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Sponsored by AAGL Advancing Minimally Invasive Gynecology Worldwide Presentation Skills for Medical Professionals: Making Your Next Teaching Presentation Go Better Than Your Last (Didactic) PROGRAM CO-CHAIRS Scott C. Litin, MD & Edward T. Creagan, MD, FAAHPM

Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

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Page 1: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

Sponsored by

AAGLAdvancing Minimally Invasive Gynecology Worldwide

Presentation Skills for Medical Professionals:

Making Your Next Teaching Presentation

Go Better Than Your Last (Didactic)

PROGRAM CO-CHAIRS

Scott C. Litin, MD & Edward T. Creagan, MD, FAAHPM

Page 2: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

Professional Education Information   Target Audience Educational activities are developed to meet the needs of surgical gynecologists in practice and in training, as well as, other allied healthcare professionals in the field of gynecology.  Accreditation AAGL is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.  The AAGL designates this live activity for a maximum of 3.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   DISCLOSURE OF RELEVANT FINANCIAL RELATIONSHIPS As  a  provider  accredited  by  the Accreditation  Council  for  Continuing Medical  Education, AAGL must ensure balance, independence, and objectivity in all CME activities to promote improvements in health care and not proprietary interests of a commercial interest. The provider controls all decisions related to identification  of  CME  needs,  determination  of  educational  objectives,  selection  and  presentation  of content,  selection  of  all  persons  and  organizations  that will  be  in  a  position  to  control  the  content, selection  of  educational methods,  and  evaluation  of  the  activity.  Course  chairs,  planning  committee members,  presenters,  authors, moderators,  panel members,  and  others  in  a  position  to  control  the content of this activity are required to disclose relevant financial relationships with commercial interests related  to  the subject matter of  this educational activity. Learners are able  to assess  the potential  for commercial  bias  in  information  when  complete  disclosure,  resolution  of  conflicts  of  interest,  and acknowledgment of  commercial  support are provided prior  to  the activity.  Informed  learners are  the final safeguards in assuring that a CME activity is independent from commercial support. We believe this mechanism contributes to the transparency and accountability of CME.   

Page 3: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

Table of Contents 

 Course Description ........................................................................................................................................ 1  Disclosure ...................................................................................................................................................... 2  Effective Speaking Skills Painful Lessions   E.T. Creagan  ................................................................................................................................................. 3  Presentation Skills for Medical Professionals: Making Your Next Teaching Presentation  Go Better Than Your Last S.C. Litin ......................................................................................................................................................... 6  Cultural and Linguistics Competency  ......................................................................................................... 16  

 

 

Page 4: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

PG 114 Presentation Skills for Medical Professionals: Making Your Next Teaching

Presentation Go Better Than Your Last (Didactic)

Scott C. Litin & Edward T. Creagan, Co-Chairs

Course Description

The goal of this activity will be to convince physicians that effective presentation skills are crucial to career advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan have facilitated hundreds of presentation workshops on the art and science of speaking, whether to individual patients and their families or to groups of physicians or non-physicians. They will review tips and model behaviors that will enable participants to strengthen their next presentation. An opportunity to constructively critique short video presentations will help drive home this skill set.

Course Objectives At the conclusion of this course, the participant will be able to: 1) Organize a teaching presentation with special emphasis on an effective opening and strong closing; 2) demonstrate helpful skills of presentation techniques; 3) create and deliver his next presentation more effectively; and 4) constructively criticize the presentations of others.

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Page 5: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

PLANNER DISCLOSURE The following members of AAGL have been involved in the educational planning of this workshop and have no conflict of interest to disclose (in alphabetical order by last name). Art Arellano, Professional Education Manager, AAGL* Viviane F. Connor Consultant: Conceptus Incorporated Frank D. Loffer, Executive Vice President/Medical Director, AAGL* Linda Michels, Executive Director, AAGL* Jonathan Solnik Other: Lecturer - Olympus, Lecturer - Karl Storz Endoscopy-America SCIENTIFIC PROGRAM COMMITTEE Arnold P. Advincula Consultant: CooperSurgical, Ethicon Women's Health & Urology, Intuitve Surgical Other: Royalties - CooperSurgical Linda Bradley Grants/Research Support: Elsevier Consultant: Bayer Healthcare Corp., Conceptus Incorporated, Ferring Pharmaceuticals Speaker's Bureau: Bayer Healthcare Corp., Conceptus Incorporated, Ferring Pharm Keith Isaacson Consultant: Karl Storz Endoscopy Rosanne M. Kho Other: Honorarium - Ethicon Endo-Surgery C.Y. Liu* Javier Magrina* Ceana H. Nezhat Consultant: Intuitve Surgical, Lumenis, Karl Storz Endoscopy-America Speaker's Bureau: Conceptus Incorporated, Ethicon Women's Health & Urology William H. Parker Grants/Research Support: Ethicon Women's Health & Urology Consultant: Ethicon Women's Health & Urology Craig J. Sobolewski Consultant: Covidien, CareFusion, TransEnterix Stock Shareholder: TransEnterix Speaker's Bureau: Covidien, Abbott Laboratories Other: Proctor - Intuitve Surgical FACULTY DISCLOSURE The following have agreed to provide verbal disclosure of their relationships prior to their presentations. They have also agreed to support their presentations and clinical recommendations with the “best available evidence” from medical literature (in alphabetical order by last name). Scott C. Litin* Edward T. Creagan* Asterisk (*) denotes no financial relationships to disclose.

