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¡A su salud!. Spanish for Health Professionals. Julia Cardona Mack University of North Carolina at Chapel Hill. The history of this project. North Carolina’s Hispanic population Explosion 1990-2000. UNC Chapel Hill’s Health programs and community response. SALUD
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¡A su salud! Spanish for Health Professionals Julia Cardona Mack University of North Carolina at Chapel Hill
The history of this project North Carolina’s Hispanic population Explosion 1990-2000 UNC Chapel Hill’s Health programs and community response SALUD Inter-disciplinary team Office of the Provost FIPSE
Overall concept Language Health culture
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)
Scope and sequence 4 units 2 parts per unit Language/culture + health/culture
Scope and sequence • 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 • verbs in the present progressive, past participles as adjectives; adverbs, distinction between por and para + verbs in the past; preterite and imperfect, conjunctions • gender and number, pronouns, relative clauses + formal and informal commands, conditionals • passive voice and impersonal sentences, negative expressions + the present and past subjunctive
Scope and sequence Language use and language structure • Identifying yourself and others + describing present environment • Establishing circumstances of action + telling a story in the past • Establishing agent and object + ordering someone to do something • Comparing, rejecting, denying + expressing your opinions, feelings; distinguishing subjective elements from facts
Scope and sequence “Culture” relative to language tasks by unit • Assessing the apparent circumstances of the other speaker + Listening • Sense of time and space + Exaggeration and details • Hierarchies in the family. Gender relationships + Adult/child relationships. Issues of aging. • Ideas on death and dependency + Terms of endearment, insults, shading the facts
HEALTH ISSUES accidents poverty social isolation diabetes nutrition immigration child health inmunization informed consent differing national standards of health care workplace accidents HIV communicable diseases 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
HEALTH TASKS physical exam discussing pain speaking under stress developing rapport home visit building bridges between cultures discussing informed consent working with children discussing immunizations dealing with HIV treatment issues and prevention giving bad news across language and culture 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 discussing alternative health practices establishing a climate of trust using "teachable" moments conducting the prenatal intake exam assessing patients' and clients' strengths
Content: unit 4a Health Issues: mental health substance abuse in adolescents patient confidentiality dosage rheumatoid arthirtis Language task: Comparing, rejecting, denying Language structures: passive voice and impersonal sentences, negative expressions Health task: assessing mental health explaining correct dosage across language and culture working with adolescents Language in culture: Ideas on death and dependancy
Layout of a unit Base objetivos comprobación prueba 1 Preparación 3 Repaso 2 HISTORIA examen 4 Aplicación
Preparación 1 salud principios lengua objetivos prueba más allá salud lengua vocabulario personajes
Historia 2 repaso EPISODIO
Repaso 3 drama comprobación lengua
Aplicación 4 entrevista Lengua:ejercicio a.escuchar b.conversar examen analizar en la práctica
Layout of a unit salud lengua Base objetivos prueba 1 salud personajes principios comprobación lengua 3 HISTORIA Repaso drama más allá 2 vocabulario Repaso lengua conversar lengua analizar escuchar entrevista examen En la práctica 4
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.
Results of pilot evaluation summer 2003 Participants felt the materials & the experience significantly improved their Spanish language & cultural competency. 71% retention rate Participants’ pre- and post-test performance scores improved significantly for nearly all measures.
