I have a friend who is interested in living in the DR, probably the north coast, his kids now gone off to college. He is an emergency medicine specialist registered in the USA, and also Canada where he lives and works. Problem is he speaks only English and French. Does anyone know how difficult it would be for him to work (register and so forth) in the DR? Is it an impossibility without fluency in Spanish? Thanks for your consideration - especially anyone from the medical field in the DR or familiar with this.