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Page 6: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

Effective Speaking SkillsEffective Speaking SkillsPainful lessionsPainful lessions

Edward T. Creagan MD FAAHPMEdward T. Creagan MD FAAHPMP f M di l O lP f M di l O lProfessor, Medical OncologyProfessor, Medical OncologyConsultant , Palliative MedicineConsultant , Palliative MedicineMayo ClinicMayo Clinic

DisclosuresDisclosures

•• I have no financial relationships to I have no financial relationships to disclose.disclose.

ObjectivesObjectives

•• To learn from our past speaking To learn from our past speaking misadventuresmisadventures

•• To anticipate key challenges to To anticipate key challenges to speakersspeakers

•• To integrate proven techniques in To integrate proven techniques in connecting with an audienceconnecting with an audience

[email protected]@mayo.edu

The needs of the audienceThe needs of the audience

•• Charter House Charter House

•• Elder Hostel groupElder Hostel group

•• Foundation HouseFoundation HouseFoundation HouseFoundation House

•• U of MnU of Mn

•• Corporate wellness presentation, golf Corporate wellness presentation, golf coursecourse

The venueThe venue

•• Eagle Bluff, Lanesboro MNEagle Bluff, Lanesboro MN

•• Tokyo veterinary leadersTokyo veterinary leadersTokyo, veterinary leadersTokyo, veterinary leaders

•• Ann Arbor, pet fundraiserAnn Arbor, pet fundraiser

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Page 7: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

The scheduleThe schedule

•• Minneapolis country club, American Minneapolis country club, American Cancer SocietyCancer Society

•• Clinical reviews, Halloween, Mayo Clinical reviews, Halloween, Mayo , , y, , yClinicClinic

•• Twin Cities marathonTwin Cities marathon

The ScheduleThe ScheduleCont’dCont’d

•• Spirituality conferenceSpirituality conference•• Multiple sessionsMultiple sessions

•• Employee wellnessEmployee wellness•• Consecutive sessionsConsecutive sessions

Technical challengesTechnical challenges

•• SoundSound•• The career breakerThe career breaker

•• Ask the audienceAsk the audience•• Control mike, not Louie in the Control mike, not Louie in the

boothbooth

•• The Dalai lamaThe Dalai lama

Technical challengesTechnical challengesCont’dCont’d

•• AV staffAV staff•• Professional cardProfessional card

•• NamesNames

•• Power sourcesPower sources•• Plug in laptop…am not kiddingPlug in laptop…am not kidding

Stage, LecturnStage, Lecturn

•• Sit in the audienceSit in the audience•• PillarsPillars

•• ObstructionsObstructions

•• LightingLighting

•• Pace off the edge of stagePace off the edge of stage•• PerformersPerformers

And don’t forget….And don’t forget….

•• RestroomsRestrooms

•• WeatherWeather•• LaCrossse WILaCrossse WI

•• Audience fatigueAudience fatigue

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Page 8: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

And don’t forget….And don’t forget….More stuffMore stuff

•• Bootup timeBootup time

•• VGA cableVGA cableVGA cableVGA cable

•• MiniMini--plugplug

I almost forgot….I almost forgot….

