Future of Medical Education Journal

Future of Medical Education Journal

Evaluation of EAP Programs for the Students of Medicine in Iranian and Iraqi Medical Universities: Document Analysis and Teachers’ Perspectives

Document Type : Original Article

Authors
1 Department of Medical Ethics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Department of General Courses, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract
Background: The aim of this study is to investigate and compare the policies in the Iranian and Iraqi English for Academic Purposes (EAP) education and the extent to which objectives match the policies and are materialized in practice.
Method: This qualitative study, conducted between 2023 and 2024, explored EAP policy and practice by analyzing course syllabi and conducting semi-structured interviews with English language instructors and subject-matter specialists across selected Iranian and Iraqi medical universities. We adopted seven policy areas from Kaplan and Baldauf’s (2005) language-in-education planning as the framework of the study. Based on document analysis and interviews with some language teachers and subject-matter specialists, the similarities and discrepancies between the two sets of data were investigated. Finally, we compared the data from Iranian and Iraqi medical university contexts.
Results: Findings revealed substantial gaps between policy and practice in both contexts though the nature and severity of these gaps differ. The results showed that EAP course descriptions do not include any comments on policy and there were discrepancies in policy and practice due to such factors as lack of communication channel between the EAP stakeholders and policymakers.
Conclusion: Due to deficiencies in both policy and practice and in order to reach an acceptable status, EAP programs are in an urgent need for reconceptualizing policy-making and practice. The findings of this study have implications for EAP policies and practice in medical academic system of Iran and Iraq. It might be beneficial for decision-makers, university administrators, curriculum planners, and EAP instructors and learners.
Keywords
Subjects

