学术英语医学培训课件

1、学术英语医学学术英语医学Unit 1Doctors LifeDoctors are thought as noble, respectable, and caring, but it is really common to read or hear about the complaints of doctors being impatient and careless. What are the causes for such complaints? How can ordinary incidents influence the way doctors practice medicine?

2、This unit explores doctors life from different perspectives so that you can understand them better.2学术英语医学Unit 1Doctors Life2学术英语医学Unit 1 Doctors LifeUnit ContentsLead-inText AText BText CListeningSpeakingWritingGet reading for Unit 23学术英语医学Unit 1 Doctors LifeUnit ContLead-inQuestions to be answered

3、Brainstorm Additional activityUnit 1 Doctors Life4学术英语医学Lead-inQuestions to be answereLead-inQuestions to be answered What are the causes for complaints of doctors being impatient and careless? What kind of life does a doctor lead? How can ordinary incidents influence the way doctors practice medici

4、ne?Unit 1 Doctors Life5学术英语医学Lead-inQuestions to be answereLead-inBrainstorm Brainstorm a list of words and expressions related to a doctors life and practice. Unit 1 Doctors Life6学术英语医学Lead-inBrainstorm Brainstorm aLead-inAdditional activity What do they mean for a doctor? a decent careera noble ca

5、llingrespectableknowledgeableunder great pressureunderpaidmistrusteddangerousUnit 1 Doctors Life7学术英语医学Lead-inAdditional activity WhaText A Critical reading and thinking Questions for discussion Topics for presentation Useful expressions Difficult sentencesLanguage building-up Signpost language Form

6、al English Vocabulary testSuggested answersUnit 1 Doctors Life8学术英语医学Text A Critical reading and thText A Critical reading and thinkingQuestions for discussion How do you interpret the title?neuron overloadjuggling physicianUnit 1 Doctors Life9学术英语医学Text A Critical reading and tText A Critical readi

7、ng and thinkingTopics for presentation1 Do you agree that it is sheer neuron overload on the doctor side that leads to the complaint that doctors dont listen? neuron overloadpatients high expectationsmistrust and misunderstanding between the patients and physicianUnit 1 Doctors Life10学术英语医学Text A Cr

8、itical reading and t2 Describe Mrs. Osorios condition.Text A Topics for presentationUnit 1 Doctors Life11学术英语医学2 Describe Mrs. Osorios condiText A Useful expressionsa 56-year-old womansomewhat overweightreasonably well-controlled diabetes and hypertensioncholesterol on the high side without any medi

9、cations for thisnot as much exercise as she shouldthinning of her bones on last DEXA scanstressful but good about keeping her appointments and getting her blood testsgenerally healthyUnit 1 Doctors LifeCritical reading and thinking12学术英语医学Text A Useful expressionsa 56Text A Useful expressionsin my p

10、ractice / in a medical practiceoverweightdiabeteshypertensioncholesterol on the high sideDEXA scanthinning of her bones / lower densitystressful lifekeep her appointments blood testsgenerally healthyan average patientnot excessively complicatedUnit 1 Doctors LifeCritical reading and thinking13学术英语医学

11、Text A Useful expressionsin mText A Topics for presentation3 What are the good and bad things about Mrs. Osorios conditions that run through the authors mind?Unit 1 Doctors LifeCritical reading and thinking14学术英语医学Text A Topics for presentatioText A Useful expressionsGood ThingsBlood tests doneGluco

12、se a little betterHer blood pressure good but not greatBad ThingsHer weight a little upHer bones a little thin on the DEXAUnit 1 Doctors LifeCritical reading and thinking15学术英语医学Text A Useful expressionsGoodText A Useful expressions20-min consultationglucosestarting a statinliver enzymes normalfive

13、fruits and vegetables diet choices30 min of walking each day exercisemorning sugars compare to her evening sugarsthe nutritionist / her eye doctor / the podiatristblood pressureadd another BP medmore pillsUnit 1 Doctors LifeCritical reading and thinking16学术英语医学Text A Useful expressions20-mText A Use

