Table 2.

Evolution of the Curriculum-“Cross Cultural Communication – Using an Interpreter” Session

	Learning Objectives	Teaching Strategies	Outcome Measures
Year 1	Understand and identify the challenges and issues (i.e. gender, religion, language) in communicating with patients from diverse backgrounds	View and discuss the video, “World's Apart: Mr. Kochi's Story”	Students’ perception of session effectiveness
	Identify the appropriate techniques when utilizing an interpreter during a patient interview	View and discuss a video outlining the principles of using an untrained interpreter
	Understand the importance of interpreters to effectively communicate with patients with LEP	View and discuss a comparison of 2 video vignettes using interpreters for patients with LEP
Year 2	Understand and identify the challenges and issues (i.e. gender, religion, language) in communicating with patients from diverse backgrounds	View and discuss the video, “World's Apart: Mr. Kochi's Story”	Students’ perception of session effectiveness
	Identify the appropriate techniques when utilizing an interpreter during a patient interview	View and discuss a video outlining the principles of using an untrained interpreter
	Demonstrate the ability to elicit a patient's perspective and health beliefs of a problem/illness Demonstrate the ability to use an interpreter effectively	Practice the skills of eliciting a history of present illness within the context of culture from a Spanish speaking patient using an untrained interpreter
Year 3	Identify and describe the appropriate techniques when utilizing an interpreter during a patient interview	View and discuss a video outlining the principles of using an untrained interpreter	Students’ perceived efficacy using retrospective pre/post test analysis
	Demonstrate the ability to elicit a patient's perspective and health beliefs of a problem/illness Describe and demonstrate the ability to use an interpreter effectively	Practice the skills of eliciting a history of present illness within the context of culture from a Spanish speaking patient using an untrained interpreter
	Learn the skills of accessing a telephone interpreter line	View and discuss an internally made videotape of a doctor-patient encounter using a telephone interpreter with an actual patient with LEP
	Link principles and skills learned in this session to the subsequent session on “Health Beliefs”	Post-assign the video of “Mr. Kochi's Story” to be viewed subsequent to the session on “Health Beliefs”