For a Task-Based Pedagogy in a Medical Course to Foster Vocabulary and Aural Comprehension
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N°04 Vol 16- 2019



For a Task-Based Pedagogy in a Medical Course to Foster Vocabulary and Aural Comprehension
p p 271-279
Date de réception : 2018-09-22 Date d’acceptation : 2019-12-18

Hamza Tebani
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تهدف هذه الدراسة إلى استكشاف أراء الطلبة فيما يتعلق بالاستراتيجيات المعتمدة في فهم معاني المفردات، والعقبات التي تواجههم خلال المهام القائمة على الاستماع. في إطار هذا البحث، تبين لنا أن نختار منهجا كميا في صورة استبيان. اعتمدنا عينة من 40 طالبا في السنة الأولى صيدلة بجامعة فرحات عباس، سطيف. بدا لنا من خلال النتائج أراء متطابقة فيما يخص الاستعمال المحدود لهذه الاستراتيجيات. بالإضافة إلى ذلك ضعف المعارف النصية واللغوية، وعدم تطابق المهام مع مستوى الطلبة. وفي الختام، فان الانتقال من الاستكشاف إلى التجريب يعكس دراسة ذات طابع معمق.

الكلمات المفاتيح: الانجليزية للأغراض الطبية، فهم المفردات، الاستماع، المنهج القائم على أساس مهام

La présente étude vise à cerner la perception des étudiants vis-à-vis des stratégies adoptées pour identifier le sens lexical et contourner les entraves auxquelles ils sont confrontés dans les tâches de l’écoute. A cet égard, une approche quantitative, par le biais d’un questionnaire, a été appliquée sur un échantillon de 40 étudiants de première année pharmacie à l’Université Ferhat Abbes, Sétif 1. En effet, les résultats ont révélé des avis concordants quant à l’utilisation restreinte des stratégies d’écoute pour gérer les problèmes de compréhension lexicale. En outre, ces résultats reflètent aussi un manque de connaissances contextuelles et linguistiques flagrants de la part des étudiants en question. Il est ainsi utile de mettre en exergue une inadéquation criarde des tâches d’écoute proposées aux étudiants. L’approche basée sur des tâches à accomplir, que nous prônons dans cette recherche, s’est avérée plus performante dans la compréhension lexicale que les méthodes jusqu’alors adaptées par les étudiants. 

Mots-clés :L’anglais à objectifs médicaux, la compréhension lexicale, l’écoute, l’approche basée sur des tâches à accomplir

This study aims to explore the students’ perceptions about the strategies adopted when coping with lexical meaning related to medical vocabulary and the obstacles they face during listening-based tasks. To achieve this objective, the study deploys a quantitative approach in the form of a questionnaire applied to a sample of 40 students in the first year pharmacy branch at Farhat Abbas University, Setif.  The main upshot displays convergent insights about the restricted use of listening strategies when manipulating vocabulary comprehension, in addition to poor textual and linguistic knowledge, and mismatch of tasks with the students’ level. The study concludes that the transition from exploration to experimentation is recommended for further investigation.

Keywords: English for Medical Purposes, Vocabulary Comprehension, Listening, Task-based Approach

Quelques mots à propos de :  Hamza Tebani

 Université Mohamed Lamine Debaghine, Sétif 2 hamtebi@gmail.com

Introduction

Over the span of several years, receptive vocabulary has compelled scant attention within research probes or tended to be somehow overlooked by analogy with other linguistic entities. Yet, from the late 1980s onward, manifold facets have been put forward when approaching vocabulary. Actually, vocabulary expansion boosts the potential to grasp not merely lexis but further lexical bundles, and plausibly affords accessible resources when drawing inferences across the text (Clarke et al.1; Harding et al.2). In respect to EMP, it has grown in stature as an outstanding component due to the breakthroughs in medical province. Above and beyond, when selecting medical jargon, it is of paramount importance to understand any nuances between subtly distinct structures of the nomenclature (Laufer3; Mogull4; Pavel5)

On the one hand, unlike the synthetic syllabi that were mainly burdened with defects, the analytic syllabi as the task-based tended to deflect the focus away from implicit to explicit vocabulary learning. The approach per se has currently sprung up as a mainstay to address an emerging set of issues related to listening complexity and meaning geometry. In other words, a focus on meaning has been the cornerstone of task-based approach. In addition, within its scope, listening tasks were meant to be tailored in processing, recycling vocabulary and assessing comprehension (Hyland & Shaw6; Shohamy7; Wu et al.8).

