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

Area of Science:

• Medical Education
• Linguistics
• Educational Psychology

Background:

• English as a Medium of Instruction (EMI) is increasingly adopted in non-English speaking countries for academic subjects.
• This study focuses on the specific context of an EMI medical education program in China.

Purpose of the Study:

• To investigate the challenges encountered by teachers and students in an EMI medical program.
• To identify the adaptation strategies employed by both teachers and students within this program.

Main Methods:

• Comparative analysis of test performances between EMI and non-EMI students.
• Collection and analysis of student and teacher perceptions through surveys and focus groups.
• Thematic coding of qualitative data from focus groups and open-ended survey comments.

Main Results:

• No significant differences were found in admission and graduation test scores between EMI and non-EMI students.
• Key challenges identified include insufficient teaching materials, unsatisfactory teaching quality, inadequate class interaction, and a lack of medical humanities instruction.
• Adaptive strategies involved using alternative textbooks, developing self-learning skills, and utilizing the Chinese language.

Conclusions:

• Successful initiation of EMI programs necessitates robust faculty development and institutional support.
• Student-led learning strategies, including self and peer group learning, are crucial for EMI program success.
• The adaptive strategies observed offer valuable insights for strengthening the implementation of other EMI programs globally.