1. Kango Clinical English 101
Syllabus (教案)
Spring 2015 (27 春)
Instructor:
Peter Paul MacKie
Office: Jike 2-12-5, Suzuka, Mie 510-0254
Tel. 080-3648-7095
E-mail address: kango-shu@poppy.ocn.ne.jp; mackie1962@gmail.com
• Course Description:
This course is an English learning development experience. Students will be working with a partner, in group,
and with the teacher to prepare for English situations in a hospital or other clinical settings (where doctors,
nurses, and patients may require English). Activities and tasks include using medical terminology with English
language skills (i.e. Listening, Reading, Writing, and Speaking- LRWS). The course will be geared toward
building English language skills, and developing reflective practice for speaking in English situations. Particular
emphasis will be given to literacy & social skill development which meet the needs of a range of English
speaking patients in the context of clinical English terminology & discourse.
• Course Overview:
I am really looking forward to spending the semester thinking about teaching English and learning with you!
This course provides you with opportunities to develop your English expertise, with an emphasis on
literacy, pronunciation, and discourse (dialogue) in a clinical environment.
English is a complex language, and acquiring a good command of English occurs over a long period of time.
Even the most accomplished English Language Learner (ELL) continually works to improve their speaking
ability. One of the significant elements of this course will be to encourage you to think like an English speaker.
Thinking like an English speaker involves developing ways of observing, questioning, analyzing, assessing, and
analyzing English speaking situations, materials, and language acquisition theories.
• Required Course Text:
Caring for People (1st
Ed.) by Takao Okada,Michiko Mayuzumi,Tamiko Miyatsu,Philip Hinder,Kyoko
Shida,Masako Sugita,Iwao Yamashita; Published by Cengage; Tokyo, (2014). ISBN 978-4-86312-256-7
• Goals for the Course:
• Learners will identify and use appropriate language to communicate effectively in everyday clinical
situations. (Speaking)
• Learners will become more consistently aware of spoken English in their clinical environment, and in
increasingly more complex levels. (Listening)
• Learners will be able to read materials encountered in clinical life to meet professional needs and
interests. (Reading)
• Learners will be able to use the writing skills needed in clinical environment to meet personal and
interpersonal needs. (Writing)
• Learners will be able to use numeric terminology in clinical situations, including the classroom. They
will be able to use numeric terminology in producing and understanding oral communications, as well as
in reading and writing. (Numbers)
• Review & Reflective Writing Assignments:
For every 2 units (i.e. units 1 & 2, etc.) you will be asked to reflect and write about particular experiences
related to your English learning and your professional growth. The questions below will help you do this:
1. What new words, conversational expressions, and grammar patterns did you learn?
2. Write sentences using these new word, conversational expressions, and grammar patterns.
3. What else did you learn? (... about language or culture?)
4. What was difficult for you to do and why was it difficult?
5. What can you do to improve in these areas of English, or to do the tasks better.

2. Course Calendar
Tuesday, April 7th
（４月 7 日）火 (1)
Course overview, a review of the syllabus, introduction of materials & discussion of:
• 44 Phonemes PowerPoint: 21 consonants [9-voiceless & 12 voiced], 10 basic vowel sounds [long & short],
8 consonant digraphs, & 5 diphthongs. Compare & contrast phonics with the International Phonetic
Alphabet (IPA).
• Warm up activities & tasks: word association/password, Yes/No questions & responses, compare and
contrast the 4 language skills (LRWS) to the 5 survival skills: reading, writing, mathematics, computer, &
social (RWMCS), word opposites, colloquialism (口語表現), dialogue, review & reflective practice, etc.
• Introduce Text: Introduce Unit 1: Meeting Patients; key expressions; (i.e., Is this your first visit to this
hospital?); vocabulary; (registration, health insurance, bowel movements, date of birth, marital status,
referral letter, emergency contact, questionnaire, occupations, nationalities); dialogue; listening (write
missing words); listening comprehension; multiple choice; pair work 1 & 2; (registration & questionnaire);
medical knowledge; (nursing profession & medical departments/staff) p. 6~11. Body Parts; p. 46 & 47
Thursday, April 9th
（４月 9 日）木 (2)
• Warm up activities (i.e. word association/password task, Yes/No questions, responses, word opposites).
