Djs. Mpofu et al., FACILITY WITH THE ENGLISH-LANGUAGE AND PROBLEM-BASED LEARNING GROUP-INTERACTION - FINDINGS FROM AN ARABIC SETTING, Medical education, 32(5), 1998, pp. 479-485
The Faculty of Medicine and Health Sciences (FMHS), United Arab Emirat
es (UAE) University is in a unique position to explore issues related
to English language proficiency and medical student performance. All s
tudents entering the FMHS have English as a second language. This stud
y focused on the issues of students' proficiency in English as measure
d by the TOEFL test, student background factors and interaction in pro
blem-based learning (PBL) groups. Using a modification of Bales Intera
ction Process Analysis, four problem-based learning groups were observ
ed over four thematic units, to measure the degree of student interact
ion within PBL groups and to compare this to individual TOEFL scores a
nd key background variables. The students' contributions correlated hi
ghly with TOEFL test results in the giving of information (range r = 0
.67-0.74). The female students adhered to interacting in English durin
g group sessions, whereas the male students were more likely to revert
to using Arabic in elaborating unclear phenomena (p < 0.01). The educ
ational level of the student's mother was highly predictive of TOEFL s
cores for the male students, but not for female students. Multivariate
analysis was undertaken to analyse the relative contribution of the T
OEFL, parental education and years of studying in English. The best pr
edictor of students' contributions in PBL groups was identified as TOE
FL scores. The study demonstrates the importance of facilitating a loc
ally acceptable level of English proficiency prior to admission to the
FMHS. However, it also highlights the importance of not focusing only
on English proficiency but paying attention to additional factors in
facilitating medical students in maximizing benefits from interactions
in PBL settings.