Change in distributions of ratings and mean rating of self-assessed interpretation knowledge, skills, and competency. N = 35. Statistically significant (P < 0.001) change of about two points in mean rating was observed for ability to: a Provide the highest quality of interpretation (retro-pre = 5.6, post = 7.7, change = 2.2) b Maintain the message completely and accurately (retro-pre = 5.9, post = 7.8, change = 1.9) c Accurately interpret words with no direct translation (retro-pre = 6.3, post = 7.9, change = 1.6) d Serve as a cultural broker (retro-pre = 6.1, post = 7.9, change = 1.9). A distribution shift to no rating below five was observed post-program.