How to Become a Medical Interpreter: Credentials, Training, and Certification
A Fast-Growing Occupation
If you're bilingual and are considering becoming a medical interpreter in your language pair in the U.S., I have good news: The medical interpreter profession is exploding.
According to the U.S. Department of Labor, employment for interpreters is expected to grow 29 percent from 2014 to 2024, which is a faster growth rate than the average for all other occupations combined.
What is your main concern about becoming a medical interpreter?
This article will cover:
- What medical interpreters do
- Modes of medical interpreting
- Medical interpreting services
- How to become a medical interpreter
- How to become a certified medical interpreter (CMI)
- The education you need to work as a medical interpreter
- How to get involved in your local medical interpreters organization (and how it can help you)
Cultural awareness refers to the ability to understand the beliefs, values, and ways of thinking of people from different cultures.
1. What is Medical Interpreting?
Medical interpreters function as conduits and clarifiers between medical providers and patients by accurately interpreting oral communication from the first language to the second language back and forth between the parties.
Interpreters in the medical field must have a thorough knowledge of medical terminology in both languages. They must have cultural awareness and advocate for patients when necessary. They're expected to adhere to a national code of ethics for interpreters in health care and to national standards of practice for interpreters in health care.
Medical interpreters work in all specialty areas, and they work across a wide range of medical facilities including hospitals, rehabilitation facilities, and mental health clinics.
Interpreters in health care must be excellent listeners and be attentive to non-verbal cues, such as facial expressions and body language, in order to fully understand and accurately interpret all communication.
Specialty Areas in Which Medical Interpreters Work
2. Modes of Medical Interpreting
- Simultaneous Interpreting: The medical interpreter interprets as he listens to the speakers. There is no room for pause as the conversation between the respective parties must continue without interruptions. This mode of interpreting is most commonly seen in conferences and presentations with large audiences.
- Consecutive Interpreting: The medical interpreter interprets when the speakers pause. The interpreter may take notes while listening, and possibly ask the speakers for clarification to ensure accuracy of the intended message. This mode of interpreting is most commonly seen in medical facilities.
While medical interpreters generally use both modes of interpreting during assignments, consecutive interpreting is used most often.
3. Medical Interpreting Services
- On-Site Interpreting: Interpreters are physically present at the location of the assignment and are therefore able to both see and hear the parties they interpret for. To learn what it's like working as an on-site freelance medical interpreter, click here.
- Over-the-Phone Interpreting (OPI): Interpreters speak with the designated parties only by phone and are therefore unable to see them. OPI requires strong listening skills without the aide of visual cues.
- Video Remote Interpreting (VRI): Interpreters use a camera and microphone to communicate with the designated parties. VRI enables the interpreter to both see and hear the speakers, and to pick up on non-verbal cues which are missed with OPI.
4. How Do I Become a Medical Interpreter?
You Must Complete an Accredited Medical Interpreter Training Course
To become a medical interpreter, you must complete a 40-hour minimum accredited medical interpreter training course.
You must demonstrate proficiency in your language pair. To qualify for a medical interpreting training course, you must demonstrate native or near native-level proficiency in both English and a second language.
Accredited medical interpreter training programs will request evidence of your proficiency in both languages as part of their initial screening process.
They may ask for school transcripts showing the countries where you attended high school or college and the languages your classes were taught in.
They will also likely require that you pass an oral language proficiency exam in one or both of your spoken languages.
Take the training through a local agency if you can. Interpreting agencies often offer accredited medical interpreter training. Contact well-respected language agencies in your area, or visit their websites, to find out if they do.
Taking the training through a local, reputable agency can be very helpful as it may open the door for employment opportunities with that agency later; language companies are more likely to offer you work if you've successfully completed their medical interpreter course.
Even if they don't need interpreters in your language pair when you're looking for work, they're more likely to contract you in the future over other interpreters who have taken a training elsewhere.
Some training programs are more widely recognized. It's important to be aware that some medical interpreter training programs may be more widely accepted by some agencies and medical facilities than others.
For example, in Colorado, many language agencies and medical facilities prefer to hire interpreters with the Bridging the Gap training.
Obtain your certificate of completion. Most training programs take several months to complete, and once you successfully pass, you're awarded a certificate of completion. You are now officially a medical interpreter!
Certificate and Certification: What's the Difference?
You can obtain a certificate for successfully completing a medical interpreter training program. You obtain certification by passing a national exam for medical interpreters.
5. Become a Certified Medical Interpreter (CMI)
Once you've successfully completed an accredited medical interpreter training program, you qualify for national certification.
Although many language agencies and medical facilities do hire interpreters without national certification, an increasing number of them are raising the bar and requiring that their interpreters – both in-house and independent contractors – be certified.
Obtaining certification is a way to distinguish yourself from other medical interpreters and can give you an edge in getting hired by language companies and medical facilities. To become a certified medical interpreter (CMI) you must pass specific national certification exams.
