Speaker 1:0:00Hello, thank you for listening to subject to interpretation hosted by Augustine Delamora. My name is Claudia and my name's Kayla and we are the producers of this program. Before we get into today's interview with our special guests in Italia, Mito, Eva, who is the executive director at Cch I, which is the certification body for medical interpreters, we wanted to bring you the latest announcements from Delamora interpreter training and reminder, if you found us on facebook, we like to remind you that you may download us directly to your phone wherever podcasts are available. Now onto some more exciting news. We wanted to announce some of our end of the year courses including our language neutral court interpreter training program, which is assigned to help prepare future court interpreters for the state oral exam. You will learn the core methods and practice that have made us a nationally recognized interpreter training company and this is a big announcement that this will be the very last one taking place to see her, so don't miss it.
Speaker 1:1:02This course begins on October first and will be taught by Beatrice craney. Also to prepare for the 2019 federal exam. We have our course, which is the FCC written prep course, beginning September 25th. With this course, we will prepare you for the written test by administering a practice tests, reviewing and studying each section of the exam and going over vocabulary exercises. The links for both of these courses will be included in the description, so be sure to check them out now. Stay tuned for next week's podcast featuring Corinne Mckay. She is a certified French and English translator who also happens to be the president of Ata, which you may also know as the American translators association, which currently stands as the largest interpreter in translation association with over 10,000 members, so don't miss it. We do appreciate you all for listening in. We pride ourselves in being one of the very few podcasts for professional interpreters out there, so please share us with all of your colleagues. We would love to hear your feedback and slash or if you have any questions, please feel free to contact our office. And you will most likely speak to one of us until next week. Now enjoy the interview with Natalia Mito Hiva. Goodbye.
Speaker 2:2:24Well, welcome everyone to another edition of subject to interpretation where we discuss subject matter that is important to us in various fields, conference, medical, and legal interpretation. My name is Augustine said, have been there more. I'm your host and today I have the pleasure and the honor to have with me not badly. I was the executive director at the certification commission for healthcare interpret CCHI and I had the pleasure of meeting many years ago when we were at foraying into thinking about starting to train interpreters in the medical field and she was very instrumental in getting us position and learning about how to get an a certification as interpreter. So without any further ado, let me say good morning. How you doing?
Speaker 3:3:16Good morning, Augustine's. Thank you very much for this lovely introduction. Yes, it's been years since we've known each other and I'm really happy that we can reconnect virtually.
Speaker 2:3:26Yes. And uh, so now, terminals. I think the first thing that I would like you to tell us, first of all, how did you end up being a medical interpreter? This something that when you were a little kid playing with toys, you thought, I'm going to be a medical intern. Is that how it happened?
Speaker 3:3:41No, when I was a little kid I wanted to be a ballerina. So that didn't happen and I decided, well, the next big thing in Russia, that's where I'm from, is to do something where I can talk to people from different countries. And I remember I was at that time, so have you to union. And so that was fast. Everything foreign was fascinating to me. So I decided I wanted to learn a foreign language and by Korea started as a first teacher of English at the high school. Uh, but then I was a assistant professor at the university in southern Russia, Volgograd, uh, and uh, there I taught at interpreting theory and practice to, uh, students of a interpretation translation of those who wanted to be teachers of students of law, economics, so different kinds of fields. And um, that's when I started doing conference interpreting. And so my first introduction to professional was a conference interpreter.
Speaker 3:4:40Uh, I, uh, was, uh, different kinds of whatever happened in our city and then in [inaudible] 96 moved to the United States. And so it's, what am I going to do here? I tried some adjunct teaching at Kent State University. It's great, but it doesn't feel that you're connected to the world as much when you're in academia. It's lovely. I love it, but it is not as vibrant as being in the thick of things. So I, uh, started working for a nonprofit organization which resettled refugees in Akron area in Ohio. That's where I'm residing and it's called the International Institute of Akron. And for 13 years I was their manager of interpreting and translation services. And again, the story continues. It's a very thick plot here, so
Speaker 2:5:38we're always interested.