•• The program terminilogyThe program terminilogy

•• Your presentation titleYour presentation titleYour presentation titleYour presentation title

•• Get there early to get “feel” of the Get there early to get “feel” of the audience audience

ReferencesReferences

•• Garr Reynolds PresentationZenGarr Reynolds PresentationZen

•• Carmine Gallo The PresenationCarmine Gallo The PresenationCarmine Gallo The Presenation Carmine Gallo The Presenation Secrets of Steve Jobs: How to be Secrets of Steve Jobs: How to be insanely great in front of any insanely great in front of any audienceaudience

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Page 9: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

Presentation Skills for Medical Presentation Skills for Medical Professionals: Making Your Next Professionals: Making Your Next Teaching Presentation Go Better Teaching Presentation Go Better eac g ese tat o Go etteeac g ese tat o Go ette

Than Your LastThan Your Last

Scott Litin, MD MACPScott Litin, MD MACP

Professor of MedicineProfessor of Medicine

Mayo Clinic College of MedicineMayo Clinic College of [email protected]@mayo.edu

My Disclosures My Disclosures

•• I have no financial relationships to I have no financial relationships to disclose.disclose.

Why is this Skill Crucial Why is this Skill Crucial f ?f ?for us?for us?

Session OverviewSession Overview

•• Didactic PresentationDidactic Presentation

Presenting yourselfPresenting yourself

AV ideasAV ideasAV ideasAV ideas

10 tips for successful presentations 10 tips for successful presentations

The secret of lifeThe secret of life

•• Practice giving constructive critiquesPractice giving constructive critiques

Presentation GoalsPresentation Goals

•• Get your buyGet your buy--inin

•• Teach tips to improve your future Teach tips to improve your future presentationspresentationspresentationspresentations

•• Motivate you to work on improving Motivate you to work on improving these skillsthese skills

•• Demonstrate these skillsDemonstrate these skills

•• Improve your constructive critiques of Improve your constructive critiques of colleagues colleagues

n

6

Page 10: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

Presenting Yourself andPresenting Yourself andYour CredentialsYour Credentials

•• Opening slideOpening slide

ee--mail addressmail address

•• Written introduction for hostWritten introduction for host

•• Name BadgeName Badge

PowerPointPowerPoint

PowerPoint SurveyPowerPoint SurveyMost AnnoyingMost Annoying

•• Speaker reading slides 60%Speaker reading slides 60%•• Text too small 51%Text too small 51%

H i th lid t d t iH i th lid t d t i•• Having the slides typed out in Having the slides typed out in completely full sentences. 48%completely full sentences. 48%

•• Hard Hard toto seesee colors colors 37%37%

•• Overly complex charts 22%Overly complex charts 22%

•• MovingMoving /flying text 24%/flying text 24%

PowerPoint BasicsPowerPoint BasicsHeadings 36Headings 36--40 Point Type40 Point Type

•• Text point typeText point type

I suggest 32….but at a minimum 24 I suggest 32….but at a minimum 24

this is 28this is 28 d thi i 24d thi i 24this is 28 this is 28 and this is 24and this is 24

•• San serif fonts best (Arial or Helvetica)San serif fonts best (Arial or Helvetica)•• Serif fonts (Times New Roman) harder to read Serif fonts (Times New Roman) harder to read

from the back of roomfrom the back of room

UPPERCASE vs Mixed CaseUPPERCASE vs Mixed Case

•• IT WILL TAKE THE AUDIENCE IT WILL TAKE THE AUDIENCE LONGER TO READ SLIDES THATLONGER TO READ SLIDES THATLONGER TO READ SLIDES THAT LONGER TO READ SLIDES THAT ARE ALL UPPER CASEARE ALL UPPER CASE

•• Instead use only uppercase to Instead use only uppercase to EMPHASIZE specific textEMPHASIZE specific text

•• Better still use Better still use boldbold or or color insteadcolor instead

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Page 11: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

AV IssuesAV IssuesInsider TipsInsider Tips

AV IssuesAV IssuesInsider TipsInsider Tips

Don’t have pagers/phones on (even in Don’t have pagers/phones on (even in silent mode) with a lavaliere mike silent mode) with a lavaliere mike

AV IssuesAV IssuesInsider TipsInsider Tips

Mike PositionMike Position

2 fists below chin2 fists below chin

AV IssuesAV IssuesInsider TipsInsider Tips

Women’s IssuesWomen’s Issues

Keep mike close toKeep mike close toKeep mike close to Keep mike close to centercenter

Watch interference Watch interference from scarf or hairfrom scarf or hair

AV IssuesAV IssuesInsider Tips Keep Your Distance Insider Tips Keep Your Distance

Top Ten TipsTop Ten Tips

To Improve Your PresentationsTo Improve Your PresentationsTo Improve Your PresentationsTo Improve Your Presentations

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Page 12: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

Top Ten TipsTop Ten Tips

To Improve Your PresentationsTo Improve Your PresentationsTo Improve Your PresentationsTo Improve Your Presentations

