Identifying and Serving Patients with Limited English Proficiency (LEP)

This activity is part of a series


Monica E. Peek, MD, MPH, MSc
Ellen H. Block Professor of Health Justice in the Department of Medicine
Associate Director, Chicago Center for Diabetes Translation Research
Director of Research, MacLean Center for Clinical Medical Ethics
The University of Chicago
Chicago, IL
Monica E. Peek, MD, MPH, MSc

Monica Peek, MD, MPH, MSc is an Ellen H. Block Professor of Health Justice in the Department of Medicine. She is also the Associate Director, Chicago Center for Diabetes Translation Research, and Director of Research, MacLean Center for Clinical Medical Ethics. She is a practicing internist, medical educator, and clinician investigator. Her research pursues health equity and social justice, with a focus on promoting equitable doctor/patient relationships among racial minorities, integrating the medical and social needs of patients, and addressing health care discrimination and structural racism impacting health outcomes (e.g., diabetes, COVID-19). Dr. Peek has authored more than 200 peer-reviewed publications and abstracts on health care disparities, diversity, and bias; has been the principal investigator of multiple grants to address health disparities; and has been invited to speak at numerous local and national medical meetings.

Gustavo R. Negrete, CMI-Spanish
Chair, National Board of Certification for Medical Interpreters (NBCMI)
Certified Medical Interpreter (CMI)
Certified HIPAA Privacy Expert (CHPE)
Corona, CA
Gustavo R. Negrete, CMI-Spanish

Gustavo R. Negrete received his training at California State University, Fullerton in the Extended Education Program in Court Interpreting. In 2014, he achieved national certification through the National Board of Certification for Medical Interpreters (NBCMI), earning the title of Certified Medical Interpreter – Spanish. He is also a Certified HIPAA Privacy Expert (CHPE). Mr. Negrete is the current Chair of the NBCMI, serving previously as the Secretary of the National Board. He is President and CEO of a micro interpreting and translation company, fulfilling language access needs in medical, legal, community, education, and consulting areas, and is the new managing director of TransInterpreting. Mr. Negrete has over twenty years of experience in health care, having served in several clinical roles and departments prior to becoming an interpreter. He is a staunch advocate for language access, limited English proficiency (LEP) rights, and the interpreting profession as an active participant in organizations who lobby and/or promote these causes.

Rebecca Vargas-Jackson, MD
Public Health Physician
Health Risk, and Culturally Tailored Communication Expert
George Mason University & Howard University
Washington, DC
Rebecca Vargas-Jackson, MD

Rebecca Vargas-Jackson MD, is a surgeon and infectious disease specialist,  bilingual (English and Spanish), and has been working for over 25 years as a subject matter expert developing assessments, training, technical assistance, capacity building, and monitoring and evaluation,  on cultural competency in health care, health-related stigma, limited English proficiency (LEP) individuals, health risk communication, messaging transcreation, and health literacy. Dr. Vargas-Jackson’s work is  principally focused on underserved populations, racial/ethnic minorities, lesbian, gay, bisexual, and transgender (LGBT), hard to reach, and new immigrant communities. She is co-organizer of the annual International Stigma Conference at Howard University. Dr. Vargas-Jackson was one of the co-writers of the Department of Health and Human Services (DHHS) National Standards for Culturally and Linguistically Appropriate Services in Health Care.

Dr. Vargas-Jackson has been affiliated with George Mason University (GMU) as research faculty, in the College of Health and Human Services. At GMU, she taught courses on Principles of Global Health, and Health and Disease  and has facilitated partnerships between the University and community-based and faith-based organizations, and Historically Black Colleges and Universities (HBCUs) to develop alliances to apply for grants that target major health gaps and disparities affecting new immigrant and/or disenfranchised communities. During the COVID19 pandemic, Dr. Vargas-Jackson served as public health physician at the Virginia Health Department as a key member of the cultural and equitable communications team.

Dr. Vargas-Jackson was Senior Vice President for Research at the National Association of People with HIV/AIDS (NAPWA). She led projects to increase HIV prevention and treatment and develop community mobilization interventions to increase participation in testing to facilitate access to health care, prevention, treatment, and follow-up services.

Dr. Vargas-Jackson also served as the Executive Director of Health and International Programs at WRMA Inc. , and Co-Principal Investigator (PI) and Director of Research at Whitman Walker Clinic in Washington, D.C. She has  directed and lead a variety of programs at institutions such as Howard University Hospital, The George Washington University, Northern Virginia Community College, the Department of Health and Human Services, the Hispanic Committee of Virginia, D.C. Tobacco Coalition, D.C. Asthma Coalition, the American Lung Association, National Latino Behavioral Health Association, and National Latino Council on Alcohol and Tobacco Prevention., Dr. Vargas-Jackson has in-depth knowledge of health care systems, lack of health professionals, and other gaps affecting a variety of countries in Africa, Eastern Europe, Central, and South America.

