Keywords:clinicaldoctors,proficiencylevel,basicEnglishskills,communicativelanguageskills,culturaldifference

　　1Introduction

　　Nowadays,anincreasinguseofEnglishisdemandedinspecificareas,suchasbusiness,science,tourismespeciallyinChina.Inaddition,becauseofthenecessitiesofintroducingtheadvancedmedicaltechniquesfromwesterncountries,moreandmoreChinesemedicalstaffinvariousskill-focusedfieldsissenttowesterncountriesforlearningpurposes.Clinicaldoctors,especially,formalargeproportionofthemedicalstaffthatissentoverseasannually.

　　ThispaperwillfocusonthedevelopmentofanEnglishlanguagecoursefortheChineseclinicaldoctorsbeforetheyaredispatchedoverseasandtoworkinforeignhospitals.Beforethedesignofthecoursecanbedescribed,thespecificlanguageneedsofthesedoctorsshouldbeclearlyanalyzedandidentified.Then,clinicaldoctorswillbegivenintermsoftheirlinguistic,communicativeandcross-culturalneeds.Lastly,aprocedureofthecoursedesignwillbeillustratedbasedontheneedsanalysis.

　　2.NeedsofChineseclinicaldoctors

　　ThemainstreamEnglishteachingmethodinAsiaisstilltheGrammar-Translationmethod,whichprioritizestherotememorizationtomasterthegrammaticalstructureswithlittlefocusonthespokenformofthelanguage.Also,clinicaldoctorsrarelyhavetheopportunitiestouseEnglishinChina.Moreover,theynearlyhavenoopportunitiestouseEnglish,especiallywhentheyspeakinEnglishunlesstheirworkingenvironmentrequiresthemto.Therefore,theproficiencyleveloftheexchangedclinicaldoctors,theirlinguisticneedsaswellasthecommunicativeneedswillbeimaginativelyillustratedaccordingtotheliteratureswhichareaboutthemedicalstaff'sneedsforEnglishasasurvivingtoolofworkinginforeignhospitals.

　　2.1Linguisticneedsforfuturecareerinoverseashospitals

　　TheneedsoftheChineseclinicaldoctorsnotonlyincludeprofessionalEnglishbutalsoEnglishforsurvival,socialandculturalintegrationinthenewcountry.However,thisassignmentwillmainlyfocusontheprofessionallinguisticneedsofthesedoctors.

　　Intermsofthefourbasiclanguageskills-listening,speaking,readingandwriting,speakingmightbethemostimportantfortheChineseclinicaldoctors,followedbylistening,readingandwriting.

　　Speaking:readingandwritingareconsiderablyemphasizedwhenthemedicalstafflearnedEnglishduringtheirpre-serviceperiodinuniversitiesundertheexam-directededucationalbackground.Thus,speakingisthefirstneglectedlanguageskillformostclinicaldoctors.Forthoseclinicaldoctors,theirdailyworkinevitablyincludescommunicatingwithpatientsandtheirrelatives.Thefunctionsofspeakingincludegreetings,interpreting,explaining,queryingandcommunicatingwithpatientsandcolleaguesinanappropriateway.

　　Listening:listeningisthesecondneglectedareawhichhasgreatsignificanceforthemedicalstaffthatisgoingtoworkinaforeignenvironment.Thisisbecausetheyhavetoquicklyunderstandthepatients'descriptionoftheirsymptomsandthengivetherighttreatmentoftheirillness.Inaddition,medicalmeetingsaretypicalcontextswherepapersandpresentationsofwhateverqualitycanbeheard.Therefore,theclinicaldoctorsarealsosupposedtoimprovetheirlisteningabilitywhichtheyseldompracticedincollegeoruniversities.

　　Reading:specifically,whatAsianclinicaldoctorsneedtoimprovetheirprofessionalknowledgeinaforeigncountryistocomprehendthearticlesandjournalsonclinicalareawhicharewritteninEnglish.Inaddition,mostoftheauthoritymedicalpublicationsarewritteninEnglish.Eveninthecountrieswherethemother-tongueisnotEnglish,anincreasingnumberofjournalarticlesareEnglishthesedays.

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