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NATIONAL COUNCIL ON INTERPRETING IN HEALTH CARE WWW.NCIHC.ORG

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NAT

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WWW.NCIHC.ORG

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Housekeeping- Thissessionisbeingrecorded- Cer0ficateofA6endance*musta6endfull90minutes*[email protected]

- Audioandtechnicalproblems

- Ques0onstoElianaLobo- Q&A- Twi6er#NCIHCWebinar HomeforTrainersInterpreterTrainersWebinarsWorkgroup

Anini0a0veoftheStandardsandTrainingCommi6eewww.ncihc.org/home-for-trainers

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Welcome! GuestTrainer:

RosannaBalistreri

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BabyStepstoNote-TakingforConsecu0veInterpre0ng

RosannaBalistreriREACH-reachingdiversity

NCIHCHomeforTrainersWebinar

REACH-reachingdiversity©

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ImportanceofSeTngtheStageforEffec0veNote-Taking

•  Posi0oning(Face-to-FaceInterpreter)

•  Appropriatevolume/callquality(RemoteInterpreter)

•  Pre-session

•  Knowingnatureofconversa0on

•  Havingpaperandpen/pencilhandyREACH-reachingdiversity©

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NoteTaking–acogni0vetaskforconsecu0veinterpre0ng

REACH-reachingdiversity©

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Acogni0veskill–Whatdoesitmean?

•  ListeningPhase– Listening– Memory(workingmemory)– Note-Taking

•  ReformulaConPhase

– Note-Reading– Memory(long-termmemory)– Targetlanguageproduc0on

REACH-reachingdiversity©

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ListeningSkills

•  Goodlisteningleadstogoodnote-taking– A6en0on– Focusonmeaning– Comprehension– AnalysisandEvalua0on*– Responding– Remembering

REACH-reachingdiversity©

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•  Fundamentalmessageanalysistakesplacewhenyouunderstandthemessageorgetthegistoftheoverallmeaning

•  Themessageusuallyhasamainideaandsub-ideascons0tutedofgroupingofwordsorsentences

•  Thesegroupingsofwordsshouldbeconsideredatthelexicallevel,intheirsyntac0cstructure(i.e.,passiveversusac0veform)andtheirculturalframework

MessageAnalysis

REACH-reachingdiversity©

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MessageAnalysis–Syntac0cStructure

•  YoucaneatmostofyourFitbitdailycaloriesormighthavetoincreasethenumberdependingonyourlevelofac8vity

•  YoucanconsumetheamountofdailycaloriesindicatedbyyourFitbit,oryoumighthavetoconsumemorecaloriesdependingonyourlevelofphysicalac;vity

REACH-reachingdiversity©

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MessageAnalysis–CulturalContext

•  Korean–“IhavesomuchpainthatIwanttodie.”•  English–“Ihaveexcrucia0ngpain.”

REACH-reachingdiversity©

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MessageAnalysis–Lexicon•  Howwouldyoutakenotesof:–  Inanutshell

– Wearerulingoutcancer

– Thepa0entpulledthrough

– Wearegoingtonipitinthebud

–  It’srainingcatsanddogs

REACH-reachingdiversity©

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MemoryReten0on

•  Short-TermMemory–  Infoweholdonforabriefperiodof0meun0litdecays,isdiscardedorisdisplacedbynewinforma0on

•  Long-TermMemory–  Infoweholdontofordays,weeks,monthsandevenyears

REACH-reachingdiversity©

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Effec0veMemoryleadstoAccuracyandCompleteness

•  Memoriza0onprocess– Encoding– Storage– Retrieval

•  Strategiestorecallinforma0on(mnemonics)– Visualiza0on– Soundrepe00ons– Chunkinginforma0on– Summarizingimportantitems– Focusingonkeywords

REACH-reachingdiversity©

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Interpre0ngandNote-Taking

•  Note-takingisawidemethodtorememberinforma0onthatistypicallystoredinourSTM

•  Ininterpre0ngitisaskillthatneedstobedevelopedandprac0ced

•  Itisnecessarytobecomecomfortablewithconsecu0veinterpre0ngmodeinordertoperfectnote-takingskills

REACH-reachingdiversity©

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•  Ithelpstostayfocused,facilita0ngtherecep0onandanalysisofspeech

•  Ithelpsrecallinforma0onthatstaysinshorttermmemorysuchas– Unfamiliarwords– Numbers– Dates– Dosage– Propernames

•  Ithelpsinterpretermaximizememorybyreleasingshorttermmemorycapacityfromburdenandofferingcuestolinkevents

Note-Taking–why?

REACH-reachingdiversity©

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Note-Taking–OnRemoteInterpre0ng

•  VideoRemoteInterpreter–  Interpretermayhavetheperfectset-uptotakenotes

•  Over-the-PhoneInterpre0ng– Becauseinterpreterhasnovisualcuesofcommunica0on,note-takingcanbeastrategictooltomaximizelisteningandmemorycapacity

REACH-reachingdiversity©

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Note-Taking–What?

