Internal Discussions:

An Appointment in Cardiology

Internal Discussions: An Appointment in Cardiology offers a new way of working with interaction. Building on the linguistic resources offered in “To the Heart of the Matter: The Cardiovascular System in ASL and English,” Internal Discussions: Cardio gives interpreters a chance to apply their linguistic understanding in a clinical setting. The CD has a systematic approach designed to let users effectively build on knowledge and reach their objectives in being able to more effectively interpret interaction in a medical setting. It features the work of Roger Brown as the Deaf paitent; Anna Rabbers-Brown as his wife, Dr. Stephen Riendl, a cardiologist with HealthPartners, and Nancy Niggley, who is an interpreter working for HealthPartners.

Independent Study Packet:
An independent study packet, worth up to 2.0 CEUs in RID's ACET/CMP program, has been created by Doug Bowen-Bailey of Digiterp Communications with support from the RSA Region V Project. Entitled, Steps to the Beat, it gives concrete steps for how to work effectively with To the Heart of the Matter and this CD to build interpreting skills. To get this free download, visit the RSA Region V Project website and follow the link to their Independent Study page. (Available February 13, 2004.)

Preparation:
The CD has numerous links to internet resources to further develop understanding of the anatomy and physiology of the digestive system, as well as what possible complications and procedures might be encountered in a clinical setting. An example of this can be found by following the link on Angioplasty which is part of www.mercksource.com. In addition, the CD has suggestions for how to work with “To the Heart of the Matter” to more effectively build understanding of the anatomy and physiology of the digestive system, as well as what language to use to talk about it. The connection between these two CDs is even more fully developed in the Independent Study Packet, Steps to the Beat.

Consecutive Format:
The first step in working with this interaction is in a consecutive format. The video shows only the Deaf patient and his wife, and all parts of the original interpretation are removed. The video is also edited in such a way that each turn in the communication is its own movie. That is, when the Deaf person stops talking, there is a pause, allowing you to create an interpretation without concern for the original time constraints of the setting. After you have finished your interpretation, you can then begin the movie of the doctor's turn talking.

Observation:
After working consecutively, you have the opportunity to view the original interpretation as it was created during filming. Primarily a rendition of simultaneous interpretation, this model interpretation both gives you greater insight into the dynamics which created the situation, and also let you view the work of Nancy Niggley, an interpreter who specializes in medical settings. Using two camera angles, as shown in the frame below, the video allows you to see all participants in the interaction simultaneously so that you can have a much better sense of the interaction.


Interaction of patient, nurse, and interpreter

Simultaneous Format:
After observing the original interpretation, the video is presented in a format conducive to simultaneous interpreting which maintains the original timing of the interaction. Having worked with it in a consecutive mode, and then having observed the original interpretation, users are more effectively able to apply what they have learned.

Taken as a whole, this CD represents both a unique approach in preparing for interpreting in a medical setting and in practicing interpreting interactive appointments.


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