出版社：Association for Medical Education in Europe (AMEE)
摘要：Purpose: Language discordance between patients and healthcare providers adversely affects health outcomes. Medical students at the University of Toronto (UofT) created a peer-led program for classmates with basic Mandarin skills to learn and practice medical Mandarin. This mixed method study explored participants’ perceptions of program delivery, motivations to participate, and resulting personal and professional development. Methods: Ten sessions with 25 unique participants were held over an academic year. Eight student-led sessions taught content paralleling pre-clerkship curriculum; two physician-led sessions promoted cultural understanding and practice tips. Focus groups and a post-program survey evaluated the program. Results: Two focus groups (n=12 participants) and 19 surveys (response rate=76%) were included. Students reported high program satisfaction and improved comfort speaking Mandarin in both casual and professional settings. Students’ motivations to participate in MMEP included witnessing language discordance, recognizing medical Mandarin as an asset, and community expectations. Outcomes included increased comfort with and likelihood of using clinical Mandarin in future patient care, a developing sense of peer linguistic and cultural community, and increased understanding of cultural diversity. Conclusions: These results provide a framework and lessons learned for students and faculty interested in developing similar language programs, thereby building capacity to bridge provision gaps in healthcare.
关键词：Undergraduate medical education; language; cultural competency; Medical Students; Chinese; Mandarin
