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Medical Interpreter

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1. Navigating Challenges of Medical Interpreting Standards and Expectations of Patients and Health Care Professionals: The Interpreter Perspective. (PubMed)

Navigating Challenges of Medical Interpreting Standards and Expectations of Patients and Health Care Professionals: The Interpreter Perspective. Although medical interpreters are guided by a clear set of medical interpreting standards that are designed to ensure an accurate, clear line of communication between patient and provider, limited research has focused on interpreters' actual experiences: how they integrate the medical interpreting standards into practice, challenges they might face (...) , how they address those challenges, and with what consequences. To address these gaps, we explored experiences of 15 interpreters working in health care settings. As this is a relatively unexplored area and we are exploring social processes, we used grounded theory. Data were analyzed through open, axial, and selective coding. We found all interpreters intended to practice "within" the encounter and valued the medical interpreting standards. However, patient and provider expectations, requests

2018 Qualitative Health Research

2. Exploring professionals’ understanding, interpretation and implementation of the ‘appropriate medical treatment test’ in the 2007 amendment of the Mental Health Act 1983 (PubMed)

Exploring professionals’ understanding, interpretation and implementation of the ‘appropriate medical treatment test’ in the 2007 amendment of the Mental Health Act 1983 The appropriate medical treatment test (ATT), included in the Mental Health Act (MHA) (1983, as amended 2007), aims to ensure that detention only occurs when treatment with the purpose of alleviating a mental disorder is available.As part of the Assessing the Impact of the Mental Health Act (AMEND) project

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2017 BJPsych open

3. U.S. medical school curricula on working with medical interpreters and/or patients with limited English proficiency (PubMed)

U.S. medical school curricula on working with medical interpreters and/or patients with limited English proficiency The United States has an increasing population of individuals with limited English proficiency (LEP). Language access is a right for individuals with LEP in the health care system. As such, it is important for medical providers to be appropriately trained to work with individuals with LEP. Therefore, the purpose of this study was to describe curricula offered by United States (...) medical schools to teach medical students to work with medical interpreters and/or patients with LEP.An electronic survey was sent in March 2017 to administration at the 147 Liaison Committee on Medical Education® accredited medical schools as of November 7, 2016. The survey consisted of the following question: "As part of your medical school's curriculum, are students provided specific instruction addressing how to work with medical interpreters and/or patients with limited English proficiency (LEP

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2018 Advances in medical education and practice

4. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Published in the March 2015 issue of Genetics in M

Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Published in the March 2015 issue of Genetics in M Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology | Genetics in Medicine Thank you (...) for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association

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2015 Association for Molecular Pathology

5. Standardized classification and framework for reporting, interpreting, and analysing medication non-adherence in cardiovascular clinical trials: a consensus report from the Non-adherence Academic Research Consortium (NARC). (PubMed)

Standardized classification and framework for reporting, interpreting, and analysing medication non-adherence in cardiovascular clinical trials: a consensus report from the Non-adherence Academic Research Consortium (NARC). Non-adherence has been well recognized for years to be a common issue that significantly impacts clinical outcomes and health care costs. Medication adherence is remarkably low even in the controlled environment of clinical trials where it has potentially complex major

2018 European Heart Journal

6. Does the Consecutive Interpreting Approach enhance medical English communication skills of Japanese-speaking students? (PubMed)

Does the Consecutive Interpreting Approach enhance medical English communication skills of Japanese-speaking students? To determine if the Consecutive Interpreting Approach enhances medical English communication skills of students in a Japanese medical university and to assess this method based on performance and student evaluations. This is a three-phase study using a mixed-methods design, which starts with four language reproduction activities for 30 medical and 95 nursing students, followed (...) by a quantitative analysis of perfect-match reproduction rates to assess changes over the duration of the study and qualitative error analysis of participants' language reproduction. The final stage included a scored course evaluation and free-form comments to evaluate this approach and to identify effective educational strategies to enhance medical English communication skills.Mean perfect-match reproduction rates of all participants over four reproduction activities differed statistically significantly

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2018 International Journal of Medical Education

