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<journal-id>0864-2141</journal-id>
<journal-title><![CDATA[Educación Médica Superior]]></journal-title>
<abbrev-journal-title><![CDATA[Educ Med Super]]></abbrev-journal-title>
<issn>0864-2141</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
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<article-id>S0864-21412003000300005</article-id>
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<article-title xml:lang="en"><![CDATA[Using transitions, an experience]]></article-title>
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<contrib contrib-type="author">
<name>
<surname><![CDATA[Texidor Pellón]]></surname>
<given-names><![CDATA[Raiza]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
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<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida Uriarte]]></surname>
<given-names><![CDATA[Ana M]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Facultad de Estomatología del Instituto Superior de Ciencias Médicas  ]]></institution>
<addr-line><![CDATA[Ciudad de La Habana. ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2003</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2003</year>
</pub-date>
<volume>17</volume>
<numero>3</numero>
<fpage>0</fpage>
<lpage>0</lpage>
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</front><body><![CDATA[ <p>Facultad de Estomatolog&iacute;a del Instituto Superior de Ciencias M&eacute;dicas  de La Habana </p><h2>Using transitions, an experience </h2>    <p><a href="#cargo">Lic.  Raiza Texidor Pell&oacute;n<span class="superscript">1 </span>y Lic. Ana M. Almeida  Uriarte<span class="superscript">2</span></a><span class="superscript"><a name="autor"></a></span></p><h4>Summary</h4>    <p>This  paper presents the experiences of the authors in the use of transitional words  or phrases in English which significantly help develop writing and speaking with  fluency and coherence since the very beginning of the language learning. The activity  was carried out with first year medical students receiving General English. The  paper gives the fundamentals of the activity, procedures and techniques, the role  of the teacher and the student, examples of exercises, and suggestions for developing  it effectively. </p>    <p><i>Subject headings: </i>LEARNING; TACHING; STUDENTS, MEDICAL;  VOCABULARY. </p>    <p>&quot;In order to be able to use English in extended discourse,  students must be able to do more than correctly form isolated sentences. They  need to know how to connect sentences to form a text&quot; (Mckay 1987). To achieve  this goal, it is necessary to make the students write and speak with a certain  degree of coherence and clarity as soon as they have acquired some tools to communicate  in the English language. The purpose of this article is to provide some ideas  and suggestions with which the students can improve their writing skill. It is  based on the experience obtained in a group of medical students learning General  English in Cuba.     <br> </p>    <p>&nbsp;</p><h4>Transitions, an essential element in this  experience</h4>    <p>There are a number of techniques for having coherence in English.  The one you select will depend on what is appropriate or convenient to your writing.  The use of transition words and phrases aroused our interest: First, because they  show the logical relationship between sentences and ideas; second, they add prestige  to any piece of writing. </p>    <p>The writing of beginners is usually carried out  by using isolated sentences or simply a group of sentences joined by a period  or, in the best cases, by the coordinating conjunctions <i>and</i> and <i>but</i>.  Furthermore, intermediate level students are required to write paragraphs and  compositions with some degrees of coherence; however, most of them have great  difficulties in this point. They are used to speaking or writing single sentences.  We thought that the teaching of some transitions to beginners could help them  write better paragraphs. And it worked! Of course, at this level, we should not  teach the students to use all the connectors because, as Wingard (1981:162) points  out, there are many rules related to connectors that they &quot;tend to be ignored  by the student if he is taught such items in an ungraded way...&quot; </p>    <p>The  first thing we did was to present several examples of the transitions we agreed  to teach relying on the knowledge the students have in the use of these words  and expressions in their native language (Spanish), and the ones we considered  useful and easier at this level. We grouped them as follows:</p><h4>    ]]></body>
