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Access to Interpreter Services at U.S. Dental School Clinics
Lisa Simon1, Lauren Hum2, Romesh Nalliah2
1Dr. Simon is Instructor in Oral Health Policy and Epidemiology, Harvard School of Dental Medicine; Ms. Hum is a Class of 2016 DMD student, Harvard School of Dental Medicine; and Dr. Nalliah is Director of Clinical Education, University of Michigan School of Dentistry and an MS candidate, Harvard School of Public Health. Lisa_Simon@hsdm.harvard.edu.
Dental schools offer limited training for treating patients with limited English proficiency (LEP). Curricular changes are needed to better prepare dental students for diverse patient populations and ensure equitable care.
Area of Science:
- Health Services Research
- Dental Education
- Health Equity
Background:
- Growing population of Americans with limited English proficiency (LEP).
- Legal mandates ensure equal access to healthcare services for LEP individuals.
- Need to assess current support and education within dental schools.
Purpose of the Study:
- To determine the availability of interpretation services in U.S. dental school clinics.
- To assess the extent of instruction provided to dental students on treating LEP patients.
- To identify challenges and opportunities in providing equitable dental care to LEP patients.
Main Methods:
- Survey distributed to academic deans of U.S. dental schools.
- 35 schools completed the survey (58% response rate).
- Data collected on LEP patient numbers, available resources, and student instruction.
Main Results:
- Perceived increase in LEP patients treated at dental schools compared to the general population.
- Wide variation in interpreter services availability and student education on LEP patient care.
- Most schools provide less than two hours of instruction on treating LEP patients.
Conclusions:
- Dental schools require curricular innovations to adequately prepare students for treating LEP populations.
- Improvements are needed to enhance LEP patients' access to care in teaching clinics.
- Addressing these gaps is crucial for achieving health equity in dental services.
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