by Angela Shapshak, M.D. | July 1, 2021 Article Citation: Skelton JR. Language, Philosophy, and Medical Education. Teach Learn Med 2021; 33(2):210-216. DOI: 10.1080/10401334.2021.1877712 What is this article about? In this manuscript, Dr. Skelton reflects upon the use of language in medical education and clinical encounters, from the perspective of an academic applied linguist. Dr. Skelton uses examples drawn from a variety of sources, ranging from observed clinical encounters from John Locke to Jean Luc Picard, to demonstrate the role of language interpersonal communication. In particular, he emphasizes the function of language as “doing things with words,” which is framing that originates with Speech Act Theory. He emphasizes four points relevant to clinical educators: the meaning of language varies according to context; the importance of having defined aims when speaking; the ability of language to illuminate, but not eliminate, ambiguity; and the relationship between language and power in the clinical setting. Why should you read the article? Dr. Skelton’s reflections on the task-focused use of language are particularly germane to anyone who has struggled to perfect the art of communicating effectively with patients, or has attempted to teach students and trainees to do so. His discussion of the disparity between “what we appear to mean on the surface, what we actually intend to mean, and what others take us to mean” is especially pertinent to medical education. He goes on to introduce the concept of communicative competence, and relate it to clinical practice, education, and professionalism. How can you use this article? This article touches on several philosophical and linguistic concepts which may be valuable to clinician educators involved in teaching communications skills, and concludes with some recommendations for educators. These include reflecting upon the power of language to effect change, encouraging the discussion of ideas, and embracing ambiguity and complexity in simulated scenarios. Review Author: Angela Shapshak, M.D., Associate Professor, Department of Neurology, University of Alabama School of Medicine, Birmingham, AL. Organization: Consortium of Neurology Clerkship DirectorsLanguage, Philosophy, and Medical Education?