•  Themostsalientpoints,especiallywheninterpre0nginverydifficultandstressfulsitua0onsthatrequirealotofmemoriza0on

– Mainidea– Linksbetweenideas– Verbtense

REACH-reachingdiversity©

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Note-Taking–Whennotappropriate?

•  Inhighlyemo0onallychargedconversa0onwhereparalanguagecannotbeeasilynoteddown

•  Whendiscourseinnotlogicalandthoughtsaredisconnected

•  Whenconversa0onishappeningbetweenmorethantwopeopleandtheinterpretermayneedtoswitchtosimultaneousmode

•  Wheninterpreterisstandingforalongperiodof0me;inaprocedurewhereinterpreterhastoweargearforinfec0oncontrol;ordoesn’thaveaccesstonote-taking

REACH-reachingdiversity©

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Note-Taking–Inwhatlanguage?

•  Interpretercanchoosetotakenotesinthesource,thetargetlanguageoracombina0onofboth

•  Signlanguageinterpreterswilltakenotesinthespokenlanguage

REACH-reachingdiversity©

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Note-Taking–Whataboutlackofliteracyorlanguagewithnowri6enform?

•  Becausethefundamentalprincipleofnote-takingistocaptureideas,notescans0llbetakenintheformofshapesandsymbolsthattheinterpretercancreate.

REACH-reachingdiversity©

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Note-Taking–AsaTwo-StepProcess

1.Wri0ngnotes2.Readingnotes

REACH-reachingdiversity©

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PimallsofAd-hocNote-TakingNovice/untrainednote-takerstendto:

•  Writedownasmuchaspossible•  Writemostlywordsorsentences

•  Problem:

– Createalistening/memorybarrier

– Cannotreadtheirnoteseffec0vely» Toomuchinforma0onnoteddown» Poorlyorganized» Lotsofscribbling

REACH-reachingdiversity©

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Note-TakingEssen0als

Thefundamentalideabehindnote-takingforinterpretersistocapturethemeaninginsymbolform:

•  Abbrevia0onsandacronyms(lexicallevel)•  Numbers•  Standardsymbols•  Yourownsymbols

REACH-reachingdiversity©

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BuildingStrategies

REACH-reachingdiversity©

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FundamentalsofNote-TakingforInterpreters

•  JeanFrançoisRozanandAndrewGillies,twopioneerconferenceinterpreters,providetechniquestohelpstreamlinenote-taking.

•  Fundamentalcommonprinciples–  Isola0ngideas– Usinglinks– Ver0cality– Abbrevia0ons/Symbols

REACH-reachingdiversity©

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PrinciplesinPrac0ce•  Iden0fyideasNOTwords•  Useabbrevia0ons•  Usesymbols(links,verbtense,nega0on,emphasis,emo0ons/tone)

•  Movever0cally•  Usespaceonpapereffec0vely•  Drawalinehorizontallytoseparateideas

REACH-reachingdiversity©

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Morestrategies

•  Focusonthethreerela0onsbetweenideas:1.   Temporal–sequenceinwhicheventsoccurred2.   SpaCal–iden0fywho,whatandwhere3.   Logical–causeandeffect(if/then,therefore,

andso,etc.)

REACH-reachingdiversity©

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SampleListofAbbrevia0ons•  Bx Biopsy•  Dx Diagnosis •  Ex Exam •  Fx Fracture•  Hx History•  Fhx Familyhistory•  Mhx Medicalhistory•  Tx Treatment•  VS VitalSigns•  Abd Abdomen•  Bid twiceaday•  Pt Pa0ent•  PID PelvicInflammatoryDisease•  STDSexuallyTransmi6edDisease•  PMSPre-MenstrualSyndrome

•  H Hour•  D Day•  Wk Week•  mo Month•  Yr Year•  B4 Before•  P Aser•  6K Sick•  Ht Height•  ¯c with•  q Every•  d/c discharge;discon0nue•  UTI UrinaryTractInfec0on•  U/S Ultrasound•  CA Cancer

REACH-reachingdiversity©

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UsefulPrefixesandSuffixes

•  Dys(difficult,labored,painful)•  -agra(excessivepain)•  -oma(protrusion,tumor)•  Eu-(normal;good)

REACH-reachingdiversity©

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SampleListofSymbols•  <lessthan•  >morethan•  =equals•  ≈approximately•  ↑increase•  ↓decrease•  ∆change•  ♀female•  ♂ìmale•  /NegaCve

•  ìRaisingconCnuously•  îLoweringconCnuously•  UHappy,Likes•  ∩Sad•  ∅steerawayfrom•  !Pain•  ““Said•  ⎢⎢⎢Intensity•  Θtolook/view/review

