""Oh! She doesn't speak English!" Assessing resident competence in mana" by Sondra Zabar, Kathleen Hanley et al.
 

"Oh! She doesn't speak English!" Assessing resident competence in managing linguistic and cultural barriers.

Publication/Presentation Date

5-1-2006

Abstract

BACKGROUND: Residents must master complex skills to care for culturally and linguistically diverse patients.

METHODS: As part of an annual 10-station, standardized patient (SP) examination, medical residents interacted with a 50-year-old reserved, Bengali-speaking woman (SP) with a positive fecal occult blood accompanied by her bilingual brother (standardized interpreter (SI)). While the resident addressed the need for a colonoscopy, the SI did not translate word for word unless directed to, questioned medical terms, and was reluctant to tell the SP frightening information. The SP/SI, faculty observers, and the resident assessed the performance.

RESULTS: Seventy-six residents participated. Mean faculty ratings (9-point scale) were as follows: overall 6.0, communication 6.0, knowledge 6.3. Mean SP/SI ratings (3.1, range 1.9 to 3.9) correlated with faculty ratings (overall r=.719, communication r=.639, knowledge r=.457, all P

CONCLUSION: We reliably assessed residents communication skills conducting a common clinical task across a significant language barrier. This medical education innovation provides the first steps to measuring interpreter facilitated skills in residency training.

Volume

21

Issue

5

First Page

510

Last Page

513

ISSN

1525-1497

Disciplines

Medicine and Health Sciences

PubMedID

16704400

Department(s)

Department of Medicine

Document Type

Article

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