7. Medical Interpreters in Outpatient Practice (PubMed)

Medical Interpreters in Outpatient Practice This article provides an overview of the federal requirements related to providing interpreter services for non-English-speaking patients in outpatient practice. Antidiscrimination provisions in federal law require health programs and clinicians receiving federal financial assistance to take reasonable steps to provide meaningful access to individuals with limited English proficiency who are eligible for or likely to be encountered in their health (...) . Interpreters must meet specified qualifications and ideally be certified. Although the cost of interpreter services can be considerable, ranging from $45-$150/hour for in-person interpreters, to $1.25-$3.00/minute for telephone interpreters, and $1.95-$3.49/minute for video remote interpreting, it may be reimbursed or covered by a patient's Medicaid or other federally funded medical insurance. Failure to use qualified interpreters can have serious negative consequences for both practitioners and patients

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2018 Annals of family medicine

8. Computational techniques for ECG analysis and interpretation in light of their contribution to medical advances (PubMed)

Computational techniques for ECG analysis and interpretation in light of their contribution to medical advances Widely developed for clinical screening, electrocardiogram (ECG) recordings capture the cardiac electrical activity from the body surface. ECG analysis can therefore be a crucial first step to help diagnose, understand and predict cardiovascular disorders responsible for 30% of deaths worldwide. Computational techniques, and more specifically machine learning techniques (...) and computational modelling are powerful tools for classification, clustering and simulation, and they have recently been applied to address the analysis of medical data, especially ECG data. This review describes the computational methods in use for ECG analysis, with a focus on machine learning and 3D computer simulations, as well as their accuracy, clinical implications and contributions to medical advances. The first section focuses on heartbeat classification and the techniques developed to extract

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2018 Journal of the Royal Society Interface

9. Implementing a medical student interpreter training program as a strategy to developing humanism (PubMed)

Implementing a medical student interpreter training program as a strategy to developing humanism Humanistic care in medicine has shown to improve healthcare outcomes. Language barriers are a significant obstacle to humanistic care, and trained medical interpreters have demonstrated to effectively bridge the gap for the vulnerable limited English proficiency (LEP) patient population. One way in which medical schools can train more humanistic physicians and provide language access is through (...) the implementation of programs to train bilingual medical students as medical interpreters. The purpose of this prospective study was to evaluate whether such training had an impact on bilingual medical student's interpretation skills and humanistic traits.Between 2015 and 2017, whole-day (~ 8 h) workshops on medical interpretation were offered periodically to 80 bilingual medical students at the Penn State College of Medicine. Students completed a series of questionnaires before and after the training

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2018 BMC medical education

10. E-learning for chest x-ray interpretation improves medical student skills and confidence levels (PubMed)

E-learning for chest x-ray interpretation improves medical student skills and confidence levels Radiology is an important aspect of medicine to which medical students often do not receive sufficient exposure. The aim of this project was to determine whether the integration of an innovative e-learning module on chest x-ray interpretation of the heart would enhance the radiological interpretive skills, and improve the confidence, of first year graduate entry medical students.All first-year (...) graduate entry (all students had a prior university degree) medical students at the University of Limerick (n = 152) during academic year 2015-16 were invited to participate in this study. An assessment instrument was developed which consisted of 5 radiological cases to be interpreted over a designated and supervised 15-min time period. Students underwent a pre-, mid- and post-intervention assessment of their radiology interpretative skills. An online e-module was provided following the pre-test

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2018 BMC medical education

11. Ethical principles and placebo-controlled trials – interpretation and implementation of the Declaration of Helsinki’s placebo paragraph in medical research (PubMed)

Ethical principles and placebo-controlled trials – interpretation and implementation of the Declaration of Helsinki’s placebo paragraph in medical research In October 2013, the Declaration of Helsinki was revised a seventh time in its 50 year history. While it is the most widely accepted set of ethical principles for the protection of patients participating in medical research, the Declaration of Helsinki has also been subject of constant controversy. In particular, its paragraph on the use (...) to interpretation and implementation of the Declarations' placebo paragraph in the conduct of medical research.Our findings suggest that the majority of drug regulatory authorities have established a practice of a middle ground, allowing placebo controls in some instances. Various interpretations of "serious harm" and "methodological reasons" are proposed as well as safeguards to avoid abuse of the option to use placebo-controls.Leaving the placebo paragraph open to various interpretation is a result

