Research article | Open Access
International Journal of Language and Education Research 2026, Vol. 8(2) 1-24
From Language Gap to Clinical Competence in International Humanitarian Contexts: Meeting the Needs of Algerian Medical Practitioners
pp. 1 - 24 | DOI: https://doi.org/10.5281/zenodo.23651534
Publish Date: August 30, 2026 | Single/Total View: 3/3 | Single/Total Download: 3/3
Abstract
Although English is the lingua franca of international humanitarian medicine, healthcare professionals trained in predominantly Francophone systems often face significant communicative barriers in high-pressure environments. This study investigates the linguistic preparedness of Algerian doctors during the 2024 Gaza humanitarian mission, a context in which English functioned as the primary operational language. Using an exploratory mixed-methods design, data were collected from ten participating doctors through a semi-structured questionnaire and discourse analysis of a narrative field account. Findings reveal a critical functional gap: while participants possessed receptive academic English, they lacked operational fluency for core clinical tasks. Notably, a ‘productive atrophy’ was identified in clinical writing, with 0% of participants engaging in English-based documentation in their daily practice. During the mission, although 90% of practitioners subjectively felt that language barriers did not noticeably degrade the final quality of care, a staggering 80% admitted to specific instances where they were unable to perform effectively due to linguistic limitations. Specifically, 60% of participants reported significant difficulties in high-stakes tasks, including discussing patient cases and writing medical notes, with qualitative data highlighting terminological misalignment during surgery and an inability to produce accurate post-operative documentation. The findings suggest a structural misalignment between Algeria’s French-medium medical education and the demands of global emergency medicine. The results advocate for a shift towards Medical English as a Lingua Franca (MELF) models that prioritise operational speed and patient safety. The findings provide empirical justification for the integration of task-based Medical English (EMP) training within the Algerian medical curriculum to ensure professional autonomy in international contexts. The study contributes to ESP research by conceptualising linguistic preparedness as a dimension of clinical competence in high-stakes international medical contexts.
Keywords: English for Medical Purposes (EMP), Linguistic Preparedness, Medical English as a Lingua Franca (MELF), Needs Analysis, Humanitarian Healthcare, Algerian Medical Education
APA 7th edition
Meslem, D., & Benabdallah, A. (2026). From Language Gap to Clinical Competence in International Humanitarian Contexts: Meeting the Needs of Algerian Medical Practitioners. International Journal of Language and Education Research, 8(2), 1-24. https://doi.org/10.5281/zenodo.23651534
Harvard
Meslem, D. and Benabdallah, A. (2026). From Language Gap to Clinical Competence in International Humanitarian Contexts: Meeting the Needs of Algerian Medical Practitioners. International Journal of Language and Education Research, 8(2), pp. 1-24.
Chicago 16th edition
Meslem, Dahaouia and Awicha Benabdallah (2026). "From Language Gap to Clinical Competence in International Humanitarian Contexts: Meeting the Needs of Algerian Medical Practitioners". International Journal of Language and Education Research 8 (2):1-24. https://doi.org/10.5281/zenodo.23651534
Abu Safiyeh, H. (2021). Analyzing the English for Specific Purposes needs of medical students at Hebron University (Master’s thesis, Hebron University). Retrieved from http://dspace.hebron.edu:8080/xmlui/handle/123456789/940
Belaskri, K. (2017). The linguistic gap in doctor-patient communication in Algeria. Lublin Studies in Modern Languages and Literature, 41(2), 1–11. doi:10.17951/lsmll.2017.41.2.1
Benrabah, M. (2013). Language conflict in Algeria: From colonialism to post-independence. Bristol, England: Multilingual Matters.
Bououden, F., & Rouaghe, F. (2025). English for Medical Purposes: Identifying learning needs of second-year medical students at the University of Bejaia, Algeria. ALTRALANG Journal, 7(1), 342–353.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. doi:10.1191/1478088706qp063oa
Creswell, J. W., & Plano Clark, V. L. (2018). Designing and conducting mixed methods research (3rd ed.). Thousand Oaks, CA: SAGE.
Dillman, D. A., Smyth, J. D., & Christian, L. M. (2014). Internet, phone, mail, and mixed-mode surveys: The tailored design method (4th ed.). Hoboken, NJ: Wiley.
Dörnyei, Z., & Taguchi, T. (2009). Questionnaires in second language research: Construction, administration, and processing (2nd ed.). New York, NY: Routledge.
Dudley-Evans, T., & St John, M. J. (1998). Developments in English for specific purposes: A multi-disciplinary approach. Cambridge, England: Cambridge University Press.
Flanagan, J. C. (1954). The critical incident technique. Psychological Bulletin, 51(4), 327–358. doi:10.1037/h0061470
Ghounane, N. (2023). English as the Language of Scientific Research in Algeria. مجلة تطوير العلوم الاجتماعية, 15(2), 204–215. Retrieved from cerist.dz
Graves, K. (1996). Teachers as course developers. Cambridge, England: Cambridge University Press.
Hutchinson, T., & Waters, A. (1987). English for specific purposes: A learning-centred approach. Cambridge, England: Cambridge University Press.
Hyland, K. (2009). Academic discourse: English in a global context. London, England: Continuum.
Laggoun Belhoul, R., & Benmoussat, S.(2023). Switching between two foreign languages in English for medical purposes course: Impact on medical terminology and vocabulary comprehension. ALTRALANG Journal, 5(3), 242–258. doi:10.52919/altralang.v5i3.365
Long, M. H. (2005). Second language needs analysis. Cambridge, England: Cambridge University Press.
Munby, J. (1978). Communicative syllabus design. Cambridge, England: Cambridge University Press.
Outemzabet, B., & Sarnou, H. (2023). Exploring the significance of English-based communication for a community of medical academics in a public university teaching hospital in Algeria. English for Specific Purposes, 70, 116–130. doi:10.1016/j.esp.2022.12.001
Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015). Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 42(5), 533–544. doi:10.1007/s10488-013-0528-y
Paltridge, B., & Starfield, S. (Eds.). (2013). The handbook of English for specific purposes. Chichester, England: Wiley-Blackwell.
Rezig, N. (2011). Teaching English in Algeria and educational reforms: An overview on the factors entailing students’ failure in learning foreign languages at university. Procedia - Social and Behavioral Sciences, 29, 1327–1333. doi:10.1016/j.sbspro.2011.11.370
Riessman, C. K. (2008). Narrative methods for the human sciences. Thousand Oaks, CA: SAGE.
Tweedie, M. G., & Johnson, R. C. (2018). Listening instruction and patient safety: Exploring medical English as a lingua franca (MELF) for nursing education. Journal of Belonging, Identity, Language, and Diversity (J-BILD), 2(1), 75–100.
Woodrow, L. (2017). Introducing course design in English for specific purposes. London, England: Routledge.
Zemali, S., & Naoua, M. (2025). Investigating the impact of needs analysis on ESP test development: Insights from Algerian universities. القارئ للدراسات الأدبية والنقدية واللغوية, 8(2), 225–234.
