The Pharmacy Chick

Flying the Coop in Retail

English–Optional?

Filed under: Uncategorized — pharmacychick at 9:33 pm on Sunday, March 16, 2008

There is a trend in the medical field that is spreading pandemic like the flu in February: The prevalence of international students (future doctors, nurses and pharmacists). I have no problem with pharmacists coming from all over the planet and practicing in the US. In fact, we can use as many RPh’s as we can to alleviate our shortage. I’m tired of having to ask for a vacation a year in advance.

What I do have a problem with however, is those internationals who suffer a poor grasp of English. We HAVE to be able to communicate effectively with both patients and other health care professionals. Almost every day I speak with a Chuy, Pho, Tema, Arjun, Sada or Habib. I don’t care where they are from, for in my opinion, it doesn’t matter. What does matter is this: can they speak in a way that is understandable to their audience?

English is my first (and only unfortunately) language. Because I am fully fluent in English, I can make out most words in a non-english speaker’s broken attempts to tell me something. Occasionally even I am stumped. I recently spoke with a pharmacist while I was taking a Rx copy. As God is my witness, I couldn’t understand half of what she said. I asked her so many times to repeat herself, she likely thought I was deaf! How does she communicate with her patients? More importantly, how does she talk to a patient for whom English is NOT their primary language?

It would seem to me that there should be something like a English competency exam, written and spoken. Don’t we owe it to our patients and fellow health care providers to be able to speak clearly and properly? We currently have the media splashing pharmacy errors all over the internet, and in doing so, making our profession look sloppy. Its time we step back and look at all sources of potential problems. In Pharmacy Chick’s opinion, you have the right to speak whatever you want in your home, but English is the current business language spoken in the US and if you are going to practice medicine or pharmacy here, you’d better be proficient (not merely functional) in English. Its a blessing to be bi-lingual, especially when you can use that 2nd or 3rd language for a non-English speaking customer. BUT, poor English diction should not be acceptable anywhere in the field of medicine.

Firmly on my soapbox.

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6 Comments »

62

Comment by CPhT

March 17, 2008 @ 4:45 am

There is an African floater I work with whose accent is so thick, I don’t know how anyone but me understands him, and I am very lucky to — I had a professor in college with that exact regional accent.

63

Comment by MrJones

March 18, 2008 @ 8:35 am

There are two English exams that us foreign pharmacist have to undergo before coming to America. The Test of English as a Foreign Language (TOEFL) and the Test of Spoken English (TSE). Thank goodness Rite Aid pays for both these tests, as well as the Foreign Pharmacy Graduate Equivalency Examination (FPGEE), NAPLEX and MPJE. IF all goes well, I’ll be there in 2010.

64

Comment by Pharmer Jane

March 18, 2008 @ 9:21 pm

There are tests, but they must have really low standards, based on some of the foreign pharmacists I know who have passed them. Unless someone puts forth perfect effort for the test and is just sloppy the rest of the time, who knows?

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Comment by pharmacychick

March 18, 2008 @ 9:44 pm

MrJones,
I am glad there is something, but I agree with Pharmer Jane.
Pharmacy Chick

66

Comment by The Ole' Apothecary

March 21, 2008 @ 11:57 pm

I often feel embarrassed when I have to ask ESL people to repeat themselves because I cannot make out what they are saying, but the exact information is vital. I am not making fun of them, I am just asking them to say again what they just said. I have no choice; I MUST be able to communicate with them with perfect precision. These people speak English with such a difference in cadence, idiom, and word choice from usual that I am sometimes frightened about what information might be lost. As was said above, it surely doesn’t matter to me where these people are from, and I welcome them to the practice of pharmacy in the United States because we sure need them here.

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Comment by Erin

March 22, 2008 @ 6:14 pm

At the pharmacy school I attend, they require you to take an Oral Competency Exam during Freshman Orientation. If you fail, you are required to take an Oral Proficiency Class your first two semesters at school. It’s a decent system, doesn’t catch everyone (it’s basically a grammar test, since I can’t imagine any school [even a private one] managing to adjudicate an oral exam based solely on ability of the listener to comprehend), but I’d hoped it was standard procedure at every pharmacy school…’til I got out in the workforce and realized that, perhaps, that is not the case…

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