Evidence map›Paper›PMID 32488693›Full record

ArticleJournal of general internal medicine2020

Supply and Demand: Association Between Non-English Language-Speaking First Year Resident Physicians and Areas of Need in the USA.

Lisa C Diamond, Imran Mujawar, Erik Vickstrom, Margaux Genoff Garzon, Francesca Gany

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  5. Review
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  8. Virtual Medical Spanish Education at theMedical science educator · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Lisa C DiamondMemorial Sloan Kettering Cancer Center, New York, NY, USA. diamondl@mskcc.org.ORCID 0000-0002-2175-6224
Imran MujawarMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Erik VickstromUnited States Census Bureau, Suitland, MA, USA.
Margaux Genoff GarzonThe New School for Social Research, New York, NY, USA.
Francesca GanyMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Memorial Sloan Kettering Cancer Center · USNew School · USUnited States Census Bureau · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Training and Career Development CoreU54CA132378 · NCI · CITY COLLEGE OF NEW YORK · PI Tim Alan Ahles, ADRIANA ESPINOSA · 2008 to 2026
$28.9M
Training and Career Development and Education CoreU54CA137788 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Daniel Alan Heller · 2008 to 2026
$28.1M
Clinician Use of Non-English Language Skills in Cancer CareK07CA184037 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI DIAMOND, LISA C · 2015 to 2019
$900k
Communicating with Oncology Nurses about Values from the Outset (CONVO): An Innovative Primary Palliative Care Intervention in English and EspanolR21NR019188 · NINR · SLOAN-KETTERING INST CAN RESEARCH · PI GANY, FRANCESCA M, NELSON, JUDITH E · 2020 to 2021
$487k
NCI NIH HHS K07 CA184037NCI NIH HHS P30 CA008748NCI NIH HHS U54 CA132378NCI NIH HHS U54 CA137788NINR NIH HHS R21 NR019188
6 · The paper itself

Abstract

backgroundOver 25 million US inhabitants are limited English proficient (LEP). It is unknown whether physicians fluent in non-English languages are training in geographic areas with the highest proportion of LEP people. Diversity of language ability in the physician workforce is an important complement to language assistance services for providing quality care to LEP patients.

objectiveTo determine whether non-English language-speaking resident physicians matched in the geographic areas where language skills are needed.

designCross-sectional study.

participantsPostgraduate medical training applicants to the Association of American Medical College's Electronic Residency Application Service in 2013-2014 (n = 50,766). We included data from the Graduate Medical Education Track database, mapped against American Community Survey data.

interventionsN/A. MAIN MEASURES: We assessed the geographic alignment of non-English language-speaking resident physicians relative to the distribution of the LEP-speaking population. KEY

resultsWhile 37% of resident physicians spoke at least one non-English language, in most cases the languages they spoke were not those in greatest need by the US LEP population. LEP speakers' potential exposure to non-English language-speaking residents varied. For Spanish, the language with the lowest national resident physician to Spanish LEP patient ratio, the ratio was most favorable in New York at 23.7/100,000 LEP population versus 5.1 in Los Angeles. For Tagalog, the group with the highest geographic mismatch, the ratio was 70.4 in New York but 0 in San Diego, San Jose, and Seattle. Among the top five LEP languages in the USA, Chinese-speaking resident physicians were the most geographically matched.

conclusionsWe found considerable misalignment of the geographic distribution of non-English language-speaking resident physicians relative to the distribution of the LEP-speaking population. Residency programs in areas of high need could consider better matching the non-English language needs of their community with the language abilities of the resident physicians they are recruiting.

Indexed as

Internship and ResidencyPhysiciansCommunication BarriersCross-Sectional StudiesHumansLanguageNew YorkUnited Statesgraduate medical educationhealth disparitieslanguage barriersphysician-patient communicationphysician workforce

Identifiers

PMID32488693
PMCPMC7403237
OpenAlexW3032182545

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.