A model for bilingual vocational training of health care workers, designed for immigrants and refugees with limited English skills, is presented. The model's seven components include: recruitment; intake assessment; adapted vocational instruction; Vocational English as a Second Language (VESL); counseling and support services; job development and placement; and coordination of the first six elements so they are mutually supportive. The intensive 18-week program prepares participants as office workers and medical assistants, combining classroom instruction and on-the-job training. Job placement activities and further education options follow program completion. Course descriptions or outlines are included for each of these courses: medical terminology (I, II); medical assisting (I,II); job search; patient relations; telephone training; 10-key/business math; Windows 3.1; Wordperfect 6.0; typing; and Medical Manager (software). Procedures by which instructional materials are developed for the courses, including needs assessment and adaptation of materials for non-native English-speakers, are detailed and principles underlying practice are presented for bilingual instruction, coordination between ESL and vocational instructors, working with non-native-speaking students, and the cooperative learning approach. Strategies for setting up internships and for job development are offered. Finally, organizational sources for guest speakers are listed and student support services suggested. (MSE) (Adjunct ERIC Clearinghouse on Literacy Education)