Project J-FIT TEMPLATE

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1 Project J-FIT TEMPLATE!" # $ %&'(), -. * ++*+) Please complete all information requested. 1) Toolkit name: 2) Project manager contact information Name: Address: Phone number: address: 3) Team member names and addresses: / 0 / // 4) Objectives: / 5) Key words for searches: $ 6) Target Audience: 7) Dates of project and timeline:, -. $ 452 "444/ 6 7 % 8) Venue:! 9) Contact Person address (at venue): (ACOG JF): 10) Number of participants (approx):

2 %/ 07, ( / ( 11) List all supplies needed: & 8 / //7 9/ 12) Project Prep Time: Number of volunteers needed: Delegation of projects/responsibilities: 4 / / 7 :/ 13) Advertisement (please include sample copies of flyers, s, media): 14) Budget: 15) Funding (source and amount): 16) Summary: Please attach a detailed description of your project. Include an overall summary including positive points of the event, things to improve on, and impact on the community or women s health. (Limit 750 words) 17) Photography/Pictures (mandatory, limit 5). (Please Attach)

3 Teaching Medical Spanish to Obstetrics and Gynecology Residents Jasmine Lai, PGY 3, ACOG District IX, SectionVIII Junior Fellow ACOG J FIT Submission 2011 At some point in every obstetrics and gynecology resident's training, there will be an encounter with a Spanish speaking patient with Limited English Proficiency. Few residency programs across the nation have dedicated, structured didactic time to teach their residents medical Spanish. This J FIT project hopes to fill that void, in making OB/GYN residents across the country more comfortable with basic Spanish medical terminology; more understanding of the role of the medical interpreter and how one is accessed in their hospital; and allowing OB/GYN residents to become more cultural competent in their patient care. Jasmine Lai University of California, San Diego Department of Reproductive Medicine jasminelai@gmail.com

4 2 Teaching Medical Spanish to Obstetrics and Gynecology Residents J FIT Project Summary For my J FIT Project, I have organized a structured curriculum for a one hour immersion lesson with our OB/GYN interns at our institution, which is detailed in the following attachments. I feel that this is a worthwhile endeavor during the intern year, as all our interns come from different backgrounds, and have different levels of comfort is conversational and medical Spanish. However, all of our residents have in common that they will encounter and take care of multiple Spanish speaking patients throughout their training. The core objectives of this project are as follows: 1) To teach basic medical terminology for residents to be able to understand their Spanish speaking patients with the help of a medical interpreter; 2) To understand the role of a medical interpreter, and to learn how to appropriately access an interpreter in the clinic or hospital setting; and 3) For residents to become more culturally competent and aware of their Latino patients' backgrounds, and to introduce the concept of "Language of Care" and "Limited English Proficiency" to patient care. The further implications of this project are as follows: This curriculum would fulfill: 1) one of the six ACGME Core Competencies of "interpersonal and communication skills;" 2) one of the Joint Commission's 2012 goals of improving communication and language access as part of patient centered care; and 3) many hospitals' policies of language access for Limited English Proficient (LEP) patients and families. For detailed information on the curriculum, please see the following attachments: Proposal for Medical Spanish Curriculum for Obstetrics and Gynecology Residents.docx Spanish for the OB intern.ppt Please note: this curriculum is not intended as a replacement for a hospital certified interpreter. This curriculum is to be used in hopes of stimulating a medical provider's prior knowledge of Spanish, and to encourage further learning. References:

5 1 J FIT Submission: Teaching Medical Spanish to Obstetrics and Gynecology Residents Proposal for Medical Spanish Curriculum and Cultural Competency for Obstetrics and Gynecology Interns at UCSD Learning Objectives: To teach basic medical terminology for residents to be able to understand their Spanish speaking patients with the help of a medical interpreter To understand the role of a medical interpreter, and to learn how to appropriately access an interpreter in the clinic or hospital setting For residents to become more culturally competent and aware of their Latino patients' backgrounds, and to introduce the concept of "Language of Care" and "Limited English Proficiency" Assessment: Residents will undergo a pre lesson short quiz to assess their current knowledge of OB/GYN medical Spanish Pre and post lesson surveys will be conducted on Survey Monkey to assess what residents have learned, and to engage feedback on how this curriculum could be improved for following years Curriculum: (1 hour) Week prior to lecture: residents to access online survey to gauge target audience's knowledge of Spanish Lecture: 10 minutes: short quiz (see Attachment 1) 10 minutes: PowerPoint lecture (see Attachment 2) 10 minutes: role play (see Attachment 3) 10 minutes: worksheet (see Attachment 4) 10 minutes: lecture (cultural competency, topics to include: assessing a patient's understanding of epidurals; "non compliance" regarding adherence to prescribed medications) After lecture: residents to access similar online survey to gauge knowledge of Spanish after lecture, and to obtain feedback on how to improve curriculum Disclaimer: Please note: this curriculum is not intended as a replacement for a hospital certified interpreter. This curriculum is used in hopes of stimulating a medical provider's prior knowledge of Spanish, and to encourage further learning.