Speaker 3:5:40That's right. That's right. So I was thinking like, what should I do? Translation interpreting or an interpreting in court or a medical. And I had a wonderful friend who literally know, and many of listeners may, uh, uh, no is Isabel Framer. And tricia said, well, let's have a Gig in court interpreting. Well, I went to court twice and I said, you know, I really don't like Russian defendants. Uh, I already think that they're all guilty so I cannot be a quarter interpreter. I could be a court interpreter trainer. And I did that for awhile. I mean, it's because I, you know, back in Russia taught students of law, the English and interpreting and translation in Russian English. So I liked that area, but I am not a court interpreter. I could not, uh, be neutral. Uh, and I'm fine for victims. I mean, in terms of like I love them and I'm on their side 100 percent right? Bias, let's say. That's right. That's right. But you see the thing is to realize your limitations and then act on them either, you know, train yourself to be neutral, which I couldn't in this case. And I decided, no, I'm going to medical interpreting because they are, I can see that I'm doing good for both sides. Providers and patients and I could be a neutral and I could do good and that's how I ended up.
Speaker 2:7:05Yes. And obviously that one of the main differences, the environment, you know, when I started in the law and it's, as you say, very, it's adversarial and you not always interpret for nice people, sometimes they're not nice at all. And then in a medical field where it's collaborative, you don't have that problem that you're actually you and the medical provider and the patient, you'll have the same goal. And that's for the patient again. Well, so, so that's interesting. So you stuck with medical interpreting and then, uh, was there a certification when you started in the field? By the way you mentioned east. I think everybody knows one of these days I'm going to see if I can invite her and she's a very interesting person. She's super busy, but see if I catch her one of these days, I'll invite her to be in one of our podcasts because she really has been a champion for the interpreting profession for ever and a day in Ohio. So tell me how did you, uh, when you make the gym, because their certification at the time or.
Speaker 3:8:10No, and that's, you know, a wood was baffling to me because back in Russia you can call yourself an interpreter after you get your master's degree and interpreting. And my master's was in philology. So even though I did conference interpreting, it was looked down upon as the second tier because I really didn't get a master's in interpreting a. so, uh, I only got the jobs which nobody else wanted to take, right. Uh, and I learned to still love it, but I didn't want to get another master's obviously. So when I started the Korea here in 2000, I did the search. Google was still all friends there and I found the article by Hollow Mickelson about professionalization of community interpreting. And that's when I realized that, hey, all you need to do in this country is to call yourself an interpreter. If you speak two languages and you're good to go.
Speaker 3:9:05And I felt from that very moment that that's simply wrong. You know, if you think of the complexity of our job as interpreters and any field of the years of study, it's comparable to doctors, not to attorneys who studied, but they don't study as long as doctors do, right? You go through your medical school, you go through your residency, then you decide, you know, whether you want specialists and if you want to be a neurosurgeon, then you have to even have more training and specialization and interpreters. We take eight to 10 years to learn the language to the level which we could start interpreting and translating. Right? And then we specialize either interpreting or translators and then with specialized court medical conference and so why there is no requirement. So that's how I got passionate about starting to establish some standards and having ease as my mentor helped too because she was fighting for certification in Ohio for court interpreters.
Speaker 3:10:07And I, uh, whenever the national body of several association in the United States nchc the National Council for interpreting and Healthcare Ata translators association cheer, which is California Healthcare Interpreters Association. And I, Mia, they got together in around 2006 and put out a national proposal for anybody who wants to work on certification. Um, welcome to apply. We will form a coalition and that's when I applied. Then they picked me, as, you know, fitting one of the stakeholder groups. Uh, I was representing a refugee interpreting because I worked with refugee resettlement and by extension languages have less a diffusion, uh, and uh, after working on the coalition from 2007 until 2009, uh, out of that coalition, a National Coalition for certification in healthcare interpreting CCHI was born. And I was one of the founding commissioners then in 2012 became chair of CCHI. And then in 2013 we matured as an organization to hire the first full time staff person, that director. And that became me. So, uh, that's the short version of the path of how, uh, I feel very honored and proud to be part of creating this, uh, certification, a body and being part of the movement towards better quality of interpreting in the United States.
