Making the Tough Decisions

  • 08/25/2018
  • 09:30 - 11:30
  • Virginia Mason Memorial (Yakima), Classrooms A and B
  • 43


Please complete payment within two weeks after registration. Registration will be cancelled if payment is not complete within two weeks from registration date.

  NOTIS and Virginia Mason Memorial present

Making the Tough Decisions
A skills-building workshop
on interpreter ethics in healthcare settings

The world of the healthcare interpreter is fraught with difficult ethical dilemmas and the need for making in-the-moment decisions. For example, if a patient asks that certain information not be interpreted, do you keep it confidential even if the non-disclosure may harm the patient? Do you interpret everything accurately even when the message could impact or destroy the patient-provider relationship? Do you withdraw from a medical encounter that is too complicated for you when that means the patient will get no interpreter at all? How is an interpreter to decide?

This workshop will introduce experienced healthcare interpreters to a process for thinking about these difficult situations and for quickly making ethical decisions about what to do.

The class will begin with a quick review and comparison of two Codes of Ethics: the National Code of Ethics for Interpreters in Health Care and DSHS’ Interpreter, Translator, and Licensed Agency Personnel Code of Professional Conduct. Participants will then learn the ethical decision-making model included in the California Healthcare Interpreting Association’s Standards of Practice. Concrete examples will be used to show how to apply the model to real-life situations. Finally, participants will break up into small groups, each of which will have an ethical dilemma to consider. Groups will apply the CHIA model to the dilemma and come up with one or several acceptable responses to the dilemma. These will then be shared with the larger group for consideration and, if there is time, for further discussion.

Who is teaching?     
Cindy Roat
is a national consultant and trainer with 23 years’ experience in the healthcare interpreting field. With an MPH in International Health Services, Cindy has made significant contributions to the healthcare interpreting field in the areas of training, program development, policy formulation, advocacy and organizational outreach. Her written works are key resources for interpreters, providers and administrators alike. Cindy was the principal author of Bridging the Gap, and her most recent book, Healthcare Interpreting in Small Bites, is being used as an ancillary text at many basic training programs. Ms. Roat is a former Co-chair of the National Council on Interpreting in Health Care (NCIHC), a founding member of WASCLA, current chair of the Community Interpreter Division of NOTIS, as well as being known nationally as an energetic advocate for the field of health care interpreting and for language access in general.

  Saturday, August 25, 2018

Check-in at 9:00 am.
PLEASE ARRIVE AT 9:00 to sign in.
Class from 9:30 am – 11:30 am

Where?  Virginia Mason Memorial, Classrooms A and B
2811 Tieton Dr., Yakima, WA 98902

Cost?  $25 NOTIS members, $40 Non-members (Join NOTIS at )  

Registration? Via the web (before midnight on August 22nd
Click the register button below and pay online.

After registering, you will receive an email confirmation; if you do not receive a confirmation, your registration did not go through.

Please submit a separate registration form for each person registering.

Online registration only. Mail in registration is not available.

Please note: space in this workshop is limited to the first 60 applicants.

Refunds? We regret that no refunds can be given after August 22nd. A $10 processing fee will apply for refunds requested before August 22nd.   

Directions?  Directions to Virginia Mason Memorial can be found at

Refreshments? In order to offer this unique opportunity at an affordable price, no refreshments will be provided. We encourage you to bring your own coffee and snacks. If you choose to stay for workshop on culture brokering in the afternoon, there is a cafeteria at the hospital where you may purchase lunch.

CE credits?  Two (2) credits have been approved from the ATA.
Two (2) Ethics CE credits for this workshop have been
approved from the Washington State DSHS (Please note that certified interpreters need at least 1 ethics credit per year to maintain their certification). Two credits have also been requested from the Washington State AOC, CCHI.
Certificates of Attendance will be awarded to all who arrive on time and stay for the entire workshop.

Anything else?  If you require accommodation, please contact the NOTIS Office Manager ( at least 3 weeks in advance if possible.

Questions about class content? Please contact Cindy Roat at

Questions about registration? Please contact Naomi Uchida at

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