# English Proficiency: Opening Doors to International Health Careers

By Lea Sims · Published 2025-02-13 · Updated 2026-06-08 · Healthcare on MarketScale
Canonical: https://www.marketscale.com/industries/healthcare/english-proficiency-opening-doors-to-international-health-careers
Creator hub: Care Anywhere

> Language proficiency benchmarks determine whether healthcare workers can practice internationally and advance their careers globally

## Key points

- English proficiency impacts global healthcare career mobility.
- Proficiency tests must align with real-world healthcare needs.
- Continuous skill development is essential for career success.

Block Field

In this special episode of [*Care Anywhere: The Global Health Workforce Podcast*](https://www.cgfns.org/podcast/), host [Lea Sims](https://www.linkedin.com/in/lea-m-sims/), Chief Marketing Officer and Host at **CGFNS International**, dives deep into the critical role of English language proficiency in global healthcare workforce mobility. Joined by guest [Spiros Papageorgiou](https://www.linkedin.com/in/spirospapageorgiou/), Principal Measurement Scientist at **ETS**, the discussion unpacks how language proficiency benchmarks are set, their role in career mobility, and the human impact of these assessments.

**Spiros** brings unique insights, drawing from his extensive experience with **ETS**'s renowned proficiency tests like **TOEFL**. He underscores that while language proficiency is necessary for success, it's not sufficient on its own. Factors such as cultural adaptation, professional expertise, and social support also significantly influence outcomes. Highlighting the nuanced process of setting cut scores, Spiros emphasizes the balance between ensuring safety in high-stakes fields like healthcare and creating opportunities for global health workers.

> While language proficiency is necessary for success, it's not sufficient on its own.

**Lea** and **Spiros** explore how proficiency testing must align with real-world demands, particularly in healthcare, where communication varies across patient care, team collaboration, and critical decision-making. They discuss the importance of continuous upskilling in language proficiency, not only for career success but also for fostering social integration and building meaningful connections in new environments.

This episode offers actionable advice for internationally educated nurses and healthcare workers. **Spiros** encourages leveraging modern resources such as language apps, subtitles, and immersive experiences to enhance proficiency. **Lea** concludes with an empowering reminder: minimum proficiency is the starting line, not the finish line—fluency should be the ultimate goal.

> Minimum proficiency is the starting line, not the finish line—fluency should be the ultimate goal.

For anyone navigating the challenges of career mobility in healthcare, this episode provides a thoughtful, empathetic, and practical perspective on the intersection of language, opportunity, and global workforce development. Tune in to hear how proficiency assessments are not just regulatory hurdles but critical enablers of a resilient and skilled global health workforce.

Tags: benchmarks, careers, communication, english, ET&S, global, healthcare, language, mobility, Podcast

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