The Med Student who responded is absolutely correct in that a good working knowledge of Spanish (not the same as fluency) is needed to interact with patients in the hospitals. Remember, the population speaks Spanish. Although basic science courses and most lectures are in English (in the English Program)it is required that you have a working knowlege of Spanish to continue into clinicals. UNIBE offers the medical students, free of charge, 5 semesters of Spanish in preparation for clinical (hospital) work.