TY - JOUR
T1 - Introductory Medical Spanish Elective
T2 - Creating and Evaluating a Case-Based Course Compatible with an 18-Month Pre-Clinical Medical Curriculum
AU - A. Vega, Taylor
AU - Contag, Alec G.
AU - Urbanowicz, Erin
AU - Sanchez, Anthony
AU - Martinez, Juan Carlos
AU - Garcia, Amy
AU - Ortega-Loayza, Alex
N1 - Funding Information:
The authors wish to thank the following supporters who played an integral role in the creation of this work: Fellow LMSA colleagues: Laura Garcia, Julia Rodriguez, Jennifer Werekeitzen, Talia Ramos Remon, Miriam Hernandez-Zepeda, Corey Gallet de Saint-Aurin, Kate Pommert, Anna Persmark, Cassandra Kasten-Arias, Damon Lerma, Katie Tougas, Doris Valenzuela-Araujo, Nishad Sathe, Dr. George Mejicano, Dr. Tracy Bumsted, Dr. Angeles Peña, Dr. Sandra Iragorri, OHSU Audio Visual Team: Rick Coyle, David Wakeling, OSHU Simulation Center: Tru Chatelain, Christopher Karczmar, Corey MacMillan , OHSU School of Medicine Dean’s Office
Publisher Copyright:
© 2021, International Association of Medical Science Educators.
PY - 2021/4
Y1 - 2021/4
N2 - Background: Limited English proficiency patients experience high rates of medical errors and receive lower quality of care. To better prepare the healthcare workforce, Latino Medical Student Association (LMSA) members at Oregon Health & Science University (OHSU) developed an Introductory Medical Spanish course to complement an 18-month pre-clinical curriculum. Methods: This 10-week elective course consisted of 2 h of weekly instruction, two Cafecito cultural sessions, and one clinical standardized assessment (CSA). The authors used Bloom’s taxonomy as a theoretical framework to design course components. Pre- and post-course surveys captured comfort scores with performing a history and physical (H&P) and building rapport in Spanish. Change in comfort was analyzed via paired T-test in STATA. The authors performed a content analysis of CSA feedback and a thematic analysis of Cafecito reflections. Results: Fifteen preclinical medical students in cohort 1 and sixteen in cohort 2 completed the 10-week course. Comfort scores significantly (p < 0.05) increased by 2.87 and 1 point(s) for cohorts 1 and 2, respectively. There were differences between cohorts 1 and 2, including self-reported language fluency (93% vs 47% “beginner” level) and value of the cultural sessions (73% vs 50%), respectively. Qualitative content analysis of CSA feedback and thematic analysis of Cafecito reflections revealed students successfully applied learned material to a new case and developed a newfound appreciation for Latinx public health issues. Conclusions: This course effectively increased students’ comfort using medical Spanish which successfully translated into simulated patient environments. It also provided a space to discuss nuances of health and Latinx cultures with peers. Ultimately, this course’s feasible, effective structure can serve as a model to complement condensed pre-clinical undergraduate medical education (UME) curricula.
AB - Background: Limited English proficiency patients experience high rates of medical errors and receive lower quality of care. To better prepare the healthcare workforce, Latino Medical Student Association (LMSA) members at Oregon Health & Science University (OHSU) developed an Introductory Medical Spanish course to complement an 18-month pre-clinical curriculum. Methods: This 10-week elective course consisted of 2 h of weekly instruction, two Cafecito cultural sessions, and one clinical standardized assessment (CSA). The authors used Bloom’s taxonomy as a theoretical framework to design course components. Pre- and post-course surveys captured comfort scores with performing a history and physical (H&P) and building rapport in Spanish. Change in comfort was analyzed via paired T-test in STATA. The authors performed a content analysis of CSA feedback and a thematic analysis of Cafecito reflections. Results: Fifteen preclinical medical students in cohort 1 and sixteen in cohort 2 completed the 10-week course. Comfort scores significantly (p < 0.05) increased by 2.87 and 1 point(s) for cohorts 1 and 2, respectively. There were differences between cohorts 1 and 2, including self-reported language fluency (93% vs 47% “beginner” level) and value of the cultural sessions (73% vs 50%), respectively. Qualitative content analysis of CSA feedback and thematic analysis of Cafecito reflections revealed students successfully applied learned material to a new case and developed a newfound appreciation for Latinx public health issues. Conclusions: This course effectively increased students’ comfort using medical Spanish which successfully translated into simulated patient environments. It also provided a space to discuss nuances of health and Latinx cultures with peers. Ultimately, this course’s feasible, effective structure can serve as a model to complement condensed pre-clinical undergraduate medical education (UME) curricula.
KW - Course development
KW - Medical Spanish
KW - Medical student
KW - Undergraduate medical education
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U2 - 10.1007/s40670-020-01195-6
DO - 10.1007/s40670-020-01195-6
M3 - Article
AN - SCOPUS:85100987585
SN - 2156-8650
VL - 31
SP - 495
EP - 502
JO - Medical Science Educator
JF - Medical Science Educator
IS - 2
ER -