A Qualified Multilingual Assessment for Medical Students: A Cohort Study

Introduction Effective clinical communication is essential for delivering high‑quality care and directly impacts the safety of patients who prefer a non‑English language. However, no national standard exists for assessing oral non-English language skills among multilingual medical students in the United States. Methods From June 2024 to November 2025, medical students who self-reported "very good" or "excellent" oral proficiency in a non-English language were invited to complete the ALTA Speaking and Listening Assessment, a qualified multilingual assessment (QMA) used to verify skills for direct communication in clinical care for patients with non-English language preference. Surveys captured students' perceptions of the assessment and use of non-English languages with patients after their clinical rotations. We present descriptive statistics of quantitative data and content summaries of qualitative data. Results There were 92 eligible students who completed 102 ALTA exams. Of these, 81 students passed at least one assessment. Most participants rated the assessment as extremely or very accurate (n=28, 82.3%) and the scheduling process as very or extremely easy to schedule (n=35, 97.2%). Some found the assessment overly formal. Among the 24 students who completed clinical rotations, 66.7% were asked to interpret, and 50% regularly used a non-English language with patients. Students described increased confidence and rapport-building with patients. Conclusion The QMA was feasible and acceptable for medical students. More research is needed to differentiate skills for direct language-concordant care from medical interpretation.