ESL students find many difficulties with English communication. Being an ESL student, I know the struggles of going through interviews, English in medicine, Careers in medical fields communicating with superiors, or traveling to English-speaking countries. I have been neglected so many times being an ESL student.
in order to stay on top within the field and increase your chances of finding a job in this fast-paced and secure medical industry.












Do you speak English as a Second Language, and do you need to take the TOEFL iBT exam? Whether you plan to become a pharmacist, a nurse, a doctor, or a physical therapist–four widely respected and high-paying US jobs–you not only need to take the TOEFL iBT, but you also need to score 26/30 points on the speaking section of the test. Knowing your goal, you may have already tried to pass the speaking section but have fallen short. Did you score 24 points? 25? 23? It may be time for you to talk to a TOEFL iBT speaking specialist who, using the rubrics used to grade your speaking tasks, will diagnose your speaking in three areas: delivery, language use, and topic development.
Delivery
In considering this criterion, you should have your pronunciation evaluated to make sure that your speech is clear, well-paced, and having little to no problems in pronunciation. Many of my online students, who, after taking a pronunciation diagnostic pre-test, are characterized as having problems in at least one of the following areas: vowel sounds, consonant sounds, syllable division and grammatical word endings, word stress, sentence rhythm, intonation, thought groups, and blending.They then work on targeted pronunciation lessons until these pronunciation and intonation problems do not affect their overall intelligibility. Are pronunciation and intonation problems preventing you from passing the speaking section?
Language Use
Another criterion by which you will be evaluated is your effective use of grammar and vocabulary. In other words, how automatically or naturally do you speak English. Avoiding awkward and non-native speaker-like grammar and vocabulary, you speak fluent English. Once a speaking specialist determines that you have a problem with your language use, you will be given a series of vocabulary and grammar-building lessons so that you learn how to use a combination of basic and more advanced grammar and vocabulary. Also, when studying your grammar lessons, you should pay particular attention to the appropriateness of the grammar you are using. Sometimes, for instance, it is more appropriate to use simple grammar; in other cases, it may be more appropriate to use complex grammar. For example, a simple sentence consisting of a single subject and a verb is used to emphasize important ideas in your speech. Compound and complex sentences may be used when you are combining two or more ideas which are not important enough to stand alone as separate simple sentences. During TOEFL iBT speaking tasks, do you use a combination of simple and advanced vocabulary and grammar?
Topic Development
The final criterion that ETS uses to evaluate your speaking tasks is topic development. Yesterday, I got an E-mail from a visitor to my web site who had recently taken the TOEFL iBT. “I cannot elaborate on my ideas during the TOEFL speaking tasks,” she asked. “How can I improve in this area?” Improvement can be made by improving your vocabulary and grammar usage, both of which will allow you to come up with ideas faster under the time constraints. Furthermore, you will need to create some templates that you can use for the six speaking tasks and practice them often BEFORE you take the official exam. Therefore, you will be able to express and develop your ideas coherently, hence making it easy for TOEFL iBT human raters to see how your different ideas are connected. Also, displaying obvious progression, you develop your ideas in three coherent layers of meaning: main idea, support ideas, and details. Finally, in addition to being able to elaborate and coherently organize your ideas, you should make sure that you explicitly answer the question being asked. In the case of the independent speaking tasks, you are required to support your response by giving your opinions. However, with the integrated speaking tasks, you should never give your opinion; rather, you are required to summarize and integrate the speaking tasks, strictly relying on the main and critical supporting points from reading passages and talks. What feedback have you gotten from a speaking specialist as it relates to topic development?
In the final analysis, scoring higher than 26/30 points on TOEFL iBT speaking will require a consistent effort between you and a TOEFL iBT speaking specialist until you can meet the delivery, language use, and topic development requirements of the TOEFL iBT.