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English Health Train. Bridges to Opportunity: Workforce Development for English Language Learners October, 2006. San Francisco Welcome Back Center International Health Workers Assistance Centers. A program of Community Health Works of San Francisco, a partnership of CCSF & SFSU
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English Health Train Bridges to Opportunity: Workforce Development for English Language Learners October, 2006
San Francisco Welcome Back CenterInternational Health Workers Assistance Centers A program of Community Health Works of San Francisco, a partnership of CCSF & SFSU EHT project funded by The California Endowment, The California Wellness Foundation, and Kaiser Permanente
Mission Statement To build a bridge between the need for linguistically and culturally competent health services in underserved communities and the pool of internationally trained health experts living in California.
Identified Barriers • Participant level • English language proficiency • Loss of professional identity • Economic issues • Lack of familiarity w/ U.S. health system • Structural level • Complexity of licensing processes • De-value of foreign credentials • Professional associations’ reservations
Profile of Target Learners • Diverse languages and cultures • Length of time in U.S. varies greatly • Majority trained as doctors, nurses, dentists • Lack of clarity about career goals in U.S. • Completed variety of ESL classes
The Pilot Program • One year, 360 hrs. • Three courses • Core group • Diverse FTHPs • Low intermediate ESL • Rigorous evaluation
Profile of Pilot Participants • 13 countries • 7 languages • 8 health professions • 2 mos. > 10 yrs. in U.S. • 75% females, 25% males • different obstacles, goals, & levels of confidence
Sources of Content • Health care professionals • Health care texts & journals • Authentic materials • Current media • Internet sites
Exploring Career Goals in Health Care Module 1 • Career Paths in Health • Job Search Strategies • Workplace Expectations • Professional Development
Communicating with Patients and Families Module 2 • The Patient-Health Professional Relationship • Patient-Centered Interviews • Communicating with At-Risk Patients • Handling Challenging Situations
Communicating with other Health Professionals Module 3 • Assertive Communication with Co-Workers • Working on a Health Care Team • Telephone & Email Communication • Instructing & Supervising other Health Professionals
Exploring Critical Issues in Health Care Module 4 • Understanding U.S. Health Care Systems & Issues • Alternative Health Perspectives • Caring for an Aging Population • Legal & Ethical Issues in Health
Intercultural Communication in Health Care Module 5 • Beliefs & Traditions about Health and Illness • Cultural Diversity in Health Care • Racial & Ethnic Health Disparities • Exploring the Needs of our Communities
Course Components • Student materials (5 modules/40 units) • Teacher guides (5 modules/40 units) • Listening CD (by module/unit) • Project Workbook (w/ online activities) • Assessment tools
Course Options • One-year program • Two courses • One course • Series of workshops • One-day workshop
Evaluating the Courses • Feedback from participants • Feedback from instructors • Review by ESL experts • Review by Advisory Committee • Achievement of objectives
Level 1 Level 2 Level 3 97% satisfaction Oral assessment: average 55% gain Written assessment: average 98% gain (Unintended outcomes) Final Results of Pilot
Unintended Outcomes • 11% took and passed licensing exams • 22% enrolled in health programs • 28% got jobs in health care • Formed community of support • Gained confidence to achieve goals
…I improved my English, I learned a lot about the health care workplace, but above all, I regained self-confidence. …Now I know what I want to do. I have no doubt I can work in this country, pursue my education and be successful. …We come from different countries and cultures, but we all have the same goals: to work in the health care field, serve the whole community with our skills…and gain personal satisfaction.
San FranciscoWelcome Back Center 1860 Hayes Street San Francisco, CA 94117 (415) 561-1833 aechever@ccsf.edu Hosted by City College of San Francisco and San Francisco State University www.e-welcomeback.org