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📌 C1EN

Studying Medicine Abroad: A Graduate's Decision

A ready-to-use C1 English lesson — reading, questions and answer key, built by teachers on TeachIn.

This lesson has 3 sections in total — including the full answer key.

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🎬 Interactive video — script & questions

NARRATOR: Listen to a conversation between two graduate students discussing studying medicine abroad. SPEAKER 1: So, I heard you've finally decided to accept the offer from the medical school in Berlin. How are you feeling about it? SPEAKER 2: Honestly, I'm both thrilled and a bit terrified. Had I known how competitive the application process would be, I might have started preparing a year earlier. The interview alone required months of preparation. SPEAKER 1: I can imagine. What tipped the balance in favour of Berlin over the programme here? SPEAKER 2: A few things, really. Not only does the curriculum integrate clinical rotations much earlier than most programmes back home, but tuition is also considerably lower. If I'd stayed here, I'd have graduated with a mountain of debt. SPEAKER 1: That makes sense. Still, adjusting to living abroad on your own can't be easy, especially juggling coursework in a second language. SPEAKER 2: It's daunting, I won't deny it. But the university offers an intensive language course beforehand, which should ease the transition considerably. What worries me more is being so far from family during exam season. SPEAKER 1: Well, should things get overwhelming, remember there's a whole network of international students who've been through exactly the same thing. SPEAKER 2: True. And honestly, the opportunity to train in such a renowned teaching hospital outweighs the drawbacks. I keep reminding myself that discomfort is often the price of genuine growth. SPEAKER 1: Spoken like a future doctor already. I've no doubt you'll thrive there.
  1. What does Speaker 2 say she would have done differently regarding the application process?
    • a) Applied to more universities
    • b) Started preparing a year earlier
    • c) Asked for help from family
    • d) Chosen a different country entirely
  2. According to Speaker 2, what is one key advantage of the Berlin programme over the one at home?
    • a) It offers better housing
    • b) Clinical rotations begin much earlier
    • c) It has smaller class sizes
    • d) It guarantees a job after graduation
  3. What does Speaker 2 say would have happened if she had stayed in her home country?
    • a) She would have failed her exams
    • b) She would have graduated with a lot of debt
    • c) She would have missed the application deadline
    • d) She would have had to learn a new language
  4. What is Speaker 2 most worried about?
    • a) Failing her interview
    • b) The cost of tuition
    • c) Being far from family during exams
    • d) Not finding a teaching hospital
  5. How does the university help students before their studies begin?
    • a) By offering financial scholarships
    • b) By providing free housing
    • c) By offering an intensive language course
    • d) By assigning a personal mentor

📖 Reading

When Amara Osei boarded a flight from Accra to Edinburgh six years ago, she had no idea that the decision would eventually place her in an operating theatre thousands of miles from home. Like many international students who pursue medical degrees abroad, she had been drawn by the reputation of a particular university, the promise of exposure to cutting-edge research, and, if she is honest, a certain romantic notion of reinvention. What she had not anticipated was quite how disorienting the first year would prove to be, nor how profoundly the experience would reshape her understanding of what medical training actually entails. The academic adjustment alone was considerable. Ghanaian secondary education had trained Amara to memorise vast quantities of material and reproduce it faithfully in examinations; the Scottish system, by contrast, rewarded students who could argue from first principles, challenge received wisdom, and admit uncertainty when the evidence did not point clearly in one direction. 'I remember a tutor asking me what I thought, rather than what the textbook said,' she recalls, 'and I genuinely did not know how to answer.' Had she not sought help early from the university's academic skills centre, she suspects she would have struggled considerably longer than she did to find her footing. Beyond the lecture theatre, the logistics of living abroad presented their own quiet challenges. Amara had to learn to budget in a currency that fluctuated unpredictably against the cedi, to navigate a healthcare system entirely unlike the one she had grown up with, and to cook meals that approximated home without access to many familiar ingredients. Homesickness, she says, arrived in waves rather than as a constant undertow — manageable most days, overwhelming on others, particularly around family celebrations she could not attend. What sustained her, somewhat unexpectedly, was a loose network of fellow international students who met weekly, ostensibly to study but really to remind one another that their disorientation was neither unique nor permanent. It is tempting to romanticise such journeys retrospectively, framing every hardship as character-building. Amara resists this narrative. She is quick to point out that international students frequently subsidise university finances through inflated tuition fees while receiving comparatively little institutional support in return, a disparity she considers worth scrutinising rather than glossing over with inspirational anecdotes. Nevertheless, she does not regret her decision. Now completing a specialist rotation in paediatrics, she credits her years abroad with teaching her a kind of intellectual humility that she doubts she would have acquired had she trained exclusively within a single, familiar system. 'Medicine is, in the end, a discipline built on admitting what you don't yet know,' she reflects. 'Living abroad simply forced me to confront that lesson rather earlier than I might otherwise have done.'

✏️ Questions

  1. According to the passage, what was Amara's original motivation for studying abroad?
    • a) She wanted to escape a difficult family situation in Ghana
    • b) She was attracted by the university's reputation, exposure to research, and a sense of reinvention
    • c) A scholarship required her to complete her degree overseas
    • d) She had relatives already living in Edinburgh
  2. What is implied by the sentence 'Had she not sought help early from the university's academic skills centre, she suspects she would have struggled considerably longer than she did to find her footing'?
    • a) She never sought help and struggled for a very long time
    • b) She sought help early, and this likely shortened her period of difficulty
    • c) The academic skills centre was ultimately unable to help her
    • d) She regrets asking for help because it made no difference
  3. How does the passage describe Amara's experience of homesickness?
    • a) It was constant and never varied in intensity
    • b) It disappeared once she joined a study group
    • c) It came and went, being harder to bear at certain times, such as family celebrations
    • d) It only affected her during her first week abroad
  4. In the final paragraph, what point does Amara make about international students and universities?
    • a) International students receive more financial support than domestic students
    • b) Universities often profit from high international tuition fees while offering limited support in return
    • c) She believes hardship should always be framed as character-building
    • d) Universities have recently improved support for international students significantly
  5. What does the word 'undertow' most likely mean as used in the third paragraph?
    • a) A loud, sudden noise
    • b) A strong underlying current or pull, often unnoticed on the surface
    • c) A type of academic assessment
    • d) A close group of friends
  6. What is the overall tone of Amara's reflections in the passage?
    • a) Bitter and regretful about her decision to study abroad
    • b) Uncritically positive, presenting her journey as effortless
    • c) Balanced — acknowledging genuine difficulties and structural problems while still valuing what she gained
    • d) Indifferent, showing no strong feelings either way

This lesson has 3 sections in total — including the full answer key.

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Create your free account to read the whole lesson. Copying it and downloading PDF/Word is part of Starter.

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