Arab World English Journal (AWEJ) Volume 16. Number 4, December 2025 Pp. 289-316

Exploring Motivational Factors for Learning General and Medical English Among Early-Career Doctors in Ho Chi Minh City: A Mixed-Methods Study

Faculty of Foreign Languages
Ho Chi Minh City University of Industry and Trade, Ho Chi Minh city, Vietnam

Corresponding Author: nghitt@huit.edu.vn

Institute of International Education
Hoa Sen  University, Ho Chi Minh city, Vietnam

Abstract:

English proficiency is critical for early-career medical doctors in Ho Chi Minh City to advance their professional and academic goals. Limited research exists on their motivation to learn General English and English for Medical Purposes. This study investigates the types, differences, and factors influencing motivation for learning general English and English for Medical Purposes among doctors graduating within three years. A mixed-methods approach was employed, involving a questionnaire (n=104) and semi-structured interviews (n=7) with early-career doctors in Ho Chi Minh City. Quantitative data were analyzed using SPSS for descriptive statistics and Wilcoxon Signed-Rank Tests, while qualitative data underwent thematic analysis to identify motivational factors. Instrumental motivation was the primary driver for both General English and English for Medical Purposes learning (mean=4.13, SD=0.60), followed by integrative motivation. Gender differences were significant, with females showing higher instrumental and integrative motivation for General English (p<0.05). Key motivational factors included career development, educational purposes, and cultural understanding, while time constraints and costs were barriers. Classroom environment and teachers had moderate influence. The findings highlight the dominance of instrumental motivation and the impact of gender and external factors on English learning. Educators should prioritize career-oriented, communicative teaching methods and authentic materials to enhance motivation. This study informs tailored English programs for medical doctors and suggests future research on time and cost influences.

Cite as:

Nghi, T. T., & Anh, T. H. N. (2025). Exploring Motivational Factors for Learning General and Medical English Among Early-Career Doctors in Ho Chi Minh City: A Mixed-Methods Study. Arab World English Journal, 16(4):289-316

References:

Ahmad, A., Hasan, M., & Ghorbanpour, M. (2024). Education cost as a new fickle in higher education for students learning via quantitively multinomial logistic regression. Scientific Reports, 14(1), 1–15. https://doi.org/10.1038/s41598-024-81074-x

Albright, J. (2018). English tertiary education in Vietnam. Routledge.

Alghamdi, A., Albawardi, A., Alzuabi, N., & Alshaiji, L. (2023). Does Gender Matter? Motivation and Learning EFL: A Saudi Case Study. International Journal of Arabic-English Studies, 23(1).

Alqurashi, F. (2016). English for medical purposes for Saudi medical and health professionals. Advances in Language Literary Studies, 7(6), 243–252. https://doi.org/10.7575/aiac.alls.v.7n.6p.243

Anazawa, R., Ishikawa, H., & Kiuchi, T. J. T. (2012). The accuracy of medical interpretations: A pilot study of errors in Japanese-English interpreters during a simulated medical scenario. Translation & Interpreting: The International Journal of Translation and Interpreting Research, 4(1), 1–20.

Andayani, E. S. (2022). The importance of learning and knowing English in higher education in Indonesia. Research Development Journal Of Education, 8(1), 372–379. https://doi.org/10.30998/rdje.v8i1.13315

Arroyyani, R., Setianingsih, I. S., & Sari, D. M. (2024). ESP Students’ Demotivation In Learning English: A Study Of An Islamic Education Study Program. Journal on Education, 7(01), 1056–1065.

Bekai, W., & Harkouss, S. (2018). The role of motivation in teaching speaking in esp: a case study of a Lebanese Private University. Journal of Teaching English for Specific and Academic Purposes, 6(1), 141–150. https://doi.org/10.22190/JTESAP1801141B

Beneito, P., Boscá, J. E., & Ferri, J. (2018). Tuition fees and student effort at university. Economics of Education Review, 64, 114–128.

Bharathi, K. N., & Pushpanathan, T. (2022). English for medical purposes and its status in India. In Proceedings of the International Conference on Best Innovative Teaching Strategies (ICON-BITS 2021) (pp. 221-224). ICON-BITS.  https://doi.org/10.2139/ssrn.4027451,

Brown, H. D. (2014). Principles of language learning and teaching: A course in second language acquisition. Pearson.