<body><![CDATA[<br> USE CONNECTORS</h4>    <p>For  contrast: <i><b>However, but.</b></i>    <br> For cause:<b><i> For this reason, because.</i></b>    <br>  For effect: <i><b>Therefore, so.</b></i>    <br> For certainty: <i><b>Obviously, of  course.</b></i>    <br> For meaningful order:<i><b> First, then, after that, before,  finally.</b></i>    <br> For example: <i><b>For example, for instance.</b></i>    <br>  For concession: <i><b>Although.</b></i>    <br> For conclusion: <i><b>In general,  in conclusion.</b></i></p>    <p>The above chart is open - ended to give the students  opportunity to go on increasing it at the time they learn more about the language.    ]]></body>
<body><![CDATA[<br>  </p>    <p>The technique we followed was, first, to familiarize the students with  the connectors by using different, clear, graded, and controlled exercises such  as <i>fill in the blanks</i>, <i>combine sentences, add transitions, rewrite paragraphs  </i>(Appendix 1). Once they were able to work with them, they were encouraged  to use them in writing paragraphs of their own.</p><h4>Group work and writing</h4>    <p>Group  work provides an environment of criticism, learning, and lively exchange. That  is why we have selected this technique to develop some of the writing activities  of each of the units from the official textbook. </p>    <p>The group is divided into  three or four teams of four or six students, depending on the size of the class.  One of the students in each team is appointed leader. This leader organizes the  activity and acts as a link between the group and the teacher. Each team chooses  by consensus the topic they are interested to write about. When they finish writing  they are asked to exchange their papers within their respective team for revision.      <br> </p>    <p>For revision, the students use a Peer Evaluation Form suggested by  Spencer and Arbon (1997) in <i>Foundations of Writing</i> in <i>which</i> the  authors present a list of aspects to check the writing of a classmate from a paragraph,  to an essay, to a research paper. This form has been adapted for our purpose.  It provides the students a checklist that they must take into consideration while  checking their fellow students' papers. Then, they go over the writing and give  their opinion about the following items by writing an <b>S</b> (satisfactory)  or a<b> U</b> (unsatisfactory) in front of each of them.</p><h4>    <br> Composition  checklist</h4>    <p>Name of evaluator: __________________________________________    <br>  Name of writer: _____________________________________________    <br> _____ Content.    ]]></body>
<body><![CDATA[<br>  _____ Use of transitions.    <br> _____ Use of grammar and vocabulary.    <br> _____ Use  of punctuation and spelling.    <br> Politely suggest any comment to improve this  composition.    <br> Peer Evaluation Form. Adapted from Spencer and Arbon, 1997. </p>    <p>Once  this step is completed, we can go over the next one in which the students are  asked to report to the whole class about the writing of his or her classmate.  If the item is reported as satisfactory, the teacher may ask for the reasons,  and if it is reported as unsatisfactory, the teacher should ask for suggestions  to improve it. </p>    <p>This way of revision is very useful because the students  are ready to discuss the content and, according to their level, some grammar mistakes  as well as punctuation and spelling, mainly those related to the use of the transitions.  In addition, they have the opportunity to use the four basic language abilities  in a natural classroom environment: They write their own compositions, read their  classmates', listen to other students' opinions and give theirs orally. In Teaching  <i>Writing Skills</i>, Byrne (1981:69) points out that &quot;...one language activity  can lead to the next so as to form a natural sequence of learning situations,  each one of which brings a different but appropriate skill into play.&quot; </p>    <p>It  has also given us good results to show the best paragraphs or compositions of  each team in the classroom bulletin board. This motivates the students very much  and gives them a sense of proud. </p><h4>The teacher's role</h4>    <p>While the students  are writing their own paragraphs, the teacher walks around the classroom helping  and monitoring. If the teacher feels that more practice is needed, note should  be taken during the development of the activity to be seen later, during a feedback  stage. </p>    <p>Although feedback among the students helps a great deal, from the  teacher is always vital and valuable. The latter is given individually in each  draft. General mistakes are dealt with in plenary. Feedback comprises not only  the use of transitions but also grammar, punctuation, and content.</p>    ]]></body>
