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1. 4 barriers to communication in the Linguistic
healthcare setting: Register
Cultural
Systemic
2. LEP Limited English Proficient/Proficiency
3. Purpose of interpreter (BTG defin- facilitate understanding in communication
ition)
4. 4 interpreter roles (BTG book) conduit
clarifier
culture broker
advocate
5. How does medical interpreting dif- collaborative environment
fer from other kinds of interpret- provider-patient relationship is paramout, interpreter
ing? stays in the background
high stakes: life and death, well being
6. Incremental intervention When the interpreter moves from role to role as needed,
taking on the least invasive role possible (most time as
conduit, then clarifier and culture broker, advocate mini-
mally
7. Interpreter roles correspond to 4 conduit-linguistic b
barriers to communication clarifier-register b
, Standards of Practice Medical Interpreters
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culture broker-cultural b
advocate-systemic b
8. Advocate role concerns only if: patient's health, well being or dignity are at risk (to
correct mistreatment or abuse, protect the patient from
serious harm)
advocate according to established procedures of the in-
stitution
minimize it: it's invasive and interpret is the focus of
attention
usually outside of the confines of the medical interview
must respect the patient's right to make THEIR OWN
DECISIONS
preserve and support patient-provider relationship (not
undermine it)
9. 7 Common Values in Profession- CACAPRI :)
al Medical Interpreter Codes of Confidentiality
Ethics Accuracy
Cultural Competence
Advocacy
Professionalism
Respect
Impartiality
10. WHAT IS AN INTERPRETER? A person who renders a message spoken or signed in
one language into a second language, and who abides
by a code of professional ethics.
, Standards of Practice Medical Interpreters
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11. WHAT IS INTERPRETING? The process of understanding and analyzing a spoken or
signed message and re-expressing that message faith-
fully, accurately and objectively in another language, tak-
ing the cultural and social context into account.
The purpose of interpreting is to enable communication
between two or more individuals who do not speak each
other‟s languages.
12. WHAT IS AN ADHOC INTER- An untrained person who is called upon to interpret,
PRETER? such as a family member interpreting for her parents, a
bilingual staff member pulled away from other duties to
interpret, or a self-declared bilingual in a hospital waiting
room who volunteers to interpret. Also called a chance
interpreter or lay interpreter.
13. WHAT IS A BILINGUAL PERSON? A term describing a person who has some degree of
proficiency in two languages. A high level of bilingualism
is the most basic of the qualifications of a competent
interpreter but by itself does not insure the ability to
interpret.
14. WHAT IS A BILINGUAL PROVIDER? A person with proficiency in more than one language,
enabling the person to provide services directly to limited
English-proficient patients in their non-English language
15.