A Novel Simulation to Assess Residents' Utilization of a Medical Interpreter

Introduction Physicians must be facile in working with a medical interpreter (MI) given the large population of patients with limited English proficiency. Methods To facilitate residents' assessment of their ability to interact with non-English-speaking patients, we developed a simulation case...

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Autores principales:	Michael J. Zdradzinski, Anika Backster, Sheryl Heron, Melissa White, Deborah Laubscher, Jeffrey N. Siegelman
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Simulation Language Barrier Spanish Medical Interpreter Resident Assessment Health Care Disparities, Diversity, Inclusion, Health Equity Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/b53bf33aa9cf4630b78d82e0dd827b4b
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spelling	oai:doaj.org-article:b53bf33aa9cf4630b78d82e0dd827b4b2021-11-22T13:59:25ZA Novel Simulation to Assess Residents' Utilization of a Medical Interpreter10.15766/mep_2374-8265.108532374-8265https://doaj.org/article/b53bf33aa9cf4630b78d82e0dd827b4b2019-11-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10853https://doaj.org/toc/2374-8265Introduction Physicians must be facile in working with a medical interpreter (MI) given the large population of patients with limited English proficiency. Methods To facilitate residents' assessment of their ability to interact with non-English-speaking patients, we developed a simulation case involving one such patient. The case involved a 31-year-old Spanish-speaking postpartum female who presented with eclamptic seizures. The learner needed to request an MI to assist with obtaining the patient's medical history once her concerned family member (also Spanish speaking) arrived. The major critical actions included appropriate use of MI services, recognition of the risk for eclamptic seizures, proper evaluation and treatment, and appropriate disposition to an obstetrician. The case required a high-fidelity mannequin and simulation operator, nurse simulated participant, Spanish-speaking actor (to play the husband or family member), certified Spanish MI, and faculty evaluator. Results We implemented this case with 60 emergency medicine residents, ranging from PGY 1 to 3. The learner was assessed by both the faculty observer and MI. Checklists for assessment and debriefing materials were provided. Two of 60 residents did not request an MI. When compared to a prior version of this case that did not include the language barrier, median scores dropped from 12 to 10 out of 24, suggesting that the language barrier created a more challenging case. Discussion The use of MIs is an integral part of health care practice in the United States, and we present a simulation case that can assess learners' use of MIs.Michael J. ZdradzinskiAnika BacksterSheryl HeronMelissa WhiteDeborah LaubscherJeffrey N. SiegelmanAssociation of American Medical CollegesarticleSimulationLanguage BarrierSpanishMedical InterpreterResident AssessmentHealth Care Disparities, Diversity, Inclusion, Health EquityMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Simulation Language Barrier Spanish Medical Interpreter Resident Assessment Health Care Disparities, Diversity, Inclusion, Health Equity Medicine (General) R5-920 Education L
spellingShingle	Simulation Language Barrier Spanish Medical Interpreter Resident Assessment Health Care Disparities, Diversity, Inclusion, Health Equity Medicine (General) R5-920 Education L Michael J. Zdradzinski Anika Backster Sheryl Heron Melissa White Deborah Laubscher Jeffrey N. Siegelman A Novel Simulation to Assess Residents' Utilization of a Medical Interpreter
description	Introduction Physicians must be facile in working with a medical interpreter (MI) given the large population of patients with limited English proficiency. Methods To facilitate residents' assessment of their ability to interact with non-English-speaking patients, we developed a simulation case involving one such patient. The case involved a 31-year-old Spanish-speaking postpartum female who presented with eclamptic seizures. The learner needed to request an MI to assist with obtaining the patient's medical history once her concerned family member (also Spanish speaking) arrived. The major critical actions included appropriate use of MI services, recognition of the risk for eclamptic seizures, proper evaluation and treatment, and appropriate disposition to an obstetrician. The case required a high-fidelity mannequin and simulation operator, nurse simulated participant, Spanish-speaking actor (to play the husband or family member), certified Spanish MI, and faculty evaluator. Results We implemented this case with 60 emergency medicine residents, ranging from PGY 1 to 3. The learner was assessed by both the faculty observer and MI. Checklists for assessment and debriefing materials were provided. Two of 60 residents did not request an MI. When compared to a prior version of this case that did not include the language barrier, median scores dropped from 12 to 10 out of 24, suggesting that the language barrier created a more challenging case. Discussion The use of MIs is an integral part of health care practice in the United States, and we present a simulation case that can assess learners' use of MIs.
format	article
author	Michael J. Zdradzinski Anika Backster Sheryl Heron Melissa White Deborah Laubscher Jeffrey N. Siegelman
author_facet	Michael J. Zdradzinski Anika Backster Sheryl Heron Melissa White Deborah Laubscher Jeffrey N. Siegelman
author_sort	Michael J. Zdradzinski
title	A Novel Simulation to Assess Residents' Utilization of a Medical Interpreter
title_short	A Novel Simulation to Assess Residents' Utilization of a Medical Interpreter
title_full	A Novel Simulation to Assess Residents' Utilization of a Medical Interpreter
title_fullStr	A Novel Simulation to Assess Residents' Utilization of a Medical Interpreter
title_full_unstemmed	A Novel Simulation to Assess Residents' Utilization of a Medical Interpreter
title_sort	novel simulation to assess residents' utilization of a medical interpreter
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/b53bf33aa9cf4630b78d82e0dd827b4b
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A Novel Simulation to Assess Residents' Utilization of a Medical Interpreter

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