Partnering With Interpreter Services: Standardized Patient Cases to Improve Communication With Limited English Proficiency Patients

Introduction As the number of patients with limited English proficiency grows, there is increasing awareness in the medical community about disparities in health outcomes for this population. The proper use of professional medical interpreters improves communication between physicians and patients w...

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Autores principales:	Emily Pinto Taylor, Arielle Mulenos, Avik Chatterjee, Jaideep S. Talwalkar
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	OSCE Standardized Patient Limited English Proficiency Spanish Interpreter Use Cultural Competence Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/60c11735b89641b08cb89b785e5c6914
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spelling	oai:doaj.org-article:60c11735b89641b08cb89b785e5c69142021-11-22T13:56:01ZPartnering With Interpreter Services: Standardized Patient Cases to Improve Communication With Limited English Proficiency Patients10.15766/mep_2374-8265.108262374-8265https://doaj.org/article/60c11735b89641b08cb89b785e5c69142019-05-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10826https://doaj.org/toc/2374-8265Introduction As the number of patients with limited English proficiency grows, there is increasing awareness in the medical community about disparities in health outcomes for this population. The proper use of professional medical interpreters improves communication between physicians and patients with limited English proficiency. Typically, however, little curricular time in medical training is devoted to this competency. Methods We developed a two-station objective structured clinical examination (OSCE) in which learners worked with interpreters to conduct medical interviews with Spanish-speaking standardized patients (SPs). Cases were designed for use with residents from any medical specialty and to have personal and emotional richness in keeping with the real-life circumstances of many patients. Twelve residents from six medical specialties completed a session evaluation and were assessed by faculty, SPs, and interpreters using existing validated instruments and case-specific checklists. Results All residents reported that the cases mimicked real patient encounters. The checklists were well received and easy to use. While scores varied between residents, deficiencies were identified in basic communication skills for interacting with a non-English-speaking SP through an interpreter, including maintaining proper eye contact and open body posture with patients and introducing and clearly articulating the role of the interpreter. Discussion A two-station OSCE utilizing professional medical interpreters and Spanish-speaking SPs was well received by all participants. Residents’ scores helped identify common skill gaps in their work with interpreters. Based on the success of the pilot deployment, we plan to target educational interventions at these common deficiencies and offer the OSCE to more trainees.Emily Pinto TaylorArielle MulenosAvik ChatterjeeJaideep S. TalwalkarAssociation of American Medical CollegesarticleOSCEStandardized PatientLimited English ProficiencySpanishInterpreter UseCultural CompetenceMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	OSCE Standardized Patient Limited English Proficiency Spanish Interpreter Use Cultural Competence Medicine (General) R5-920 Education L
spellingShingle	OSCE Standardized Patient Limited English Proficiency Spanish Interpreter Use Cultural Competence Medicine (General) R5-920 Education L Emily Pinto Taylor Arielle Mulenos Avik Chatterjee Jaideep S. Talwalkar Partnering With Interpreter Services: Standardized Patient Cases to Improve Communication With Limited English Proficiency Patients
description	Introduction As the number of patients with limited English proficiency grows, there is increasing awareness in the medical community about disparities in health outcomes for this population. The proper use of professional medical interpreters improves communication between physicians and patients with limited English proficiency. Typically, however, little curricular time in medical training is devoted to this competency. Methods We developed a two-station objective structured clinical examination (OSCE) in which learners worked with interpreters to conduct medical interviews with Spanish-speaking standardized patients (SPs). Cases were designed for use with residents from any medical specialty and to have personal and emotional richness in keeping with the real-life circumstances of many patients. Twelve residents from six medical specialties completed a session evaluation and were assessed by faculty, SPs, and interpreters using existing validated instruments and case-specific checklists. Results All residents reported that the cases mimicked real patient encounters. The checklists were well received and easy to use. While scores varied between residents, deficiencies were identified in basic communication skills for interacting with a non-English-speaking SP through an interpreter, including maintaining proper eye contact and open body posture with patients and introducing and clearly articulating the role of the interpreter. Discussion A two-station OSCE utilizing professional medical interpreters and Spanish-speaking SPs was well received by all participants. Residents’ scores helped identify common skill gaps in their work with interpreters. Based on the success of the pilot deployment, we plan to target educational interventions at these common deficiencies and offer the OSCE to more trainees.
format	article
author	Emily Pinto Taylor Arielle Mulenos Avik Chatterjee Jaideep S. Talwalkar
author_facet	Emily Pinto Taylor Arielle Mulenos Avik Chatterjee Jaideep S. Talwalkar
author_sort	Emily Pinto Taylor
title	Partnering With Interpreter Services: Standardized Patient Cases to Improve Communication With Limited English Proficiency Patients
title_short	Partnering With Interpreter Services: Standardized Patient Cases to Improve Communication With Limited English Proficiency Patients
title_full	Partnering With Interpreter Services: Standardized Patient Cases to Improve Communication With Limited English Proficiency Patients
title_fullStr	Partnering With Interpreter Services: Standardized Patient Cases to Improve Communication With Limited English Proficiency Patients
title_full_unstemmed	Partnering With Interpreter Services: Standardized Patient Cases to Improve Communication With Limited English Proficiency Patients
title_sort	partnering with interpreter services: standardized patient cases to improve communication with limited english proficiency patients
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/60c11735b89641b08cb89b785e5c6914
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Partnering With Interpreter Services: Standardized Patient Cases to Improve Communication With Limited English Proficiency Patients

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