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Extraction The literature search was conducted by 2 independent reviewers. Search terms used involved the combination and variation of 5 key concepts, namely: medical student, clinician, ENT, undergraduate medical education and UK. A data extraction form was designed for and used in this study, based on guidelines provided by the UK National Health Service (NHS) Centre for Reviews and Dissemination.

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Students struggled to ask and answer questions in English, and teachers were unable steroids, and often reluctant, to employ strategies to get students speaking, for example, through the use of ELT style speaking activities. The research also revealed high rates of L1 use steroids, both to communicate within the CLIL lessons and to teach entire lessons on the course. This reflects the teachers’ view that the science took precedence over language learning and that their aim was to teach the same amount and depth of science content in the CLIL lessons as they would expect to teach when using students’ L1..

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