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Culture and Language Coaching Program

Two doctors with the Culture and Language Coaching Program providing care for a baby with its mother

The aim of the Culture and Language Coaching Program is to professionalize the use of Spanish in the health care and social service settings. We pursue this aim through 1-on-1 coaching of bilingual (Spanish-English) providers in linguistic and cultural knowledge, and skills.

Coaching includes in-visit observation and support of providers, a variety of supplementary learning activities and repeated formal assessments of providers’ professional language abilities. In addition, we provide technical assistance related to language and culture to the organizations where bilingual providers work.

Ultimately, coaching providers and their organizations improves the care they offer Spanish-speaking communities by enhancing communication, growing trust and increasing engagement.

Our programs

Adelante Kansas City

Adelante Kansas City is a grant-supported program that has expanded our culture and language coaching model to multiple behavioral health care sites in the Kansas City region. Coaches and bilingual behavioral care providers, such as therapists, service coordinators and home visitors, work in partnership to improve access to high-quality Spanish-language services and resources for Spanish-speaking clients. Our coaches and the professionals they support strive to provide the most culturally-appropriate, safe and respectful care in Spanish so their clients can be informed, empowered and engaged in their treatment.

CHiCoS (Clínica Hispana de Cuidados de Salud)

Word "CHiCoS" with illustrated turtle, cheetah and parrot dressed in clothes and smiling

CHiCoS residents in Yellow Clinic at the Children’s Mercy Broadway provide pediatric primary care for patients in Spanish with in-visit support from a culture and language coach, assuring the quality and safety of communication between physician and family. Coaches also help residents prepare to pass a validated qualified bilingual staff test, allowing them to safely and professionally care for their patients without the help of an interpreter.

Our services

Our culture and language coaches provide 1-on-1, personalized attention to bilingual health care providers in multiple areas of healthcare.

Coach Training

We are creating a "train the trainer" curriculum with the goal of increasing coaching capacity and sustainability within our current and future partner organizations.

Our culture and language coaches consult with leadership and staff at the centers where providers work to review current policies and practices related to language access and culturally appropriate care.

We are available to provide consultation and technical support to peers, including organizational recommendations, coach training and access to materials.

Learning portal

Learners can access virtual educational materials through Cornerstone.


To further your education, both our Adelante and CHiCoS program offer podcasts. 


The Culture and Language Coaching Program partners with multiple organizations in the Kansas City area and beyond to provide coaching services, create professional standards, and study the effectiveness of culture and language coaching and related educational models.

Student opportunities

The Culture and Language Coaching Program supports healthcare education by offering diverse experiences in clinical practice, non-clinical practice and research to undergraduate and postgraduate learners. Approval of requests to participate in student opportunities are based on the nature of the request and our ability to support it. Please contact Tiffany Chow at for questions.


We have compiled a list of websites that serve as great supplemental resources for the Culture and Language Coaching Program.

Contact the team

For inquires about the Cultural and Language Coaching Program, contact:

John “JC” Cowden, MD, MHP
Director, Culture and Language Coaching Program

Francisco “Paco” Martinez, MA, CHI-S
Program Manager, Culture and Language Coaching Program

Tiffany N. Chow, MA, MS
Operations Manager, Culture and Language Coaching Program

Janice Sanz
Administrative Support, Culture and Language Coaching Program


Medical Director, Office of Equity and Diversity; Professor of Pediatrics, University of Missouri-Kansas City School of Medicine; Clinical Assistant Professor of Preventive Medicine, University of Kansas School of Medicine