Malaysian English needs life support: Poor English among doctors, stops medical grads

 The Star says: Young doctors in the country are struggling with their poor command of English. They face problems communicating with patients and their peers. Even so called top students who make it to medical schools are falling short in their language skills. They news comes after The Star reported on Monday that weak English was the main reason some 1,000 medical graduates had ended their ambition to become doctors.

Poor English proficiency has also affected young doctors, reports The Star. – Wiki Commons pic, November 11, 2015.

Poor English proficiency has not only affected medical graduates, but undergraduates and new doctors as well, reports The Star.

Quoting the medical deans council of public universities chairman Prof Datuk Dr Raymond Azman Ali, the English daily reported that this would affect the quality of service of doctors since they have to communicate with both patients and their peers as well.

“It is not just a problem among medical undergraduates. We can detect similar problems with young doctors.

“With all due respect, it is apparent in hospitals when they do their presentations and converse with their peers and seniors. “English is a common language for medicine. Most of the time, we have to publish journals and present in English. It would be bad for us if we cannot communicate our work properly,” Dr Raymond said.

He said more than 90% of journals were published in English, and citing his own experiences when he was studying medicine in Australia's Monash University, where all cases were presented in English.

“How do you expect them to comprehend medical theses and help patients if they cannot understand them in the first place?” he was quoted as saying.

The Star said Dr Raymond pointed out many medical students have excellent results on paper, but have problems expressing their views during interviews.

“When we conduct our interviews in public universities, most of their results look good on paper. But if we ask them to explain something, they will ask us whether they can answer in Malay. When we ask again in English, they will get stuck,” he said.

The Star reported on Monday that some 1,000 medical graduates have stopped becoming doctors, with their poor command of English being a main factor.

Other factors include lack of interest in basic medical training, poor communication skills with patients and frustration over working conditions.

The English daily also quoted National Heart Institute (IJN) consultant cardiologist Dr Shaiful Azmi Yahya as expressing concern over the high drop out rate due to lack of English proficiency, noting that doctors needed good command of the language to further excel in their work.

However, he conceded that poor English skills were not confined to Malaysia, saying that other non-English speaking nationalities also face the same problem.

“There are many doctors who have ideas they want to share with the audience but when they present, their English is so bad that the audience cannot understand them.

“I went to a conference and there were Koreans and Japanese doctors who took part. When we tried to respond to their presentations, they could not understand what we had asked,” he was quoted as saying.

Dr Saiful graduated from Universiti Kebangsaan Malaysia in 1994, and said medicine was taught in English.

“Most of our lecturers then were Malaysians, although we did have the exception of one Myanmar and one English professor.

“We used international textbooks and journals. We did have some translated books and I remember a physiology book that was in Malay.

“During study group sessions, we used Malay and English but during examinations, we would still have to answer in English,” he told The Star.

Deputy Education Minister P. Kamalanathan said ongoing efforts were being taken to further improve the usage of the English language.

“I will be organising a dialogue with all stakeholders, non-governmental organisations and relevant organisations such as the Performance Management and Delivery Unit (Pemandu) who have been working closely with us,” he had said.

The Malaysian Insider had reported in June last year that employers were becoming increasingly dismayed by Malaysia's "generation Y" job seekers, due to their poor command of the English language and communication skills.

A survey by the Malaysian Employers Federation a few years ago found that 60% of them identified low English proficiency as the main problem with young recruits.

A similar survey conducted in September 2013 by online recruitment agency JobStreet.com found that 55% of participating senior managers and companies said poor command of the English language was the main reason for unemployment among undergraduates.

School leavers might have SPM (Sijil Pelajaran Malaysia) English grades of A and B, but could not even hold a conversation in English, MEF executive director Datuk Shamsudin Bardan told The Malaysian Insider. – November 10, 2015.

Sources: The Malaysian Insiders

Poor English among doctors - Experts: Medical graduates can’t work well without good grasp of language

PETALING JAYA: The declining state of English proficiency is rearing its head in the medical fraternity.

Medical deans council of public universities chairman Prof Datuk Dr Raymond Azman Ali expressed concern over the poor command of the language among medical undergraduates and new doctors.

“It is not just a problem among medical undergraduates. We can detect similar problems with young doctors.

“With all due respect, it is apparent in hospitals when they do their presentations and converse with their peers and seniors,” he said.

He said this would affect their services since doctors had to communicate with patients and their counterparts efficiently.

“English is a common language for medicine. Most of the time, we have to publish journals and present in English. It would be bad for us if we cannot communicate our work properly,” he added.

Dr Raymond said over 90% of the journals were published in English.

“How do you expect them to comprehend medical theses and help patients if they cannot understand them in the first place?” he asked.

Sharing his own experience when he studied medicine in Monash University, Australia, he said all his cases were presented in English.

“This definitely helped me to understand complex theories and present my papers in my final year.”

Dr Raymond said many medical students showed excellent credentials on paper but when interviewed, they had trouble expressing themselves.

