This is the first of three AESP courses. It is designed for Registered Nurse (RN) students, whose lectures and hospital training are delivered in English and who are expected to keep English medical records and deal with English speakers in the hospital. The course is a pre-major course that introduces students to nursing courses before they specialize. The themes of the four language skills are determined in relation to the content of near future nursing courses: body parts, organs, some body systems, anatomical positions, colors, numbers, hospital personnel, medical tools, specializations, basic selected topics in nutrition and pharmacology. These topics are critically approached with particular attention given to developing the students' comprehension, ability to differentiate, classify, analyze, infer and conclude. Also, the course integrates the receptive skills for the sake of the productive skills. Reading comprehension activities prepare students for writing activities: the students are trained to read descriptive as well as comparative/contrastive passages in order to help them develop their critical thinking and to produce these two genres in the form of a paragraph. These two forms of writing involve studying illustrations, a table or a graph. The reading vocabulary, which bears the same themes as the writing topics, helps students to generate the practiced words, language expressions and word structure 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 receptive skill of listening helps students to discuss some medical topics critically. They provide the vocabulary, pronunciation and structure that enable them to discuss medical topics using evidence. The students completing this course should be able to communicate orally and discursively when discussing the selected nursing themes.