There is increasing evidence that TSE is the hardest step for a Mandarin-speaking pharmacist from Taiwan or China to seek a pharmacist license in the U.S.

Many Mandarin-speaking Chinese pharmacists from Taiwan or China easily passed FPGEE but then failed TSE repeatedly. As a common consequence, they finally gave up the idea of becoming an American pharmacist and discontinued their efforts in preparing for the licensure examination.

I believe that over 90% of pharmacists in Taiwan who have passed FPGEE will have the problem of passing TSE and will eventually wind up with nothing in their efforts to become a registered American pharmacist.

This means that they have wasted their time, energy and money in preparing, taking and passing FPGEE before they manage to pass TSE first. It is to a candidate's advantage if he or she tries to pass TSE first before taking FPGEE.

For those who are determined to get licensed in the U.S., passing TSE is only a matter of time because they will study hard enough and long enough to acquire competency in the spoken English.

Obtaining SSN (social security number) that entitles a foreign pharmacist to an internship and application for NAPLEX exam in the U.S. is another hard step for the Taiwanese. There are different types of SSN issued to a foreigner in the U.S. If a Taiwanese pharmacist gets a wrong type of SSN, he or she will not qualify for an internship and application for licensure examination.

In short, TSE and SSN are the 2 hardest requirements for Pharmacists from Taiwan and China to satisfy. The 2 requirements in combination will most likely prevent 95% to 99% of Taiwanese pharmacists who have passed FOGEE from achieving the goal of getting licensed in the U.S.

An exception is the Taiwanese pharmacists who have been issued a ' green
card' (permanent resident visa) by the U.S. Meeting the SSN requirement will not be a problem for them. Even so, TSE remains a major issue for them to overcome.

My advice to you is that practicing writing in English and practice presenting what you have written real hard for at least a few years before you take TSE. Find a good instructor who knows how to teach you grammar and pronunciation. A great number of Taiwanese are very weak in writing in English with a good grammar and in pronunciation.

Speaking English with a clear meaning relies to a great extent on grammar. An English sentence with a poor grammar often has a vague and confusing meaning. Grammar and pronunciation are 2 unique problems for the Mandarin-speaking people from Taiwan and China.

It is rather easy for one to find a competent instructor to help a candidate
prepare for and pass FPGEE or licensure exam. However, the same is not true of TSE for Taiwanese, Chinese, koreans and Japanese. Any language is learned over a very long period and no instructors can teach a candidate to be good enough at the command of a spoken language within just a few months or even a few years.