Canese, V., & Spezzini, S. (2023). Teaching english in global contexts: Language, Learners and Learning. ISL-FIL-UNA.

Chen, Y. (2011). The institutional turn and the crisis of ESP pedagogy in Taiwan. Taiwan International ESP Journal, 3(1), 17–30. https://doi.org/10.6706/TIESPJ.2011.3.1.2

Daif-Allah, A. S., & Aljumah, F. H. (2020). Differences in Motivation to Learning English among Saudi University Students. English Language Teaching, 13(2), 63–74.

Džuganová, B. (2019). Medical language-A unique linguistic phenomenon. Jahr–European Journal of Bioethics, 10(1), 129–145. https://doi.org/10.21860/j.10.1.7

Erlina, D., Desvitasari, D., Marzulina, L., & Risfina, A. (2020). Students’ Demotivating Factors in English Language Learning at One State Madrasah Tsanawiyah in Palembang, South Sumatera, Indonesia. Indonesian Research Journal in Education, 120–136. https://doi.org/10.22437/irje.v4i1.9024

Esanova, M., & Buriyev, D. (2023). The challenges in teaching english to medical students. Евразийский журнал академических исследований, 3(10), 255–260.

Gardner, R. C. (2006). The socio-educational mole of second language learning. Rowley, Massachusetts: Newbury House.

Gil-Salmerón, A., Katsas, K., Riza, E., Karnaki, P., & Linos, A. (2021). Access to Healthcare for Migrant Patients in Europe: Healthcare Discrimination and Translation Services. 18(15), 7901. https://doi.org/10.3390/ijerph18157901

Hachoumi, N., Eddabbah, M., & El Adib, A. R. (2023). Health sciences lifelong learning and professional development in the era of artificial intelligence. International Journal of Medical Informatics, 178, 105171. https://doi.org/https://doi.org/10.1016/j.ijmedinf.2023.105171

Hosseini, A., & Shokrpour, N. (2019). Exploring motivating factors among Iranian medical and nursing ESP language learners. Cogent Arts & Humanities, 6(1), 1634324. https://doi.org/10.1080/23311983.2019.1634324

Huang, J. (2022). The role of English as a foreign language teachers’ mindfulness and compassion in fostering students’ foreign language enjoyment. Frontiers in Psychology, 13, 899298. https://doi.org/10.3389/fpsyg.2022.899298

Indriani, K. S. (2020). Factors influencing motivation in learning English of Mangusada Badung General Hospital staff. OKARA: Jurnal Bahasa dan Sastra, 14(1), 13–22. https://doi.org/10.19105/ojbs.v14i1.2972

Karwacka, W. (2014). Quality assurance in medical translation. The Journal of Specialised Translation, 21, 19–34.

Katsara, O. (2008). Aspects of motivation within the context of an ESP course. ESP World Journal, 7(3), 1–26.

Khansir, A. A., & Dehkordi, F. G. (2017). The role of motivation in the teaching and learning English. Modern Journal of language teaching methods, 7(9), 072–085.

Le, H. V. L., Ngo, T. T., & Dang, G. N. (2024). Students’ Perceptions of Demotivating Factors in Learning English for Specific Purposes at a Military Medical University in Vietnam. Journal of Language Teaching and Research, 15(5). https://doi.org/10.17507/jltr.1505.08

Martín-González, D., & Chaves-Yuste, B. (2024). From English for general purposes to English for specific purposes: The role of motivation in higher education in Spain. ESP Today, 12(1), 26–48.

Maruyama, H. (1996). Difficulties in teaching technical English in Japan. LFE: Revista de lenguas para fines específicos, 3(1), 215–232.

Mathis, B. J., Mayers, T., & Miyamasu, F. (2021). English as a vocational passport: Japanese medical students and second language learning motivation. Education Sciences, 12(1), 8. https://doi.org/10.3390/educsci12010008

Meng, Y. J. T. (2022). English learning demotivating factors among non-english majors in medical university. Theory and Practice in Language Studies, 12(5), 931–936. https://doi.org/10.17507/tpls.1205.13

Nazarieh, M., Delzendeh, M., & Beigzadeh, A. (2023). Motivation as an integral factor in English language learning for medical students. Res Dev Med Educ, 12(1), 7–7. https://doi.org/10.34172/rdme.2023.33133

Nguyen, H. C. (2019). Motivation in learning English language: a case study at Vietnam national university, Hanoi. European Journal of Educational Sciences, 6(1), 49–65. https://doi.org/10.19044/ejes.v6no1a4

Nguyen, H. T. M. (2012). Primary English language education policy in Vietnam: Insights from implementation. In R. Baldauf, R. Kaplan, K. Kamwangamalu, & P. Bryant (Eds.), Language planning in primary schools in Asia (pp. 121–145). Routledge.

