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It has been argued that Canada contains two solitudes, based primarily upon its European founding languages: English and French.1,2 Bringing these solitudes closer requires effort and empathy. It also requires common words and phrases. This is the goal of this modest language primer for acute care practitioners. Many medical practitioners treat language-discordant patients and families (both within Canada and worldwide). Interpreters can be invaluable, and can avoid the loss of confidentiality that occurs if we rely upon family members. However, the unusual hours and time pressures of acute care medicine mean that we cannot assume translators will always be available. Moreover, patients who use translators are often less satisfied with their care, may be less informed when providing consent, and may demonstrate less outpatient compliance. Therefore, it is important that front-line practitioners have basic language skills. Empathy is integral to patient-focused care. Canadian and American data suggest that when we cannot communicate in a patient’s native language, we treat that patient differently.

canadian journal of general internal medicine

Medical French and Medical English: General Language Skills for a Bilingual Country/Langage médical francophone et anglophone: habiletés de communication médicales attendues dans un pays bilingue