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A Qualified Multilingual Assessment for Medical Students: A Cohort Study.

Nayantara Biswas¹, Gavin Warner¹, Marcie Naumowicz²

¹Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.

|March 16, 2026

Summary

A qualified multilingual assessment (QMA) is feasible for medical students to verify non-English language proficiency. This improves patient safety and communication for those preferring languages other than English.

Keywords:

clinical communication language assessment language concordant care medical education patient safety

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Area of Science:

Medical Education
Health Communication
Linguistics in Healthcare

Background:

Effective clinical communication is vital for patient safety, especially for non-English language speakers.
No standardized method exists in the U.S. to assess oral non-English language skills in medical students.
Multilingual medical students are a valuable resource for patient care.

Purpose of the Study:

To evaluate the feasibility and acceptability of a qualified multilingual assessment (QMA) for medical students.
To assess the impact of language proficiency assessment on student confidence and patient interaction.
To explore the use of non-English languages in clinical settings by medical students.

Main Methods:

Medical students self-reporting high oral proficiency in non-English languages were invited to take the ALTA Speaking and Listening Assessment.
Surveys collected student perceptions of the assessment and their experiences using non-English languages with patients post-rotation.
Quantitative data were analyzed using descriptive statistics, and qualitative data were summarized.

Main Results:

92 eligible students completed 102 ALTA exams, with 81 passing at least one.
The assessment was rated highly for accuracy (82.3%) and ease of scheduling (97.2%), though some found it formal.
Among students completing rotations, 66.7% were asked to interpret, and 50% regularly used a non-English language with patients, reporting increased confidence and rapport.

Conclusions:

The qualified multilingual assessment (QMA) proved feasible and acceptable for medical students.
Student use of non-English languages in clinical settings increased confidence and patient rapport.
Further research is needed to distinguish direct language-concordant care skills from medical interpretation abilities.