There are currently three ways to become a CMI:
1. National Board of Certification for Medical Interpreters (NBCMI) The NBCMI exam has both a written and an oral component and offers certification in six languages: Spanish, Cantonese, Mandarin, Russian, Korean, and Vietnamese. NBCMI currently offers online proctoring which enables you to take both the written and the oral exam either at an on-site location or from home.
- 7 Tips to Help You Pass the NBCMI Oral Exam
This article presents 7 tips that helped me prepare for and pass the 12 mini-scenarios section of the National Board of Certification for Medical Interpreters (NBCMI) Oral Exam.
2. Certification Commission for Healthcare Interpreters (CCHI) The CCHI exam consists of a written and oral component and currently offers certification in Spanish, Arabic, and Mandarin. To this date, both exams are offered on-site only.
3. Registry of Interpreters for the Deaf (RID) The RID exam is specific to sign-language certification and is available on-site only.
6. Do I Need a Bachelor's Degree to Work as a Medical Interpreter?
Having a bachelor’s degree in interpretation or in a foreign language is common among interpreters, but not necessary. Some interpreters have a bachelor’s degree in another field, and some interpreters don’t have a college degree at all.
That said, many medical facilities and agencies do prefer and some require that their interpreters have a bachelor’s degree as a basic credential.
In addition, having a bachelor’s degree or a higher level of education enables you to negotiate higher rates as an independent contractor and a higher salary if you work directly for an agency or medical facility.
7. Get Involved in Your Local Medical Interpreters Organization
If you're contemplating the possibility of becoming a medical interpreter, a great starting point is to become involved in your local medical interpreters organization.
You can learn a lot just by attending their meetings, listening, asking questions, and interacting with interpreters who are active in the field.
You may also learn which interpreting agencies are the most respected in your area and whether or not they offer accredited medical interpreter training.
If you have already completed a medical interpreter training or obtained certification, connecting with your local medical interpreters organization is a valuable way to network to find employment.
Owners of language agencies often come to these gatherings in part to recruit new medical interpreters, so showing up is a great way to get your foot in the door before you start applying to language agencies.
Make sure you have business cards ready to hand out to potential clients!
The International Medical Interpreters Association (IMIA) is an excellent medical interpreters organization I strongly recommend joining. They have chapters all across the U.S. and overseas.
For a list of IMIA Chapters in the U.S., click here.
For a list of IMIA Chapters outside of the U.S., click here.
If this article was helpful to you, you may be interested in the following articles:
- What Is It Like to Work as an On-Site Freelance Medical Interpreter?
- How to Apply to Language Agencies as a Freelance Medical Interpreter
- How to Set Your Rates as a Freelance Medical Interpreter
- 12 Essentials for Medical Interpreter Assignments: What to Take With You
- 7 Tips to Reduce Stress as an On-Site Freelance Medical Interpreter
This article is accurate and true to the best of the author’s knowledge. Content is for informational or entertainment purposes only and does not substitute for personal counsel or professional advice in business, financial, legal, or technical matters.
Questions & Answers
What's the difference between the NBCMI exam and the CCHI exam?
When I was preparing to take the NBCMI exam several years ago, I remember hearing from seasoned interpreters that the NBCMI exam focused more heavily on medical terminology and medical concepts, whereas the CCHI exam focused more on the code of ethics for medical interpreters. I also remember getting a sense that the NBCMI exam was considered to be a more difficult exam, more difficult to pass than the CCHI exam. I never took the CCHI exam but I thought the NBCMI exam was indeed challenging and I did not pass the first time. You can find details about what each exam will look like in each of the organization's websites, under "Certification" or "Get Certified."Helpful 7
Do you think I can still be a medical interpreter even if I am barely able to speak the second language?
In order to be accepted into a medical interpreter training program, you must demonstrate high proficiency in the second language. If you are not already highly proficient in the second language, I recommend taking language classes or living in a country where the second language is spoken so that you can gain proficiency in that language.
What schools offer courses for becoming a medical interpreter?
A good starting point for finding schools that offer this course is by visiting this link on the IMIA website: http://www.imiaweb.org/education/accreditationhist...
I also recommend contacting language agencies near you to see if they offer any medical interpreter training courses. Just make sure they're accredited by the National Commission for Certifying Agencies (NCCA) and by the Commission for Medical Interpreter Education (CMIE). The advantage of taking a training at a language agency near you is that it may open doors for employment there.Helpful 4
Do the certificate of completion, and/or the national certification transfer across states?
National certification does transfer across states and the certificate of completion should transfer across states also--as long as the training you took is accredited by the National Commission for Certifying Agencies (NCCA) and by the Commission for Medical Interpreters Education (CMIE).Helpful 3
Is there a difference in getting certified by NBCMI versus CCHI or a benefit in getting certified by one over the other?
Regarding getting hired by agencies or medical facilities, I don't think it matters whether you are certified through NBCMI or CCHI. I think that being certified is what they will notice, and it is looked upon very favorably. Both the NBCMI and CCHI are very respectable and I personally never sensed that one was looked upon (by agencies or medical facilities) as "better" than the other.Helpful 1
© 2016 Geri McClymont