Dnde le duele Can a Simple Question Lead

¿Dónde le duele? Can a Simple Question Lead to the Unknown? A Case for Medical Spanish STFM Conference Dallas, Texas December 4, 2015

● JORGE DUCHICELA, MD. Clinical Associate Professor Family Medicine UTMB Director Cachamsi - Medical Spanish Institute Partner - Youens and Duchicela Clinic 402 Youens Drive Weimar, Texas 78962 Email: jduchicela@ydclinic. com Phone: 979 725 8545 ● IRENE CORSO, Ph. D Senior Lecturer Department of Health and Research Policy, School of Medicine Language Center - Spanish Program Senior Fellow, Center for Innovation Global Health Stanford University.

Let's answer a few questions. . . http: //goo. gl/forms/UCBg 4 t. Rfq 5

Why do you need Spanish? Presence of Spanish-speaking Population by Regions in the U. S.

The Facts • The U. S. population: 318, 857, 056 (U. S. Census 2014) of which 55, 387, 539 were Hispanics. • The 13. 1% of the total population speak Spanish at home. • The U. S. is now the second largest Spanishspeaking country, second only to Mexico.

THE HISPANIC POPULATION IN THE U. S.

Language and Culture go hand in hand… Some examples:

Greeting our patient and asking: ¿Cómo está?

¿Cómo se siente?

No se mueva por favor…

Reassuring the patient ¡No se preocupe! ¡Cuídese mucho!

¡Todo saldrá bien! Relájate y. . .

¿Qué le pasó?

¡Puje por favor!

Vertical delivery

Abre la boca, saca la lengua y di ¡ahhh!

Gaining trust or confianza. . . ¿Cómo está su bebé hoy?

¡Te va a doler un poquito!

¡Bote el aire!

Es importante que tome los medicamentos y haga ejercicios.

“No sabe cuánto lo siento” “Lo lamento”

Has sido una paciente muy valiente. ¡Felicitaciones!

Trust (Confianza) A fundamental component of care. • Mucho gusto when greeting your patient (cultural value of personalismo) • ¿Cómo está? when addressing your patient (formal you - cultural value of respeto) • ¿Cómo está la familia? for establishing rapport (cultural value of familismo)

• ¿Cómo se siente? (cultural value of simpatía) • No se preocupe when reassuring your patient (cultural value of the role of the doctor as an authority figure) • ¡Cuídese! when providing medical advice (cultural value of the role of the doctor as an authority figure)

Physician Resources

Keep this in mind. . .

Medical Spanish Programs Abroad

Can I help my Spanish speaking patient? . . . Yes, I can! ¡Si puedo!

THANK YOU! ¡MUCHAS GRACIAS!