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Grand Rounds: Bridging the Language Gap for Inclusive Healthcare with Non-English-Speaking Families and Gun Violence


By Prabi Rajbhandari, MD, and Cooper White, MD , Akron Children's Hospital, Akron, OH

Hospital Medicine , Locust Pediatric Care Group

More about Prabi Rajbhandari, MD
More about P. Cooper White, MD, FAAP

Objectives (Educational Content) :

1. Identify the impact of language barriers on healthcare outcomes for non-English speaking families, including disparities in access, quality of care, and patient safety. 2. Examine strategies and best practices to improve language access and communication with non-English speaking families in healthcare settings, such as improving process for interpreter services, and leveraging health IT. 3. Analyze the positive impact of Graduate Medical Education (GME) training and workplace training in advocating for the needs of non-English speaking patient/families. 4. Describe the demographics of gun violence as it affects the pediatric population of Northeastern Ohio. 5. Consider temporal trends in gun violence affecting youth in our area. 6. Describe the geographic variation in prevalence of gun violence in our area and what factors may contribute to that variation.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

Mortality from Firearms is now the leading cause of death in children and young adults aged 1-24, with substantial disparities existing between racial groups and socio-economic groups. The pandemic brought about significant increases in rates of shootings and exacerbated the existing disparities. Linguistic services are critical to providing equitable health care for families with non-English language preference. Identifying the language barriers, including disparities in access, quality of care and patients are focused on in the healthcare setting.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:


Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.


The following presenters have identified that they have no financial relationships with any ineligible companies: Prabi Rajbhandari, MD and Cooper White, MD

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


Crossing Lines — A Change in the Leading Cause of Death among U.S. ChildrenN Engl J Med 2022; 386:1485-1487; DOI: 10.1056/NEJMp2200169​;  Lois K. Lee, M.D., M.P.H., Katherine Douglas, M.D., and David Hemenway, Ph.D.​ injury/WISQARS

Analyzing Child Firearm Assault Injuries by Race and Ethnicity During the COVID-19 Pandemic in 4 Major US Cities​

JAMA Netw Open. 2023;6(3):e233125. doi:10.1001/jamanetworkopen.2023.3125

Firearm-Related Injuries and Deaths in Children and Youth: Injury Prevention and Harm Reduction; Pediatrics (2022) 150 (6): e2022060070.​​

Interpreter Use for Limited English Proficiency Patients/Families: A QI Study ​Hosp Pediatr. 2021;11(7):718-726. doi:10.1542/hpeds.2020-003889

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