12/21/2024 9:49:29 AM	HCI 181 Course Outline as of Fall 2018	Changed Course
CATALOG INFORMATION
Discipline and Nbr:  HCI 181	Title:  FUND HEALTHCARE INTERP
Full Title:  Fundamentals of Healthcare Interpreting
Last Reviewed:2/26/2018

Units		Course Hours per Week			Nbr of Weeks	Course Hours Total
Maximum	2.00	Lecture Scheduled	2.00		17.5 max.	Lecture Scheduled	35.00
Minimum	2.00	Lab Scheduled	0		6 min.	Lab Scheduled	0
		Contact DHR	0			Contact DHR	0
		Contact Total	2.00			Contact Total	35.00
		Non-contact DHR	0			Non-contact DHR Total	0

Total Out of Class Hours:  70.00

Total Student Learning Hours: 105.00

Title 5 Category:  AA Degree Applicable
Grading:  Grade Only
Repeatability:  00 - Two Repeats if Grade was D, F, NC, or NP
Also Listed As: 
Formerly: 

Catalog Description:

Bilingual individuals will develop knowledge and skills necessary for effective language interpretation in healthcare settings. Emphasis will be on roles and responsibilities of healthcare interpreters, basic knowledge of common medical conditions, treatments and procedures, insight in language and cultural nuances for specific communities necessary in the art of interpretation.

Prerequisites/Corequisites:
Course Completion of HCI 180 and HCI 180L and ANAT 58; AND Concurrent Enrollment in HCI 181L

Recommended Preparation:

Limits on Enrollment:

Schedule of Classes Information
Description:

Bilingual individuals will develop knowledge and skills necessary for effective language interpretation in healthcare settings. Emphasis will be on roles and responsibilities of healthcare interpreters, basic knowledge of common medical conditions, treatments and procedures, insight in language and cultural nuances for specific communities necessary in the art of interpretation.

(Grade Only)
Prerequisites:Course Completion of HCI 180 and HCI 180L and ANAT 58; AND Concurrent Enrollment in HCI 181L
Recommended:
Limits on Enrollment:
Transfer Credit:
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP

ARTICULATION, MAJOR, and CERTIFICATION INFORMATION

Associate Degree:		Effective:		Inactive:
Area:
CSU GE:	Transfer Area			Effective:	Inactive:
IGETC:	Transfer Area			Effective:	Inactive:
CSU Transfer:		Effective:		Inactive:
UC Transfer:		Effective:		Inactive:
C-ID:

Certificate/Major Applicable: Both Certificate and Major Applicable

COURSE CONTENT

Student Learning Outcomes:
At the conclusion of this course, the student should be able to:

1.  Describe the different modes of healthcare interpreting and factors that enhance the

    effectiveness of interpreting encounters.

2.  Explain differences in healthcare interpreting roles, including communication barriers and

    associated protocols.

3.  Identify regulatory bodies, rules, and assumptions that affect language and cultural access to

    health care, as well as health outcomes.

Objectives:

1.  Compare and contrast HCI models of provider-interpreter-client dynamics.

2.  Identify ways that providers and interpreters together can enhance communication with

     clients.

3.  Identify ways that differences in communication styles may be handled in the HCI-healthcare

     provider-client relationship.

4.  Describe how differences in cultural beliefs and practices may influence the HCI-client

     provider relationship, and develop strategies to improve cultural awareness and sensitivity.

5.  Compare and contrast use of the HCI modes: consecutive, simultaneous, summarization

     interpretation, and sight translation.

6.  Describe the order of interpreting protocols to follow before, during, and after an initial

     interpreting encounter, related to client, provider, and HCI.

7.  Identify problems that may arise in interpretation and strategies for resolution.

8.  Compare and contrast scope of practice, standards of practice and ethical principles in

     healthcare interpreting.

9.  Analyze and describe current laws, regulations and policies that relate to HCI models.

10. List ways to evaluate and enhance competent basic medical vocabulary in English and

     Language of Service (LOS) related to common medical conditions, treatments, and

     procedures in health care.

11. Utilize ePortfolio software, library technical assistance, and instructor/peer review to add to

     and revise HCI professional ePortfolio to preserve and showcase accomplishments,

     knowledge and learning experiences during the HCI program.

Topics and Scope

I. General Course Introduction

    A. Expectations

    B. Course objectives and syllabus

    C. Grading and attendance

II. Healthcare Interpreting Modes

     A. Consecutive

    B. Simultaneous

    C. Summarizations

    D. Sight translation

III. Interpreting Protocols

    A. Describing role of interpreter

    B. Use of first person

    C. Positioning

    D. Conducting pre-session

    E. Interpreting for groups

    F. Intervention techniques

         1. speaking in first or third person

         2. transparency

IV. Interpreter Roles

    A.  Message converter

    B.  Message clarifier

    C.  Culture clarifier

         1. recognizing and managing cultural misunderstandings

         2. recognizing own cultural biases and maintaining objectivity

    D.  Client advocate

         1. identifying systems barriers to communication

         2. resources to handle barriers

V. Culture's Impact on Health and Health Care

    A. What is culture and how can it impact health and care?

    B. Concepts and terms from client's perspective, regarding human body and functions,

         description of symptoms, origins of illness, and who makes medical decisions for the client

    C.  Expectations of providers, facilities, insurance

         1. How do providers view origins of illness, health professional-client relationships, and

              decision-making?

