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committee. Thus, the major national implementation consists of

                 regulatory reforms including the establishment of procedures to
                 recognise foreign MP and the dissemination of such information
                 to the public.   However, the recognition as such could affect
                               90
                 national regulations concerning professional services including
                 providing language accessibility to non-native speakers.


                          In the case of Thailand, according to the database of
                 the TMC, the numbers of foreign MPs receiving NL from TMC
                 between 2007 – 2017 are 8 persons.   One of the critical
                                                         91
                 reason of such low numbers can be critically due to the
                 language variation across countries, including in the NL

                 examination process.  Even if there is no requirement for foreign
                 MPs to demonstrate their Thai language skills in an official Thai
                 NL test, foreign MPs will have difficulty in the NL examination

                 because some of the questions about Thai regulations in NL
                 Part I-II are in Thai while Part III of the NL is only conducted in

                 Thai. In this regard, the importance of using native language in
                 assessing clinical competency is that the candidates must be
                 evaluated knowledge and skill along with the interpersonal

                 communication as it would be disadvantage to Thai patients






                 90   See including Fukunaga, ERIA Discussion Paper 18 (2015).
                 91   The Medical Council of Thailand, Numbers of Persons Receiving NL (Non-Thai)
                 (2017), available at http://www.tmc.or.th/statistics.php.


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