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

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<.01). Internal reliability as measured by Cronbach's alpha coefficients for the 20 item instrument was 0.91. Poor performance on this station was associated with poor performance on other stations. Eighty-nine percent of residents stated that the educational value was moderate to high. 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.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Zabar S,Hanley K,Kachur E,Stevens D,Schwartz MD,Pearlman E,Adams J,Felix K,Lipkin M Jr,Kalet A

doi

10.1111/j.1525-1497.2006.00439.x

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

510-3

issue

5

eissn

0884-8734

issn

1525-1497

pii

JGI439

journal_volume

21

pub_type

杂志文章

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