At Howard University, close to 25 years ago, Dr. Vargas-Jackson developed the first Office of Multicultural Services,  was Co-PI in the first AIDS clinical trials for minorities,  and developed summer programs for D.C. disenfranchised youth groups to increase the youths’ knowledge and understanding of health professions and the shortage of ethnically and culturally diverse health providers.

Statement of Need

Patients who do not speak English as their primary language and who have a limited ability to read, speak, write, or understand English can be “limited English proficient” (LEP). These patients struggle to engage with the health care system due to language barriers; clinicians often lack the training or awareness to effectively communicate with individuals with LEP. Outcomes reflect this, as patients with LEP experience more safety events, medication errors, increased hospital length of stay, and unanticipated return visits to the emergency department. Use of medical interpretation services can mitigate some of these risks, but interpreters need to be certified, not family or untrained staff. Clinicians need training to work effectively with the interpreter to maximize patient understanding. When clinicians practice cultural humility and partner with certified medical interpreters properly, communication and diagnostic accuracy improve dramatically.

In this CME Outfitters webcast, expert faculty will discuss ways to identify patients with LEP as early as possible to initiate proper medical interpreter use and improve clinician/patient communication.

Learning Objectives

  • Identify patients with limited English proficiency (LEP) with cultural humility.
  • Coordinate appropriate translation/transcreation services for your patients with LEP.
  • Integrate spoken and/or written tools into your communication with patients who have LEP.

Financial Support

Supported by an educational grant from CareSource.

Target Audience

Physicians, nurses, nurse practitioners (NPs), pharmacists, physician associates (PAs), social workers, and other health care professionals within the CareSource network.

Credit Information

Jointly Accredited Provider

In support of improving patient care, CME Outfitters, LLC, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Interprofessional (IPCE) 1.0

This activity was planned by and for the healthcare team, and learners will receive 1.0 Interprofessional Continuing Education (IPCE) Credit for learning and change.

Physicians (ACCME) 1.0

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

Nurses (ANCC) 1.0

This activity is designated for 1.0 contact hour.

Note for California Nurses

This continuing nursing education activity was approved by the California Board of Registered Nursing. CME Outfitters, LLC’s provider number is CEP15510.

Pharmacists (ACPE) 1.0

This application-based activity is approved for 1.0 contact hour (0.10 CEUs) of continuing pharmacy credit.
Activity UAN: JA0007185-0000-23-092-H01-P

Physician Assistants (AAPA): 1.0

CME Outfitters, LLC, has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. Approval is valid until the expiration date listed above. PAs should only claim credit commensurate with the extent of their participation.

Social Work (ACE) 1.0

As a Jointly Accredited Organization, CME Outfitters, LLC is approved to offer social work continuing education by the Association of As a Jointly Accredited Organization, CME Outfitters is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing cultural competence credit. Social workers completing this course receive of 1.0 continuing education credits.


Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 medical knowledge MOC point in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Royal College MOC

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and mitigated any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process.

Dr. Peek reports no financial relationships to disclose.

Mr. Negrete reports no financial relationships to disclose.

Other financial or material support: Mr. Negrete owns and operates two businesses, GRN Interpert/Training Services Inc. and TransInterpreting. His position as Chair of the NBCMI is a volunteer position and does not provide income.

Dr. Vargus-Jackson reports no financial relationships to disclose.

Disclosures were obtained from the following peer reviewer and CME Outfitters, LLC, staff, with no disclosures to report:

  • Joshua Caballero PharmD, BCPP, FCCP (peer reviewer)
  • Thomas Mitchell (peer reviewer)
  • Mary Gleason, PhD (planning committee)
  • Evan Luberger (planning committee)
  • Jessica Whelan, DNP, APRN, FPMHNP-BC, RN-BC (planning committee)
  • Susan H. Yarbrough, CHCP (planning committee)
  • Sandra Caballero, PharmD (planning committee)
  • Sharon Tordoff (planning committee)

Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.

Obtaining Credit

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (75% pass rate required). This website supports all browsers except Internet Explorer for Mac. For complete technical requirements and privacy policy, visit our Privacy & Confidentiality page.

Questions about this activity?

Call us at 877.CME.PROS (877.263.7767).


Identifying and Serving Patients with Limited English Proficiency (LEP)
Event Date: 09/01/2023