Post on 15-Dec-2015
English Health English Health TrainTrain
Bridges to Opportunity:Bridges to Opportunity: Workforce Development for English Workforce Development for English
Language LearnersLanguage Learners
October, 2006October, 2006
San Francisco Welcome Back San Francisco Welcome Back CenterCenter
International Health Workers International Health Workers Assistance CentersAssistance Centers
A program of Community Health Works of A program of Community Health Works of San Francisco, a partnership of CCSF & SFSUSan Francisco, a partnership of CCSF & SFSU
EHT project funded by The California Endowment, EHT project funded by The California Endowment, The California Wellness Foundation, and Kaiser The California Wellness Foundation, and Kaiser
PermanentePermanente
Mission StatementMission Statement
To build a bridge between To build a bridge between the need for linguistically the need for linguistically and culturally competent and culturally competent
health services in health services in underserved underserved
communities and the communities and the pool of internationally pool of internationally trained health experts trained health experts
living in California.living in California.
Identified BarriersIdentified Barriers
Participant levelParticipant levelEnglish language proficiencyEnglish language proficiencyLoss of professional identityLoss of professional identityEconomic issuesEconomic issuesLack of familiarity w/ U.S. health systemLack of familiarity w/ U.S. health system
Structural levelStructural levelComplexity of licensing processesComplexity of licensing processesDe-value of foreign credentialsDe-value of foreign credentialsProfessional associations’ reservationsProfessional associations’ reservations
Profile of Target LearnersProfile of Target Learners
Diverse languages and culturesDiverse languages and cultures
Length of time in U.S. varies greatlyLength of time in U.S. varies greatly
Majority trained as doctors, nurses, Majority trained as doctors, nurses, dentistsdentists
Lack of clarity about career goals in Lack of clarity about career goals in
U.S.U.S.
Completed variety of ESL classesCompleted variety of ESL classes
The Pilot ProgramThe Pilot Program
One year, 360 hrs.One year, 360 hrs.
Three coursesThree courses
Core groupCore group
Diverse FTHPsDiverse FTHPs
Low intermediate ESLLow intermediate ESL
Rigorous evaluationRigorous evaluation
Profile of Pilot ParticipantsProfile of Pilot Participants
13 countries13 countries
7 languages7 languages
8 health professions8 health professions
2 mos. > 10 yrs. in U.S.2 mos. > 10 yrs. in U.S.
75%75% females, females, 25%25% males males
different obstacles, goals,different obstacles, goals, & levels of confidence& levels of confidence
Sources of ContentSources of Content
Health care professionalsHealth care professionals
Health care texts & journalsHealth care texts & journals
Authentic materialsAuthentic materials
Current mediaCurrent media
Internet sitesInternet sites
Materials DesignMaterials Design
ModulesModules
Exploring Career Goals in Health Care
Exploring Career Goals in Health Care
Communicatingwith Patients and
Families
Communicatingwith Patients and
Families
Communicatingwith other
Health Workers
Communicatingwith other
Health Workers
Exploring CriticalIssues in Health
Care
Exploring CriticalIssues in Health
Care
Intercultural Communication in
Health Care
Intercultural Communication in
Health Care
Module 1Module 1
Career Paths in HealthCareer Paths in Health
Job Search StrategiesJob Search Strategies
Workplace Expectations Workplace Expectations
Professional Professional
DevelopmentDevelopment
Exploring CareerGoals in Health Care
Module 2Module 2
The Patient-Health Professional The Patient-Health Professional RelationshipRelationship
Patient-Centered InterviewsPatient-Centered Interviews
Communicating with At-Risk Communicating with At-Risk
Patients Patients
Handling Challenging SituationsHandling Challenging Situations
Communicatingwith Patientsand Families
Module 3Module 3
Assertive Communication with Assertive Communication with Co-WorkersCo-Workers
Working on a Health Care TeamWorking on a Health Care Team
Telephone & Email Telephone & Email
Communication Communication
Instructing & Supervising other Instructing & Supervising other
Health ProfessionalsHealth Professionals
Communicatingwith other Health
Professionals
Module 4Module 4
Understanding U.S. Health Care Understanding U.S. Health Care Systems & IssuesSystems & Issues
Alternative Health PerspectivesAlternative Health Perspectives
Caring for an Aging Population Caring for an Aging Population
Legal & Ethical Issues in HealthLegal & Ethical Issues in Health
ExploringCritical Issuesin Health Care
Module 5Module 5
Beliefs & Traditions about Health Beliefs & Traditions about Health and Illnessand Illness
Cultural Diversity in Health CareCultural Diversity in Health Care
Racial & Ethnic Health Disparities Racial & Ethnic Health Disparities
Exploring the Needs of our Exploring the Needs of our
CommunitiesCommunities
InterculturalCommunicationin Health Care
Course ComponentsCourse Components
Student materialsStudent materials (5 (5
modules/40 units)modules/40 units)
Teacher guidesTeacher guides (5 modules/40 units)(5 modules/40 units)
Listening CDListening CD (by module/unit)(by module/unit)
Project WorkbookProject Workbook (w/ online (w/ online
activities)activities)
Assessment toolsAssessment tools
Course OptionsCourse Options
One-year programOne-year program
Two coursesTwo courses
One courseOne course
Series of workshopsSeries of workshops
One-day workshopOne-day workshop
Evaluating the CoursesEvaluating the Courses
Feedback from participantsFeedback from participants
Feedback from instructorsFeedback from instructors
Review by ESL expertsReview by ESL experts
Review by Advisory CommitteeReview by Advisory Committee
Achievement of objectivesAchievement of objectives
Final Results of PilotFinal Results of Pilot
Level 1Level 1
Level 2Level 2
Level 3Level 3
97% satisfaction97% satisfaction
Oral assessment: Oral assessment: average 55% gainaverage 55% gain Written assessment: Written assessment: average 98% gainaverage 98% gain
(Unintended (Unintended outcomes)outcomes)
Unintended OutcomesUnintended Outcomes
11%11% took and passed took and passed licensing examslicensing exams
22%22% enrolled in health enrolled in health programsprograms
28%28% got jobs in health got jobs in health carecare
Formed communityFormed community of supportof support
Gained confidence toGained confidence to achieve goalsachieve goals
……I improved my English, I learned a I improved my English, I learned a lot about the health care lot about the health care workplace, but above all, I workplace, but above all, I regained self-confidence.regained self-confidence.
……Now I know what I want to do. I Now I know what I want to do. I have no doubt I can work in this have no doubt I can work in this country, pursue my education country, pursue my education and be successful.and be successful.
……We come from different countries We come from different countries and cultures, but we all have the and cultures, but we all have the same goals: to work in the health same goals: to work in the health care field, serve the whole care field, serve the whole community with our skills…and community with our skills…and gain personal satisfaction.gain personal satisfaction.
San FranciscoWelcome Back CenterSan FranciscoWelcome Back Center
1860 Hayes Street1860 Hayes StreetSan Francisco, CA 94117San Francisco, CA 94117
(415) 561-1833(415) 561-1833aechever@ccsf.eduaechever@ccsf.edu
Hosted by City College of San Francisco and Hosted by City College of San Francisco and San Francisco State UniversitySan Francisco State University
www.e-welcomeback.orgwww.e-welcomeback.org