• It is critical that pronunciation be accurate for high-stakes communication tasks.

• Effective communication results in better health outcomes.

• Communication is central to daily tasks in the health care profession.

• Successful USMLE performance results from effective communication and clear pronunciation.



What's at stake
In the practice of medicine it is critical that communication be clear. Not only do practitioners understand this intrinsically, the practice of medicine is increasingly subject to patient advocacy and legislative scrutiny. It is critical to distinguish between "infarction" (dead tissue) and "infection" when describing a placenta specimen. Describing a specimen from a patient's heart as being a "patch-like material" and "plaque-like material are critically different things. The need to be clear is imperative and these are just two of the possible misunderstandings that could have major ramifications.

We provide pronunciation instruction targeting critical words and phrases for high-stakes communication tasks. 



Accreditation standards

Good communication skills have been shown to increase patient satisfaction, compliance, and better health outcomes. Medical professionals are expected to “have skills that result in effective information exchange and teaming with patients, their families, and other health professionals.” - Accreditation Council for Graduate Medical Education

We have a clear understanding of the role of effective communication in the patient outcome cycle.


Comprehensive need

Let's look at a physician's typical communication tasks: examine and interview patients, discuss patients with colleagues, give instructions to patients and other healthcare professionals, lead discussions with patients and their families, call social services, consult with physicians of other specialties, dictate discharge summaries, deliver reports, present cases, and more.

We equip health care professionals with the tools to be successful in all their communication tasks.



At any stage in your medical career

Non-Native English Speaking Healthcare Professionals:

Why pronunciation and communication training? 


Beginning your medical career as an IMG

USMLE SEP Preparation for Step 2 Clinical Skills Exam

• focus on high-frequency pronunciation and grammatical errors

• instructional content pertinent to the clinical encounter and physical exam

• adaptable training schedule to meet your needs before your scheduled exam date



The Clinical Skills (CS) component of the exam is an in-person performance assessment. Examiners assess Integrated Clinical Endounters (ICE), Communication and Interpersonal Skills (CIS), and Spoken English Profiency (SEP.) Among other things, examinees are expected to exhibit clear questioning and information sharing skills. Examinees are also expected to be proficient in pronouncing vowels and consonants in English, and speak with clear intonation

We assist you in developing these SEP skills for a successful exam performance.

Highly recommended Step 2CS Course to meet your needs

in the areas of Integrated Clinical Encounters (ICE) and Communication and Interpersonal Skills (CIS.)


Articulation LLC is in partnership with CS School for IMGs

A specialized program designed to help all IMGs pass the CS exam on the first attempt.


It includes the CS Book, Video & Audio Series, and SEP and CS Courses.


All SEP materials were created by Articulation LLC, and co-written by Dr. Mohamed Elawdy.