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For health-care providers who wish to learn Spanish in order to communicate effectively with patients, this text offers a first course in the language. It is a classroom text that uses readings, exercises and interactive activities to integrate the Spanish medical vocabulary, grammar and colloquial terms that nurses, doctors, dentists and medical technicians most need. Cultural notes explain Hispanic customs and communication styles. This second edition provides an expanded lexicon, a more concise, graphic presentation of structure, added communicative activities, and a workbook section to consolidate learning and promote writing skills. Also included with the book is a 72-minute CD audio programme integrated with each of the lessons, which develops listening skills and guides pronunciation.