Which practice is a best practice when using interpreters in clinical encounters?

• A. Use family members as interpreters
• B. Speak in the third person to maintain distance
• C. Pre-briefing is unnecessary
• D. Use qualified interpreters and speak in the first person

Answer: (D)

The best practice when using interpreters in clinical encounters is to work with qualified medical interpreters and to communicate directly in the first person. Qualified interpreters have training in medical terminology, ethics, and confidentiality, which helps ensure accurate translation and patient safety. They can navigate complex clinical information, consent, and culturally nuanced cues without introducing personal bias or errors that can come from ad hoc interpreters or family members. Speaking in the first person keeps the clinician–patient interaction direct, promoting clearer understanding, involving the patient in the conversation, and making it easier to verify comprehension and informed consent. This approach also helps preserve the therapeutic relationship and reduces the risk of miscommunication that can occur when messages are indirect or filtered. Pre-briefing with the interpreter is a helpful additional step, but the core benefit lies in using a qualified interpreter and maintaining direct, patient-centered communication.