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This is the second ESP course with 2 credit hours.  It is designed for B1-B2 level Licensed Practical Nursing (LPN) students whose lectures and hospital training are delivered in English and who are expected to keep/manage English medical records as well as deal with English speakers in the hospital. The themes of the four language skills are determined in relation to the major themes of this level: nursing care of a family (maternity, pediatrics, and urology), nutrition, human growth and development. These topics are critically approached with particular attention given to developing the students' comprehension, ability to differentiate, classify, analyze and infer. Also, the course integrates the receptive skill of reading for the sake of the productive skill of writing: the students are trained to read comparative and contrastive passages in order to help them think critically and to produce these two genres in the form of paragraph writing. These forms of writing involve examining the data displayed in tables, graphs or illustrations. The reading vocabulary, which bears the same themes as the writing topics, helps students to generate the practiced words, language expressions, word structure and word categories in context and for professional purposes. Similarly, the grammar topics taught in this course help students to improve their writing because they are trained to use them for editing purposes. The students completing this course should be able to use English orally and discursively to effectively discuss the nursing themes of this level critically.