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Now in its fourth edition, this widely used textbook is designed for students with little or no formal background in Spanish. Using DVD videos, readings, exercises, and activities such as role play and improvisation, it introduces the grammar structures and specialized medical vocabulary and colloquial terms that nurses, doctors, dentists, and allied health professionals need to communicate effectively with the growing Spanish-speaking population. In addition, rich cultural notes explain Latino customs and communication styles. NEW TO THE FOURTH EDITION:• Embellished full-color design with 174 illustrations and 275 classroom activities• Expanded lexicon, condensed grammar, and more target-language content• Audio program that can be accessed via QR codes in the text• A companion Web site with self-correcting quizzes, downloadable graphics, and classroom activity sheets