On the other, the steady transition from sound perception to word recognition, from meaning construction to text comprehension within a certain context has an inextricable nexus with the brain. Accordingly, educational stakeholders need to be versed not merely in lexical-oriented approaches, but also in cognitive concepts and precepts that underpin it. Within   the   medical   context,  deeper   levels  of

comprehension require certain mental-related processes. Besides accurate interpretations of the explicit text, thinking, reasoning, inferencing and construction of causal mental models are requisite (Schober et al.9). Thus, for the sake of dispelling certain misconceptions about these processes, three intrinsic taxonomies have been set forth. Basically, there is a stark contrast between cognitive, metacognitive and   socio-affective   strategies. Along   with   motivation, emotions and attitudes, the latter stand for the actions that are espoused among learners when interacting with each other. In turn, whereas metecognitive strategies pertain to planning, monitoring and assessing, their cognitive counterparts overlap with decoding, storing and recalling (Graham & Santos10; Li11; Pawlak et al.12). All in all, the interplay of these multi-faceted paradigms with lexis is an overload that learners need to overcome. Owing to that, this research has brought their perceptions into sharp focus.

1.               Statement of the Problem

It is very common that in running English courses at the tertiary level, some specified features are more or less shared. Basically, they are neither imparted by ESP teachers nor tailored in tandem with subject specialists. They do neither cater for students’ needs nor cover contents which are within their grasp. After conducting a focus group discussion (cf. appendix), issues of this kind tend to occupy profoundly the foreground of English course geared to first year pharmacy students. Therefore, to expound vocabulary, the course confines the stress on countless aspects as reading comprehension, writing compositions and oral presentations. Nevertheless, there is not much scope of listening comprehension. When performing aural-based assignments, students are baffled by vocabulary uptake and its intricacy. So, making allowance for the problem, the inference drawn is that what hampers the students’ comprehension is attributable     to the little acquaintance they have with the vocabulary strategies. Also, the problem accrued during listening is triggered by the paucity in linguistic and background knowledge. Unquestionably, all these disable them to interpret the denotation of lexis and subsequently impede their comprehension.

2.               Purpose of the Study

Within the purview of the study under scrutiny, the purpose is twofold. First, it aims to review the students’ standpoints towards the impediments they confront when engaging in aural assignments and retrieving vocabulary meaning. Second, it purports to raise the awareness among students about the affordance to handle vocabulary using strategies through three phases. In the main, probing the plausible impact of these strategies over lexical uptake is contingent upon well-elaborated aural tasks.

3.               Research Questions

By taking the purpose of the study into account, the researcher tried to investigate the ensuing research questions:

1.                       What challenges do the students confront when negotiating the meaning of receptive lexis?

2.                       What are the causes underlying these challenges?

3.                       To what extent do they adopt listening strategies     s to negotiate the meaning of receptive lexis?

4.               Literature Review

4.1 Vocabulary and Meaning Geometry

Across diverse disciplines, vocabulary may assume several labels which range between specialized, technical, sub-technical or semi-technical. Contrary to general vocabulary, when they occur in a certain sphere, they exhibit specific patterns of usage. As a case in point, the word ‘bypass’ can be deployed in distinct contexts with different  meanings (in general ‘detour’; in electrical

engineering ‘shunt’; in medicine ‘operation to reroute blood’ (Long13; Paltridge & Starfield14). Along with having Greco-Latin roots, fundamental scientific terms stand for names of diseases, medicines, chemicals and processes (Linares et al.15).

Vocabulary instruction is reckoned as one of the trickiest concerns that lie upon educational stakeholders, in all grades and domains. Within recent years, it has been gaining momentum in language-medium education and a plethora of facets has been conceived as impeding vocabulary comprehension. In addition to semantics, syntax and register, vocabulary has a close interplay with morphology, orthography and phonology. (Oakhill, et al.16; Odisho17; Wechsler18).

