Original Investigation

Language Accessibility at Select Academic Ophthalmology Centers Across US Metropolitan Areas

JAMA Ophthalmology 10.1001/jamaophthalmol.2025.5751

January 15, 2026 at 11:00 AM EST

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How well do physician language skills at US academic ophthalmology centers align with the linguistic needs of surrounding limited English proficiency populations?In this cross-sectional study of 32 academic ophthalmology programs across 28 metropolitan areas, average language coverage was 55% in the Northeast, 53% in the South, 40% in the West, and 32% in the Midwest. Spanish and Vietnamese were consistently underrepresented, with Spanish-speaking patients having the lowest ophthalmologist availability.These findings suggest that academic ophthalmology centers have substantial gaps in language concordance, particularly for Spanish-speaking patients, highlighting the need for targeted workforce strategies to potentially reduce these disparities.

Corresponding Author: Kara M. Cavuoto, MD, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17th St, Miami, FL 33136 (kcavuoto@med.miami.edu).

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