Build background knowledge (transfer). Review & Reflect on Unit 1: Meeting Patients
• Introduce Unit 2: Taking a Medical History; key expressions; (i.e., Have you had any serious illnesses?
etc.); vocabulary; (medical history, pneumonia, hypertension, vaccination, allergy, hay fever, bronchitis,
diabetes); dialogue; listening (write missing words); listening comprehension; true/false; useful expressions;
(Do you have a vaccination certificate? Have you had a Measles & Rubella vaccination?); pair work 1 & 2;
(medical history questionnaire); medical knowledge; (illnesses & diseases) p. 12~17.
Tuesday, April 月 14th
（４月 14 日）火 (3)
• Warm up activities: word association (password task), Yes/No questions & responses, & colloquialism
(口語表現: wŭdĭyŭ). Review & Reflect: Unit 2: Taking a Medical History
• Introduce Unit 3: Assessing Patients’ Symptoms; p. 18; key expressions; (i.e., How long have you had
these symptoms? etc.); & vocabulary; (headache, symptom, dizzy, rash, swollen glands constipation,
diarrhea, and cough). p. 19; Dialogue; listening (write missing words); p. 20; listening comprehension;
multiple choice; useful expressions; (e.g., several days ago, a few days ago, the day before yesterday, etc.);
p. 21 & 22; pair work 1 & 2; (symptoms questionnaire); medical knowledge; (asking & stating symptoms);
p. 24; family members; (e.g., great-grandfather, mother-in-law, granddaughter, cousin, spouse, etc.); p. 25;
essay1; beverages 1; (coffee) [p. 18~25].
Tuesday, April 21st
（４月 21 日）火 (4)
• Warm up activities: word association (password task), Yes/No questions & responses. Build background
knowledge or transfer vocabulary. Review & Reflect: Unit 3: Assessing Patients’ Symptoms
• Introduce Unit 4: Taking Vital Signs; p. 26; key expressions; (i.e., Let me take your temperature.);
vocabulary; (pulse, temperature, respiration, blood pressure, thermometer, consulting, room, stethoscope,
sphygmomanometer [sfĭg-mōh-mŭh-nŏm-ĭ-ter]). p. 27; Dialogue; listening (write missing words); p. 28;
listening comprehension; true/false; useful expressions; (e.g., body temperature, formula, ºC= 5/9(ºF-32),
ºF= (ºC x 1.8)+32), pulse/heart rate, respiration rate, blood pressure, etc.); p. 29 & 30; pair work 1 & 2;
(vital signs check list); p. 31; medical knowledge; (temperatures & thermometer, automated blood pressure
device); p. 26~31.
Thursday, April 23rd
（４月 28 日）木 (5)
• TEST 1 Unit 1, Unit 2, Unit 3, & Unit 4; review & reflect: (wash back)

3. Tuesday, April 28th
（４月 28 日） 火 (6)
• Warm up activities: word association (password task), Yes/No questions & responses. Build background
knowledge or transfer vocabulary. Review & Reflect: Unit 4: Taking Vital Signs
• Introduce Unit 5: Taking a Specimen; p. 32; key expressions; (i.e., You might feel a slight pin prick.);
vocabulary; (medical checkup, stool specimen, laboratory, blood test [hemanalysis], urine test [urinalysis],
tourniquet, antiseptic wipe, BMI, [body mass index]). p. 33; Dialogue; listening (write missing words); p.
34; listening comprehension; multiple choice; useful expressions; (e.g., height, body weight, formula, BMI,
[body mass index], etc.); p. 35 & 36; pair work 1 & 2; (cholesterol check list); p. 37; medical knowledge;
(body measurement, blood pressure, blood lipids, hepatic function, urine, blood glucose, gout, anemia); p.
32~37.
