Multimodal interpersonal strategies in the new digital genre of clinical pictures: Exploring discourse and pedagogical implications for ESP-EMI team teaching




digital genres, clinical pictures, interpersonal strategies, multimodality, ESP-EMI team teaching


Science communication is undergoing a digital shift that results in the remediation and emergence of genres that help bring science to expert and semiexpert audiences (Luzón & Pérez-Llantada, 2019, 2022). One such genre is clinical pictures (CPs), which consist of a written and an audiovisual versión of a brief to-the-point presentation of a medical case/condition. This genre, as detailed in this study, may have a clearly stated pedagogical purpose aimed to promote diagnostic expertise. This study explores the structure of CPs, the variety of strategies authors use throughout these CPs to express stance and promote engagement with the audience, and the multimodal configuration of this genre. For this purpose, we draw on a dataset consisting of 10 CPs samples provided by The Lancet. Methodologically, we first conduct a linguistic análisis centred on rhetorical steps and interpersonal strategies, and subsequently, a multimodal analysis to identify the configuration of CPs. Overall, results show the use of interpersonal strategies throughout the two versions/formats, the added value of adopting a multimodal approach to explore data, and the complementarity of the two versions to disseminate medical knowledge among doctors and doctors in training. Pedagogically, the outcomes of the study support the incorporation of this innovative genre in ESP and EMI classes to enhance students’ multimodal literacy.


Project PID2021-127827NB-I00 funded by MCIN/AEI/ 10.13039/501100011033 and ERDF A way of making Europe.


Aguilar, Marta. 2018. "Integrating Intercultural Competence in ESP and EMI: From Theory to Practice". ESP Today 6(1): 25-43.

Amnuai, Wirada and Anchalee Wannaruk. 2012. "Investigating Move Structure of English Applied Linguistics Research Article Discussions Published in International and Thai Journals". English Language Teaching 6(2): 1-13.

Arnó-Macià, Elisabet and Guzmán Mancho-Barés. 2015. "The Role of Content and Language in Content and Language Integrated Learning (CLIL) at University: Challenges and Implications for ESP". English for Specific Purposes 37: 63-73.

Bateman, John A. 2014. Text and Image. A Critical Introduction to the Visual/Verbal Divide. London: Routledge.

Bezemer, Jeff and Gunther Kress. 2008. "Writing in Multimodal Texts: A Social Semiotic Account of Designs for Learning". Written Communication 25(2): 166-195.

Bezemer, Jeff and Gunther Kress. 2017. "Continuity and Change: Semiotic Relations across Multimodal Texts in Surgical Education". Text & Talk 37(4): 509-530.

Beltrán-Palanques, Vicent. 2023. "Teaching Elevator Pitch Presentations through a Multimodal Lens: Insights from ESP Students' Experiences". TESOL Journal, e769.

Brown, Keith, ed. 2006. Encyclopedia of language and linguistics (2nd edition). Oxford: Elsevier.

Carter-Thomas, Shirley and Elisabeth Rowley-Jolivet. 2020. "Three Minute Thesis Presentations: Recontextualisation Strategies in Doctoral Research". Journal of English for Academic Purposes 48(1): 100897.

Dafouz, Emma. 2021. "Crossing Disciplinary Boundaries: English-Medium Education (EME) Meets English for Specific Purposes (ESP)". Ibérica 41: 13-38.

Daly, Peter and Dennis Davy. 2016. "Structural, linguistic and rhetorical features of the entrepreneurial pitch: Lessons from Dragons' Den". Journal of Management Development 35(1): 120-132.

Dreyfus, Shoshana J., Sally Humphrey, Ahmar Mahboob and James R. Martin. 2015. Genre Pedagogy in Higher Education: The SLATE Project. London: Palgrave.

Edo-Marzá, Nuria and Vicent Beltrán-Palanques. 2023. "The Authors' Voice in Health Sciences Written and Video Abstracts: How do Modes Combine to Interact with Audiences?" Círculo de Lingüística Aplicada a la Comunicación 93: 39-52.

Fortanet-Gómez, Inmaculada and Nuria Edo-Marzá. 2022. "New Genres and New Approaches: Teaching and Assessing Product Pitches from a Multimodal Perspective in the ESP Classroom". Porta Linguarum. Revista Interuniversitaria de Didáctica de las Lenguas Extranjeras (38): 65-81.

