¡A su salud!

Spanish for Health Professionals

Julia Cardona MackJulia Cardona Mack

University of North Carolina at Chapel Hill

                               

The history of this project

North Carolina’s Hispanic population

Explosion1990-2000

UNC Chapel Hill’sHealth programs

andcommunity response

SALUDInter-disciplinary teamOffice of the Provost

FIPSE

Authors and producers

Pre-production pilot

Why video?

Why DVD?

What language?

Overall concept

Health

culture

Language

The challenges

Distance learning

“Intermediate” level

Practical applications

Diversity: variants and registers

Language learning as life-long commitment

“my plan” Within each unit, the study of language will progress as follows:

a.       thinking (reading) about a topic

b.       observing a scene

c.       expressing understanding,

d.       recording personal thoughts on specific readings or discussions,

e.       correcting (repairing) expressions (using material developed in d.), developing control of language through grammar lessons

f.         self-testing

g.       exploring further

h.       creating new material (personalizing, individualizing)

4 units

2 parts per unit

Language/culture + health/culture

Scope and sequence

Scope and sequence

1. nominal phrases; nouns, articles, adjectives; pronouns; order of words in the sentence + verbal phrases; regular verbs in the present tense, contrast between ser and estar, irregular present tense

2. verbs in the present progressive, past participles as adjectives; adverbs, distinction between por and para + verbs in the past; preterite and imperfect, conjunctions

3. gender and number, pronouns, relative clauses + formal and informal commands, conditionals

4. passive voice and impersonal sentences, negative expressions + the present and past subjunctive

Language use and language structure

Scope and sequence

1. Identifying yourself and others + describing present environment

2. Establishing circumstances of action + telling a story in the past

3. Establishing agent and object + ordering someone to do something

4. Comparing, rejecting, denying + expressing your opinions, feelings; distinguishing subjective elements from facts

“Culture” relative to language tasks

by unit

Scope and sequence

1. Assessing the apparent circumstances of the other speaker + Listening

2. Sense of time and space + Exaggeration and details

3. Hierarchies in the family. Gender relationships + Adult/child relationships. Issues of aging.

4. Ideas on death and dependency + Terms of endearment, insults, shading the facts

child health

inmunization

informed consent

differing national standards of health care

workplace accidents

 

HIV

communicable diseases

HEALTH ISSUES

accidents

poverty

social isolation

 

diabetes

nutrition

immigration

wellness

alternative health practices

diet and exercise

gang violence

 

high risk pregnancy

domestic violence

mental health

substance abuse in adolescents

patient confidentiality

dosage

rheumatoid arthirtis

 

social support

professional networking

discussing informed consent

working with children

discussing immunizations

 

dealing with HIV treatment issues and prevention

giving bad news across language and culture

HEALTH TASKS

physical exam

discussing pain

speaking under stress

developing rapport

 

home visit

building bridges between cultures

discussing alternative health practices

establishing a climate of trust

using "teachable" moments

 

conducting the prenatal intake exam

assessing patients' and clients' strengths

assessing mental health

explaining correct dosage across language and culture

working with adolescents

 

maintaining social support at a distance

developing respectful provider/patient relationships

developing connections with agencies and community organizations focused on Latino health issues

Language task:

Comparing, rejecting, denying

Language in culture:

Ideas on death and dependancy

Language structures:

passive voice and impersonal sentences, negative expressions

Health Issues:

mental health

substance abuse in adolescents

patient confidentiality

dosage

rheumatoid arthirtis

Health task: assessing mental health

explaining correct dosage across language and culture

working with adolescents

Content: unit 4a

Layout of a unit

Base

Preparación

HISTORIA

objetivos

Aplicación

Repasoprueba

examen

comprobación

1

2

3

4

Preparación

objetivos

principios

vocabulario personajes

prueba

lenguasalud

lenguasalud

1

más allá

Historia

repaso

EPISODIO

2

Repaso

drama

lengua

comprobación

3

Aplicación

examenb.conversar

analizar

Lengua:ejercicioa.escuchar

en la práctica

entrevista

4

comprobación vocabulario

Layout of a unit

Base

personajes principiossaludlengua

HISTORIA

objetivos

escucharanalizar

más allá

En la práctica

conversar

entrevista

prueba

examen

lengua

Repaso dramaRepaso lengua

saludlengua

4

3

2

1

Pepper ratings

Focus on basic forms

Connect words and phases to form meaningful sentences

Look at content of the sentence within the context of speech

Application of language to a situation.

Participants felt the materials & the experience significantly improved their Spanish language & cultural competency.

Results of pilot evaluation summer 2003

71% retention rate

Participants’ pre- and post-test performance scores improvedsignificantly for nearly all measures.