The medium of instruction in NMC approved medical colleges in Georgia is primarily English. This is because the courses are designed to attract international students, and English is the preferred language for instruction in most countries. The faculty members in these medical colleges are highly experienced and fluent in English, ensuring that students can understand the concepts with ease.

In addition, most NMC approved medical colleges in Georgia also offer language classes to help students improve their proficiency in English and Georgian languages. These classes are usually held in the first year of study, and they enable students to communicate effectively with patients during their clinical rotations.

It is important to note that while the medium of instruction is English, students may also have to learn some Georgian medical terminologies and phrases to communicate effectively with patients and peers during their clinical rotations.

In conclusion, the medium of instruction in NMC approved medical colleges in Georgia is predominantly English, with language classes also offered to help students communicate effectively in Georgian.