Introductory Medical Spanish Elective: Creating and Evaluating a Case-Based Course Compatible with an 18-Month Pre-Clinical Medical Curriculum
Autor: | Alex G. Ortega-Loayza, Alec G. Contag, Taylor A. Vega, Juan Carlos Martinez, Erin Urbanowicz, Amy Garcia, Anthony Sanchez |
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Rok vydání: | 2021 |
Předmět: |
Medical education
medicine.medical_specialty 020205 medical informatics business.industry Public health education Medicine (miscellaneous) Standardized test 02 engineering and technology Simulated patient Education 03 medical and health sciences 0302 clinical medicine Content analysis Limited English proficiency Cohort 0202 electrical engineering electronic engineering information engineering medicine 030212 general & internal medicine Thematic analysis business Psychology Curriculum Original Research |
Zdroj: | Med Sci Educ |
ISSN: | 2156-8650 |
Popis: | 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. |
Databáze: | OpenAIRE |
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