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"这是非常强大的":语言作为一个复杂的资产在拉丁裔医学学生和居民之间的语言
Nicole A Perez1, Lynda Lopez2, Andrea Cespedes Zablah3
1Department of Medicine Education, University of Illinois College of Medicine, Chicago, IL, United States.
拉丁语医学学习者利用多语言作为患者护理的宝贵资产,但在医学教育中面临系统性挑战. 解决这些障碍对于公平的培训和改善健康结果至关重要.
科学领域:
- 医学教育 医学教育
- 社会语言学 社会语言学
- 健康 公平 卫生 公平
背景情况:
- 拉丁裔医生在美国医疗劳动力中代表性明显不足.
- 医生和患者之间的语言一致性与改善的临床结果有关.
- 拉丁美洲医学学习者在培训期间应对与多语言相关的独特挑战和机会.
研究的目的:
- 探索语言资本在拉丁语医学学习者的作用.
- 了解多语言学如何在医学教育中充当资产和挑战.
- 研究语言技能对医疗培训中的社会流动性和权力的影响.
主要方法:
- 进行了34次半结构面试与拉丁美洲医学学生和住院医生.
- 利用了构造主义的定性方法和不断的比较分析.
- 应用社区文化财富框架来分析语言资本.
主要成果:
- 多语种增强了患者的沟通,文化一致的护理和建立信任.
- 学习者报告了后勤效益,包括改善患者病史和工作流程便利化.
- 挑战包括不适当的解释请求和身份威胁,尽管对语言身份的骄傲.
结论:
- 多语言是改善对语言多样性人口的护理的关键资产.
- 拉丁语学习者在医学教育中遇到系统性障碍.
- 医学教育需要标准化政策,加强口译培训,并正式承认语言技能.
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