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Qualified Multilingual Assessment Policy for US Medical Students: A National Delphi Consensus Study.

Rose L Molina^1,2, Maria Bazan¹, Jeremy Martinez^2,3

¹Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Teaching and Learning in Medicine

|August 17, 2025

Summary

A new Qualified Multilingual Assessment (QMA) policy offers guidance for multilingual medical students to demonstrate language proficiency in patient care. This consensus-based policy addresses assessment logistics and implementation for clinical settings.

Keywords:

Language proficiency communication medical student multilingual

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Area of Science:

Medical Education
Health Equity
Language Access in Healthcare

Background:

Healthcare systems are implementing language proficiency assessments for patient care.
Multilingual medical students lack clear guidelines for using their language skills in clinical settings.
Existing practices for assessing medical student language proficiency lack consensus.

Purpose of the Study:

To develop a consensus-based Qualified Multilingual Assessment (QMA) policy for medical students.
To provide best practices for assessing and utilizing multilingual medical student skills.
To ensure meaningful language access for patients through standardized assessments.

Main Methods:

A modified Delphi process was used with an expert panel from the National Association of Medical Spanish (NAMS).
Surveys addressed QMA logistics and implementation guidance, including purpose, standards, physician roles, bias, and learning opportunities.
Consensus was defined as 80% agreement, with revised topics recirculated in a second survey.

Main Results:

Consensus was reached across all surveyed topics after two rounds.
A novel QMA policy for medical students was developed.
The policy provides recommendations on QMA selection, logistics, and implementation for clinical affiliates.

Conclusions:

The developed QMA policy establishes a first-of-its-kind framework for assessing multilingual medical students.
This policy can be adapted by institutions to support language proficiency and improve patient language access.
Standardized assessment of medical student language skills is crucial for effective clinical practice.