A COMPETENCY-BASED FRAMEWORK FOR PROFESSIONAL MEDICAL COMMUNICATION IN ENGLISH FOR MEDICAL PURPOSES (EMP)
DOI:
https://doi.org/10.21009/ishel.v2i1.70081Keywords:
English for Medical Purposes, Competency-Based Education, Medical Communication, Mixed Methods, Needs AnalysisAbstract
This study proposes a competency-based framework for professional medical communication in English for Medical Purposes (EMP) from a needs-analysis perspective. The study employed a mixed-methods approach with an exploratory sequential design that integrated qualitative thematic analysis and quantitative frequency-based structuring. Qualitative data were derived from semi-structured interviews with healthcare professionals, including doctors, nurses, and administrative staff. Relevant literature on EMP, competency-based education, and medical communication provided theoretical support. The findings identified three principal communication needs: patient interaction, medical information delivery, and interprofessional communication. The study also identified four core competency domains: linguistic competence, clinical communication skills, interpersonal competence, and professional competence. Quantitative analysis showed that patient interaction was the most dominant communication need and that clinical communication skills represented the most critical competency domain. Based on these findings, the authors developed a competency-based framework to guide curriculum design, instructional materials, teaching strategies, and performance-based assessment aligned with authentic clinical communication tasks. The framework contributes to ESP by integrating language learning with real-world healthcare communication demands and improving the relevance and effectiveness of EMP instruction in hospitals, clinics, and other healthcare settings across diverse multilingual professional contexts worldwide today. The framework also offers a foundation for future empirical validation studies.
References
Choi, L. J. (2021). Implementing English for Medical Purposes (EMP) in South Korea: Nursing students’ ongoing needs analysis. Nurse Education Today, 104. https://doi.org/10.1016/j.nedt.2021.104989
Hutchinson, T., & Waters, A. (1987). English for Specific Purposes: A Learning-Centred Approach. Cambridge University Press.
Hyland, K. (2022). English for Specific Purposes: What is it and where is it taking us? 10, 202–220.
Li, N., & Yang, L. (2023). Second Language Acquisition: An Introductory Course (5 th edn) . Southern African Linguistics and Applied Language Studies, 41(3), 381–384. https://doi.org/10.2989/16073614.2022.2085592
Miller, G. E. (1990). The assessment of clinical skills/competence/performance. Academic Medicine : Journal of the Association of American Medical Colleges, 65(9 Suppl), S63-7. https://doi.org/10.1097/00001888-199009000-00045
Mulder, M., & Winterton, J. (2017). Introduction. In Technical and Vocational Education and Training (Vol. 23). https://doi.org/10.1007/978-3-319-41713-4_1
Richards, J. C. (2017). Curriculum_Development_in_Language_Teaching_2nd_Edition_books-here.com.
Sukisno; Saud, J. (2025). RETORIKA: Jurnal Ilmu Bahasa 2024 CC-BY-NC-SA 4.0 License Perception of Healthcare Professionals on the Importance of English Training in Medical Contexts. 152–162. https://doi.org/10.55637/jr.11.1.11414.152-162
Sukisno, Suseno, M., & Lustyantie, N. (2025). The Representation of English for Medical Purposes in Indonesian Vocational Language Policy: A Critical Discourse Analysis Perspective. International Seminar on Humanity, Education, and Language, 1(1), 771–783. https://doi.org/10.21009/ishel.v1i1.56987
THOMAS, J. (1983). Cross-Cultural Pragmatic Failure. Applied Linguistics, 4(2), 91–112. https://doi.org/10.1093/applin/4.2.91
Toth, Z., & Rees, P. (2015). Language Barriers in Medical Settings: The Consequences of Miscommunication. International Journal of Medical Education, 6, 53–58.
Vermeir, P., Vandijck, D., Degroote, S., Peleman, R., Verhaeghe, R., Mortier, E., Hallaert, G., Van Daele, S., Buylaert, W., & Vogelaers, D. (2015). Communication in healthcare: A narrative review of the literature and practical recommendations. International Journal of Clinical Practice, 69(11), 1257–1267. https://doi.org/10.1111/ijcp.12686
World Health Organization. (2021). Patient Safety Incident Reporting and Learning Systems Technical report and guidance. In Global patient safety action plan 2021–2030. https://www.who.int/teams/integrated-health-services/patient-safety/policy/global-patient-safety-action-plan
Wu, Y. J. A., Lan, Y. J., Huang, S. B. P., & Lin, Y. T. R. (2019). Enhancing medical students’ communicative skills in a 3D virtual world. Educational Technology and Society, 22(4), 18–32.
Yundayani, A., Suseno, M., & Herlina, E. (2023). A Duolingo-based English Language Skills Assessment: Through the Eyes of Vocational Students. Jurnal Ilmu Pendidikan (JIP) STKIP Kusuma Negara, 15(1), 9–23. https://doi.org/10.37640/jip.v15i1.1683
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