National Survey of Medical Spanish Curriculum in U.S. Medical Schools

Morales, Raymond; Rodriguez, Lauren; Singh, Angad; Stratta, Erin; Mendoza, Lydia; Valerio, Melissa A.; Vela, Mónica

doi:10.1007/s11606-015-3309-3

Cited by 69 publications

(69 citation statements)

References 13 publications

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“…A recent survey [2] found that two-thirds of US medical schools offer a medical Spanish curriculum. These data are very encouraging until the…”

Section: Editorialmentioning

confidence: 99%

“…According to Prasad et al, [1] 'culturally competent care assumes that healthcare providers can learn a quantifiable set of attitudes and communication skills that will allow them to work effectively within the cultural context of the patients they come across' . The questions that arise, therefore, are whether clinical trainees are being fully supported to acquire this fundamental skill and whether overloaded curricula can accommodate the ongoing demand for more 'teaching time' .A recent survey [2] found that two-thirds of US medical schools offer a medical Spanish curriculum. These data are very encouraging until the…”

mentioning

confidence: 99%

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Cultural competence or speaking the patient’s language?

Burch

2016

AJHPE

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EditorialCultural competence has become yet another buzz word in the education of healthcare professionals. According to Prasad et al., [1] 'culturally competent care assumes that healthcare providers can learn a quantifiable set of attitudes and communication skills that will allow them to work effectively within the cultural context of the patients they come across' . The questions that arise, therefore, are whether clinical trainees are being fully supported to acquire this fundamental skill and whether overloaded curricula can accommodate the ongoing demand for more 'teaching time' .A recent survey [2] found that two-thirds of US medical schools offer a medical Spanish curriculum. These data are very encouraging until the

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“…A recent survey [2] found that two-thirds of US medical schools offer a medical Spanish curriculum. These data are very encouraging until the…”

Section: Editorialmentioning

confidence: 99%

mentioning

confidence: 99%

Cultural competence or speaking the patient’s language?

Burch

2016

AJHPE

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“…The vast majority of LEP patients in the USA are Spanish speaking, so to meet the needs of this large LEP group, the majority of US medical schools have made some form of medical Spanish coursework available to their students [6]. In 2008, Reuland et al wrote an excellent set of recommendations regarding development of medical Spanish curriculum [7].…”

Section: Introductionmentioning

confidence: 99%

“…However, over 70 % of medical schools surveyed in 2013-2014 noted significant obstacles to offering a language curriculum to their students. The most commonly cited obstacles were a lack of time in the curriculum, overly heterogeneous student skill levels, cost of running the course, lack of student retention, and insufficient faculty support [6]. Medical schools should address these barriers and offer Spanish language curriculum to interested students for several important reasons.…”

Section: Introductionmentioning

confidence: 99%

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

Vela

Fritz

Jacobs

2015

J. Racial and Ethnic Health Disparities

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Limited English proficient (LEP) patients are at risk of disparities in health and health care quality. These disparities can be mitigated by providing care in a language they understand. Undergraduate medical education provides an opportunity to stress that language barriers negatively impact the quality and safety of health care for LEP patients and to teach students how to overcome them. Because the preponderance of LEP patients in the USA is Spanish speaking, the majority of US medical schools have established medical Spanish coursework for interested students. However, 70 % of medical schools note significant obstacles to delivering this curriculum. The most commonly cited obstacles include a lack of time to deliver it, heterogeneous student skill levels, and insufficient faculty support. We also note that educators need to make sure not to propagate disparities and medical errors for LEP patients. We provide recommendations for establishing medical students' linguistic and cultural competence for the care Spanish-speaking limited English proficiency patients, with the caution that this instruction must be coupled with education as to when to call on an interpreter if participants are not fluent in Spanish at the end of the course.

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“…7 About 75 % of medical schools now offer or plan to shortly offer a Spanish language curriculum to medical students. As the majority of these courses are electives, and course credit is not consistently granted, it is unclear how many students actually participate.…”

mentioning

confidence: 99%