For the sake of attaining optimum outcomes, a spectrum of strategies should be incorporated in the curriculum. Initially, there is a firm reciprocity between vocabulary expansion and reading comprehension. When deciphering meaning, reading comprehension hinges on three processes: Retrieving ideas from the chunks of text, tying the ideas to each other, and grasping the gist of the whole text (Willingham19). Similarly, the interplay between listening and vocabulary uptake is contingent upon three phases. The latter are prediction (pre-listening), verification (during listening) and reflection (after listening). As a case in point, predicting the spelling and pronunciation of words, using the general knowledge to think about what the unknown word might logically mean, reflecting on the strategies used to achieve the answers whether correct or incorrect (Graham & Santos10).  

 

4.2 Scientific and Medical English

Medical English has been getting a raw deal in  the  field  of  English for Science and Technology

(EST)  which  draws  upon  the  tenets of English for Specific Purposes (ESP). On the one hand, EST overlaps with three categories: Life sciences (as medicine and botany), physical sciences (as physics and geology), and engineering (as civil and electrical engineering) which display an array of shared features. The latter range between organizational principles, grammatical and rhetorical structures, and lexical items (Brown20). In the same vein, as Wallwork21 maintains, scientific English is a subset of academic English that pertains to scientific realms (as mathematics, chemistry and pharmacy) instead of humanistic ones (as economics, history and philosophy). On the other, EMP courses differ according to diverse facets as Paltridge & Starfield14 assert: 

§ Duration (i. e. short extensive vs. long courses);

§ Target audience (e.g. clinicians vs. medical researchers vs. pre-medical students vs. medical students in the clinical phase of their training);

§ Medical specialty (e.g. pharmacists, chest physicians, neurosurgeons, etc.);

§ Skills, genres and medical situations (e.g. English for pharmacist-patient communication, English for medical congresses, English for report/journal article writing, p. 254)

4.3 Task-based Approach

Being transpired throughout the late 1970s as a substitute for traditional structure-based approaches, the communicative language teaching afforded a new slant on language instruction. Actually, it confined the stress on a set of approaches which extended its compass. These encompass: task-supported language teaching and task-based language teaching. Distinguished by its in-depth focus, the task-based pedagogy pervades as a   rigorous approach, which emphasizes   learning through communication (Loewen & Sato22). Thus, through the integration of distinct tasks, it tempts to identify the denotation of lexical chunks and thereby foster comprehension.  As Long13 sets forth: “Tasks

produce   negotiation   for   meaning,  which  in turn,

increase L2 comprehension.” (p.346)

Actually, when tailoring vocabulary tasks, Nation23 recommends certain strands for the sake of getting an impartial syllabus. They are fourfold:

§ Meaning-focused input (learning through listening and reading);

§ Meaning-focused output (learning through speaking and writing);

§ Language-focused learning (learning through a deliberate study of words aspects such as pronunciation and spelling);

§ Fluency development. (p.2)

5.               Research Methodology

The current probe is intended to be an exploratory investigation aimed at affording a painstaking account on the informants’ views about meaning retrieval when engaging in aural assignments. Based on a quantitative approach that implied a questionnaire, it prompted to elicit the strategies they adopt and the impediments they confront likewise.

5.1 Participants

As to the sample of informants, it comprised 40 first year students majoring in pharmacy at Ferhat Abbes University, Sétif.  Along  with  being  within  the  18-21 age bracket, females outnumbered males by four to one.

5.2 Questionnaire

For the sake of gaining insights about the frequency use of listening strategies and the issues in fulfilling aural assignments, a questionnaire was addressed  to  40 subjects. Within   the   compass   of research, the questionnaire as an instrument expounds mainly the partakers’ beliefs, agreement or disagreement towards certain statements, frequency use of strategies, using a scale of measurement ranging between 1 and 5 (Loewen & Plonsky24). Initially, to accomplish the research aims, the questionnaire was designed to pile up quantitative data relying on 35 items, split up into three sections (strategies use, challenges and difficulties) and ranked according to a five-point Likert scale (ranging  from  never,  very  challenging  or agree to

Always, not challenging or disagree). Insofar as the questionnaire items are concerned, they were drawn up from a variety of sources (Graham & Santos10; Siegel25; Vandergrift & Goh26). Eventually, prior to the distribution phase, the research purpose was illuminated and the allotted span for questionnaire completion was determined (40 minutes).

