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Registration fees are payable strictly in advance of the symposium and are non-refundable in the case of cancellation. Bagley, MDMedical Director, Critical Care Unit, UMass Memorial Medical Center Clinical Associate Professor, University of Massachusetts Medical School AM Care of the Adult with Cystic Fibrosis Christine Bielick Kotkowski, M. Assistant professor of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine-University of Massachusetts AMRefreshments & Exhibit AM The Role of Pulmonary Rehabilitation in the Comprehensive Care of the COPD Patient Linda Nici, MDChief, Pulmonary and Critical Care, Providence Veterans Administration Medical Center; Professor of Medicine, Brown University AMQ&A Panel Symposium Moderator: Ryan Shipe, MD PMClosing Remarks & Lunch PMEvaluation and Depart *The agenda is provided as a guide only.Substitutions can be made in advance of the event by sending details to Michelle. The organizers reserve the right to make amendments to the timing, topics and speakers as needed. Beechwood Hotel,363 Plantation Street, Worcester, MA 01605 The WPS Annual Meeting provides an excellent opportunity for attendees to network with colleagues and visit company exhibits to discover important information about the innovative products and services available to them and their practices.First, there are simply the numbers of residents who need services. After steadily declining since 1920, the number of immigrants in Worcester has risen by 152 percent since 1990, according to the study, which estimated that Worcester was home to 37,970 immigrants from 85 countries, representing 21 percent of the city’s population.Thirty-five percent of Worcester’s residents, both foreign and native born, primarily speak a language other than English, and 18 percent have low levels of English proficiency, according to the U. “I’d say if we had 50 people, there are at least 25 different countries we would have represented” said Thomas F.“English, like basic literacy, is an enabling skill.

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For those that do provide English classes, some have waiting lists, some don’t.

Addressing that need is important for another reason: the city's economy.

A 2015 study by the Seven Hills Foundation, “The Foreign-Born Population of Worcester, Massachusetts: Assessing the Challenges and Contributions of a Diverse Community,” noted that more than half of immigrants in Worcester have low English proficiency. On average, those with high proficiency earn ,000 more per year than those with low proficiency.

Some classes are offered continuously, others on a semester or trimester basis.

Despite the variety and diversity of the ESOL offerings, one consensus theme emerged: There is a demand for English classes in Worcester that is not being met.

“It was like if you run, run, run during all your life, then are stopped because of the wall,” said Ms.

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