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2018 BMC medical ethics

12. Make sure you pay attention to your medical interpreter

Make sure you pay attention to your medical interpreter Make sure you pay attention to your medical interpreter Make sure you pay attention to your medical interpreter | | October 31, 2018 27 Shares During my flight from Denver to Japan, I watched a movie called Un Traductor. It is a true story directed by the children of the couple who are the main characters in the movie. The reason why I chose this movie was that there was a Brazilian actor in it. Even so, I was not expecting to enjoy (...) it as much as I did. The story takes place in Cuba, and a university professor who teaches Russian is suddenly assigned and forced to work as an interpreter in a children’s ward of a hospital receiving patients from the Chernobyl nuclear disaster. Little did he know how that experience would change his life for good or that this is how we feel when working with sick children in our daily lives. And little did I know about the feelings that our medical interpreters may have when helping us care for our

2018 KevinMD blog

13. How to interpret an elevated lactate on the inpatient wards

How to interpret an elevated lactate on the inpatient wards How to Interpret an Elevated Lactate on the Inpatient Wards – Clinical Correlations Search How to Interpret an Elevated Lactate on the Inpatient Wards January 24, 2019 9 min read By Rebecca Lazarus, MD Peer Reviewed The concept of lactate is frequently on the tip of the tongue or top of the to-do list in the hospital setting. As a new hospitalist, I am frequently discussing with house staff the clinical significance of this molecule (...) and how to interpret its elevation. What is lactate, anyway? Lactate is a hydroxycarboxylic acid that is produced or removed by a reversible oxido-reduction reaction catalyzed by the enzyme lactate dehydrogenase (LDH), which is located in the cytosol of human cells. In humans, approximately 65% of plasma lactate is derived from glucose, and 16-20% is derived from alanine; it is the end-product of the metabolic pathways that break down these molecules. Once produced, lactate is cleared when

2019 Clinical Correlations

14. Recommendations for the clinical interpretation of genetic variants and presentation of results to patients with inherited bleeding disorders

, et al. Standards and guidelines for the interpretation of sequence variants: a joint consensus recom- mendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genet Med. 2015;17:405-424. 3. Matthijs G, Souche E, Alders M, et al. Guidelines for diagnostic next-generation sequencing. Eur J Hum Genet . 2016;24:2-5. 4. Ellard S, Baple EL, Owens M, Eccles DM, Abbs S, Zandra C. ACGS best practice guidelines for variant classification. 2017;1-12. 5 (...) Recommendations for the clinical interpretation of genetic variants and presentation of results to patients with inherited bleeding disorders 116 | wileyonlinelibrary.com/journal/hae Haemophilia. 2019;25:116–126. © 2019 John Wiley & Sons Ltd 1 | INTRODUC TION Genetic diagnosis for patients with haemophilia has been a routine part of clinical practice in the United Kingdom for two decades. For patients with other inherited bleeding disorders, testing has previ- ously been variably implemented

2019 United Kingdom Haemophilia Centre Doctors' Organisation

15. ACR–ASNR–SPR Practice Parameter for the Performance and Interpretation of Magnetic Resonance Imaging (MRI) of the Brain

ACR–ASNR–SPR Practice Parameter for the Performance and Interpretation of Magnetic Resonance Imaging (MRI) of the Brain PRACTICE PARAMETER MRI of the Brain / 1 The American College of Radiology, with more than 30,000 members, is the principal organization of radiologists, radiation oncologists, and clinical medical physicists in the United States. The College is a nonprofit professional society whose primary purposes are to advance the science of radiology, improve radiologic services (...) relevant to the MRI examination. The clinical request form should be initiated by the referring physician or any appropriate allied health care professional acting within his or her scope of practice. It should contain pertinent information regarding the clinical indication for the procedure. The written or electronic request for MRI of the brain should provide sufficient information to demonstrate the medical necessity of the examination and allow for its proper performance and interpretation

2019 American Society of Neuroradiology

16. ACR–ASNR–SPR Practice Parameter for the Performance and Interpretation of Cervicocerebral Computed Tomography Angiography (CTA)

