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I am asking this question for my brother who is recently accepted to Puerto Rico Optometry School. There are a few issues that my family is concern about going to Puerto Rico. My brother does not speak Spanish AT ALL and never take any Spanish class before. So if he goes to Puerto Rico, can he even survive the rigorous courses there? Would it work that he can just study hard on his own even though he doesn't understand the lecture because it's in Spanish? What is the percentage of lectures that are teaching in Spanish? I know that the school is fully accredited but can my brother take the national board for optometry and come back practice at the U.S? Many thanks!