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Doctors who practice in international organizations must learn to use English to communicate with patients and co-workers. At the Enrique Cabrera Medical School in Havana, Cuba, the English program helps medical students for this. The students first learn how to ask a patient about his or her problem. They learn “Where does it hurt,” and “how can I help you?” Future doctors also learn to use the command form of English verbs, like “sit down,” or “hold out your arm.” As their education continues, they learn the English grammar structure of “reported speech.” That is how we tell others what someone else said. When doctors write a report or talk with others, they use this structure. An example is, “The patient said she has had two children,” or “He said he had a high temperature for three days.” Talking with patients is more difficult when the patient is a child or does not speak the same language as the doctor. The medical students learn that pictures can help. The patient can point to a picture that explains an injury. In addition to learning from real-life experience, students at Enrique Cabrera Medical School read and listen to articles in English. For example, the head of the English Department said he taught about the liver disease hepatitis using a Voice of America story. He also said that he hopes more scholarships and education in the U.S. will become available to his students as Cuban-U.S. relations grow. After all, Cuba and the United States are neighbors – only 144 kilometers apart.