Top Ten TipsTop Ten TipsNumber 10Number 10

10. Meet the needs of the audience10. Meet the needs of the audience

Top Ten TipsTop Ten TipsNumber 10Number 10

10. Meet the needs of the audience10. Meet the needs of the audience• W I I FM• W I I FM

Top Ten TipsTop Ten TipsNumber 10Number 10

10. Meet the needs of the audience10. Meet the needs of the audience• W I I FM• W I I FM

3 Questions 3 Questions

Top Ten TipsTop Ten TipsNumber 10Number 10

10. Meet the needs of the audience10. Meet the needs of the audience• W I I FM• W I I FM

3 Questions; 3 Questions; So what? So what?

Top Ten TipsTop Ten TipsNumber 10Number 10

10. Meet the needs of the audience10. Meet the needs of the audience• W I I FM• W I I FM

3 Questions; 3 Questions; So what? So what? Who cares?Who cares?

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Page 13: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

Top Ten TipsTop Ten TipsNumber 10Number 10

10. Meet the needs of the audience10. Meet the needs of the audience• W I I FM• W I I FM

3 Questions; 3 Questions; So what? So what? Who cares?Who cares?What’s in it for me? What’s in it for me?

Top Ten TipsTop Ten TipsNumber 10Number 10

Example:Example:Example:Example:

The result when not meeting the needs The result when not meeting the needs of your target audienceof your target audience

Top Ten TipsTop Ten TipsNumber 9Number 9

9.9. Have a clear purposeHave a clear purpose9.9. Have a clear purposeHave a clear purpose• what goals do you wish to • what goals do you wish to

accomplishaccomplish• difference between subject, • difference between subject, titletitle, ,

and purpose and purpose

Top Ten TipsTop Ten TipsNumber 8Number 8

Top Ten TipsTop Ten TipsNumber 8Number 8

8. Organize the presentation8. Organize the presentation

• opening statement• opening statement

• limited number of points• limited number of points• limited number of points• limited number of points

• strong closing• strong closing

graceful exitgraceful exit

let me summarize the key pointslet me summarize the key points

a question I am often asked….a question I am often asked….

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Page 14: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

Top Ten TipsTop Ten TipsNumber 7Number 7

7. Eliminate unnecessary information7. Eliminate unnecessary information

The secret of being a bore is to tell The secret of being a bore is to tell ggeverything. everything.

Voltaire Voltaire

Top Ten TipsTop Ten TipsNumber 6Number 6

6. Don’t go overtime6. Don’t go overtime

Top Ten TipsTop Ten TipsNumber 5Number 5

5.5. Concentrate on deliveryConcentrate on delivery• face the audience• face the audience face the audience face the audience• avoid the dreaded monotone• avoid the dreaded monotone• slow down• slow down• use pauses• use pauses•• avoid the “laser moth”avoid the “laser moth”

Top Ten TipsTop Ten TipsNumber 4Number 4

4.4. Make it a performanceMake it a performance• smile• smile• enthusiasm• enthusiasm• hand gestures• hand gestures●● tell a storytell a story»»picturespictures

As PromisedAs Promised

The Secret of LifeThe Secret of Life

Breast CancerBreast Cancer

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Page 15: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

Breast CancerBreast CancerThe Secret of LifeThe Secret of LifeBreastBreast Cancer PatientCancer Patient

Top Ten TipsTop Ten TipsNumber 4Number 4

4.4.Make it a performanceMake it a performance• smile• smile• enthusiasm• enthusiasm enthusiasm enthusiasm• hand gestures• hand gestures●● tell a storytell a story»» picturespictures

EduEdu--tainmenttainment

Top Ten TipsTop Ten TipsNumber 3Number 3

3.Take the edge off of nervousness3.Take the edge off of nervousness• most anxiety doesn’t show• most anxiety doesn’t show• comfortable posture• comfortable posture comfortable posture comfortable posture• voice• voice• eye contact• eye contact• be prepared• be prepareduse the restroom whether you use the restroom whether you need to or notneed to or not

Top Ten TipsTop Ten TipsNumber 2Number 2

Top Ten TipsTop Ten TipsNumber 2Number 2

2. 2. Use appropriate humorUse appropriate humor

SelfSelf--deprecatingdeprecating

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Page 16: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

CartoonsCartoonsVideo ClipsVideo Clips

With IntroductionWith Introduction

Video ClipsVideo ClipsWith IntroductionWith Introduction

Video ClipsVideo ClipsWith IntroductionWith Introduction

Top Ten TipsTop Ten TipsNumber 1Number 1

1. Practice, Practice, Practice1. Practice, Practice, Practice

I Almost ForgotI Almost ForgotA Keyboard SecretA Keyboard Secret

•• The “B” KeyThe “B” Key

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Page 17: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