Speaker 2:11:43And that is wonderful. And that's why we wanted you to be with us because I think it's important for people to know that even though for many of us, I think that my introduction to interpretation was something like, do you speak Spanish? Do you have any experience? I told the guy who had done one deposition and that qualified me immediately to be according and probably like you did the first time I went to a court, I had no clue as to what I was saying and I was baffled as to how was I already considered it for actually they paid me for that day, which was even more baffling to we according to when I really had no idea what to do. So I started searching in the finding ways to, to push for certification. That's how I met a guy because I pushed very hard on.
Speaker 2:12:35We worked very hard to get certification going. It took us only about 10 years to convince the legislature. But we got it done. So. So now you are the executive director of CCA Chai and I would like you to give us a little bit of perspective because I think out there, even though a lot of people want to be interpreters and as you know, what we do in our company, we train interpreters in various fields including the medical field and when they call us, some of them have tried to find something but it's a little complicated to navigate how to become certified. And I was a little dismayed when I was doing one of my searches that one of the things that popped up was an article that was saying something about don't get certified or something like that. And I was discouraged to see it, but I realized that there's a lot of misinformation out there. So if I could first of all tells you guys are not an association. You don't have a bunch of members that have medical interpreters, do you?
Speaker 3:13:38No, we don't. Uh, and that's a very important distinction for us because when we formed the organization in July 2019, by the way, next year will be our 10th anniversary. We're excited and the plans, because you said it took you 10 years, so we would be, you know, uh, doing a lot of educational activities next year to publicize the 10 year of 10 anniversary of certification. So, um, oh, one of the important things to understand is in the certification industry put let's put aside interpreting for, for a, but there is an industry of certification which exists for different professions. Uh, architects, doctors, attorneys write in this certification industry. There is a model where association is tied with the examination body, but it is not a common model. It's more like an exception. The Standard is the certifying body is not a membership association which is totally independent from any industry interests.
Speaker 3:14:45So stakeholder groups and tries to combine the interests of every body by creating the, that benefits the public and the recipients of the service of that profession. In our case that will be patients. Uh, and so for that reason, Cchi is not an association. We are administering exams which are created based on the profession needs and our governing body. It is the board of commissioners who are volunteers and each fear presents different stakeholder groups practicing interpreters, of course already certified interpreters because they need to have a voice in decisions, a language companies, educators like your company or yourself, uh, uh, and uh, healthcare providers and then public member, which is the person who is not related to interpreting or interpreting industry at all just to make sure that we're not creating something that the public at large will not benefit from. So just like a voice of reason, like, okay guys, what the heck are you doing? Tell me what you're doing and I'll tell you if that fits into what the being the civic society and America is all about.
Speaker 2:16:00Right. That's exactly a good point. And that they ended up and I liked that concept of the independence of their board. So we don't have any influence from membership that could push on this or other direction instead of keeping this neutrality. So you formed Cchi with other people and how do you support yourself then if you don't have any members?
Speaker 3:16:25Well, because a certification is an industry and a business in a way, uh, uh, we support ourselves right now. We're very proud to be self sustained. In other words, we started with the help of the people, right? We couldn't have started on this. We are very grateful to about five slash six big companies that supported, doesn't the beginning who contributed. I'm just hard cash, uh, to help us start the program. We got some smaller companies contributing. We get grants from the beginning, from office of minority health to develop our, a written course, his exam, and the first Spanish exam. We've got grants from Robert Wood Johnson Foundation to develop our Arabic and mandarin exams. Uh, we got grants from Kaiser Permanente to develop the network of, uh, uh, to develop the continuing education accreditation program and the network of disseminating information. So over the first maybe three, four years of existence through the commissioners and public outreach, we raised over a million dollars. Just know we depend on fully and solely on the fees from examinations and continuing education accreditation fees.