Garzone, Giuliana, Catenaccio, Paola, Grego, Kim and Doerr Roxanne, eds. 2017. Specialised and Professional Discourse across Media and Genres. Milano: Ledizioni.

Gotti, Maurizio, Maci, Stefania and Michele Sala, eds. 2020. Scholarly Pathways. Knowledge Transfer and Knowledge Exchange in Academia. Bern: Peter Lang.

Halliday, Michael Alexander Kirkwood. 1978. Language as Social Semiotic. London: Edward Arnold.

Hu, Guangwei and Yanhua Liu. 2018. "Three Minute Thesis Presentations aAs aAn Academic Genre: A Cross-Disciplinary Study oOf Genre Moves". Journal of English for Academic Purposes 35: 16-30.

Hyland, Ken and Hang Zou. 2021. ""I Believe tThe Findings AAre Fascinating": Stance in Three-Minute Theses". Journal of English for Academic Purposes 50: 100973.

Hyland, Ken. 2004. Disciplinary Discourses: Social Interactions in Academic Writing. Michigan: U of Michigan P.

Hyland, Ken. 2005. "Stance and Eengagement: A Model of Interaction in Academic Discourse". Discourse Studies 7(2): 173-192.

Jewitt, Carey, Bezemer, Jeff and Kay O'Halloran. 2016. Introducing Mmultimodality. London: Routledge.

Joseph, Renu, Jason Miin-Hwa Lim, Nor Arifah Mohd. Nor. 2014. "Communicative Moves in Forestry Research Introductions: Implications for the Design of Learning Materials". Procedia Social and Behavioral Sciences 134: 53-69.

Katsampoxaki-Hodgetts, Kallia. 2022. "The Emergence of a New Inclusive MetaScientific Genre; 'The Bigger Picture'". Journal of English for Academic Purposes, 57: 101114.

Kirkgöz, Yasemin and Kenan Dikilitaş, eds. Key Issues in English for Specific Purposes in Higher Education. Switzerland: Springer.

Lasagabaster, David. 2018. "Fostering Team Teaching: Mapping Out a Research Agenda fFor English-Medium Instruction at University Level". Language Teaching 51(3): 400-416.

Lim, Fei Victor. 2018. "Developing A Systemic Functional Approach to Teach Multimodal Literacy". Functional Linguistics 5: 5-13.

Lim, Fei Victor and Lydia Tan-Chia. 2022. Designing Learning for Multimodal Literacy: Teaching Viewing and Representing. London: Routledge.

Lim, Fei Victor. 2021. "Investigating Intersemiosis: A Systemic Functional Multimodal Discourse Analysis of the Relationship between Language and Gesture in Classroom Discourse." Visual Communication 20(1): 34-58.

Luzón, María José. 2022. "'Coronavirus Explainers' for Public Communication of Science: Everything the Public Needs to Know". In Musolff, Breeze, Kondo and Vilar-Lluch 2022, 97-114.

Luzón, María José. 2023. "Multimodal Practices of Research Groups in Twitter: An Analysis of Stance and Engagement". English for Specific Purposes 70: 17-32.

Luzón, María José and Carmen Pérez-Llantada, C. eds. 2019. Science Communication on the Internet: Old Genres Meet New Genres. Amsterdam: John Benjamins.

Luzón, María José and Carmen Pérez-Llantada. 2022. Digital Genres in Academic Knowledge Production and Communication: Perspectives and Practices. Bristol: Multilingual Matters.

Liu, Jiajia Eve, Lo, Yuen Y., and Angel.M.Y. Lin . 2020. "Translanguaging Pedagogy in Teaching English for Academic Purposes: Researcher-Teacher Collaboration as a Professional Development Model". System 92: 102276.

McCabe, Anne, O'Donnell, Mick and Rachel Whittaker, eds. 2007. Advances in Language and Education. London: Continuum.

Mehlenbacher, Ashley Rose. 2017. "Crowdfunding Science: Exigencies and Strategies in an Emerging Genre of Science Communication". Technical Communication Quarterly 26(2): 127-144.

