Overall communicative effectiveness (how well are you able to keep up a meaningful conversation?) Intelligibility (can you be understood?) Fluency (do you have to pause and think/translate before speaking?) Appropriateness (The way you address someone you are meeting for the first time vs. a repeat occasion) Resources of grammar and expression (Do you have a reasonable vocabulary? / Correct grammar.)
HOW DO YOU HELP YOURSELF? -‐ Participating in English conversations with other English speakers -‐ Start up a conversation with a stranger: talk to someone travelling on the train / bus / tram -‐ Work as a volunteer in an aged person’s facility: old people are always keen to have someone to talk to -‐ Look at JenniferESL on www.youtube.com -‐ excellent English speaking lessons
Overall communicative effectiveness
-‐ YOU, as the professional, need to start the ball rolling by asking the “patient” some questions. Do not wait for the roleplayer to tell you to start: YOU need to take control of the situation – you start first. -‐ YOU need to ask questions and get answers; YOU need to give reasons for what you are suggesting; YOU need to get clarification from your “patient” -‐ DON’T ASSUME your patient knows or understands everything … clarify what you have said / paraphrase what your patient has told you
Intelligibility
Pronunciation / intonation / stress / rhythm / accent -‐ Important that you say the sound th correctly -‐ Finish the ends of words to produce clearer English: breast / worried / operation / ligament and so on -‐ Get the stress syllable right: not doSAGE but DOsage / not MASSage but massage -‐ If you have a very strong accent -‐ slowing down a little bit often helps flatten the accent.
Fluency
At the OET Speaking test, do not speak too fast or too slow DON’T PAUSE for a long time – then have a sudden outburst of speech – aim for a smooth delivery style IF YOU CAN’T THINK of what to say – do not fill in the blank by saying “Um” “Er” “Ah”. It’s much much better to fill in the blank with “OK” “Fine” “Right” “Really?”
Appropriateness
-‐ If your patient is coming back to get the results of an xray or a blood test -‐ greet them with a simple “Nice to see you again Mrs Jones – please take a seat”
-‐ If, however, this is the first time you have ever met the patient – you will need to say something like “Good morning, my name is Dr Singh – how may I call you? What seems to be the trouble?” -‐ It is not appropriate to use jargon words / medical terminology with your patient – they don’t know what you are talking about. If you think it is important to use the phrase myocardial infarct – then do so – but you had better explain “a heart attack” -‐ Not oesophagus -‐ say food pipe -‐ Not trachea -‐ say wind pipe -‐ Don’t talk about “HDLs” and “LDLs” -‐ you could refer to these as good or bad cholesterol
Resources of grammar and expression
Show you have a reasonable grasp of English vocabulary – and you can use it correctly. In your spoken English you need to use prepositions (in, on, up, off, to, from) and adverbs (a bit, some, much, many, lots of, quite) -‐ correctly. Know when to use “how” “Why” “What” “When” and “Where” correctly. -‐ Use “much” (Do you have much pain?) when the noun (pain) is uncountable [You cannot have 1kg of pain] -‐ Use “many” (Did you take many tablets?) when the noun (tablet) is countable [You can have 20 tablets]
Sound confident
Take control of the consultation Be “patient centered” – keep asking the patient Is that OK? Do you agree? Are you happy with that? Understand? Good luck!
These tips are brought to you by The OETWorkshop Pty Ltd
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