Tuesday, May 12th
（５月 12 日）火 (7)
• Warm up activities: word association (password task), Yes/No questions & responses. Build background
knowledge or transfer vocabulary. Review & Reflect: Unit 5: Taking a Specimen
• Introduce Unit 6: Conducting Medical Examinations; p. 38; key expressions; (i.e., Have you ever had this
test before?); vocabulary; (stomach x-ray, pregnant, x-ray technician, barium, laxatives, examination table,
electrocardiography, [ECG/EKG], echography). p. 39; Dialogue; (listen and write missing words); p. 40;
listening comprehension; true/false; useful expressions; (i.e., Please take off your clothes above the waist.);
pair work; p. 41 & 42; 1 & 2; (check-up form); p. 43; medical knowledge; examinations; (blood test, urine
test, stool test, sputum test, x-ray, computerized tomography [CT] scan, magnetic resonance imaging [MRI],
bacteriological examination, biopsy, blood/urine/sputum culture, pathological examination,
electrocardiogram [EKG], electroencephalo-gram, [EEG], echogram/ultrasound, visual acuity test,
tonometry, fundus examination/ophthalmoscopy, color vision test, perimetry test [visual field test],
audiometry, [hearing test], tuberculin skin test, allergy test, pregnancy test, uterus cancer test, cervical
cancer test, endometrial cancer test, mammogram, chromosome analysis, gene test, glucose tolerance test
[GTT]); healthcare professionals; pharmacist, registered dietician, clinical laboratory technician, x-ray
technician, physical therapist/physiotherapist, occupational therapist, speech-language-hearing therapist, eye
specialist/orthoptist, dental hygienist, clinical psychotherapist); coffee break 2; directions; (prepositions of
location); along, between, past, next to, down/upstairs, across from/opposite, on, around); essay 2;
beverages 2; (milk) p. 38~45.
Body Parts; p. 46 & 47
external- abdomen, ankle, arm, armpit, back, breast, buttocks, calf, chest, elbow, finger, foot, genitals, hand, head, heel,
hip, knee, leg, lower abdomen, naval, neck, palm, shoulder, thigh, thumb, toe, upper abdomen, wrist
internal- adrenal gland, anus, aorta, appendix, cecum, duodenum, esophagus, gallbladder, inferior vena cava, kidney, large
intestine, larynx, left atrium, left ventricle, liver, oral cavity, pancreas, pharynx, pulmonary artery, pulmonary vein,
rectum, right atrium, right ventricle, small intestine, stomach, superior vena cava, teeth, ureter, urinary bladder
Thursday, May 14th
（５月１ 4 日）木 (8)
• Warm up activities: word association (password task), Yes/No questions & responses. Build background
knowledge or transfer vocabulary (numbers). Review & Reflect: Unit 6: Conducting Medical Examinations
• Introduce Unit 7: Assessing Pain; p. 48; key expressions; (i.e., Could you describe the pain?); vocabulary;
(outpatient ward, dull pain, sharp pain, throbbing pain, heartburn, anorexia, onset, acute pain, chronic pain).
Dialogue; p. 49; listening (write missing words); p. 50; listening comprehension; multiple choice; useful
expressions; (i.e., I cut my finger with a knife. It really smarts.); p. 51 & 52; pair work 1 & 2; (complaints &
diagnosis); p. 53; medical knowledge; expressions of pain; (generalized pain, localized pain, acute pain,
chronic pain, sharp pain, dull pain, severe/terrible pain, mild/slight pain, intermittent pain, constant pain,
griping pain, burning pain, persistent pain, throbbing pain, splitting pain, prickling pain, tenderness,
colic/gripe); orthopedic vocabulary; (bones; cartilage, cervical spine, joint, ligament, lumbar spine, tendon,

4. diagnosis; arthritis, bruise, damaged ligament, dislocation, fracture, hairline fracture, herniated disk,
osteoporosis, sprain, torn muscle, fractured/broken, sprain/twisted) p. 48~53.
Tuesday, May 19th
（５月１ 9 日）火 (9)
• Warm up activities: word association (password task), Yes/No questions & responses. Build background
knowledge or transfer vocabulary. Review & Reflect: Unit 7: Assessing Pain
• Introduce Unit 8: Advising about Medication; p. 54; key expressions; (i.e., There should be a five-hour
interval between doses.); vocabulary; (medication, intravenous drip [IV], prescription, antibiotic, antacid,
side effects, dose, pharmacy). Dialogue; p. 55; (listen and write missing words); p. 56; listening
comprehension; true/false; useful expressions; (e.g., every day, every other day, before/after, between, at
regular periods, during the day, when you have pain, etc.); p. 57 & 58; pair work 1 & 2; (substitutions);
p. 59; medical knowledge; kinds of medicine; internal; (tablet, pill, capsule, powdered medicine, granular
medicine, liquid medicine, syrup, troche); external; (cream, ointment, bandage/plaster, compress, inhalant,
mouthwash, gargle, eye drops, ear drops, suppository, spray); general types; (antibiotics, sleeping pills,
laxatives, antidiarrheal, antipruritic, ant suppuration, antacids, antipyretics); usage; (take, apply/put on,
insert/put into, put in) p. 54~59.
