This 96 page curriculum and guide for medical students was developed through my research and teaching as a Fulbright Fellow at the University of Talca in Chile during the 1st semester of 2014 (March- July). It supports intermediate level ESOL medical students in developing the necessary English skills to succeed in their current course work and future careers. A key feature of this content-based curriculum is that the instruction of English is completely contextualized around content, competencies and interactions in the medical field. In my reflections at the end of this curriculum I argue that this content-based curriculum provides a motivating and challenging setting for students to learn English that supports them in performing at a higher level of English than standard English proficiencies tests would indicate.