Speaker 2:17:45So you are a certifying body. What languages are you certifying
Speaker 3:17:50at this point as a, at what do we call your certification? Well, it's a national certification and we have, if you want to make it a little simple, uh, it's two tiers, right? And the reason there are two tiers is because, uh, even though our principal is inclusiveness and equity, at the same time, we understand languages and interpreters working in those languages are not equal, right? Uh, if you're Spanish, obviously that's the number one language. You have more opportunities for training, you have more opportunities for full time job if you wish to be a staff person versus freelancer, if you're an interpreter of Russian, this already diminishes, but still it's comparable. But if your interpreter of Burmese Nepalis, Kinyarwanda, even Swahili, a, they're pretty much no trading opportunities for those languages. Uh, not an English but in their language. And, uh, there are very few full time jobs across the country where you can be just an interpreter with those languages.
Speaker 3:18:57So because of that, we have two tiers. The first tier is what we call core certification healthcare interpreter. And that is core Chi. That is a English exam in writing multiple choice, um, that is about, uh, the knowledge about the profession. So a code of ethics terminology, rollover. The interpreter is how you interact with different parties, uh, during the encounter, that kind of thing. And that certification is accredited with the Independent Body National Commission for certifying agencies, NCSA, and that is the first step. So, uh, if you, however we understand that we really need to make sure that people who know about interpreting can actually interpret, and that's our second tier, which is certified healthcare interpreting credential and that Chi and that exists in Spanish, Arabic and Mandarin. Uh, and uh, right now we have a little over 800 core Chi certificants, which are represent all kinds of languages.
Speaker 3:20:03Uh, the top once a, I'm a Russian with the Nice Korean Cantonese, um, Somali actually then Portuguese and um, the poly and hmong a close by and French. Uh, so these are the top, uh, languages for these certificates. And then we have a, about over 26, 2,700 a Chi certificants, majority of them Spanish. We have about 100 Mandarin and, uh, about 90 a Arabic, um, and since we realized that the more you add the oral component in specific language to fewer, uh, candidates, you would have who will take the exam and even fewer who will pass the exam because there are fewer training opportunities for these languages. Uh, what we have right now is a very exciting new project that we started this year. And, uh, we, uh, formed the national task force to help us proceed that direction is we are planning to conduct a study of possibility of creating an English to English oral performance exam for medical interpreters. It's a new all that hasn't existed in profession and we're very excited about. Then the field will hear more about it starting this fall.
Speaker 2:21:35Well, that's wonderful. That's very good news. I'm glad that we're, I guess some of the first to hear it so everybody will know and we'll let our people, our students know about it because this is very exciting and it's always a difficult component because in the, in the legal field that are always has been the rub. Right. How do you get this? Languages have less diffusion, at least tested somehow to see about their interpreting skills. So that's very good news. And, and please, if we can help in any way, shape or form, please counters in and we will love to participate in any form that we can in that project. So, uh, so while, while you already have, you said about 1600 people that are certified. See,
Speaker 3:22:26no. So 2:30 to 37 total. If we subtract 800 it becomes a what? Twenty 900? So 2,900 around that area. The number, uh, we have a public registry that's on our website, uh, that you can search a, the only tricky part right now is because we're in the middle of testing. We just finished testing for oral exams uh, yesterday. And uh, what happens is, uh, we're in the rating process which takes about six weeks and the time when the scores are released, the date of certification goes back to July. So we have about a hundred or 200 people who are not in the registry yet because the scores are not released. But, uh, it all together, that's what we have. Yes.
Speaker 2:23:19Well that's very encouraging to see the numbers growing up in that proportion because. So what do you think about the end users? Are there been more educated? Are you hearing more and more hospitals and healthcare providers asking for certification rather than just asking the typical question, do you speak Russian and can you be here tomorrow as the only qualifying question?