<body><![CDATA[<p>In the  beginning, students are so enthusiastic with the activity that they tend to overdo  the use of transitions. The teacher must be aware of this to tell the students  that these kinds of words and phrases are helpful if they are used when they are  really indispensable and suitable.</p><h4>Conclusion</h4>    <p>Our intention has  been to share these ideas about writing that has proved to be of great help in  improving the writing skill of our students besides giving them opportunities  to integrate skills. We have described the different steps we have followed to  achieve the desired results. </p>    <p>By simply using a group of transitions, the  students have been able to write more natural and coherent texts at a level in  which writing with simple independent sentences separated by a period seemed to  be the most that could be done.</p><h4>Appendix 1</h4><h6>Examples of exercises  used to familiarize the student with the connectors. </h6>    <p>1. Look at the following  sentences carefully and try to infer the meaning and use of the words in italics.</p>    <p>a)  The Royal Hotel is very expensive; however, its rooms are very uncomfortable.    <br>  b) Mary did not study very hard. So, she failed her English test.    <br> c) Peter  arrived late to class because his mother is sick.</p>    <p>2. Combine these sentences  using a logical connector from the list. Choose the best one!    <br> Although - however  - and - obviously </p>    <p>a) Brenda is a very pretty girl. She is not a model.    ]]></body>
<body><![CDATA[<br>  b) Richard was tired. He went to bed early.    <br> c) She has no job. She spends  a lot of money.</p>    <p>3. Combine the following sentences by using any connector  you consider appropriate. </p>    <p>a) Mary has a fever. She went to work.    <br> b)  These exercises are difficult. I tried to do them anyway.    <br> c) I got up at 6  a.m. I had breakfast. I went out to school.</p>    <p>Can you write a few of your  own?</p>    <p>Note: This is only a sample of the exercises we have been using. You  can use others according to the level of the students and your creativity. </p><h4>Resumen</h4>    <p>Se  presentan las experiencias de las autoras en el uso de determinadas palabras o  frases en ingl&eacute;s que ayudan significativamente a mejorar la escritura y  el habla, con mayor fluidez y coherencia desde el comienzo del aprendizaje del  idioma. La actividad se realiz&oacute; con grupos de estudiantes de medicina de  primer a&ntilde;o que reciben ingl&eacute;s general. El trabajo muestra una fundamentaci&oacute;n  de la actividad, t&eacute;cnicas y procedimientos, el papel del profesor y el  estudiante, ejemplos de ejercicios y sugerencias para su efectivo desarrollo.  </p>    <p><i>DeCS:</i> APRENDIZAJE; ENSE&Ntilde;ANZA; ESTUDIANTES DE MEDICINA; VOCABULARIO.</p><h4>Consulted  Bibliography</h4><ul>     ]]></body>
<body><![CDATA[<li>Abbott G, Greenwood J, McKeating D, Wingard P. The teaching  of English    <br> as an international language. Collins; 1981.</li>    <li>Abu Rass R.  Integrating reading and writing for effective language teaching. Forum 2001; 39:  1. </li>    <li>Byrne D. Teaching writing skills. London: Longman; 1981.</li>    <li>Mackay  SL. Teaching grammar. UK: Prentice Hall International; 1987.</li>    <li>Nola Bacha  N. Testing writing in EFL classroom. Forum 2002; 40:2.</li>    <li>Raimes A. Grammar  troublespots. New York: Saint Martin Press; 1992.</li>    <li>Smalley R, Rueten M.  Refining composition skills. New York: Macmillan    <br> International Publishing  Group; 1990.     <br> Spencer C, Arbon B. Foundations of writing. Chicago: National    ]]></body>
<body><![CDATA[<br>  Textbook Company; 1997.</li>    </ul>    <p>Recibido: 10 de junio de 2003. Aprobado: 18  de julio de 2003    <br> Lic.<i>Raiza Texidor Pell&oacute;n</i>. Facultad de Estomatolog&iacute;a  del Instituto Superior de Ciencias M&eacute;dicas.Ciudad de La Habana.</p>    <p></p><h4><span class="superscript"><a href="#autor">1  </a></span><a href="#autor">Profesora Auxiliar. Jefa del Departamento de Ingl&eacute;s  . Facultad de Estomatolog&iacute;a.     <br> 2 Profesora Asistente. Facultad de Ciencias  M&eacute;dicas &quot;Dr. Salvador Allende&quot;.</a><a name="cargo"></a> </h4>      ]]></body>
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