REACH-reachingdiversity©

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YourOwnSymbol

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BabyStepstoPrac0cingNote-Taking

ACTIVITIES

REACH-reachingdiversity©

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SampleAc0vityTipsforAbbrevia0ons&Acronyms•  Goal– Buildlong-termmemoryreten0onofcommonmedicalabbrevia0onsandacronyms

•  Materials– Medicalabbrevia0onsandacronymsonalistthatcanbegivenasahandout

– Adeckofcardswithprintedwordsandabbrevia0onsastheonesonthehandout.Eachcardwillhaveafulldefini0onononesideanditscorrespondingabbrevia0onontheoppositeside

•  Modality– Theac0vitycanbedoneasawholeclassac0vityinacircleorbypairingtwostudents

REACH-reachingdiversity©

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•  Instruc0ons:Step1–Askstudenttoreviewthelistofabbrevia0onsandacronymsStep2–Op0on1inacircle:Distribute5cardsperstudentOp0on2inpairs:GiveeachstudenthalfofthedeckofcardsStep3–Op0on1inacircle:Eachstudentwilltaketurnstocallonadesiredstudentinthecircle;thestudentwillshowthesideofthecardwiththeabbrevia0onoracronym;thestudentcalledonwillhavetoguesswhattheabbrevia0onstandsfor.Op0on2inpairs:Studentswilltaketurnsshowingonecardata0meandhavetheotherstudentguess.Forexample:Studentwillshowacardwiththeabbrevia0on“Bx”andtheotherstudentwillneedtoguess“Biopsy”.Ifstudentguessescorrectly,thenthestudentholdingthecardcandiscarditaway.Theonewhorunsoutofcardsfirstwinsthegame.REACH-reachingdiversity©

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Prac0cingLexicalAbbrevia0on

•  Re-writethescriptbelowinanabbreviatedwayusingAcronymsandAbbrevia0onsprovidedonyourlist(donotworryaboutusingsymbolsforanythingelseatthis0me)

“Pa8entisdiagnosedwithsexuallytransmi=eddiseaseasaresultofsymptomsconsistentwithpelvicinflammatorydiseaseandexcessivepainduringthepremenstrualcycle.Shehasnoknownallergiesandvitalsignsarenormal.Pa8entisdischargedwithtreatmentofan8bio8cs.”

REACH-reachingdiversity©

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AbbreviatedForm

REACH-reachingdiversity©

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Prac0cinglexicalabbrevia0onandsymbols

•  Re-writethesamescriptbelowinanabbreviatedwayusingAcronymsandAbbrevia0onsandthesymbolsprovidedonyourlists.

– “Sixtyyear-oldfemalepa8entwasdiagnosedwithurinarytractinfec8on.Symptomsincludeincreaseinurina8onandburninginthelastweek.Pa8entpresentsnoothersymptomsatthis8meandaDerapelvicultrasound,shewasdischargedwithoralan8bio8cs.Followupwillbedonein2weekstocheckonprogress.”

REACH-reachingdiversity©

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AbbreviatedForm

REACH-reachingdiversity©

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Prac0ceLexicalabbrevia0ons,symbolsandspacing!

•  Remembertousespacever0callyinyourpapertodivideideas

•  Prac0cedrawingalinebetweenideastoseparatethem

•  Usesymbolstocreatelinksbetweenmainideasandsuppor0ngideas.

REACH-reachingdiversity©

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ROSANNABALISTRERI,MAOwner/HealthcareInterpreterTrainerwww.reach-reachingdiversity.comRosanna@reach-diversity.com619-630-0310

REACH-reachingdiversity©

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Resources

•  h?p://interpreters.free.fr/consecnotes/symbolexamples2.htm•  Rozan,Jean-François.Note-takinginConsecu;veInterpre;ng.

Trans.AndrewGillies.Ter0um.Poland,2004.•  Gillies,Andrew.Note-TakingforConsecu;veInterpre;ng:A

ShortCourse.St.Jerome.2005•  DevelopingNote-takingSkillsinConsecu0veInterpre0ng.Wei

Luavailableatscik.org/index.php/lce/ar;cle/download/699/343

•  NotetakingAndThePowerofMindMappinginConsecu;veInterpre;ng.NiLuhWindiari.UdayanaUniversity,Bali–Indonesia,2012

•  h?p://www.glendon.yorku.ca/interpreta;on/are-you-looking-for-a-fresh-take-on-consecu;ve/

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•  Nextwebinar:April7,2015at3PMCentral

•  SessionEvalua0on

•  Followupviaemail:

[email protected]

HomeforTrainersInterpreterTrainersWebinarsWorkGroupAnini0a0veoftheStandardsandTrainingCommi6ee

www.ncihc.org/home-for-trainers

Announcements

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WWW.NCIHC.ORGThankyoufora6ending!