Speaker 3:23:42Oh, you know, it's a philosophical question. Is the glass half full or half empty? Right. But we do. The good thing is like seeing those since I've had the chance and pleasure of witnessing this for over several years now, I feel personally that there are more and more providers across the country that actually feel that certification is a starting point a. and it's both hospitals in language companies, uh, and um, and it encouraged, it is encouraging because, uh, you know, I can say that in every state there is at least one hospital that require certified interpreters as their staff. And then the next layer, which they are working on right now, is to require from their contracting agencies to have a freelance interpreter certified who come to interpret for that hospital. The interesting part is it's not the biggest hospitals usually. I mean we have all the big hospitals covered too, but I'm always surprised when there is some small hospitals in some small towns in, uh, you know, different states which adopts this.
Speaker 3:25:00One of the examples could be a valley view hospital in Glenwood Springs, Colorado. That's what they require. They provided for training of all their staff. They actually paid for this sort of vacation of their staff and uh, who interpret. They have bilingual staff interpreting. So they have a good team of about 20 certified interpreters. And that's a small town in. The other interesting example I can give you is there is a very interesting network of, uh, it's a cooperative of sorts of medical professionals who is not even a hospital. They are a, an, uh, a group of different clinics and different physicians in rural Oregon around Medford area. And to have a couple of other locations, they're in the middle of Oregon who also require certification and they're the ones who reached out to us because they said, you know, we can evaluate our physicians on utilizing certified interpreters for their patients and we have certain incentives for our physicians to encourage them to use certified interpreters and how can we move it forward. So it's really interesting initiatives and I'm so impressed with, uh, this and uh, actually, uh, the representative, uh, is coming to Oregon Healthcare Interpreter Association Conference on August 25th. Uh, so to talk probably about this or just to learn more about as interpreters. So it's a physician who is not a hospital is interested in this kind of thing. That's fascinating. That is fascinating. And I find it very encouraging
Speaker 2:26:44too. And it's interesting that you mentioned that because we have here in Orlando some huge hospitals, uh, that have staff and therapists that do not require them to be certified. And some confusion. I'm sure you're aware of the fact that some companies out there claim that they certify their own interpreters. And I was really a concern. But I guess there's not much we can do that. There was a company out there, I think they got bought, but it was called certified interpreters, a company itself.
Speaker 3:27:17Oh lovely.
Speaker 2:27:20Of course. I'm a certified interpreter. Right. I worked for. I like saying I'm a language line interpreter one. I'm a certified in services that worked for the company and so I went to this lodge hospital and say, oh no, all of our endeavors are certified and well that's wonderful. You should advertise that because that's not very common. And then when I asked him who certified them, it turns out that they have this certificate from a company that said, you know, we certify them so and so took a class with us and pass our tests, but that's not certification. So there was a little bit of confusion as to who is certifying body. Have you found that around a lot when people ask you about certification?
Speaker 3:28:00Absolutely. And I agree 100 percent and the education can never stop. But what we're trying to do is to adopt the jargon of healthcare providers so that if they require evidence based medicine, right. So they need to make sure that they have really pay attention to the evidence they gather about qualifications of their interpreters. And so, uh, the reason we accredited our core Chi exam, because we talked to land a stand that it is the minimal type of assessment, but it does meet the criteria of certifying a, uh, you know, industry and we have a degraded. It's so we have an oversight and reports to somebody who can look at how it's constructed, how it performs involved. So have Chi, Spanish exam, accredited, uh, with, uh, the national entity. So when we reach out to hospitals, we can tell them, hey, first of all, we use evidence in all always steps of creating certification exams and a national surveys through convening national panels of subject matter experts to write the content and we have an overseeing body and see that oversees certifications for nurses, for obstetricians, for all of your specialties.
Speaker 3:29:23So it's the same body wearing the same stream as you are. And what is exciting about this new study that English to English assessment for interpreters of languages have a limited diffusion is that this would be the first evidence based study that would compare, uh, the of the equality of testing in English, have some skills and how it translates to dual language testing. So we will be publishing this study a lot among healthcare professionals and hope to publish it in a medical journal a afterwards so that they can see that our profession is as evidence based and driven as they are. And hopefully they will when we start speaking, their language is right. We need to learn to speak their language. They will instill being confused about what we're doing.