1- Hutchinson T, Waters A. English for Specific Purposes: A Learning-Centered Approach. 6th ed. Cambridge: Cambridge University Press; 1991.
2- Atai MR. ESAP curriculum development in Iran: An incoherent educational experience. Journal of the Faculty of Literature and Humanities (Kharazmi University) [Internet]. 2002;9(33):17-34. Available from: https://sid.ir/paper/8729/en
3- Atai MR. English for Specific Purposes: International trends and Middle East concerns. In: R. Akbari R., Coombe C, editors. The Middle East Handbook of Applied Linguistics.
Dubai, United Arab Emirates: TESOL Arabia, 2013: 150-184.
4- Atai MR, Mazlum F. English language teaching curriculum in Iran: Planning and practice. Curric J. 2013 Sep 1;24(3):389-411. https://doi.org/10.1080/09585176.2012.744327 
5- Hayati AM. Teaching English for special purposes in Iran: Problems and suggestions. Arts and Humanities in Higher Education. 2008 Jun;7(2):149-64. https://doi.org/10.1177/1474022208088645
6- Iranmehr A, Atai MR, Babaii E. Evaluation of EAP Programs in Iran: document analysis and expert‎ perspectives. Applied Research on English Language. 2018 Apr 1;7(2):171-94. http://dx.doi.org/1022108/are.2018/104484.1123
7- Khany R, Tarlani-Aliabadi H. Studying power relations in an academic setting: Teachers' and students' perceptions of EAP classes in Iran. J Engl Acad Purp. 2016 Mar 1;21:72-85. https://doi.org/10.1016/j.jeap.2015.12.002
8- Soodmand-Afshar H, Movassagh H. EAP education in Iran: Where does the problem lie? Where are we heading?. J Engl Acad Purp. 2016 Jun 1;22:132-51. https://doi.org/10.1016/j.jeap.2016.04.002
9- Atai MR, Tahririan MH. Assessment of the Status of ESP in the Current Iranian Higher Education System. In: Proceedings of the 14th European Symposium on Language for Special Purposes: Communication, culture, and knowledge. University of Surrey, Guildford, UK. 2003: 269.
10- Kaplan RB, Baldauf RB. Language-in-education policy and planning. In: Hinkel E, ed. Handbook of Research in Second Language Teaching and Learning. London: Routledge, 2005 Mar 23: 1013-1034.
11- Zein MS. To Postpone or not to Postpone? Examining Access Policy on Early Foreign Language Learning from Second Language Acquisition and Language Planning and Policy Perspectives. Appl Linguist Rev. 2017; 8(4): 419-439.
12- Baldauf Jr RB, Li M, Zhao S. Language acquisition management inside and outside the school. In: Spolsky B., Hult FM, editors. The Handbook of Educational Linguistics. Oxford, UK: Blackwell Publishing Ltd, 2008 Jan 1:233-50.
13- Davies W, Fraser S, Lauer J, Howell P. English for medical purposes: teaching an intensive English course to third-year medical students. Hiroshima Studies in Language and Language Education. 2013 Mar 1(16):49-64.
14- Sinadinović D, Mićić S. Teaching English for Medical Academic Purposes at the Faculty of Medicine in Belgrade, Serbia. Medical Writing. 2013 Jun 1;22(2):115-8. https://doi.org/10.1179/2047480613z.000000000119
15- Miyamasu F. Problem-Based Learning in the English-for-Medical-Purposes Class. Journal of Medical English Education. 2006; 6(1): 45.
16- Al-Shamsi M. Medical education in Iraq: issues and challenges. International journal of medical education. 2017 Mar 11; 8:88.
17- Aljorani SY. Needs analysis and English curriculum design for students in Iraqi universities. Zanco Journal of Humanity Sciences. 2019; 23(3):523-38. https://doi.org/10.21271/zjhs.23.s3.35
18- Khodi A. From an appraisal of Iranian ESP courses to curriculum development. Research in English Language Pedagogy (RELP). 2016;3(2):13.
19- Karimnia A, Khodashenas MR. Medical students’ English language learning: needs and perceptions. Sustainable Multilingualism. 2018; 13(1): 164-190.
20- Loghmani N, Biria R, Khaki M. Instructional Efficacy of Task-Based Approach in Teaching Micro-Skills to Iranian EFL Learners Coping with English for Academic Purposes (EAP) Reading Texts. Journal of Applied Linguistics and Language Research. 2016 Jun 24;3(4):24-37.
21- Piroozan A, Boushehri E, Fazeli R. A review of English for medical purposes for Iranian EFL learners. Journal of Advances in English Language Teaching. 2016 Mar 30;4(2):24-9.
22- Atai MR. Iranian EAP programs in practice: A study of key methodological aspects. Sheikhbahaee Research Bulletin. 2002; 1(2):1-5.
23- Nezakatgoo B, Behzadpoor F. Challenges in teaching ESP at medical universities of Iran from ESP stakeholders' perspectives. Iranian Journal of Applied Language Studies. 2017 Nov 1;9(2):59-82.
24- Leech NL, Onwuegbuzie AJ. An array of qualitative data analysis tools: A call for data analysis triangulation. Sch Psychol Q. 2007 Dec;22(4):557.
