1. ……………………………………………………………………………………..………………………………….…………………………………………………………………………………..…….. ……………………………………………………………………………………..…….. Eliminating Accent Barriers in Healthcare

2. ……………………………………………………………………………………..………………………………….…………………………………………………………………………………..…….. ARI: Company Profile Mission: Eliminate language barriers while maintaining unique cultural identities What we do: Accent Reduction/Modification/Neutralization What we don’t do: Accent Elimination Who we are: Cognitive/Socio/Applied Linguists Who we serve: Cross-industries

3. ……………………………………………………………………………………..………………………………….…………………………………………………………………………………..…….. State of the Union 27.3% physicians, 20.1% nurses, and 18.7% dentists, pharmacists, and lab technicians are foreign born Waslin, “Foreign-Born to Help Fill the Gap” 39% of today’s physicians are “baby-boomers” Palmer, “Adventures in Medicine” The incidence of errors increases with non-native English speaking hospitalists Joint Commission, 2009

4. ……………………………………………………………………………………..………………………………….…………………………………………………………………………………..…….. Resulting in… Press Gainey surveys Joint Commission mandates Feedback from the field… - Patient surveys - “You’re not the only game in town” Physician Recruitment 2011 ARI initiative

5. ……………………………………………………………………………………..………………………………….…………………………………………………………………………………..…….. Prospective Solutions De facto Accent Reduction - Mastering English Pronunciation Accent Comprehension - Decoding Foreign Accents

6. ……………………………………………………………………………………..………………………………….…………………………………………………………………………………..…….. Accent Reduction: Debunking the Myth Why do children learn language “easier”? -Debunking the myth: The “Critical Period” -Dopamine rush -The fear factor: “make mistakes faster” Adults and Children: Building a neural network - Auditory perception: white noise vs. phoneme discrimination - From infancy to fluency: Native Language Neural Commitment (NLNC) - Who has an accent? Why are they difficult?

7. ……………………………………………………………………………………..………………………………….…………………………………………………………………………………..…….. Accent Reduction: Methodology Objective: Learning outcomes Visual Kinesthetic Auditory Some examples

8. ……………………………………………………………………………………..………………………………….…………………………………………………………………………………..…….. The Speech Apparat Gum ridge Hard palate Soft palate

9. ……………………………………………………………………………………..………………………………….…………………………………………………………………………………..…….. Learning Outcomes Building Muscle Memory 73.4% improvement with 14.5 hrs. instruction Confidence Ability to self-correct…feedback loop Accent barrier vs. language barrier

10. ……………………………………………………………………………………..………………………………….…………………………………………………………………………………..…….. Accent Comprehension: DFA® Request by AMA Past performance with AHDI and DoD Demo

11. ……………………………………………………………………………………..………………………………….…………………………………………………………………………………..…….. Challenges AR and DFA: Nascent Industries Problem vs. Solution Messaging ARI specific

12. ……………………………………………………………………………………..………………………………….…………………………………………………………………………………..…….. Solutions Asynchronous learning Virtual learning platforms Train the Trainer programs

13. ……………………………………………………………………………………..………………………………….…………………………………………………………………………………..…….. Questions? Contact: Judy Ravin, President and Founder ARI, Inc. 320 Miller Ave. Ann Arbor, MI. 48103 734.665.2915 (main) 734.272.0034 (direct) judy@lessaccent.com