Rush University Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Rush University Medical Center designates this educational activity for a maximum of 2.00 AMA PRA Category 1 Credit(s)^TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

In accordance with requirements of the FDA, the audience is advised that information presented in this continuing medical education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA approved package insert for each drug/device for full prescribing/utilization information.

The Office of Continuing Medical Education at Rush University Medical Center can be contacted at 312-942-7119 or via email at cme_info@rush.edu.

This course was initially released on The VLH on 05-25-05. The term of approval for this course is two years from the date of last review, 07-25-07.

Cynthia Roat, MPH

Cynthia Roat is a consultant and trainer on issues related to language access in health care. She is the principle author of Bridging the Gap, currently the most widely offered training program for medical interpreters in the United States. She is a founding member of the Society of Medical Interpreters (SOMI) in Seattle, is Chair of the Advisory Committee of the National Council on Interpreting in Health Care (NCIHC), and is a national advocate for the field of health care interpreting and for language access in general. Ms. Roat has been an interpreter trainer for over twenty years, and is certified by the Washington State Department of Social and Health Services for both medical and social service interpreting. She holds a Masters degree in International Public Health from the University of Washington.

Elizabeth Jacobs, MD

Dr. Jacobs is a clinician-researcher and Assistant Professor of Medicine at Cook County Hospital and Rush University Medical Center. Dr. Jacobs has pursued research investigating minority disparities in health care. Through her research she has demonstrated that adequate interpreter services can reduce disparities in delivery of health care between English and non-English speaking persons at a reasonable cost. Dr. Jacobs is recognized as a research expert on language barriers in the medical setting and has served as an advisor to the Robert Wood Johnson's Hablamos Juntos program, as well as on several Office of Minority Health initiatives to reduce language barriers. She also practices medicine at a neighborhood health center, works with other investigators to design culturally specific research, and teaches residents and faculty about working with interpreters and building trust with African American and Latino patients. She attended medical school at the University of California at San Francisco, trained as a general internist at Brigham and Women's Hospital in Boston, and completed a Robert Wood Johnson Clinical Scholars Fellowship at the University of Chicago.

Faculty Disclosure

It is the policy of the Rush University Medical Center Office of Continuing Medical Education to ensure that its CME activities are independent, free of commercial bias and beyond the control of persons or organizations with an economic interest in influencing the content of CME. Everyone who is in a position to control the content of an educational activity must disclose all relevant financial relationships with any commercial interest (including but not limited to pharmaceutical companies, biomedical device manufacturers, or other corporations whose products or services are related to the subject matter of the presentation topic) within the preceding 12 months. If there are relationships that create a conflict of interest, these must be resolved by the CME Course Director in consultation with the Office of Continuing Medical Education prior to the participation of the faculty member in the development or presentation of course content.

Ms. Roat states that she is a consultant for Pacific Interpreters. Dr. Jacobs states that she does not have any conflicts of interest that may have a direct bearing on the subject matter of this continuing education activity.

Unapproved Uses of Drugs/Devices

In accordance with requirements of the FDA, the audience is advised that information presented in this continuing medical education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA approved package insert for each drug/device for full prescribing/utilization information.

The authors would like to acknowledge the contributions of the following individuals. In addition to those listed below, we extend many thanks to Pacific Medical Clinics in Seattle, WA and to Brenda Lloyd (Beacon Hill Clinic Supervisor) for allowing us to videotape at Beacon Hill Clinic.

Actors:
Huan Nguyen . . . as Mr. Nguyen
Van Pham . . . as Mr. Nguyen's daughter
Kris Keppeler . . . as Dr. Jenkins
Huyen Nga Cao . . . as Grace, the medical assistant
Thu-Van Nguyen . . . as the professional interpreter

Video Crew:
Bruce Hutson: Videography
Matt Monroe: Sound
Leif O'Leary: Set Design and Video Editing (courtesy of Talaria Inc., Seattle, WA)
Amy Vore: Production Assistant (courtesy of Talaria Inc., Seattle, WA)

Video Script and Direction:
Cynthia E. Roat, MPH

Vietnamese Script Translation and Subtitles:
Rosemary Nguyen

Review of Vietnamese Script:
Thu-Van Nguyen

Based on information from state licensing authorities, this program meets special CME requirements in these states:

	Connecticut Risk Management
	Massachusetts Risk Management
	Pennsylvania Risk Management / Patient Safety
	Rhode Island Other Regulatory Requirements
	Texas Ethics / Professional Responsibility

This activity is offered online and requires a connection to the Internet. The activity works on a PC or Macintosh computer with the browsers Internet Explorer 7.0 and up, Firefox 2.0, AOL 9.x and up, and Safari 2.x and up. JavaScript should be enabled in all browsers, and Popups and first party cookies need to be accepted from www.VLH.com. You should also have the latest, free Adobe Reader installed for reading documents. (AOL dial-up modem users may experience lengthy delays downloading PDF files.)

For additional information, read the Technical Assistance FAQ.

This program also requires that you have the latest free Flash Player.