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Global health simulations yield culturally competent medical providers

an appropriate level. What lessons were learned? Generally, the programme is successful and helps doctors to make great progress in medical English. Data for a course run in February 2011, which was attended by doctors from the gastroenterology department of our second affiliated hospital, show that doctors who attended (n = 20) obtained significantly higher scores on vocabulary and listening in the final test than in the pre-training test (mean ± standard deviation preand post-test scores: 70.7 ± 6.1 versus 76.6 ± 6.7; t = 28.93). Participants showed more confidence and greater fluency in speaking, and made fewer errors in pronunciation than they had before the course. They also successfully held the Sino–Japanese Symposium on Early Cancer of the Gastrointestinal Tract in September 2011. Most of the participating doctors felt satisfied with their performance and with the programme. The training programme has now been implemented for 2 years consecutively and will be continued in the coming year.