Nguyen, H. T. T., & Pham, M. T. T. (2016). Difficulties in teaching English for specific purposes: Empirical study at Vietnam universities. Higher Education Studies, 6(2), 154–161. https://doi.org/10.5539/hes.v6n2p154

Nguyen, N. (2012). How English has displaced Russian and other foreign languages in Vietnam since “Doi Moi”. International Journal of Humanities Social Science, 2(23), 259–266.

Othman, N. A., Manap, M. R., Ramli, N. F. M., & Kassim, A. A. M. (2018). Motivation in English language Learning: A Case Study of Afghanistan Students in Malaysia. In Proceedings of the 4th International Conference ILANNS 2018 (pp. 377-393). ILANNS.,

Pavel, E. (2020). Language learner motivation and strategies in English for medical purposes. Philobiblon, 25(1), 125–138.

Ryan, R. M., & Deci, E. L. (2017). Self-determination theory: Basic psychological needs in motivation, development, and wellness. Guilford publications.

Saidi, A. A., & Al-Mahrooqi, R. (2012). The influence of gender on Omani college students’ English language learning strategies, comprehension and motivation. International Journal of Applied Linguistics and English Literature, 1(4), 230–244.

Schunk, D. H., & Usher, E. L. (2012). Social cognitive theory and motivation. In R. M. Ryan (Ed.), The Oxford handbook of human motivation (Vol. 2, pp. 13–27). Oxford University Press. https://doi.org/10.1016/j.cedpsych.2019.101832

Tomak, T., & Šendula-Pavelić, M. (2017). Motivation towards studying English for specific purposes among students of medical and healthcare studies. Jahr–European Journal of Bioethics, 8(2), 151–170. https://doi.org/10.21860/j.8.2.1

Ulfaika, R., & Arsiani, D. (2023). The Instrumental and Integrative Motivation of Students in Blended Learning Class at Eight Graders of Junior High School. Conference on English Language Teaching, 653–672.

Wahyuni, S. (2021). English language needs for medical students: A link and match of academic and professional career. ENGLISH FRANCA: Academic Journal of English Language Education for Health, 5(1), 169. https://doi.org/10.29240/ef.v5i1.2146

Wang, C. (2023). On improving the English language ability of Science Citation Index papers for medical postgraduates through flipped classroom teaching. Korean journal of medical education, 35(1), 85. https://doi.org/doi: 10.3946/kjme.2023.251

Wang, Y. (2023). Motivation of Chinese Medical Students in Learning English as a Second Language: A Quantitative Study. Creative Education, 14(7), 1358–1369.

Wilcox, K., Laran, J., Stephen, A. T., & Zubcsek, P. P. (2016). How being busy can increase motivation and reduce task completion time. Journal of personality and social psychology, 110(3), 371. https://doi.org/10.1037/pspa0000045

Yelahina, N., & Fedchyshyn, N. (2019). Motivation as a key component of teaching English for medical students. Медична освіта(4), 107–112.

Facebook
Twitter
LinkedIn
Tumblr
Reddit
Email
StumbleUpon
Digg

Dr. Tran Tin Nghi is an experienced educator and researcher interested in second language acquisition and pedagogy. His work focuses on developing and implementing effective teaching methodologies, using corpus-based techniques in language teaching, AI in Education, and the role of literacy in second language learning. He has a strong record of scholarly publications in prestigious Scopus-indexed journals. His commitment to ongoing professional development is evident through his active involvement in leading organizations like VietTESOL, STESOL, and VietCALL. Nghi Tran can be contacted at nghitt@huit.edu.vn.
https://orcid.org/0000-0001-6549-3895

Trang Hoang Nguyen Anh, Dermatologist, MSc in English Language Teaching. Trang Hoang Nguyen Anh obtained his Master’s degree from Hoa Sen University and completed his Dermatology Residency at Pham Ngoc Thach University of Medicine. His research interests include IELTS preparation and English for Medical Purposes. https://orcid.org/0009-0002-4341-2243