6 2 J FIT Submission: Teaching Medical Spanish to Obstetrics and Gynecology Residents Attachment 1 QUIZ! Translate the following terms into English or Spanish: la boca el pecho la raquia el útero/la matriz dando a luz cervix breastfeeding or pap smear epidural next visit la espalda los pulmones el bloqueo epidural su regla el suero vagina bladder contractions last visit

7 3 J FIT Submission: Teaching Medical Spanish to Obstetrics and Gynecology Residents Attachment 3 ROLE PLAY Scenario 1 Person 1: You are the intern in DIABOB clinic, where you have been asked to do a new OB intake visit. Your patient only speaks Spanish. Person 2: You are a patient going to DIABOB clinic for the first time. You have a limited understanding of English. You do not know what diabetes is, or why it can be harmful in pregnancy. Scenario 2 Person 1: You are an intern working the night shift, and you have a triage patient here for rule out labor. Your patient and her family have a limited understanding of English. They have never received prenatal care in the US. Person 2: You are a patient who has received all your previous care in Mexico. You didn't bring your records with you, but you were told by a doctor in Mexico that today is your due date, so you are coming in to deliver your baby. Scenario 3 Person 1: You are a patient who speaks some English, but mostly Spanish. You are presenting to Labor and Delivery, and your contractions are 5 minutes apart, and they are becoming stronger, since 5 hours ago. This is your 4th baby. You desire something for pain. Person 2: You are, again, the intern working the night shift. Your Labor and Delivery nurse just roomed a patient in LDR 8, who can be heard screaming down the hall. Your senior resident asks you to go evaluate the patient.

8 4 J FIT Submission: Teaching Medical Spanish to Obstetrics and Gynecology Residents Attachment 4 WORKSHEET Obstetrics: Tiene contracciones/calambres/dolores de parto? Con qué frecuencia? Tiene sangrado vaginal? Tiene líquido o flujo por la vagina, como si se rompió la fuente? Puede sentir los movimientos del bebe? Está usted contando cada día los movimientos del bebe? Va a amamantar su bebe? Tiene síntomas de preeclampsia/toxemia? (dolor de cabez; cambiados en su visión, como estrellas; dolor en su abdomen; náusea) Toxemia es una afección del embarazo, en la cual se presentan con alta presión y proteína en la orina. Experimenta algún dolor o malestar cuando orina? Gynecology: Cuando fue (el primer día de) su última regla? Alguna vez estuvo embarazada? Está embarazada ahora? Alguna vez dio a luz? Alguna vez dio a luz por parto natural? Alguna vez dio a luz por cesárea? Alguna vez se sometió a un aborto? Alguna vez tuvo un aborto espontáneo? Alguna vez tuvo problemas para quedar embarazada?

9 5 J FIT Submission: Teaching Medical Spanish to Obstetrics and Gynecology Residents

10 Spanish for the OB/GYN Intern (Attachment 2) J FIT Submission: Teaching Medical Spanish to Obstetrics and Gynecology Residents

11 Why learn Spanish? 1) Because learning Medical English for the last four years was too easy 2) You can understand when a patient is talking about you behind your back 3) You live in San Diego now 4) It is not all that different from English, so you can learn quickly 5) Your Spanish speaking patients appreciate the effort that you make Final Project Spanish for the Medical Health Profession

12 Birth Control Methods Los métodos de anticoncepción condones pastillas anticonceptivas método del ritmo aparato intrauterino ligadura de los tubos, vasectomía For further learning: please see BCM Handout (provided in Spanish) in clinic! Final Project Spanish for the Medical Health Profession

13 Anatomy Los sistemas reproductivos El ovario La trompa / Tubo de Falopio El útero / La matriz La vejiga El recto El útero / La matriz Cérvix / Cuello de matriz La vagina La vagina Final Project Spanish for the Medical Health Profession

14 In Triage Tiene contracciones o colicos? Con qué frecuencia? Tiene sangrado vaginal? Tiene flujo por la vagina, como si se rompió la fuente? Puede sentir los movimientos del bebe? Está usted contando cada día los movimientos del bebe? Tiene síntomas de preeclampsia/toxemia? (dolor de cabeza; cambiados en su visión, como estrellas; dolor en su abdomen; nausea) Experimenta algún dolor o malestar cuando orina? Final Project Spanish for the Medical Health Profession

15 Postpartum Después del parto Está dar pecho? / Va a amamantar? Está caminado sin mareos? Cuánto sangrado vaginal tenía? Cómo una regla? Tiene problemas para orinar? Esta comiendo/bebiendo sin nausea? Estaba tomando el motrin o vicodin para el dolor? Está ayudando? Final Project Spanish for the Medical Health Profession

16 Postpartum Discharge Instructions Instrucciónes después del parto Nada en la vagina por seis semanas, incluyendo tampones o sexo No maneje cuando esta tomando vicodin o percocet No levante nada mas pesado que el bebe Volver si usted tiene fiebre (>100.4) o tiene mucho sangrado vaginal Regresa en seis semanas para una cita con la doctora Final Project Spanish for the Medical Health Profession

17 And How to Ask for Help How to schedule an appointment with an interpreter (in person, Spanish only, call ideally one week prior) Clinic phones: ask Nancy where phones are AT&T Language line phones on Labor and Delivery Spanish speaking MAs in clinic, when they are not too busy! Final Project Spanish for the Medical Health Profession

18 Suggestions for further learning: iphone app: MediBabble nts/prep4birth_spanishbooklet_final.pdf Read handouts that you give to patients that are already translated into Spanish Final Project Spanish for the Medical Health Profession

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