Challenges and adaptations in implementing an English-medium medical program:a case study in China

• Published in: BMC medical education Vol. 19; no. 1; pp. 15 - 8
• Main Authors: Yang, Miao, O’Sullivan, Patricia S., Irby, David M., Chen, Zexin, Lin, Chun, Lin, Changmin
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 09.01.2019; BioMed Central; BMC
• Subjects: Adaptive teaching and learning strategies; Analysis; Challenges; College English; Communication; Curricula; Education; Educational Strategies; English as a second language; English as the medium of instruction; Faculty Development; Globalization; Health education; High School Graduates; Higher education; Immigrant students; Language; Language Tests; Learning; Learning Strategies; Medical education; Methods; Science Curriculum; Teaching; Teaching Methods; Thinking Skills; China; Hong Kong China; English as the medium of instruction; Challenges; Adaptive teaching and learning strategies
• ISSN: 1472-6920; 1472-6920
• DOI: 10.1186/s12909-018-1452-3

Increasingly, non-English speaking countries use English as the medium of instruction (EMI) to teach academic subjects. This study investigated the challenges and adaptation strategies of teachers and students in an EMI medical education program in China. Data were collected on EMI and non-EMI students' test performances and student and teacher perceptions of the program. Test scores and survey results were analyzed using SPSS. Focus group transcripts and open-ended comments from surveys were examined using thematic coding. There were no significant differences in admission and graduation test scores for EMI and non-EMI students. Four challenges with the EMI program were identified: (1) insufficient/inappropriate teaching materials, (2) unsatisfactory teaching, (3) inadequate class interactions, and (4) failure to teach medical humanities. To address these challenges, teachers and students used adaptive strategies, such as the use of alternative textbooks, self-learning skills and Chinese language. EMI programs are difficult to initiate, requiring faculty development and institutional support, and student self and peer group learning strategies to be successful. The adaptive strategies employed by both students and teachers offer insights into how other EMI programs might strengthen their implementation.