Lopez Vera Alexandra, Ahmad Joshua, Ramos Catania
School of Medicine, California University of Science and Medicine, 1501 Violet Street, Colton, CA, 92324, USA.
BMC Med Educ. 2025 Mar 10;25(1):358. doi: 10.1186/s12909-025-06966-6.
The growing Hispanic population in the United States highlights the urgent need for Spanish-speaking healthcare professionals to address clinical language barriers. In response, the California University of Science and Medicine introduced the Vida Medical Spanish curriculum to equip medical students with linguistic and cultural skills for effective communication with Spanish-speaking patients. A key component of this program is the use of Spanish-speaking Standardized Patients in role-playing scenarios that simulate real clinical encounters.
This prospective cohort study, conducted between 2022 and 2023, assessed the relationship between student attendance at Standardized Patient sessions within the Vida Medical Spanish curriculum and their performance in the Medical Spanish Objective Structured Clinical Examination. Over an 18-month period, data were collected for 56 medical students in the pre-clerkship curriculum. A multiple regression analysis was conducted to evaluate the impact of class participation on clinical Spanish competency.
The findings indicate a statistically significant positive correlation between consistent interactions with Standardized Patients and higher scores in the Medical Spanish Objective Structured Clinical Examination (r = 0.74, p < 0.001). These results underscore the critical role of regular participation in interactive educational settings in enhancing clinical assessment skills.
The inclusion of Standardized Patients in the medical Spanish curriculum plays an important role in improving students' clinical communication skills. This study highlights the significance of integrating interactive patient encounters into language-specific medical training to enhance physicians' preparedness for culturally and linguistically concordant care.
美国西班牙裔人口不断增长，凸显了对能说西班牙语的医疗保健专业人员的迫切需求，以解决临床语言障碍问题。作为回应，加利福尼亚科学与医学大学推出了维达医学西班牙语课程，以使医学生具备与说西班牙语的患者进行有效沟通的语言和文化技能。该项目的一个关键组成部分是在模拟真实临床遭遇的角色扮演场景中使用说西班牙语的标准化病人。
这项前瞻性队列研究在2022年至2023年期间进行，评估了维达医学西班牙语课程中标准化病人课程的学生出勤率与其在医学西班牙语客观结构化临床考试中的表现之间的关系。在18个月的时间里，收集了56名处于临床实习前课程阶段的医学生的数据。进行了多元回归分析，以评估课堂参与对临床西班牙语能力的影响。
研究结果表明，与标准化病人的持续互动与医学西班牙语客观结构化临床考试中的更高分数之间存在统计学上显著的正相关（r = 0.74，p < 0.001）。这些结果强调了定期参与互动式教育环境在提高临床评估技能方面的关键作用。
在医学西班牙语课程中纳入标准化病人在提高学生的临床沟通技能方面发挥着重要作用。本研究强调了将互动式患者诊疗纳入特定语言的医学培训以增强医生对文化和语言协调一致护理的准备程度的重要性。
