When there is a gender difference between the patient and clinician, what is the BTG best practice for interpreter selection?

• A. Always interpret neutrally regardless of request
• B. Let the patient decide after the visit
• C. Use a gender-concordant interpreter if requested and available; otherwise interpret neutrally.
• D. Avoid using gender-concordant interpreters

Answer: (C)

When a gender difference exists between patient and clinician, prioritizing patient comfort and effective communication guides interpreter choice. If the patient requests a gender-concordant interpreter and one is available, use that interpreter to reduce discomfort and help the patient share information more openly. If no gender-concordant interpreter is available, proceed with a professional interpreter who can remain neutral and accurately translate without bias. This approach respects patient autonomy while maintaining interpreter neutrality and accurate communication. Choosing to interpret neutrally regardless of request or avoiding gender-concordant interpreters can undermine trust and the patient’s willingness to disclose important information.