Tuesday, May 26th
（５月２ 6 日）火 (10)
• TEST 2: Unit 5, Unit 6, Unit 7, & Unit 8; review & reflect: (wash back) (units 5~8)
Thursday, May 28th
（５月 28 日）木 (11)
• Warm up activities: word association (password task), Yes/No questions & responses. Build background
knowledge or transfer vocabulary. Review & Reflect: Unit 8: Advising about Medication
• Introduce Unit 9: Improving Patients’ Mobility; key expressions; (i.e., Regular daily exercises will
improve your mobility.); vocabulary; (range of motion [ROM] exercise, mobility, walker, physical therapist/
physiotherapist [PT], forward, backward, crutches, paralyzed, wheelchair). Dialogue; (listen and write
missing words); listening comprehension; multiple choice; useful expressions; (i.e., Lie on your back-
stomach/right side/with your knees bent/legs crossed; Turn over to/on your right side; Sit on the chair and
stretch your legs/bend your body forward; Lift your affected arm with your good hand.); pair work 1 & 2;
medical knowledge; (wheelchair & walking aids); (handle, backrest, wheel, hand rim, brake, caster, footrest,
leg rest, seat, armrest; forearm crutch, crutches, quadruped cane, walker, folding cane); coffee break 3;
appointments; prepositions of time; (for, in, on, at; time/season); essay 3; organic food; p. 60~67.
Tuesday, June 2nd
（６月 2 日）火 (12)
• Warm up activities: word association (password task), Yes/No questions & responses. Build background
knowledge or transfer vocabulary. Review & Reflect: Unit 9: Improving Patients’ Mobility
• Introduce Unit 10: Maintaining a Good Diet; key expressions; (i.e., You’re slightly overweight for your
height.); vocabulary; (put on, take off, gain weight, lose weight, overweight, underweight, balanced diet,
nutrient, fat-free, liquid diet, diabetic diet, vegetarian [vegan]). Dialogue; (listen and write missing words);
listening comprehension; true/false; useful expressions; (e.g., regular/general diet, diabetic diet, dysphagia
diet, sodium-controlled diet, vegetarian diet, liquid diet); pair work 1 & 2; (substitutions); medical
knowledge; Japanese food composition chart; (carbohydrates, protein, fat, seasoning, vitamins and minerals)
p. 68~73.

5. Tuesday, June 16th
（6 月 16 日）火 (14)
• Warm up activities: word association (password task), Yes/No questions & responses. Build background
knowledge or transfer vocabulary. Review & Reflect: Unit 11: Caring for Inpatients
• Introduce Unit 12: Coping with Emergencies; key expressions; (i.e., Keep yourself calm and breathe
normally.); vocabulary; (emergency room [ER], paramedic, ambulance, life-threatening, fatal, rescue
breathing, sudden cardiac arrest [SCA], cardiopulmonary resuscitation [CPR], automated external
defibrillator [AED]). Dialogue; (listen and write missing words); listening comprehension 1 & 2; true/false
and fill in the blank; useful expressions; (e.g., triage, CPR, cardiac arrest, epileptic seizure, hemorrhage,
stroke, pulse, heartbeat, anaphylactic reaction, coma); pair work 1 & 2; medical knowledge; Basic Life
support algorithm; (check for response, shout loudly, gather people/get help, call 119, ask for an AED, start
CPR, check pulse and breathing, tilt head to open airway, [do thoracic compressions 30 times, artificial
respiration 2 times, compress 100 times per minute, at least 5 sets, before an AED operation]) p. 80~86.
