English as the medium of instruction (EMI) is a growing global phenomenon that impacts social work educators who are teaching in second-language environments. This study used action research to explore barriers to EMI learning and teaching among students and faculty in a BSW program at a United Arab Emirates (UAE) college. Cognitive load theory provided a lens to understand these obstacles. Participants included five students and seven faculty. Findings indicated communication deficits among students and faculty, which were further influenced by the cultural environment. This study contributes to an understanding of the obstacles encountered in social work programs that use EMI.