ArticleJoint Commission journal on quality and patient safety2020
Surgical Residents as Certified Bilingual Speakers: A Quality Improvement Initiative.
Article in Joint Commission journal on quality and patient safety, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Use of Untrained Interpreters in the Inpatient Setting: What Does the Record Show?Journal of general internal medicine · 2026Article
- Language Proficiency Improvements After Longitudinal and Intensive Medical Spanish Courses.Cureus · 2025Article
- Pinpointing a social determinant of surgical disease: the impact of language-concordant care on outcomes for trauma patients.Trauma surgery & acute care open · 2025Article
- Validity Evidence for the Physician Oral Language Observation Matrix as a Measure of Medical Spanish Proficiency.Journal of general internal medicine · 2024Article
- Utilization and perceptions of language assistance services by medical trainees: a pathway to language certification.AIMS public health · 2024Article
- Non-English primary language and disparities in stroke outcomes after mechanical thrombectomy: a single institution study.Frontiers in stroke · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundThe objective of this quality improvement initiative was to identify general surgery residents proficient in a non-English language and have each attempt the Clinician Cultural and Linguistic Assessment (CCLA) to become qualified bilingual staff speakers.
methodsGeneral surgery house staff were asked to self-identify as proficient in a language other than English. Fees for the certification examination were waived, and each resident was excused from clinical duties to complete the exam. McNemar's test was used for statistical analysis.
resultsAll residents responded to the initial survey, with 18/65 reporting a non-English language proficiency. Of the 12 residents who sat for the CCLA exam, 9 (75.0%) passed, with 5 certifying in the most commonly spoken non-English languages at this institution. The number of certified residents increased from 1 to 10 (1.5 % to 15.4%, p = 0.004).
conclusionLanguage barriers result in health care disparities for patients with limited English proficiency. This reproducible quality improvement initiative significantly increased the number of qualified bilingual speakers, while 25.0% of self-described proficient speakers did not demonstrate adequate language proficiency. These newly certified providers allow for increased language concordant care, which may be associated with improved outcomes.
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