After Each PresentationAfter Each PresentationCreate a ChartCreate a Chart

•• What Went WellWhat Went Well

1) Opening hook1) Opening hook

•• Areas to improveAreas to improve

1) Slow down1) Slow down) p g) p g

2) Enthusiastic2) Enthusiastic

3) Hand gestures3) Hand gestures

))

2) Smile2) Smile

3) Repeat questions3) Repeat questions

Let’s PracticeLet’s PracticeGiving Constructive CritiquesGiving Constructive Critiques

Example PresentationsExample Presentations

•• Speakers' assignmentSpeakers' assignment

•• 3 minute presentation on anything3 minute presentation on anything•• 3 minute presentation on anything3 minute presentation on anything

•• Remember tips from Top 10 ListRemember tips from Top 10 List

After Each PresentationAfter Each PresentationLet’s Comment OnLet’s Comment On

•• What Went WellWhat Went Well •• Areas to improveAreas to improve

Two Good ReferencesTwo Good References

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Page 18: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

In SummaryIn SummaryMy GoalsMy Goals

•• Get your buyGet your buy--inin

•• Teach tips to improve your future Teach tips to improve your future presentationspresentationspresentationspresentations

•• Motivate you to work on improving Motivate you to work on improving these skillsthese skills

•• Demonstrate these skillsDemonstrate these skills

•• Improve your constructive critiques of Improve your constructive critiques of colleagues colleagues

If You RememberIf You RememberOnly 3 things….Only 3 things….

•• Organize the presentationOrganize the presentation

•• Make it a performanceMake it a performance•• Make it a performanceMake it a performance

•• Your presentation skills, are as Your presentation skills, are as important as your messageimportant as your message

liti tt@ dliti tt@ [email protected]@mayo.edu

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Page 19: Presentation Skills for Medical Professionals: … advancement, teach them effective public speaking skills, and motivate them to work on developing these skills. Drs. Litin and Creagan

CULTURAL AND LINGUISTIC COMPETENCY Governor Arnold Schwarzenegger signed into law AB 1195 (eff. 7/1/06) requiring local CME providers, such as

the AAGL, to assist in enhancing the cultural and linguistic competency of California’s physicians

(researchers and doctors without patient contact are exempt). This mandate follows the federal Civil Rights Act of 1964, Executive Order 13166 (2000) and the Dymally-Alatorre Bilingual Services Act (1973), all of which

recognize, as confirmed by the US Census Bureau, that substantial numbers of patients possess limited English proficiency (LEP).

California Business & Professions Code §2190.1(c)(3) requires a review and explanation of the laws

identified above so as to fulfill AAGL’s obligations pursuant to California law. Additional guidance is provided by the Institute for Medical Quality at http://www.imq.org

Title VI of the Civil Rights Act of 1964 prohibits recipients of federal financial assistance from

discriminating against or otherwise excluding individuals on the basis of race, color, or national origin in any of their activities. In 1974, the US Supreme Court recognized LEP individuals as potential victims of national

origin discrimination. In all situations, federal agencies are required to assess the number or proportion of LEP individuals in the eligible service population, the frequency with which they come into contact with the

program, the importance of the services, and the resources available to the recipient, including the mix of oral

and written language services. Additional details may be found in the Department of Justice Policy Guidance Document: Enforcement of Title VI of the Civil Rights Act of 1964 http://www.usdoj.gov/crt/cor/pubs.htm.

Executive Order 13166,”Improving Access to Services for Persons with Limited English

Proficiency”, signed by the President on August 11, 2000 http://www.usdoj.gov/crt/cor/13166.htm was the genesis of the Guidance Document mentioned above. The Executive Order requires all federal agencies,

including those which provide federal financial assistance, to examine the services they provide, identify any

need for services to LEP individuals, and develop and implement a system to provide those services so LEP persons can have meaningful access.

Dymally-Alatorre Bilingual Services Act (California Government Code §7290 et seq.) requires every

California state agency which either provides information to, or has contact with, the public to provide bilingual

interpreters as well as translated materials explaining those services whenever the local agency serves LEP members of a group whose numbers exceed 5% of the general population.

~

If you add staff to assist with LEP patients, confirm their translation skills, not just their language skills.

A 2007 Northern California study from Sutter Health confirmed that being bilingual does not guarantee competence as a medical interpreter. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2078538.

US Population

Language Spoken at Home

English

Spanish

AsianOther

Indo-Euro

California

Language Spoken at Home

Spanish

English

OtherAsianIndo-Euro

19.7% of the US Population speaks a language other than English at home In California, this number is 42.5%

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