This study synthesizes evidence on educational challenges and pedagogical solutions for effective learning in university-level English-medium instruction (EMI) programmes. Using PRISMA-guided systematic review methods, 61 studies were analysed to identify key challenges and corresponding solutions. Six domains influencing EMI effectiveness emerged: psychological, linguistic, cognitive, pedagogical, sociocultural, and organizational. Based on these domains, the study proposes curriculum development recommendations aimed at improving student academic performance, teaching quality, and programme feasibility. The findings offer a framework to enhance EMI implementation and support evidence-based curriculum design and teacher professional development.
Ponomarevskyi et al. (Thu,) studied this question.