title: How we developed Doctors Speak Up: an evidence-based language and communication skills open access resource for International Medical Graduates.
abstract: BACKGROUND
  Some International Medical Graduates (IMGs) need to develop language and communication skills for patient-centred care but have limited opportunities to do so.
  
  
  OBJECTIVE
  To develop an evidence-based, language and communication skills web resource for IMG doctors and supervisors, focussing on culturally challenging patient interviews.
  
  
  METHODS
  Forty-eight IMGs participated in four practice OSCEs. We video-recorded the interactions and applied discourse analytic methods to investigate salient language and communication features.
  
  
  RESULTS
  The findings from the OSCE workshops showed that many participants demonstrated aspects of patient-centred interviewing but were hindered by limited interactional competence to elicit information and negotiate behaviours as well as a limited repertoire of English grammar, vocabulary, and phonological phrasing for effective interaction. These findings guided the choice of content and pedagogy for the development of the web-based resource Doctors Speak Up.
  
  
  CONCLUSIONS
  Evaluation and uptake of the Doctors Speak Up website confirm the demand for a resource combining targeted communication skills and language instruction. Over 19 500 users visited the website between March 2012 and November 2013.
authors.affiliation: University of Melbourne , Australia.
authors.forename: Robyn
authors.initials: R
authors.lastname: Woodward-Kron
authors.forename: Catriona
authors.initials: C
authors.lastname: Fraser
authors.forename: John
authors.initials: J
authors.lastname: Pill
authors.forename: Eleanor
authors.initials: E
authors.lastname: Flynn
mesh_terms: D003142:Communication; D003194:Computer-Assisted Instruction / Q000379:methods*; D003469:Culture; D019317:Evidence-Based Medicine; D005550:Foreign Medical Graduates; D006801:Humans; D020407:Internet; D007407:Interviews as Topic; D007802:Language