ACR–ASNR–SPR Practice Parameter for the Performance and Interpretation of Cervicocerebral Computed Tomography Angiography (CTA) PRACTICE PARAMETER Cervicocerebral CTA / 1 The American College of Radiology, with more than 30,000 members, is the principal organization of radiologists, radiation oncologists, and clinical medical physicists in the United States. The College is a nonprofit professional society whose primary purposes are to advance the science of radiology, improve radiologic (...) venography. The equipment and contrast used for these examinations is the same. The scan protocols differ in the time delay to scanning following the injection of contrast. The written or electronic request for a cervicocerebral CTA should provide sufficient information to demonstrate the medical necessity of the examination and allow for its proper performance and interpretation. Documentation that satisfies medical necessity includes 1) signs and symptoms and/or 2) relevant history (including known

2019 American Society of Neuroradiology

17. ACR–ASNR–SPR Practice Parameter for the Performance and Interpretation of Magnetic Resonance (MR) Spectroscopy of the Central Nervous System

ACR–ASNR–SPR Practice Parameter for the Performance and Interpretation of Magnetic Resonance (MR) Spectroscopy of the Central Nervous System PRACTICE PARAMETER MR Spectroscopy / 1 The American College of Radiology, with more than 30,000 members, is the principal organization of radiologists, radiation oncologists, and clinical medical physicists in the United States. The College is a nonprofit professional society whose primary purposes are to advance the science of radiology, improve (...) for the Examination The written or electronic request for MRS of the central nervous system should provide sufficient information to demonstrate the medical necessity of the examination and allow for its proper performance and interpretation. Documentation that satisfies medical necessity includes 1) signs and symptoms and/or 2) relevant history (including known diagnoses). Additional information regarding the specific reason for the examination or a provisional diagnosis would be helpful and may at times

2019 American Society of Neuroradiology

18. Principles and guidance for interpretive external quality assessment schemes in laboratory medicine

or significance of the material circulated, rather than making a measurement. Compliance with this guidance is a requirement for any such scheme that wishes to obtain approval from the RCPath Interpretive EQA Steering Committee as a scheme suitable to provide input to medical appraisal and revalidation. Schemes currently exist which ask for professional judgement from a laboratory rather than from an identifiable individual; or where no attempt is made to feed back an objective report on personal performance (...) . Such schemes are outside the remit of this document. The College regards the feedback that participants gain from appropriate interpretive EQA schemes to be an important contribution to annual appraisal and medical revalidation. Reference should be made to the College’s guidance on supporting information for medical appraisal for pathologists (available from the College website). Schemes that comply with this guidance and have obtained approval from the College’s Interpretive EQA Steering Committee may

2017 Royal College of Pathologists

19. <i>Labtracker+</i>, a medical smartphone app for the interpretation of consecutive laboratory results: an external validation study. (PubMed)

Labtracker+, a medical smartphone app for the interpretation of consecutive laboratory results: an external validation study. When monitoring patients over time, clinicians may struggle to distinguish 'real changes' in consecutive blood parameters from so-called natural fluctuations. In practice, they have to do so by relying on their clinical experience and intuition. We developed Labtracker+, a medical app that calculates the probability that an increase or decrease over time (...) in a specific blood parameter is real, given the time between measurements.We presented patient cases to 135 participants to examine whether there is a difference between medical students, residents and experienced clinicians when it comes to interpreting changes between consecutive laboratory results. Participants were asked to interpret if changes in consecutive laboratory values were likely to be 'real' or rather due to natural fluctuations. The answers of the study participants were compared

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2017 BMJ open

20. Care for patients with limited English proficiency begins with medical interpretation

Care for patients with limited English proficiency begins with medical interpretation Care for patients with limited English proficiency begins with medical interpretation Care for patients with limited English proficiency begins with medical interpretation | | June 5, 2017 36 Shares Mr. O was my new patient but had been known to our practice for several years. He was 74 years old. He had been complaining of “dizziness” for some time. He came in for his visit accompanied by his home health aide (...) . He was born in the Dominican Republic, and he spoke Spanish with limited English proficiency. I scanned his former notes and saw that his aide typically provided translation. I would learn that his aide spoke English as well as I spoke Spanish, which I’m sad to report is almost as good as a 3 -year-old child. Since it was our first visit, I asked to see him alone in my office and indicated that I would obtain formal medical interpretation via the phone line. I wanted to ensure confidentiality

2017 KevinMD blog

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