Learning to collaborate with medical interpreters in health professions education: A systematic review of training programs

Abstract

Background

Working effectively with medical interpreters is an increasingly valuable skill for clinicians to provide high-quality medical care. We aimed to assess the effectiveness of existing training programs that teach optimal collaboration practices between clinicians and interpreters during patient encounters.

Methods

We searched MEDLINE, EMBASE, Scopus, and Cochrane Central for studies published from 1945 through June 21, 2022.

Results

Out of the 1689 studies screened, we identified 19 studies that met inclusion criteria. Participants were from diverse professions, medical specialities, and training levels. Interpreter involvement in the development or delivery of the program was mentioned in 63% of the evaluated studies. There was substantial variability in training design, assessment methods, and reported outcomes. Only 10 of the programs included an objective knowledge or skills assessment. Only one study conducted a longitudinal assessment of skill maintenance over time. The training programs were generally well received.

Conclusions

There is a critical need for structured programs to train clinicians to effectively collaborate with medical interpreters to reduce healthcare disparities. An effective training program should involve interpreters in the development and delivery of the program, practical skills development through interactive activities, structured clinical skill assessment, and both in-person and virtual components.

Keywords:

• Limited english proficiency
• medical interpreters
• training
• education
• communication

Acknowledgments

All authors critically revised the article for important intellectual content and approved the final version of the article. No other contributors.

Disclosure statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.

Additional information

Funding

This paper did not receive monetary support from any funding agencies.

Notes on contributors

Natsu Fukui

Natsu Fukui, MD Division of Palliative Medicine, Mayo Clinic, Phoenix, AZ, USA.

Daniel K. Partain

Daniel K. Partain, MD Division of Community Internal Medicine, Geriatrics and Palliative Care, Mayo Clinic, Rochester, MN, USA.

Mei-Ean Yeow

Mei-Ean Yeow, BMBCh Division of Community Internal Medicine, Geriatrics and Palliative Care, Mayo Clinic, Rochester, MN, USA.

Hannah N. Farfour

Hannah N. Farfour, APRN, DNP, AGNP-C Division of Palliative Medicine, Mayo Clinic, Phoenix, AZ, USA.

Larry Prokop

Larry Prokop, MLS Mayo Clinic Libraries, Mayo Clinic, Rochester, MN, USA.

Amelia Barwise

Amelia Barwise, MB, BCh, BAO, PhD Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA.