It has been another year since my last post, and I have some good news to share.
My older daughter got into medical school!
She is now in her second gap year after college. During her first gap year, she worked at a small family medical practice.
You may be wondering what this has to do with growing up bilingual in Chinese and English—and especially what it has to do with her knowing “English.”
Well, quite a bit, as it turns out.
The physician she worked for immigrated from China and serves mostly Chinese immigrant and diaspora patients, many of whom have limited English proficiency. Without Chinese-speaking physicians and staff, many of these patients would have a much harder time navigating the American medical system.
In this particular office, most of the staff were much more comfortable speaking Chinese than English.
My daughter, being fluent in both, ended up filling a rather unusual role. She worked as a medical assistant and spoke Chinese with patients throughout the day. But because she was also a native English speaker, she gradually took on many of the tasks that would normally be handled by an office manager—communicating with hospitals and other medical offices, dealing with administrative and regulatory issues, talking with pharmaceutical representatives, and handling many of the English-language interactions needed to keep a medical practice running.
So in a way, her Chinese allowed her to take care of the patients, while her English allowed her to connect the practice to the larger American healthcare system.
For her medical school application, she wrote about this experience and about serving a population that can easily become underserved because of language and cultural barriers. Of course, we can never know exactly why an admissions committee accepts one applicant over another, but we do think this experience helped make her application more distinctive.
And she was accepted.
Needless to say, we were very happy and proud of her.
There is one more twist to the story, though.
She has decided NOT to go to medical school.
After thinking through the different options carefully, she has decided to enroll in a two-year Certified Anesthesiologist Assistant (CAA) program instead. She will finish school and clinical training at age 26 and then start working in a career she already finds very appealing.
It also happens to be a career with a lot of flexibility and strong compensation. Compared with medical specialties that require four years of medical school followed by three years of residency—such as general internal medicine, pediatrics, or family medicine—the CAA route allows her to begin working, saving, and investing about five years earlier. Over a lifetime, especially if she eventually decides to work part-time while raising a family, the financial advantage may actually favor the CAA pathway.
But that is a topic for another day.
For this blog, the more interesting part is how she got here.
For many years, the benefits of bilingualism felt mostly cultural and personal to us. When we decided to raise our daughters to be truly fluent in both Chinese and English, we hoped they would be able to talk with their grandparents, understand their heritage, travel comfortably in Taiwan, and move easily between two cultures.
When they were toddlers, I often told myself that, if I had to choose, I would rather see them fluent in Chinese in their 20s and 30s than still playing an instrument well. Of course, if they could do both, even better! And perhaps someday their Chinese will help another generation of our family remain bilingual as well.
We certainly did not imagine that one day our daughter would work in a Chinese-speaking medical office in America, serve as a bridge between immigrant patients and the healthcare system, and then use that experience as part of a successful medical school application.
This may be the most concrete example we have experienced of what can come from raising a child to be fluent in more than English.
This time, the benefits became very practical.
Sometimes the value of bilingualism shows up in places you never expected.




