Establishing a baseline for multilingual capabilities of medical students at the Michigan State University College of Osteopathic Medicine.
Michigan State University
language proficiencies
medical student
osteopathic medicine
pilot study
survey
Journal
Journal of osteopathic medicine
ISSN: 2702-3648
Titre abrégé: J Osteopath Med
Pays: Germany
ID NLM: 101776472
Informations de publication
Date de publication:
01 05 2023
01 05 2023
Historique:
received:
02
04
2021
accepted:
08
02
2023
medline:
26
4
2023
pubmed:
21
3
2023
entrez:
20
3
2023
Statut:
epublish
Résumé
The language proficiencies of Michigan State University College of Osteopathic Medicine (MSUCOM) medical students are unknown. As of 2015, approximately 8% (or roughly 25 million) of the US population over the age of five were considered "limited English proficient". Research indicates, however, that it is valuable to patients to be able to communicate in their primary language with their primary care physician. If medical students' language proficiencies were known, the medical school curriculum could be adapted to leverage or enhance a student's language proficiencies, preparing students to serve in communities where their patients language proficiencies align. The aim of this pilot study was to survey MSUCOM medical students in order to assess their language proficiencies with two goals in mind: first, to develop medical school curriculum that would leverage student's language proficiencies, and second, to encourage student placement within diverse communities throughout the state of Michigan where these physicians-in-training speak or understand the primary language of the local community to better serve patients. For this cross-sectional descriptive pilot study, a short, author-created survey was sent to 1,226 osteopathic medical students (OMS-I to OMS-IV) at MSUCOM. Participants were asked questions pertaining to language proficiency, number of languages spoken, prior exposure to education abroad, and demographic information. All participant data were only reported in grouped, collective, de-identified terms. Descriptive statistical analyses (frequencies, percentages) were calculated utilizing SPSS Version 25 software. Over the course of several months, 698 (58.7%) current MSUCOM medical students participated in the study. Of those students, 382 (54.7%) responded that they were multilingual. The top three second languages reported spoken were: English 332 (47.6%), Spanish 169 (24.2%), and Arabic 64 (9.2%). In addition, 249 (37.2%) said they had prior exposure to education abroad, and 177 (26.4%) said they had lived in another country for more than 6 months. The majority, 382 (54.7%), of the MSUCOM students who participated in the survey have some degree of multilingual capabilities. The student population at MSUCOM may benefit from completing primary care rotations in diverse communities within the state of Michigan. Likewise, the communities throughout Michigan may benefit from having bilingual and multilingual medical students serve in their medical facilities. Further research on the efficacy of leveraging language skills in various communities, as well as broadening the population sample, is warranted to refine and validate the observed pilot study results.
Identifiants
pubmed: 36940418
pii: jom-2021-0102
doi: 10.1515/jom-2021-0102
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
243-248Informations de copyright
© 2023 the author(s), published by De Gruyter, Berlin/Boston.
Références
American Association of Family Physicians. Primary care policies. Available from: https://www.aafp.org/about/policies/all/primary-care.html [Accessed 28 Oct 2022].
AAMC . The complexities of physician supply and demand: projections from 2018 to 2033 . Washington, DC: AAMC; 2020. Available from: https://www.aamc.org/system/files/2020-06/stratcomm-aamc-physician-workforce-projections-june-2020.pdf .
The United States Census Bureau. Explore census data. Available from: https://data.census.gov/cedsci/profile?g=0400000US26 [Accessed 28 Oct 2022].
Garcia, ME, Bindman, AB, Coffman, J. Language-concordant primary care physicians for a diverse population: the view from California. Health Equity 2019;3:343–9. https://doi.org/10.1089/heq.2019.0035 .
doi: 10.1089/heq.2019.0035
Zong, J, Batalova, J. The limited English proficient population in the United States . Migration Policy Institute; 2015. Available from: http://www.migrationpolicy.org/article/limited-english-proficient-population-united-states .
Qualtrics Experience Management, Software. qualtrics. Copyright © 2020.
Language barriers in U.S. healthcare: understanding communication trends between U.S. physicians and patients. Doximity. Doximity language in healthcare report . Available from: https://press.doximity.com/articles/first-ever-national-study-to-examine-different-languages-spoken-by-us-doctors [Accessed 28 Oct 2022].
ACTFL . ACTFL proficiency guidelines 2012 ; 2012. Available from: http://www.actfl.org/publications/guidelines-and-manuals/actfl-proficiency-guidelines-2012 .
IBM Corp . IBM SPSS statistics for windows, version 25.0 . Armonk, NY: IBM Corp; 2017.
Zhao, Y, Segalowitz, N, Voloshyn, A, Chamoux, E, Ryder, AG. Language barriers to healthcare for linguistic minorities: the case of second language-specific health communication anxiety. Health Commun 2021;36:334–46. https://doi.org/10.1080/10410236.2019.1692488 .
doi: 10.1080/10410236.2019.1692488
Chandra, S, Mohammadnezhad, M, Ward, P. Trust and communication in a doctor-patient relationship: a literature review. J Healthcare Commun 2018;03:36. https://doi.org/10.4172/2472-1654.100146 .
doi: 10.4172/2472-1654.100146
Nasr, F. Michigan. Yalla count me in! Available from: https://yallacountmein.org/states/michigan [Published 21 Nov 2019, Accessed 28 Oct 2022].
Abdulrahim, S, Baker, W. Differences in self-rated health by immigrant status and language preference among Arab Americans in the Detroit Metropolitan Area. Soc Sci Med 2009;68:2097–103. https://doi.org/10.1016/j.socscimed.2009.04.017 .
doi: 10.1016/j.socscimed.2009.04.017
Watson, JR, Siska, P, Wolfel, RL. Assessing gains in language proficiency, cross-cultural competence, and regional awareness during study abroad: a preliminary study. Foreign Lang Ann 2013;46:62–79. https://doi.org/10.1111/flan.12016 .
doi: 10.1111/flan.12016
Eberhard, DM, Simons, GF, Fennig, CD. Ethnologue: languages of the world , 24th ed. Dallas, Texas: SIL International; 2021.
Preceptorships . Preceptorships | MSU osteopathic medicine . Available from: https://com.msu.edu/info/departments/family-and-community-medicine/preceptorships [Accessed 10 Jun 2021].
U.S. Colleges of Osteopathic Medicine. AACOM . Available from: https://www.aacom.org/become-a-doctor/u-s-colleges-of-osteopathic-medicine [Accessed 28 Oct 2022].