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May 7, 20260 citationsOpen Access

Lexical Thresholds in Medical English - Vocabulary Recognition and Reading Comprehension

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ESEvgeni Stanchev

Key Points

  • The research aims to understand how vocabulary knowledge affects reading comprehension in medical English.
  • Analyzed vocabulary recognition and reading comprehension in 115 second-year medical students.
  • Measured the correlation between vocabulary knowledge and reading comprehension.
  • Introduced a transfer-efficiency measure for reading tasks.
  • Evaluated lexical coverage in relation to comprehension effectiveness.
  • Vocabulary recognition was high at 93%, and reading comprehension was at 88%.
  • Found a moderate correlation (r = .56) between vocabulary knowledge and comprehension.
  • Lexical coverage is a continuum, suggesting 90-93% recognition is sufficient for comprehension.

Abstract

DescriptionThis study examines the relationship between domain-specific vocabulary knowledge and reading comprehension in English for Medical Purposes (EMP). Based on data from 115 second-year medical students, the findings show high levels of vocabulary recognition (93%) and reading comprehension (88%), with a moderate correlation between the two (r = .56). The results suggest that lexical coverage functions as a continuum rather than a fixed threshold, with approximately 90–93% recognition of specialized vocabulary sufficient for effective comprehension when prior subject knowledge is established. The study also introduces a transfer-efficiency measure, highlighting how effectively learners apply vocabulary knowledge in reading tasks. These findings contribute to research on specialized L2 reading and medical ESP pedagogy. Note: this is a pre-print. The information will be updated when published.

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Cite This Study

Evgeni Stanchev (2026) studied this question.

synapsesocial.com/papers/69fbef86164b5133a91a360fhttps://doi.org/10.5281/zenodo.20038849
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