At IAUPR, you can learn Spanish. The courses are all in English and so are the examinations. First year, there is a Spanish course. Plus, if you are proactive, you can practice Spanish a lot while on screenings and at restaurants, etc. The clinical experience is in Spanish. If you are dedicated, you'll come out speaking Spanish and can offer patient exams in Spanish. Lots of students arrive with little or no experience in Spanish, and it is an accredited school.