Residency Training for Language-Concordant Care: How Effectively Can a Bilingual Emergency Medicine Residency Improve Outcomes for Patients and Hospitals?

Abstract

and communication skills.We also assessed comfort and perception of this novel simulation modality.Curricular Design: Eight AI-simulated cases representing common emergency presentations (chest pain, dyspnea, abdominal pain, and weakness) were developed using avatars with diverse patient backgrounds, communication styles, and personalities (Image 1).Residents completed a pre-survey, simulation encounter, post-survey, and final assessment.The system automatically captured metrics for diagnostic sequencing, time to critical actions, and management decisions, followed by structured debriefing.This is an IRB-approved project.Impact And Effectiveness: Eight PGY-1 residents completed all simulations.Across the first four cases mean Likert ratings ranged from 3.6-4.1/5,reflecting overall positive perceptions (Table 1).The largest pre-post gain was in comfort participating in simulation (+0.42), while other domains (perceived educational value, engagement, and clinical reasoning) remained stable.No statistically significant differences were observed, consistent with high baseline confidence and limited sample size.This pilot demonstrates that AI-simulated patient encounters are a feasible, safe, and responsible modality for EM resident training.

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