Mirović, Ivana, Bogdanović, Vesna, and Vesna Bulatović. 2019. "The Role of Genre Hybridity and Hypermodality in Digital Knowledge Dissemination: The Case of The IEEE Spectrum". In Luzón and Pérez-Llantada 2019, 153-172.

Musolff, Andreas, Breeze, Ruth, Kondo, Kayo and Sara Vilar-Lluch, eds. 2022. Pandemic And Crisis Discourse Communicating COVID-19 And Public Health Strategy. London: Bloomsbury.

O'Halloran, Kay. 2005. Mathematical Discourse: Language, Symbolism and Visual Images. London: Continuum.

O'Halloran, Kay. 2007. "Systemic Functional Multimodal Discourse Analysis (SFMDA) Approach to Mathematics, Grammar and Literacy". In McCabe, O'Donnell and Whittaker 2007, 77-102.

O'Halloran, Kay. 2008. "Systemic Functional-Multimodal Discourse Analysis (SFMDA): Constructing Ideational Meaning Using Language and Visual Imagery". Visual Communication 7(4): 443-475.

Orpin, Deborah. 2019. "#Vaccineswork. Recontextualizing the Content of Epidemiology Reports on Twitter". In Luzón and Pérez-Llantada 2019, 173-194.

Plastina, Ana Franca. 2017. "Professional Discourse In Video Abstracts: ReArticulating The Meaning Of Written Research Article Abstracts". In Garzone, Catenaccio, Grego and Roxanne 2017, 57-74.

Pérez-Llantada, Carmen. 2022. Research Genres Across Languages. Multilingual Communication Online. Cambridge: Cambridge UP.

Pérez-Llantada, Carmen and María José Luzón. 2023. Genre Networks. Intersemiotic Relations in Digital Science Communication. Routledge.

Querol-Julián, Mercedes and Belinda Crawford Camiciottoli. 2019. "The Impact of Online Technologies and English Medium Instruction on University Lectures iIn International Learning Contexts: A Systematic Review". ESP Today 7(1): 2-23.

Querol-Julián, Mercedes and Vicent Beltrán-Palanques. 2021. "PechaKucha Presentations to develop Multimodal Communicative Competence in ESP and EMI Live Online Lectures: A Team-Teaching Proposal". CALL-EJ 22(2): 73-90.

Querol-Julián, Mercedes and Inmaculada Fortanet-Gómez. 2019. "Collaborative Teaching and Learning of Interactive Multimodal Spoken Academic Genres for Doctoral Students". International Journal of English Studies 19(2): 61-82.

Riboni, Giorgia. 2020. "Vlogging Sscience: Scholarly Vvlogs between Sscholarship and Ppopularisation". In Gotti, Maci, and Sala 2020, 255-280.

Rowley-Jolivet, Elizabeth Rowley, Shirley Carter-Thomas. 2005. "Genre awareness and rhetorical appropriacy: Manipulation of information structure by NS and NNS scientists in the international conference setting". English for Specific Purposes, 24(1): 41-64.

Stewart, Tim. 2018. "Expanding Possibilities for ESP Practitioners through Interdisciplinary Team Teaching". In Kırkgöz and Dikilitaş 2018, 141-156.

Swales, John. 1990. Genre Analysis: English in Academic and Research Settings. Cambridge: Cambridge UP.

Swales, John. 2004. Research Genres: Explorations and Applications. Cambridge: Cambridge UP.

Tseng, Fan-Ping. 2011. "Analyses oof Move Structure and Verb Tense of Research Article Abstracts in Applied Linguistics Journals". International Journal of English Studies 1(2): 27-39.

Xia, Sichen. 2023. "Explaining Science to the Non-Specialist Online Audience: A Multimodal Genre Analysis of TED Talk Videos". English for Specific Purposes 70: 70-85.



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How to Cite

Beltrán-Palanques, Vicent, and Nuria Edo-Marzá. 2024. “Multimodal Interpersonal Strategies in the New Digital Genre of Clinical Pictures: Exploring Discourse and Pedagogical Implications for ESP-EMI Team Teaching”. Alicante Journal of English Studies / Revista Alicantina De Estudios Ingleses, no. 40 (January):223-50.