5.3 Findings, Analysis and Discussion

To manipulate the quantitative data, the SPSS (version 23) was deployed. After being set in descriptive statistical tables, the outcomes were reported and interpreted. They are as follows:


Table 1. The Challenges Encountered during the Performace of Aural Tasks


Likert Scale

Very

Challenging

 Challenging

Quite

Challenging

N           Not

 Challenging

Not

Encountered

    Before

Number / Percentage

  N

  %

  N

 %

  N

  %

  N

 %

  N

 %

Understanding unfamiliar words

 29

72.5

  6

 15

  3

  7.5

  2

  5

  0

  0

Understanding the general  idea of the text / dialog

  8

  20

  7

17.5

 16

   40

  9

22.5

  0

  0

Understanding the specific  detail of the text / dialog

  4

  10

 28

 70

  5

 12.5

  3

 7.5

  0

  0

Determining the boundaries between sentences, phrases, words and word parts

 30

  75

  3

 7.5

  4

   10

  3

 7.5

  0

  0

Determining the shift from one idea to another

  8

  20

 20

 50

  5

 12.5

  5

12.5

  2

  5

Determining the shift in tone of voice

 10

  25

  5

12.5

  9

 22.5

 16

 40

  0

  0

Determining the type of vocabulary (topic-related, general, academic, etc.)

  7

 17.5

  6

 15

 12

   30

 14

 35

  1

 2.5

Determining the type of listening        strategy you’re going to use (guessing meaning from context)

 29

 72.5

  2

  5

  1

  2.5

  6

 15

  2

  5

Type of the listening task (gap filling, true-false questions, etc.)

  2

   5

 19

47.5

 11

 27.5

  8

 20

  0

  0

Length of the listening task

  9

 22.5

  3

 7.5

 17

 42.5

 11

27.5

  0

  0


As the table unveils, when tackling aural tasks, the ten challenges prevail among the overwhelming majority and fluctuate proportionally between ‘very challenging’, ‘challenging’ and ‘quite challenging’. Actually, they range from the most to the least challenging as follows: understanding unfamiliar words (95%), determining the boundaries between sentences, phrases, words and word parts and understanding the specific detail of the text (equally 92.5%), determining the shift from one idea to another (82.5%), determining the type of listening strategy you’re going to use and type of the listening task  (equally 80%),  understanding  the general idea of the text (77.5%), length of the listening task (72.5%),   determining   the    type    of    vocabulary (62.5%), and eventually determining the shift in tone of voice (60%).

In turn, making allowance for the challenges   that   are  not  encountered  before,  they entail three tiny proportions that stand for ‘determining the type of vocabulary’ (2.5%), ‘determining  the  type  of  listening  strategy  you’re going to use’ and ‘determining the shift from one idea to another’ (equally 5%). In fact, the existence of intricacies is an ample evidence of deficiencies in the use of aural strategies.



Table 2. The Causes Underlying the Challenges Encountered

Likert Scale

Strongly

        Agree

      Agree

  Strongly

Disagree

N  Disagree

         Undecided

Number / Percentage

 N

  %

 N

   %

 N

   %

 N

   %

  N

  %

Your lack of background knowledge

20

  50

 8

   20

 5

 12.5

 7

 17.5

  0

   0

Your lack of vocabulary knowledge

21

 52.5

 8

   20

 8

   20

 3

  7.5

  0

   0

Your lack of grammatical knowledge

 5

 12.5

 3

  7.5

11

 27.5

20

  50

  1

  2.5

Your lack of phonological knowledge

14

  35

18

   45

 3

  7.5

 5

 12.5

  0

   0

Your ignorance of the listening strategies

30

  75

 6

   15

 2

    5

 2

   5

  0

   0

Your reluctance to listening

 7

 17.5

 1

  2.5

23

 57.5

 9

 2.5

  0

   0

The listening assignments aren’t     suitable to your language level

11

 27.5

21

  52.5

 5

 12.5

 3

  7.5

  0

   0

Some distracting factors (as noisy          class, unclear recordings, etc.)

