The Case for Native-Like Foreign Language Proficiency: Quality and Accuracy of Medical Care

 

There are statistics showing how often medical communication falters when patients and providers don’t share high‑level language skills. But numbers alone don’t capture the human cost of misunderstanding.

When my son was hospitalized at Boston Children’s, a nurse approached me: “They need help on the cancer ward,” she said. “A couple that speaks Russian and doesn’t understand the doctor.”

I found a frightened couple who had been told their son had a spot on his leg. They didn’t realize that “spot” was a euphemism for possible cancer. They still didn’t understand until I used the word рак — cancer. The mother broke down, blaming herself. The doctor grew frustrated, insisting it wasn’t her fault. I had to explain that her reaction was culturally normal — a reflex of guilt and responsibility deeply embedded in Russian family culture.

That moment taught me something essential: Near‑native language proficiency must include near‑native cultural understanding. Without it, even well‑intentioned care can go wrong.

Lower‑level skills may suffice for routine exchanges — but not for life‑altering conversations. When the stakes are high, when nuance matters, when emotion and culture intertwine, only deep fluency bridges the gap. Anything less risks confusion, mistrust, and harm.

To say that lower‑level skills are “good enough” is simply wrong. Lives depend on more than words. They depend on understanding.

Some additional reading: When language becomes a barrier to survival

image generated by AI


For the seminal work on developing professional level foreign language proficiency, click HERE.

For more posts on nativelike proficiency, click HERE.


post inspired by the book, Practices That Work, edited by Professor Thomas Jesús Garza, who reminds us that "fluency isn’t just about knowing the rules — it’s about knowing your patterns."


Book description

The many and varied demands of the digital age require cadres of professionals capable of collaborating effectively and engaging globally in the world's languages and cultures. This volume represents a collection of classroom- and field-tested practices used to prepare global professions to the highest standards of proficiency in their languages in order to meet these global challenges. Culled from faculty of government, private, and state educational programs, these "practices that work" offer the language practitioner a selection of "recipes" for helping language learners attain near-native professional proficiency. The techniques and practices offered in these pages can be incorporated and used in virtually any curriculum or learning environment and are highly learner centered. The path to native-like proficiency in world languages can be demanding, but this volume can help make it more productive and enjoyable.

No more needs to be said about the book than a review written by Olena Chernishenko of American University for Russian Language Journal, some of her evaluations include:

"Practices That Work is an excellent resource for both new and experienced foreign-language instructors, as well as for foreign-language learners. The volume is a compilation of short, thematically organized articles written by numerous experts in the field of foreign-language teaching who share invaluable insights about bringing learners to high-level professional proficiency in world languages. While Practices That Work offers a plethora of effective techniques for instructors, it also provides deep understanding of the learning process, which will benefit the development of learners' development of self-awareness and autonomy."\

"...every article in the volume gives excellent suggestions for further reading on the topic."

"Practices That Work is a valuable resource for both instructors and learners. The volume provides insightful guidance and diverse methodologies for achieving Professional proficiency in world languages."

Read the full review HERE.



For more posts about Tom and this book, click HERE.






CONTACT editor@msipress.com FOR A REVIEW COPY


MSI Press, a veteran-owned publishing house based in California, United States
best known for turning new writers into award-winning authors,
has gained mass recognition for releasing highly acclaimed books of varying genres
that are distributed internationally. Check us out on Wikitia.


To purchase copies of any MSI Press book at 25% discount,

use code FF25 at MSI Press webstore;

for free shipping, use code ship4free.

(Codes cannot be used together; they are meant to provide a choice of discount.)



Want to read an MSI Press book and not have to pay for it?
(1) Ask your local library to purchase and shelve it.
(2) Ask us for a review copy; we love to have our books reviewed.


VISIT OUR WEBSITE TO LEARN MORE ABOUT ALL OUR AUTHORS AND TITLES AND TO FOLLOW US ON OUR VARIOUS PLATFORMS.


CONTACT INFO@MSIPRESS.COM TO SBUMIT A BOOK PROPOSAL/MAMUSCRIPT OR TO CONTACT ONE OF OUR AUTHORS.



Sign up for the MSI Press LLC monthly newsletter: get inside information before others see it and access to additional book content
(recent releases, sales/discounts, awards, reviews, Amazon top 100 list, links to precerpts/excerpts, author advice, and more)

Check out recent issues.


 

   

MSI Press is ranked among the top publishers in California.
Check out our rankings -- and more -- HERE.

Comments

Post a Comment

Popular posts from this blog

Guest Post from Dr. Dennis Ortman: Words Matter

Image
  WORDS MATTER “If I speak with human tongues and angelic as well, but do not have love, I am a noisy gong, a clanging symbol.” --I Corinthians 13: 1   My three brothers recently visited from afar. We spent a week together crammed into my small apartment. We exhausted ourselves talking about our lives and our favorite subjects--religion, psychology, and politics. I daily used up my quota of words. Many family and friends avoid talking about these subjects to avoid conflict. But we relish the give-and-take of debate. Coincidentally, the Republican National Convention was televised each night. We watched it diligently and exchanged views. Our convictions ranged across the political spectrum. So our conversations were animated, our disagreements passionate. However, at the end of the week, we learned something from each other and parted friends. Words matter. They have power. Our traditions attest to this fact. For example, God created the world with His word. He be...
Read more

Tuesday's Tip for Language Learning: Language Islands, A Shortcut to Language Fluency

Image
  If you've ever found yourself struggling mid-conversation in another language, desperately searching for words, translating in your head, and praying for a merciful topic change… you’re not alone. We've all been there. But today’s tip might just change the way you approach language learning — and save your dignity at the next international gathering. Let’s talk about language islands . What Are Language Islands? Back in the mid-1980s, Boris Shekhtman, a brilliant and wildly successful instructor at the Foreign Service Institute (and later the Specialized Language Training Center), coined the term “language islands.” His students — diplomats, international journalists, and world travelers — swore by his methods. And no wonder. A language island is a memorized chunk of speech — a little monologue, a practiced story, a polished opinion — that you know so well, you can say it without thinking. No mental translation. No stuttering. No panicked flailing for vocabulary. Just smooth...
Read more

A Publisher's Conversation with Authors: De-confusing Royalty Structure

Image
  Authors frequently confuse LIST and NET and, in this way, end up with contracts that pay lower royalties when they believe that they are getting a good deal. Often, they cannot negotiate in ways that benefit themselves because they do not understand this difference and its significance. Let's break this down. List refers to the retail price of the book. Payment on list means a percentage of the retail price of the book. If royalties are 8% of list (5-8% is typical), then on a $10 book, royalties would be 80 cents; if they are 10%, royalties are $1, on every book sold. Easy to calculate, easy to predict income, and always standardized, no surprises or overestimations. Net refers to what is leftover after expenses. Gross revenue gets adjusted by a number of expenses: printing costs, printer set-up fees, shipping costs, handling fees, distributor percentage of sales (typically, 40%-55% per book), distributors' initial and continuing catalogue listing costs (without which online ...
Read more