Abstract
The debate over the appropriacy of EGAP and ESP has been an ongoing concern in many higher education contexts. In this paper we discuss how teachers' and students' perceptions of English curriculum needs are reflected in the conflict between short-term goals, such as passing exams, and long-term goals, such as career development. Students, doctors and teachers at a medical university in the central part of China were asked about their needs through questionnaires and structured interviews. The findings suggest that whilst many felt the need for medical English to be taught in the early years, particularly through medical texts, there was also push back due to the need for general English to pass English exams, such as CET4/6. We argue that through the incorporation of medical texts, students can start to develop their medical English from the first year of university. This not only ensures the motivation for students to study medical English for professional purposes, but also fulfills the perceived need to prepare for the exam.