In teaching English as a foreign language, in the development of speech competences, it is important to use the pragmatic aspect and modern approaches and interactive methods. This article is devoted to how to improve the students’ pragmatic competence by using the modern approaches and innovative methods in teaching English in medical groups and the description of methods and the issues of creating methodical support in teaching English. Developing exercises and tasks related to teaching English in the field of medicine developed and put into practice, organization of personalized education and transparency in education.