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I learned that ESL learners have special considerations due to their lack of English proficiency.  The question becomes if the pre-requisite of a program required English proficiency (nursing programs) mandated by the state, why does English speaking learners with communication deficits with the standard English given the same considerations.  I'm thinking first generation students, those who speak with a southern drawl and who may use difference phrases and terms.  

The ESL learner may be deficit in English, medical terminology and nuances of their profession which makes it hard to acquire the knowledge in a timely fashion.  How do we manage this contradiction?

 

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