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- Title
A longitudinal medical Spanish program at one US medical school.
- Authors
Reuland, Daniel; Frasier, Pamela; Slatt, Lisa; Alemán, Marco; Reuland, Daniel S; Frasier, Pamela Y; Slatt, Lisa M; Alemán, Marco A
- Abstract
<bold>Introduction: </bold>Policymakers have recommended recruiting or training (or both) more US physicians who can provide care in Spanish. Few longitudinal medical Spanish programs have been described and evaluated.<bold>Objective: </bold>This study aims to describe development and evaluation of the preclinical phase of a 4-y program designed to graduate physicians who can provide language-concordant care in Spanish.<bold>Setting: </bold>Study was done in one public medical school in southeastern USA.<bold>Program Description: </bold>The program targeted intermediate/advanced Spanish speakers. Standardized fluency assessments were used to determine eligibility and evaluate participants' progress. Curriculum included didactic coursework, simulated patients, socio-cultural seminars, clinical skills rotations at sites serving Latinos, service-learning, and international immersion.<bold>Program Evaluation: </bold>For the first two cohorts (n = 45) qualitative evaluation identified program improvement opportunities and found participants believed the program helped them maintain their Spanish skills. Mean interim (2-y) speaking proficiency scores were unchanged from baseline: 9.0 versus 8.7 at baseline on 12-point scale (p = 0.15). Mean interim listening comprehension scores (second cohort only, n = 25) increased from a baseline of 77 to 86% (p = 0.003). Proportions "passing" the listening comprehension test increased from 72 to 92% (p = 0.06).<bold>Discussion: </bold>We describe development of a longitudinal Spanish program within a medical school. Participation was associated with improved Spanish listening comprehension and no change in speaking proficiency.
- Subjects
UNITED States; MEDICAL schools; CURRICULUM; HISPANIC Americans; PATIENTS; RESEARCH; PHYSICIAN-patient relations; COMMUNICATION barriers; RESEARCH methodology; LANGUAGE &; languages; EVALUATION research; MEDICAL cooperation; COMPARATIVE studies; COMMUNICATION; RESEARCH funding; MEDICAL education
- Publication
JGIM: Journal of General Internal Medicine, 2008, Vol 23, Issue 7, p1033
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1007/s11606-008-0598-9