Colleges of Medicine, Pharmacy, Nursing, and Health Professions have become UAMS LULAC members. Together they screened 194 uninsured Hispanic patients at health fairs, mentored pre-medical students at local colleges, and designed and implemented the curriculum for a medical Spanish course in which 64 students participated. Conclusion: Becoming a LULAC council is an innovative and highly beneficial avenue for both new and existing Hispanic medical student organizations. By following a similar methodology, and by partnering with local LULAC councils and their pre-existing networks, Hispanic student organizations may also increase their access to support, resources, and volunteers to ultimately enhance their educational experience and public health outreach efforts.

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Section: Medical Spanish Coursementioning

confidence: 99%

Founding a League of United Latin American Citizens (LULAC) council in a U.S. medical school: A new blueprint for Latino medical student organizations to enhance their public health outreach efforts.

Gonzalez¹,

Gonzalez²,

Moreira³

et al. 2019

Preprint

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“…However, the use of professional services is often costly, limited, administratively difficult, and lacking in standardization ( Hornberger, Itakura and Wilson, 1997 ; Regenstein et al , 2008 ). As a result, healthcare teams often resort to using ad hoc interpreters based on convenience, the use of which has been documented to be error-prone ( Flores et al , 2012 ; Vela, Fritz and Jacobs, 2015 ). Even in well-resourced environments, professional interpreter services are a limited resource, and utilization is not highly correlated with demand ( Hornberger, Itakura and Wilson, 1997 ).…”

Section: Introductionmentioning

confidence: 99%

Medicine in Mandarin: Introducing Native Language Training in a Medical School Curriculum

Zhong¹,

Liu²,

Young³

et al. 2019

MedEdPublish

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Background: Chinese Americans are one of the fastest growing populations in the United States. However, 41% of Chinese Americans are not English proficient. Methods: In 2014, Medicine in Mandarin was established by the University of Michigan Medical School (UMMS) as a pre-clinical elective taught by a nationally certified healthcare Mandarin interpreter. A 32-hour curriculum was developed, including both didactics and interactive elements. Assessments included quizzes, standardized patient interviews, and a final exam. An evaluation was administered upon course completion, and a post-course survey was administered to graduates at least six months after course completion. Results: Between 2014 and 2017, the elective graduated 25 students, of whom 23 completed the course evaluation and 22 completed the post-course survey. Prior to the course, 9% of students felt comfortable practicing medicine in Mandarin. This increased to 78% of students post-course. When asked about subsequent clinical experiences, 82% of students reported having applied medical Mandarin skills. Overall, 96% rated the course as very good or excellent. Conclusion: A Medicine in Mandarin elective was well-received by students and improved their comfort in providing medical care in Mandarin. Additional study is warranted to examine the potential clinical impact of this course.

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“…Much advancement has been made to better prepare students to work with LEP individuals; 14 however, little is known about the types of curricula that medical schools are currently offering to prepare their students. The purpose of this study was to survey United States medical schools to describe the type of curriculum offered to teach medical students to work with medical interpreters and/or patients with LEP.…”

Section: Introductionmentioning

confidence: 99%

U.S. medical school curricula on working with medical interpreters and/or patients with limited English proficiency

Himmelstein¹,

Wright²,

Wiederman³

2018

AMEP

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PurposeThe United States has an increasing population of individuals with limited English proficiency (LEP). Language access is a right for individuals with LEP in the health care system. As such, it is important for medical providers to be appropriately trained to work with individuals with LEP. Therefore, the purpose of this study was to describe curricula offered by United States medical schools to teach medical students to work with medical interpreters and/or patients with LEP.MethodsAn electronic survey was sent in March 2017 to administration at the 147 Liaison Committee on Medical Education® accredited medical schools as of November 7, 2016. The survey consisted of the following question: “As part of your medical school’s curriculum, are students provided specific instruction addressing how to work with medical interpreters and/or patients with limited English proficiency (LEP)?” with different follow-up questions for schools that responded “Yes” vs “No”.ResultsResponses were received from 26% (38/147) of medical schools. Among schools responding to the survey, 76% (29/38) offered a curriculum that provides instruction of how to work with medical interpreters and/or patients with LEP. Of schools that provide instruction, teaching methods included didactic sessions (34% [10/29]) and standardized patient experiences (34% [10/29]). In addition, 76% (22/29) offer training in the first 2 years of medical school and 28% (8/29) offer training in the third and fourth years of the curriculum. Sixty-two percent (18/29) of respondents that offered a formal curriculum have been administering a formal curriculum for ≤10 years.ConclusionThe majority of the responding medical schools offer formal instruction of how to work with medical interpreters and/or patients with LEP. Most schools started this type of instruction in the last 10 years with most instruction occurring in the first 2 years of an undergraduate medical curriculum.

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Establishing Medical Students’ Cultural and Linguistic Competence for the Care of Spanish-Speaking Limited English Proficient Patients

Cited by 7 publications

References 19 publications

Founding a League of United Latin American Citizens (LULAC) council in a U.S. medical school: A new blueprint for Latino medical student organizations to enhance their public health outreach efforts.

Founding a League of United Latin American Citizens (LULAC) council in a U.S. medical school: A new blueprint for Latino medical student organizations to enhance their public health outreach efforts.

Medicine in Mandarin: Introducing Native Language Training in a Medical School Curriculum

U.S. medical school curricula on working with medical interpreters and/or patients with limited English proficiency

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