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1
Working with interpreters: how student behavior affects quality of patient interaction when using interpreters.
In: Medical education online, vol 15, iss 1 (2010)
Abstract: BackgroundDespite the prevalence of medical interpreting in the clinical environment, few medical professionals receive training in best practices when using an interpreter. We designed and implemented an educational workshop on using interpreters as part of the cultural competency curriculum for second year medical students (MSIIs) at David Geffen School of Medicine at UCLA. The purpose of this study is two-fold: first, to evaluate the effectiveness of the workshop and second, if deficiencies are found, to investigate whether the deficiencies affected the quality of the patient encounter when using an interpreter.MethodsA total of 152 MSIIs completed the 3-hour workshop and a 1-station objective-structured clinical examination, 8 weeks later to assess skills. Descriptive statistics and independent sample t-tests were used to assess workshop effectiveness.ResultsBased on a passing score of 70%, 39.4% of the class failed. Two skills seemed particularly problematic: assuring confidentiality (missed by 50%) and positioning the interpreter (missed by 70%). While addressing confidentiality did not have a significant impact on standardized patient satisfaction, interpreter position did.ConclusionInstructing the interpreter to sit behind the patient helps sustain eye contact between clinician and patient, while assuring confidentiality is a tenet of quality clinical encounters. Teaching students and faculty to emphasize both is warranted to improve cross-language clinical encounters.
Keyword: Behavior; Communication Barriers; cross-cultural communication barriers; Cultural Competency; Culture; Curriculum; Education; educational intervention; Educational Measurement; Educational Status; Faculty; Humans; interpreter use; Language; Medical; Patient Satisfaction; Patient-Centered Care; performance-based assessment; Physician-Patient Relations; physician–patient relations; Public Health and Health Services; Quality of Health Care; Specialist Studies in Education; Students
URL: https://escholarship.org/uc/item/0md330fm
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2
Der Einfluss des Migrantenanteils in Schulklassen auf den Kompetenzerwerb. Längsschnittliche Überprüfung eines umstrittenen Effekts ...
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3
Standard-Setting für Kompetenztests im Large-Scale-Assessment. Projekt Standardsetting ...
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4
Kompetenzmodellierung. Zwischenbilanz des DFG-Schwerpunktprogramms und Perspektiven des Forschungsansatzes ...
null. - : Beltz, 2010
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5
leo. - Level-One Studie. Literalität von Erwachsenen auf den unteren Kompetenzniveaus ...
Grotlüschen, Anke; Riekmann, Wibke. - : Bundesministerium für Unterricht, Kunst und Kultur, 2010
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6
Do parents' causal attributions for success and failure of their child's verbal competence relate to their assessments of the child's competence in the mother tongue? ...
Räty, Hannu. - : Waxmann, 2010
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7
Standard-Setting für Kompetenztests im Large-Scale-Assessment. Projekt Standardsetting
In: Klieme, Eckhard [Hrsg.]; Leutner, Detlev [Hrsg.]; Kenk, Martina [Hrsg.]: Kompetenzmodellierung. Zwischenbilanz des DFG-Schwerpunktprogramms und Perspektiven des Forschungsansatzes. Weinheim ; Basel : Beltz 2010, S. 175-188. - (Zeitschrift für Pädagogik, Beiheft; 56) (2010)
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8
Kompetenzmodellierung. Zwischenbilanz des DFG-Schwerpunktprogramms und Perspektiven des Forschungsansatzes
Klieme, Eckhard Hrsg.; Leutner, Detlev Hrsg.; Kenk, Martina Hrsg.. - : Beltz, 2010. : Weinheim, 2010. : Basel, 2010. : pedocs-Dokumentenserver/DIPF, 2010
In: Weinheim ; Basel : Beltz 2010, 312 S. - (Zeitschrift für Pädagogik, Beiheft; 56) (2010)
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9
leo. - Level-One Studie. Literalität von Erwachsenen auf den unteren Kompetenzniveaus
In: Magazin erwachsenenbildung.at (2010) 10, 8 S. (2010)
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10
Der Einfluss des Migrantenanteils in Schulklassen auf den Kompetenzerwerb. Längsschnittliche Überprüfung eines umstrittenen Effekts
In: Allemann-Ghionda, Cristina [Hrsg.]; Stanat, Petra [Hrsg.]; Göbel, Kerstin [Hrsg.]; Röhner, Charlotte [Hrsg.]: Migration, Identität, Sprache und Bildungserfolg. Weinheim u.a. : Beltz 2010, S. 147-164. - (Zeitschrift für Pädagogik, Beiheft; 55) (2010)
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11
Do parents' causal attributions for success and failure of their child's verbal competence relate to their assessments of the child's competence in the mother tongue?
In: Journal for educational research online 2 (2010) 2, S. 87-97 (2010)
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