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The certificate requires the student to complete two courses in any order ( SPAN 0360 - Introduction to Medical Interpretation (Spanish/English) , SPAN 0430 - Protocol and Procedures of Medical Interpretation (Spanish/English) or SPAN 0440 - Translation Spanish/English ) in addition to a minimum of 120 hours of internship (an equivalent of 3 credit hours in SPAN 0491 ). The student needs to have the required proficiency level (Intermediate High) defined by the American Council on the Teaching of Foreign Languages (ACTFL) on the Oral Proficiency Interview (OPI) for both Spanish and English and have three writing intensive classes (ENG 0101 , ENG 0102 and SPAN 0300 or equivalent) prior to entry into the program.