English impacts many sectors of life, including job of people. The massive spread of English has brought a high demand on teaching English for many specific jobs. However, the teaching of English did not fulfill the significant needs of those workers, because the English that has been taught was general English. One types of the job that needs to learn ESP is the medical workers or in this study, a Doctor. Many barriers can impede communication between a doctor and a patient. Therefore, this study was conducted to find the need analysis by gathering data from 40 medical students, a doctor, an ME teacher, and a foreign patient using questionnaire and interview. The result showed how importance to conduct a need analysis to design an ME course.

Many teaching approaches have been developed all the time to meet the learners' needs and to achieve the objective of learning successfully. One of the most popular and effective approaches that has been developed is Communicative Language Teaching (CLT). Many researchers have found implementing CLT is challenging since it needs certain criteria of learners to engage with the whole process. This research investigated whether the CLT approach fits perfectly in one of International schools in Batam, namely SMA Kallista. There were 19 participants in this research. The researchers used two cycles of a Class Action Research (CAR) method to collect the data. The result showed that CLT was a suitable method for the students. It was evaluated by the classroom engagement that improved gradually. Cycle I and I result were compared using the motivational conceptualization of engagement instruments. The researchers also found out challenging ways that influence the learners' behavior to finally gain knowledge through CLT.