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Hablas espanol? For future doctors it's a critical, but endangered, skill

Posted by Ishani Ganguli October 20, 2009 08:00 AM

I just took a month-long medical Spanish class in preparation for two months of clinical work in rural Latin America. Each day, we would practice our grammar and vocabulary by questioning our professor-turned-Spanish-speaking patient with, say, belly pain. We’d spend an hour every afternoon chatting with a native speaker about everything from body parts to baking recipes.

And during a celebration at the end of the class, we watched "La Cubana," one of our feisty 84-year-old conversation partners, fling off her oversized floral button-down and show us her dance moves to Daddy Yankee -- cultural education at its best.

The course was a refreshing departure from our clinical electives, not only because we were using a different part of our brains but also because we were sharpening a skill that will serve us immensely when we return to the wards, both in the United States and in Guatemala (where I’m headed). In third- and fourth-year rotations, I’ve seen how the ability to connect with a patient on the level of language and culture can be just as clinically useful as a stethoscope or a reflex hammer. The fourth-year course I took has facilitated this interaction, to glowing reviews, since 1971.

So it’s a real shame that funding for such efforts have been cut: The parallel summer course that sends rising second-year students to Latin American countries to learn Spanish was dropped this year due to budgetary constraints at the medical school, according to course director Dr. Manuel Herrera Acena, just as the importance of global health issues and cross-cultural care gain national attention.

Drs. Pamela Hartzband and Jerome Groopman recently wrote in the New England Journal of Medicine about the need to train doctors to care for the underserved minority populations that will be brought into the health care fold with the expansion of coverage. If dancing with La Cubana wasn't reason enough to offer such courses, surely this is.

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Elizabeth Cooney is a former health reporter for the Worcester Telegram & Gazette, where she also was a business reporter and an editor. Earlier in her career, she edited medical books and journals at Little, Brown, and worked for Boston magazine.

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