In this study, the students work on two types of communicative tasks, jigsaw and decision making, adapted from the book text and specially designed to employ reading material and peer interaction. The fourth task (two of each type), using the reading text as a basis for the generation of oral discourse, students are provided with the vocabulary used in the context of different medical and stimulated and enriched their conversation discourse. Students, working in small groups, are encouraged to talk about the topic in the text, and the need to cooperate with others to solve problems and to obtain their means through interactive discourse. In other words, the design of interactive language elicitation task and reading involved. In a jigsaw task, students are equipped with the note on information about patients who berbeda.Masing each should share information s / he is to accomplish the task is to fill the information table pasien.Dalam decision-making task, all students are provided with the text reading their decision making it is based on this design pasien.Karena case, when completing both types of tasks students are not only speak spontaneously, but also sometimes read from teks.Oleh Therefore, the nature of their spoken language produced in general is analyzed as one spontaneous (ie when students speaking spontaneously) or read / read partial (for example, when students read verbatim from the text).
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