Tuesday, June 23rd
（6 月 23 日）火 (15)
• TEST 3: Unit 9, Unit 10, Unit 11, & Unit 12; review & reflect: (wash back) (units 9~12)
Tuesday, June 9th
（6 月 9 日）火 (13)
• Warm up activities: word association (password task), Yes/No questions & responses. Build background
knowledge or transfer vocabulary. Review & Reflect: Unit 10: Maintaining a Good Diet
• Introduce Unit 11: Caring for Inpatients; key expressions; (i.e., Your operation is scheduled for 10 o’clock
tomorrow morning.); vocabulary; (operation, surgery, general anesthesia, visiting hours, post-operative, pre-
operative, prognosis, diagnosis, be discharged, incision, consent form). Dialogue; (listen and write missing
words); listening comprehension; multiple choice; useful expressions; (e.g., general anesthesia, regional
anesthesia, local anesthesia, complications from surgery, blood transfusion, surgery/procedure; consent
form, skin preparation, incision, dressing/bandages, elastic bandage); pair work 1 & 2; (substitutions);
medical knowledge; inpatient ward places & items; (cashier, admissions, nurses’ station, a shared room, a
private room, laundry, visitors’ restroom); (nurse call button, diapers, Q-tips/cotton swabs, waste basket,
syringe, clamp/forceps, tweezers, emesis/kidney basin, stethoscope, over bed table, medical outlet unit,
spouted water cup, IV drip, medical chart, ice pack, bedside table, urinal, bedrail) p. 60~67.

6. Tuesday, June 16th
（6 月 16 日）火 (14)
• Warm up activities: word association (password task), Yes/No questions & responses. Build background
knowledge or transfer vocabulary. Review & Reflect: Unit 11: Caring for Inpatients
• Introduce Unit 12: Coping with Emergencies; key expressions; (i.e., Keep yourself calm and breathe
normally.); vocabulary; (emergency room [ER], paramedic, ambulance, life-threatening, fatal, rescue
breathing, sudden cardiac arrest [SCA], cardiopulmonary resuscitation [CPR], automated external
defibrillator [AED]). Dialogue; (listen and write missing words); listening comprehension 1 & 2; true/false
and fill in the blank; useful expressions; (e.g., triage, CPR, cardiac arrest, epileptic seizure, hemorrhage,
stroke, pulse, heartbeat, anaphylactic reaction, coma); pair work 1 & 2; medical knowledge; Basic Life
support algorithm; (check for response, shout loudly, gather people/get help, call 119, ask for an AED, start
CPR, check pulse and breathing, tilt head to open airway, [do thoracic compressions 30 times, artificial
respiration 2 times, compress 100 times per minute, at least 5 sets, before an AED operation]) p. 80~86.
Tuesday, June 23rd
（6 月 23 日）火 (15)
• TEST 3: Unit 9, Unit 10, Unit 11, & Unit 12; review & reflect: (wash back) (units 9~12)
Tuesday, June 9th
（6 月 9 日）火 (13)
• Warm up activities: word association (password task), Yes/No questions & responses. Build background
knowledge or transfer vocabulary. Review & Reflect: Unit 10: Maintaining a Good Diet
• Introduce Unit 11: Caring for Inpatients; key expressions; (i.e., Your operation is scheduled for 10 o’clock
tomorrow morning.); vocabulary; (operation, surgery, general anesthesia, visiting hours, post-operative, pre-
operative, prognosis, diagnosis, be discharged, incision, consent form). Dialogue; (listen and write missing
words); listening comprehension; multiple choice; useful expressions; (e.g., general anesthesia, regional
anesthesia, local anesthesia, complications from surgery, blood transfusion, surgery/procedure; consent
form, skin preparation, incision, dressing/bandages, elastic bandage); pair work 1 & 2; (substitutions);
medical knowledge; inpatient ward places & items; (cashier, admissions, nurses’ station, a shared room, a
private room, laundry, visitors’ restroom); (nurse call button, diapers, Q-tips/cotton swabs, waste basket,
syringe, clamp/forceps, tweezers, emesis/kidney basin, stethoscope, over bed table, medical outlet unit,
spouted water cup, IV drip, medical chart, ice pack, bedside table, urinal, bedrail) p. 60~67.