Paeds Vivas · professional-practice-and-evidence
Working with interpreters and culturally responsive communication — branching viva
Branching structured oral on interpreter modes, child-as-interpreter, false fluency, cultural competence and humility frameworks, adolescent confidentiality, and emergency and consent encounters across language and culture.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar seeing families across acute and outpatient settings: a Dari-speaking mother whose child is being asked to interpret in the emergency department, a Deaf parent in clinic, and a migrant adolescent needing a confidential consultation. The examiner will probe interpreter mode selection, error evidence, cultural competence frameworks and the limits of ad-hoc communication.
Stem
You are seeing families across the acute and outpatient service where language and culture shape every decision. The examiner will challenge your choice of interpreter mode, the evidence behind professional interpreting, and your cultural competence frameworks. [4] [1]
References9ShowHide
- [1]Flores G, Rabke-Verani J, Pine W, Sabharwal A The importance of cultural and linguistic issues in the emergency care of children. Pediatric emergency care, 2002.PMID 12187133
- [2]Boylen S, Cherian S, Gill FJ, Leslie GD, Wilson S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. JBI evidence synthesis, 2020.PMID 32813387
- [4]Karliner LS, Jacobs EA, Chen AH, Mutha S Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Health services research, 2007.PMID 17362215
- [5]Nápoles AM, Santoyo-Olsson J, Karliner LS, Gregorich SE, Pérez-Stable EJ Inaccurate Language Interpretation and Its Clinical Significance in the Medical Encounters of Spanish-speaking Latinos. Medical care, 2015.PMID 26465121
- [6]Elderkin-Thompson V, Silver RC, Waitzkin H When nurses double as interpreters: a study of Spanish-speaking patients in a US primary care setting. Social science & medicine (1982), 2001.PMID 11286360
- [7]Diamond LC, Tuot DS, Karliner LS The use of Spanish language skills by physicians and nurses: policy implications for teaching and testing. Journal of general internal medicine, 2012.PMID 21773850
- [10]Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong O 2nd Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public health reports (Washington, D.C. : 1974), 2003.PMID 12815076
- [11]Anderson LM, Scrimshaw SC, Fullilove MT, et al. Culturally competent healthcare systems. A systematic review. American journal of preventive medicine, 2003.PMID 12668199
- [12]Taira BR, Kim K, Mody N Hospital and Health System-Level Interventions to Improve Care for Limited English Proficiency Patients: A Systematic Review. Joint Commission journal on quality and patient safety, 2019.PMID 30910471