Language barriers are increasingly important in US health care. Limited English proficiency is associated with poorer health care processes and outcomes.1 Disparities in care for patients with limited English proficiency persist even when socioeconomic and insurance status are considered, suggesting that language and culture also play an important role.2 Accumulating research shows that having a language-concordant physician is associated with improved quality and outcomes.3- 5 Using professional interpreters can also lead to better care for patients with limited English proficiency,6 but physicians and medical trainees underuse professional interpreters, frequently substituting their own limited spoken Spanish during clinical encounters.7
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