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CEBRE en Español distribution

Thank you for your interest in the Communicating the External Beam Radiation Experience (CEBRE) en Español discussion guides. The CEBRE en Español discussion guides are designed to be used during the physician-patient discussion at initial consultation. They are not intended to supplant traditional literature provided to patients about the radiation treatment process, but rather to enhance physician-patient communication.

After completing this brief survey you will be able to download the CEBRE en Español discussion guides (general, lung, breast, and prostate), instructions for use, and associated customization printer templates. Your information will be kept confidential. You will be contacted via e-mail no more than twice per year to determine if and how you are utilizing the CEBRE en Español discussion guide(s) in your clinical practice.

Please contact Dan Golden at dan_golden@rush.edu with any questions or concerns.

Thank you,

The CEBRE en Español Research Team

Daniel Golden MD MHPE
Associate Professor of Radiation Oncology
RUSH University Medical Center

Tomoko Ichikawa
Clinical Professor of Design
Institute of Design
Illinois Institute of Technology

Pilar Ortega MD
Assistant Clinical Professor of Emergency Medicine and Medical Education
University of Illinois Chicago College of Medicine

Funded by the University of Chicago Bucksbaum Institute for Clinical Excellence and the Radiation Oncology Institute

Name:

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E-mail:

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Practice/Institution name:

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Country:

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What is your primary practice setting?

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What is your practice setting?

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What is your profession?

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What is your profession?

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What year did you complete residency training?

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What year will you complete residency training?

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How did you hear out about the CEBRE en Español discussion guides?

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How did you hear about the CEBRE en Español Discussion Guides?

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How likely are you to use CEBRE en Español in your clinic at the time of consultation with patients whose preferred language is Spanish?

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Not at all

Slightly

Moderately

Quite

Extremely

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What percent of your patient population is Spanish-speaking?

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1-25%

26-50%

51-75%

76-100%

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Which of the following best describes your level speaking Spanish in healthcare settings?

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None

Poor - Satisfies elementary needs and minimum courtesy requirements. Able to understand and respond to 2-3 word entry level questions. May require slow speech and repetition to understand. Unable to understand or communicate most healthcare concepts.

Fair - Meets basic conversational needs. Able to understand and respond to simple questions. Can handle casual conversation about work, school, and family. Has difficulty with vocabulary and grammar. The individual can get the gist of most everyday conversations but has difficulty communicating about healthcare concepts.

Good - Able to speak the language with sufficient accuracy and vocabulary to have effective formal and informal conversations on most familiar topics. Although cultural references, proverbs and the implications of nuances and idiom may not be fully understood, the individual can easily repair the conversation. May have some difficulty communicating necessary health concepts.

Very Good - Able to use the language fluently and accurately on all levels related to work needs in a healthcare setting. Can understand and participate in any conversation within the range of his/her experience with a high degree of fluency and precision of vocabulary. Unaffected by rate of speech. Language ability only rarely hinders them in performing a task requiring language; yet, the individual would seldom be perceived as a native.

Excellent - Speaks proficiently, equivalent to that of an educated speaker, and is skilled at incorporating appropriate medical terminology and concepts into communication. Has complete fluency in the language such that speech in all levels is fully accepted by educated native speakers in all its features, including breadth of vocabulary and idioms, colloquialisms, and pertinent cultural references.

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