 2

   5

 5

  12.5

10

   25

20

  50

  3

  7.5


The table displays the agreement and disagreement of informants towards eight distinct issues that may emanate when fulfilling aural tasks. On the one hand, the most encountered impediments are fivefold. Actually, they are in descending order as follows: the ignorance of the listening strategies (90%), the listening assignments aren’t suitable to your language level (80%), the lack of phonological knowledge (80%), the lack of vocabulary knowledge (72.5%), and the lack of content knowledge (70%). On the other, the least encountered impediments are threefold. They range in descending order as follows: the reluctance to listening (80%), the lack of grammatical knowledge (77.5%), and some distracting factors as noisy class, unclear recordings, etc. (75%). Although they are relatively low in percentage terms, 7.5% and 2.5% account for those who are undecided about distracting factors (as noisy class, unclear recordings, etc.) and the lack of grammatical knowledge respectively. Overall, along with the deficiencies in the use of aural strategies and linguistic competences, the impediments students encounter within the aural tasks reside in the intricacy of the contents to be dealt with. This intricacy unquestionably disables them to interpret the denotation of lexis and subsequently impedes their comprehension of these contents.




 

Table 3.The Listening Strategies Adopted  when  Negotiating Lexical Meaning

Likert Scale

Never

Rarely

Sometimes

Usually

Always

Number / Percentage

 N

%

N

%

N

%

N

%

N

%

Pre-Listening

Reading the transcript

20

50

9

22.5

6

15

3

7.5

2

5

Thinking about topic-related words  

21

52.5

9

22.5

3

7.5

4

10

3

7.5

Thinking about the spelling

25

62.5

7

17.5

2

5

2

5

4

10

Thinking about the pronunciation

23

57.5

9

22.5

3

7.5

1

2.5

4

10

Predicting answers to the questions that go with the transcript

25

62.5

8

20

2

5

3

7.5

2

5

Getting ready to verify your predictions

29

72.5

6

15

2

5

1

2.5

2

5

Prediction Phase             

During Listening

Using the words you understand to get the general meaning of the text / dialog

8

  20

20

50

7

 17.5

2

5

3

7.5

Listening to the words that follow or    precede the unknown word

21

52.5

5

12.5

3

7.5

7

17.5

4

10

Using your general knowledge to think about what the unknown  word might logically mean

24

60

4

10

2

5

3

7.5

7

17.5

Checking whether the unknown word did in fact mean what you thought it meant

30

75

6

15

1

2.5

2

5

1

2.5

Using what you know about senttence structure to work out what  kind of word         it is (Noun, verb, adjective, etc.)

22

55

10

25

2

5

3

7.5

3

7.5

Thinking whether the unknown word is like a word you know, and then checking whether that meaning would make sense

16

40

11

27.5

4

10

4

10

5

12.5

   Verification Phase

Post-Listening

Comparing your answers with your peers

10

25

5

12.5

6

15

7

17.5

12

30

Checking how many right and wrong answers you come up with

3

7.5

6

15

11

 27.5

10

25

10

25

Reflecting on the strategies that you used to achieve the answers whether correct  or incorrect

30

75

4

10

3

7.5

1

2.5

2

5

Using the transcript while listening to revise your answers and check language structures (spelling, pronunciation, etc.)

25

62.5

3

7.5

7

 17.5

4

10

1

2.5

Using the key words used in the text in     a productive follow-up task

29

72.5

4

10

2

5

1

2.5

4

10

Reflection Phase   


All in all, as the table highlights, the students’ deployment of aural strategies along the three phases isn’t strikingly extensive. In a nutshell, a preponderance of the respondents don’t recourse to

use these strategies or barely use them.