“When we conduct our interviews in public universities, most of their results look good on paper. But if we ask them to explain something, they will ask us whether they can answer in Malay. When we ask again in English, they will get stuck,” he said.

On Monday, The Star reported that weak English was the main reason some 1,000 medical graduates had failed to become full-fledged doctors despite having completed a two-year housemanship in public hospitals.

National Heart Institute (IJN) consultant cardiologist Dr Shaiful Azmi Yahya expressed alarm over the high number who dropped out due to poor English.

He said medical doctors needed a good command of the language to excel in their field and it was not merely to understand medical references and textbooks.

“Doctors do travel and attend conferences in the course of their work,” he said. However, he noted that language problems were not exclusive to Malaysians as other non-English, native-speaking nationalities also faced the same hurdle.

“There are many doctors who have ideas they want to share with the audience but when they present, their English is so bad that the audience cannot understand them.

“I went to a conference and there were Koreans and Japanese doctors who took part. When we tried to respond to their presentations, they could not understand what we had asked,” he said.

The Daily Mail in Britain highlighted the case of Italian doctor Dr Alessandro Teppa, 45, who was banned from practising in Britain due to his bad English.

The report said that despite working as a urologist in Britain since 2012, Dr Teppa’s command of English was so poor that he posed “significant risks to patients”.

Dr Shaiful, who graduated from Universiti Kebangsaan Malaysia in 1994, said he benefited from the system in UKM, where medicine was taught in English.

“Most of our lecturers then were Malaysians, although we did have the exception of one Myanmar and one English professor.

“We used international textbooks and journals. We did have some translated books and I remember a physiology book that was in Malay.

“During study group sessions, we used both Malay and English but during examinations, we would still have to answer in English,” he said.

Deputy Education Minister P. Kama­lanathan said ongoing efforts were being taken to further improve the English language.

“I will be organising a dialogue with all stakeholders, non-governmental organisations and relevant organisations such as the Perfor­mance Management and Delivery Unit (Pemandu) who have been working closely with us,” he told reporters.

BY RAHIMY RAHIM, NURBAITI HAMDAN, JOASH EE DE SILVA, andVINCENT LIAN The Star

Poor English stops medical grads - 1,000 students drop out due to poor command of the language

Medical graduates finding it hard to cope in their professional field and their inability to communicate in English is one of the reasons. - posed by models

MALACCA: Poor command of English has put paid to the ambition for some 1,000 medical graduates to become doctors despite having completed a two-year housemanship in public hospitals.

Malaysian Medical Association (MMA) Malacca chapter president Prof Dr M. Nachiappan said these trainee doctors could not cope with the pressure of continuing to be a full-fledged doctor.

“Despite having completed their housemanship last year, they are no longer keen to be doctors.

“The main reason was poor grasp of English. This is not good for the medical fraternity and does not augur well for the nation if stakeholders do not execute some plans to improve the standard of English,” he said.

Dr Nachiappan said other contributing factors were lack of interest in basic medical training, poor relationship skills with patients and frustration due to working condition. He said without proficiency in English, medical students would find it difficult to keep pace with their peers from other nations.

“There must be an urgency to improve the grasp of the language at the primary level. Otherwise, the quality of doctors will go downhill,” he said.

“There must be an urgency to improve the grasp of the language at the primary level. Otherwise, the quality of doctors will go downhill,” he said.

Dr Nachiappan, who is also the deputy dean of Melaka Manipal Medical College, said medical schools were also facing difficulties in churning quality medical graduates due to lack of exposure in English.

He said this was evident with the poor results obtained by medical students when pursuing their stu­dies in universities and medical colleges.

“The quality of our students are compromised due to their inabilities to communicate in English,” he said, adding that most reference books on medicine and lectures were delivered in English.

Earlier, he met a group of 11 Parents-Teachers Association chairmen who were unhappy that the Education Ministry had omitted their schools from the privilege of implementing the dual language programme (DLP).

They have been lobbying for teaching and learning of Science and Mathematics in English (PPSMI) policy since 2009.

The group’s spokesman Mak Chee Kin said they had been fighting hard to be part of the DLP for six years.

“It is unfair to us as some secondary schools which have objected to PPSMI are included.

“We hope our plight will be considered by the ministry. As parents, we felt English is crucial for the future of our children,” he said, adding that all three criteria – adequate English teachers, sufficient resources and consent from parents – were met.

The schools were SM St Francis, SM St David, SM Catholic, SM Notterdam, SM Yok Bin, SM Gajah Berang, Chinese High School, SM Pulau Sebang, SM Infant Jesus Convent, SM Canossa Convent and Methodist Girl School.

BY R.S.N. MURALI The Star

Related articles:

An ace in school but not in working life

‘Students aren’t keen on learning’

Shorter doctor hours have no effect on patients

Give serious thought to working hours of housemen

Quality first, not quantity

Investor treaties in trouble

Several countries are reviewing these agreements, prompted by the number of cases brought by foreign companies who claim that changes in government policies affect their future profits.