25- Bowen GA. Document analysis as a qualitative research method. Qualitative Research Journal. 2009 Aug 3;9(2):27-40.
26- Atkinson PA, Coffey A. Analysing documentary realities. In: Silverman D. editor. Qualitative Research: Theory, Method and Practice (2nd ed.). London: SAGE Publications, 2004: 56–75. 
27- Dörnyei Z. Research Methods in Applied Linguistics: Quantitative, Qualitative, and Mixed Methodologies. Oxford: Oxford University Press; 2007.
28- The Secretariat of the Council for Undergraduate Medical Education (SCUME). Iranian Ministry of Health and Medical Education. Available from: http://scume.behdasht.gov.ir/uploads/general_medicine.pdf    http://scume.behdasht.gov.ir/uploads/pezeshkiomoomi_96.pdf (Accessed: 10 Oct 2024).
29- Atai MR. EAP teacher education: Searching for an effective model integrating content and language teachers’ schemes. In: Proceedings of PAAL Conference; 2006 Jul; Chuncheon, Korea: Kangwong National University. 2006. 23-41. Retrieved from: http://www.paaljapan. org/resources/proceedings/PAAL11/pdfs/03.
30- Torabi R, Moinzadeh A, Nejadansari D. The Medicine Faculty ESP Curriculum: Perspective of Students and Faculty Members. Iranian Journal of Medical Education. 2018 Apr 10; 18: 134-44.
31- Aksit T, Aksit N. Establishing an institutional EAP teacher development scheme based on BALEAP's competency framework: A critical review of the competencies. J Engl Acad Purp. 2022 Nov 1; 60:101175.
32- Camiciottoli BC, Querol-Julián M. Lectures. In: Hyland K., Shaw P, editors. The Routledge Handbook of English for Academic Purposes. London: Routledge, 2016: 309-322.
33- Boniadi A, Ghojazadeh M, Rahmatvand N. Problems of English for Specific Purpose course for medical students in Iran. Khazar Journal of Humanities and Social Sciences. 2013;16(1):48-55.
34- Belyaeva A. English for specific purposes: Characteristic features and curriculum planning steps. Sustainable Multilingualism. 2015 Dec 28(7):73-91.
35- Stoller FL. EAP Materials and Tasks. In Hyland K., Shaw P, editors. The Routledge Handbook of English for Academic Purposes. London: Routledge, 2016: 577-591.
36- Jiménez Muñoz A. Content and Language: the Impact of Pedagogical Designs on Academic Performance within Tertiary English as a Medium of Instruction. Porta Linguarum. 2016: 111-123.
37- Tomlinson B. Materials development in language teaching. Cambridge: Cambridge University Press; 2011.
38- Baldauf Jr, RB. Micro language planning. In: Bruthiaux P., Atkinson D., Eggington W.G., Grabe W., Ramanathan V, editors. Directions in Applied Linguistics: Essays in Honor of Robert B. Kaplan. UK, Clevedon: Multilingual Matters, 2005 (133): 227-239.
39- Salas S, Mercado LA, Ouedraogo LH, Musetti B. English for Specific Purposes: Negotiating Needs, Possibilities, and Promises. English Teaching Forum. 2013; 51(4): 12- 19. 
40- Benesch S. Critical English for academic purposes: Theory, politics, and practice. London: Lawrence Erlbaum Associates, 2001 Mar 1.
41- Ahmadvand M, Barati H, Ketabi S. Rights analysis of ESP courses: Towards democratizing ESP education. ESP World. 2013;46:1-3.
42- Aghagolzadeh F, Davari H. English Education in Iran: From Ambivalent Policies to Paradoxical Practices. In: Kirkpatrick R., editor. English Language Education Policy in the Middle East and North Africa. Springer International Publishing, 2017: 47-62. https://doi.org/10.1007/978-3-319-46778-8_4  
43- Mirza-Suzani S, Yarmohammadi L, Yamini M. A critical review of the current situation of teaching ESP in the Iranian. The Iranian EFL Journal. 2011 Dec;36(3):179-204.
44- Spolsky B. Language management. Cambridge: Cambridge University Press; 2009.
45- Dahbi M. A call for English teachers in Morocco to practice agency through action research. In: Ng, PCL., Boucher-Yip, EF, editors. Teacher Agency and Policy Response in English Language Teaching. London: Routledge, 2016 Aug 5: 148-159.
46- Campion G. ‘The learning never ends’ Investigating teachers’ experiences of moving from English for General Purposes to English for Academic Purposes in the UK context; What are the main challenges associated with beginning to teach EAP, and how can these challenges be overcome? (Unpublished MA thesis). The University of Nottingham, 2012.
47- Ding A, Campion G. EAP Teacher Development. In: Hyland K., Shaw P, editors. The Routledge Handbook of English for Academic Purposes, London: Routledge, 2016 Jan 29: 547-559.
48- Dyer L. The EAP Student. In: A Humanistic Approach to English for Academic Purposes Pedagogy: People, Place, Compassion, Power, Switzerland: Palgrave Macmillan Cham, 2025 Oct 19: 89-133.