Speaker 2:30:10Right. That is awesome. And yes, I was thinking again, you know, there's large companies here that this large hospitals that have some staff that are not certified. We just got contacted by a small teaching hospital a couple of hours here from Orlando. And funny enough they were all of their staff, the few members that they have understand that they are all certified and it is. But maybe maybe the size has something to do with the fact that they find it easy to comprehend. I don't know what it is, but we'll keep. We'll keep fighting. So before I let you go, I would like you to give us in five steps. Somebody calls me and says, how do I get certified? They easy answers to send them to your website, but tell us what are the steps that somebody has to go from. I don't know anything about this too. I want to be as Chi. What do I do?
Speaker 3:31:02Okay. First you need to understand that you need to have at least 40 hours of medical interpreter training. That's the prerequisite to so we can get you into the door and you need to have the documentation because with our application process, you need to upload a certificate for that or several certificates. If you wanted to gather among different programs and you need to have proof of your language proficiency. It could be different documents, doesn't matter. You have to proof of language proficiency in two languages, English and the other language. Then after your application is reviewed, you need to take the written exam and that's what that 40 hours of trainings would help you to. Do. You feel Spanish, Arabic and mandarin interpreters, 40 hours will not be enough to allow you to pass the oral exam. Yes, you can still take it, but you really need to have language specific skills training like a.
Speaker 3:32:00first of all, it made me give a little plug for you, Christine, because I love your training about simultaneous interpreting and on our exam we do have simultaneous piece and it's important for people at least to hear you in English talking about it, uh, or any other training providers. But you do a wonderful job on this particular. Because I listened to this topic several times. I love that. So they really need to have this additional skills training before they sit for the oral exam because 40 hours we'll never make any interpreter, but it's a minimum kind of prerequisite to get you to start the process. And after you take your oral exam, you passed it. You are certified. If fear, Spanish, Arabic and mandarin interpreter, the process could be as quick as a three months on average. People do about five months from the day you apply to the day you get your certificate.
Speaker 2:32:58Is it all in? Do you take the, when you get the oral exam, is it all done by computer now that you have to go to a specific location and do it in person?
Speaker 3:33:08It is computer based or web delivered, but you have to go to physical test sites for two reasons. One is security reasons or now rent, right? Because we want to make sure that our content is not compromised, so we have to have practice who observe you. But secondly, it's the it issues. Um, if, you know, if you have several people in your household and they'll start watching different Netflix, you'll start thinking. So it's important that if, because we all have computers but then not really capable sometimes to handle this a part where we do simultaneous interpreting via web because you're uploading and downloading audio at the same time. And we really don't, uh, you know, it's even the testing side sometimes have problems with that. Now, if the web is full of some updates that day, you may be unfortunate to have those problems. So that's why we ask people to go to a specific test sites.
Speaker 2:34:09Perfect. Carly, I know that we could spend, the rest of them are talking to each other, but this was super informative and enlightening and please let us know anything that we can do to help a Chi. We're going to have a conference here coming up in November. We'll send you information if you want to send those brochure or any information that you want us to share with the people participating. We'll be happy to do that. And a week, I mean any way, participate or help you guys with this education efforts for next year for your 10 year anniversary. We'll be happy to do that too.
Speaker 3:34:44Well, thank you Augustine. Thank you first of all for the honor of being on your podcast, but also thank you very much for this. Definitely we will collaborate and we'll be in touch because we will need help from a many to help us do that study and also we would love to be part of any local conferences or events so that we can together help, uh, interpreters understand how to get a professional, uh, and how to get better jobs because they have the right qualifications and to educate the field of providers of patients. So thank you very much.
Speaker 2:35:25Thank you. We'll see you soon. Let's, let's make you. Was He very soon?
Speaker 3:35:30Absolutely. Absolutely.