         2. How do facilities and insurance companies affect the client's decision-making?

    D.  Cultural awareness, sensitivity, and humility

    E. Cross-cultural communication

         1. forms of address

         2. politeness indicators

         3. taking turns and interrupting

         4. body language

         5. styles and power dynamics: aggressive, passive, passive-aggressive, assertive

    F. Language elements

         1. regional and social dialects

         2. register and style

         3. idiomatic speech, colloquialisms, and expletives

         4. literal and figurative

         5.  message analysis

VI. Overview of Healthcare Systems

    A. U.S. healthcare systems and systems in other countries

    B. Acronyms and terminology, including insurance; e.g. HMO, co-pay

    C. Primary and specialty care

    D. Categories of HCIs

    E. Venues

VII. Laws, standards, policies and regulations pertaining to healthcare interpreting

    A. Title VI, Section 601, Civil Rights Act of 1964

    B. Health Insurance Portability and Accountability Act (HIPAA) of 1996

    C. Standards for Culturally and Linguistically Appropriate Services, Department of Health

         and Human Services, 2001

    D. The Joint Commission

    E. Americans with Disability Act

    F. Health Care Language Assistance Act, SB853

    G. Affordable Care Act

    H. Other current local, state and national policies regarding language and cultural access to

         health care

VIII. Standards of practice and ethical principles

    A. Ethical applications in healthcare interpreting

    B. California Healthcare Interpreting Association (CHIA) standards of practice and ethical

         principles      

IX. Medical interview routines and decision-making

    A. Overview of common healthcare interview routines

    B. Process of diagnosis      

X. Medical concepts and terminology

    A. Basic anatomy and physiology, body systems

    B. Basic medical terminology, body systems

    C. Common diseases

    D. Signs and symptoms

     E. Diagnostic procedures

    F. Common treatments, medications, and equipment

XI. Resources for interpreters

    A. Associations and organizations for interpreters and translators

    B. Locating reliable medical information websites

    C. Community resources

XII. ePortfolio development and revision

Assignments:

1. Read 10-20 pages in textbooks per week

2. Read 5-10 assigned readings (3-20 pages) from supplemental materials

3. Write 1-2 page analyses on 3-6 case studies and present in class (1-3 min)

4. Write 2-3 page paper on culture and health and present in class (3-5 min)

5. Write 3-5 page paper on medical topic and present in class (5-10 min)

6. Critique assigned ethics article and answer 4-9 questions re ethical principles and standards of

    practice

7. Label 4-8 body system diagrams and complete 5-10 pathophysiology exercises

8. Complete website search exercise for accurate medical information and community resources

9. Collect artifacts from coursework, experience, and reflections to add to ePortfolio website.

    Consult library experts for technical assistance. Near end of semester, share weblink with

    small group of peers through forum in Insight. Each student will review and give feedback

    to at least two peers. Revise ePortfolio based on feedback from instructor and/or peers

10. Complete quizzes (5-10) and final exam on basic medical knowledge and interpreting skills

Methods of Evaluation/Basis of Grade.

Writing: Assessment tools that demonstrate writing skill and/or require students to select, organize and explain ideas in writing.		Writing 35 - 45%
Written analyses of case studies, culture paper, medical paper, ePortfolio written content
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.		Problem Solving 1 - 5%
Ethics assignment
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.		Skill Demonstrations 10 - 20%
Anatomy and pathophysiology diagrams and exercises, ethics questions, website search exercises, ePortfolio technical development
Exams: All forms of formal testing, other than skill performance exams.		Exams 25 - 30%
Quizzes, Final Exam
Other: Includes any assessment tools that do not logically fit into the above categories.		Other Category 5 - 10%
Attendance and participation, class presentations

Representative Textbooks and Materials:

Healthwise Handbook. Kaiser Permanente. current edition

The Complete Human Body-The Definitive Visual Guide. 2nd ed. Roberts, Alice. D.K. Publishing. 2016

The Spirit Catches You and You Fall Down. Fadiman, Ann. Farrar, Straus, and Giroux. 2012 (classic)

Healthcare Interpreting in Small Bites. Roat, Cynthia. 2010 (classic)

Role-play Manual, CCSF-HCI program. 2007 (classic)

National Council on Interpreting in Health Care Standards and Code of Ethics. online

California Standards for Healthcare Interpreters: Ethical Principles, Protocols and Guidance on Roles and Intervention. online

Medical dictionary or glossary in English and Language of Service (LOS)-various publications to be used depending on LOS MedlinePlus

 

Instructor prepared materials

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