Insofar as the pre-listening phase is concerned, the largest percentages swing between ‘never used’ and ‘rarely used’. As dichotomous sets, they range in ascending order as follows: reading the transcript (50% – 22.5%), thinking about topic-related words (52.5% – 22.5%), pronunciation of the words (57.5% – 22.5%), spelling of the words (62.5% – 17.5%), predicting answers to the questions that go with the text (62.5% – 20%), and getting ready to verify your predictions (72.5% – 15%).

By the same token, the highest frequencies within the ensuing phase (during listening) tend to be confined to the dichotomy (never used –  rarely used). They range in descending order as follows: checking whether the unknown word did in fact mean what you thought it meant (75% – 15%), using what you know about sentence structure to work out what kind of word it is (55% – 25%), using your general knowledge to think about what the unknown word might logically mean (60% – 10%), using the words you understand to get the general meaning of the text (20% – 50%), thinking whether the unknown word is like a word you know, then checking whether that meaning would make sense (40% – 27.5%), and listening to the words that follow or precede the unknown word (52.5% – 12.5%).

With reference to the post-listening phase, the deployment rates are dissimilar to the bygone phases. In other words, some substantial percentages reflect the informants’ use of aural strategies. The latter embrace checking how many right and wrong answers you come up with (92.5%) and comparing your  answers  with  your  peers (75%). Nonetheless,

the remaining percentages display the informants’ nonuse of the other strategies. In ascending order, they comprise: using the transcript while listening to revise your answers and check language structures (62.5%), using the key words used in the text in a productive follow-up task (72.5%), and reflecting on the strategies that  you used to achieve the answers whether correct or incorrect (75%).

Prior to listening, it is indispensable to go through a warmer-up. Initially, the latter is a prerequisite for increasing background knowledge. Thus, it entails a reading task which permits to predict linguistic clues as whether the words stand for nouns, numbers, abbreviations, etc. and how they are pronounced and spelled, etc.  

Subsequently, it is crucial to probe deeply into the metacognitive mechanisms of manipulating vocabulary while listening. For the sake of pinpointing the overall gist of the transcript, drawing on verification (whether to confirm or disconfirm the previous predictions) is of paramount significance.

Eventually, after listening, raising awareness about the strategies adopted is compulsory so as to ascertain whether they require to be adapted or altered for further similar aural tasks. Moreover, alongside rehearsing the key words (focusing on word parts, pronunciation, etc.), a productive follow-up task is fundamental to butress vocabulary retention. 

Conclusion

At the tertiary level, imparting receptive vocabulary  is   imbedded  within  the  ambit  of   the manifold medical specialties and pharmacy is no exception. Nonetheless, when delving deeper into the way it is learnt, many defects unfold. To pursue the line of inquiry, a thorough exploration was carried out to pinpoint the informants’ standpoints about these defects. On the basis of the outcomes, a plethora of facets has been yielded as impeding receptive vocabulary processing. In the main, there was a striking nonuse of listening strategies when handling vocabulary. Alongside the lack in background knowledge, linguistic knowledge (whether lexical, phonological or grammatical), the aural assignments were not within the threshold level of the informants.

Overall, to give the probe another spin, an ongoing investigation may translate the exploration into intervention highlighting the plausible impact of task-based pedagogy over receptive vocabulary comprehension. Accordingly, in bridging theory and practice, distinct strategies (as guessing meaning from context using clues, determining the boundaries between sentences, phrases, words and word parts, etc.) can be implemented. As a matter of fact, the latter vary in accordance with the tasks to be accomplished. Otherwise, it may scrutinize the extent to which the task requirements set up a need to process receptive vocabulary, and the extent to which learners engage in endeavoring to retrieve its meaning. Above and beyond, the selection of the task-based pedagogy is not haphazard since its focal focus is meaning and vocabulary uptake is likewise about meaning.


 


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@pour_citer_ce_document

Hamza Tebani, «For a Task-Based Pedagogy in a Medical Course to Foster Vocabulary and Aural Comprehension»

[En ligne] ,[#G_TITLE:#langue] ,[#G_TITLE:#langue]
Papier : p p 271-279,
Date Publication Sur Papier : 2019-12-26,
Date Pulication Electronique : 2019-12-26,
mis a jour le : 16/01/2020,
URL : https://revues.univ-setif2.dz:443/revue/index.php?id=6517.