THE tide is turning against investment treaties that allow foreign investors to take up cases against host governments and claim compensation of up to billions of dollars.

Indonesia has given notice it will terminate its bilateral investment treaty (BIT) with the Netherlands, according to a statement issued by the Dutch embassy in Jakarta last week.

“The Indonesian Government has also mentioned it intends to terminate all of its 67 bilateral investment treaties,” according to the statement.

It has not been confirmed by Indonesia. But if this is correct, Indonesia joins South Africa, which last year announced it is ending all its BITS.

Several other countries are also reviewing their investment treaties.

This is prompted by increasing numbers of cases being brought against governments by foreign companies who claim that changes in government policies or contracts affect their future profits.

Many countries have been asked to pay large compensations to companies under the treaties.

The biggest claim was against Ecuador, which has to compensate an American oil company US$2.3bil (RM7.6bil) for cancelling a contract.

The system empowering investors to sue governments in an international tribunal, thus bypassing national laws and courts, is a subject of controversy in Malaysia because it is part of the Trans-Pacific Partnership Agreement (TPPA) which the country is negotiating with 11 other countries.

The investor-state dispute settlement (ISDS) system is contained in free trade agreements (especially those involving the United States) and also in BITS which countries sign among themselves to protect foreign investors’ rights.

When these treaties containing ISDS were signed, many countries did not know they were opening themselves to legal cases that foreign investors can take up under loosely worded provisions that allow them to win cases where they claim they have not been treated fairly or that their expected revenues have been expropriated.

Indonesia and South Africa are among many countries that faced such cases.

The Indonesian government has been taken to the International Centre for Settlement of Investment Disputes (ICSID) tribunal based in Washington by a British company, Churchill Mining, which claimed the government violated the United Kingdom-Indonesia BIT when its contract with a local government in East Kalimantan was cancelled.

Reports indicate the company is claiming compensation of US$1bil to US$2bil (RM3.3bil to RM6.6bil) in losses.

This and other cases taken against Indonesia prompted the government to review whether it should retain its many BITS.

South Africa had also been sued by a British mining company which claimed losses after the government introduced policies to boost the economic capacity of the blacks to redress apartheid policies.

India is also reviewing its BITS, after many companies filed cases after the Supreme Court cancelled their 2G mobile communications licences in the wake of a high-profile corruption scandal linked to the granting of the licences.

But it is not only developing countries that are getting disillusioned by the ISDS. Europe is getting cold feet over the investor-state dispute mechanism in the Trans-Atlantic trade agreement (TTIP) it is negotiating with the United States, similar to the mechanism in the TPPA.

Two weeks ago, Germany told the European Commission that the TTIP must not have the investor-state dispute mechanism.

Brigitte Zypries, a junior economy minister, told the German parliament that Berlin was determined to exclude arbitration rights from the Transatlantic Trade and Investment Partnership (TTIP) deal, according to the Financial Times.

“From the perspective of the [German] federal government, US investors in the European Union have sufficient legal protection in the national courts,” she said.

The French trade minister had earlier voiced opposition to ISDS, while a report commissioned by the UK government also pointed out problems with the mechanism.

The European disillusionment has two causes.

ISDS cases are also affecting the countries. Germany has been taken to ICSID by a Swedish company Vattenfall which claimed it suffered over a billion euros in losses resulting from the government’s decision to phase out nuclear power after the Fukushima disaster.

And the European public is getting upset over the investment system. Two European organisations last year published a report showing how the international investment arbitration system is monopolised by a few big law firms, how the tribunals are riddled with conflicts of interest and the arbitrary nature of tribunal decisions.

That report caused shock waves not only in the civil society but also among European policy makers.

In January, the European Commission suspended negotiations with the United States on the ISDS provisions in the TTIP, and announced it would hold 90 days of consultations with the public over the issue.

In Australia, the previous government decided it would not have an ISDS clause in its future FTAs and BITS, following a case taken against it by Philip Morris International which claimed loss of profits because of laws requiring only plain packaging on cigarette boxes.

In Malaysia, the ISDS is one of the major controversial issues relating to the TPPA. Many business, professional and public-interest groups want the government to exclude the ISDS as a “red line” in the TPPA negotiations.

Prime Minister Datuk Seri Najib Tun Razak had also mentioned investment policy and ISDS as one of the issues (the others being government procurement and state-owned enterprises) in the TTPA that may impinge on national sovereignty, when he was at the Asia-Pacific Economic Cooperation Summit and TPPA Summit in Indonesia last year.

So far, the United States has stuck to its position that ISDS has to be part of the TPPA and TTIP. However, if the emerging European opposition affects the TTIP negotiations, it could affect the TPPA as this would strengthen the position of those opposed to ISDS.

Meanwhile, we can also expect more countries to review their BITS. Developing countries seeking to end their bilateral agreements with European countries can point to the fact that more and more European countries are themselves having second thoughts about the ISDS.

Contributed by  Martin Khor Global Trends The Star/ANN

• The views expressed are entirely the writer’s own.

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