This paper aims at encouraging medical students of Poltekkes Pontianak to speak in English by developing a speaking handout as one of the sources for their English subject. The handout is addressed to first semester students as an introduction of English. Speaking skill is chosen because the demands of professional medical workers who are competent in speaking English have increased. In the work-life, medical workers are required to be able to speak in English as an international media of communication for the proof of their professionalism. Therefore, the development of the handout is highly important. The data used to develop the handout is primarily the need analysis results of the previous research. The material development process employs two phases of ADDIE: Design phase and Development phase adapted from Branch (2009) with some pertinent modifications to the contexts and primary data. The complete handout as the final result contains the activities and tasks of speaking English with the clear user's guides for its users.