Finnish Preclinical and Clinical Medical Students as Strategic L2 English Learners: Language Learning Strategies and Communicating with Patients

This thesis focused on medical students’ language learning strategies for patient encounters. The research questions concerned the types of learning strategies that medical students use and the differences between the preclinical students and the clinical students, two groups who have had varying amounts of experience with patients. Additionally, strategy use was examined through activity systems to gain information on the context of language learning strategy use in order to learn language for patient encounters. In total, 130 first-year medical students (preclinical) and 39 fifth-year medical students (clinical) participated in the study by filling in a questionnaire on language learning strategies. In addition, two students were interviewed in order to create activity systems for the medical students at different stages of their studies. The study utilised both quantitative and qualitative research methods; the analysis of the results relies on Oxford’s Strategic Self-Regulation Model in the quantitative part and on activity theory in the qualitative part. The theoretical sections of the study introduced earlier research and theories regarding English for specific purposes, language learning strategies and activity theory. The results indicated that the medical students use affective, sociocultural-interactive and metasociocultural-interactive strategies often and avoid using negative strategies, which hinder language learning or cease communication altogether. Slight differences between the preclinical and clinical students were found, as clinical students appear to use affective and metasociocultural-interactive strategies more frequently compared to the preclinical students. The activity systems of the two students interviewed were rather similar. The students were at different stages of their studies, but their opinions were very similar. Both reported the object of learning to be mutual understanding between the patient and the doctor, which in part explains the preference for strategies that support communication and interaction. The results indicate that the nature of patient encounters affects the strategy use of the medical students at least to some extent.

A longitudinal study on the lexical sophistication and sentence length in Finnish upper secondary school students’ English compositions.

The aim of the present study was to find out the level of lexical sophistication and the mean length of sentences used in compositions written by Finnish upper secondary school students of English. In addition, the present study investigated the possible relationship between the two abovementioned variables. The study at hand was longitudinal: as data, a set of 50 compositions were collected in 2014 from the same writers both in the first and the final year of upper secondary school, 25 in the first year and 25 in the final year. In the analysis, an internet-based program called VocabProfile was utilized in order to find out the lexical sophistication of the investigated students. To find out the mean length of sentence and the relationship between these two, I used Microsoft Excel. Findings of the present study include a minor decrease in the use of less frequent vocabulary and a slight increase in the use of the two most frequently appearing thousand words of English: both of these changes were 1.99 percentage points. As for the mean length of sentence, it grew by 1.28 words during upper secondary school. As for the relationship between the two variables, no clear correlations could be found. It became, however, relatively clear that the topic of the composition might have an effect on the results. Thus more research is needed to fully see the effect of lexical sophistication and mean length of sentence on one another. In addition, future research would benefit greatly if all investigated students wrote on the same topic.