Abstract: Learning something in one language and application of the acquired knowledge in some other language often becomes very troublesome. All the books and instructions are in English in teaching Medical sciences, but the students have to deal with the patients’ problem in local languages. Communication skill depends largely on the knowledge of the language we use, and obviously the outcome would be better if both the patients and students(would be doctor) are communicating in the same language. Medical Council of India, has started with the incorporation of lots of different topics in Foundation course(1st month of Medical curriculum) along with local language with the idea for improvement of communication skill and attitude of students towards their patients. Our topic of discussion is effect of teaching local language during the Foundation course and to note whether the students use the local language during early clinical exposure or not.