14、ful expressionsstart a bisphosphonateprevent osteoporosisexperiencing just the usual stress of lifelurking depression or anxiety disorderthe depression questionnairehealth maintenanceher last mammogramPAP smearcolonoscopya tetanus booster qualify for a pneumonia vaccineUnit 1 Doctors LifeCritical re

15、ading and thinking17学术英语医学Text A Useful expressionsstarText A Topics for presentation4 Describe the situation when Mrs. Ororio might send the authors delicately balanced three-ring circus tumbling down. Unit 1 Doctors LifeCritical reading and thinking18学术英语医学Text A Topics for presentatioText A Usefu

16、l expressionsThe author was in moderate state of panic: juggling so many thoughts about Mrs. Osorios conditions and trying to resolve them all before the clock ran down.Mrs. Osorio made a trivial request, not so important as compared to her conditions.Mrs. Osorio seemed to care only about her “ inno

17、centand completely justifiedrequest”: the form signed by her doctor.The doctor tried to or at least pretend to pay attention to the patients while completing documentation.Complaints that doctors dont listen might have other reasons than just doctors neuron overload.Unit 1 Doctors LifeCritical readi

18、ng and thinking19学术英语医学Text A Useful expressionsThe Text A Useful expressionsthe diet-and-exercise discussionnot making eye contact with Mrs. Osorio (communication skills)get her lab resultscheck her mammogram reportdocument the progress of her illnessesorder the testsrefill her prescriptionsUnit 1

19、Doctors LifeCritical reading and thinking20学术英语医学Text A Useful expressionsthe Text A Useful expressionsher insurance company / insurance form / lose my coveragedo her physical examinationher back painanything more than routine muscle strainplace into accurate and thorough documentationinteract with

20、my patientUnit 1 Doctors LifeCritical reading and thinking21学术英语医学Text A Useful expressionsher 5 Compare multitasking in human beings and computers.Text A Topics for presentationUnit 1 Doctors LifeCritical reading and thinking22学术英语医学5 Compare multitasking in humaText A Useful expressionsMultitaskin

21、g originated in computer science.Microprocessors in fact linear, actually performing only one task at a time.Multitasking just as an illusion both in computer and humans.At best, Human juggling only a handful of thoughts in this manner.The more thoughts we juggle, the less we are able to attune full

22、y to any given thought.Multitasking as a recipe for disasterUnit 1 Doctors LifeCritical reading and thinking23学术英语医学Text A Useful expressionsMultText A Useful expressionsan insurance company formorder her mammogramrefill only five of her six medicinesfully explain the side-effects of one of her medi

23、cationsUnit 1 Doctors LifeCritical reading and thinking24学术英语医学Text A Useful expressionsan i6 Use numbers to justify that it is the juggling mind that keeps doctors awake at night.Text A Topics for presentationUnit 1 Doctors LifeCritical reading and thinking25学术英语医学6 Use numbers to justify that Text

24、 A Useful expressions7 medical issues to consider5 separate thoughts, at least, for each issue 7 X 5 = 35 thoughts10 patients that afternoon35 X 10 = 3505 residents under the authors supervision4 patients seen by each residents10 thoughts, at least, generated by each patients5 X 4 X 10 = 200350 + 20

25、0 = 550 thoughts to be handled in total If the doctor does a good job juggling 98% of the time, that still leaves ten thoughts that might get lost in the process. Unit 1 Doctors LifeCritical reading and thinking26学术英语医学Text A Useful expressions7 meText A Useful expressionsmedical issues to considers

26、upervise five residentsin a working daya disastrous outcomea possible lawsuitMost doctors are reasonably competent, caring individuals, but the overwhelming swirl of thoughts that we must keep track of leaves many of us in a perpetual panic that something serious might slip. This is what keeps us aw

27、ake at night.Unit 1 Doctors LifeCritical reading and thinking27学术英语医学Text A Useful expressionsmedi7 What are possible solutions to the impossible high-wire act of jugglingcompeting details and panicking about slipping a critical one?Text A Topics for presentationUnit 1 Doctors LifeCritical reading a

28、nd thinking28学术英语医学7 What are possible solutions Text A Useful expressionscomputer-generated reminderscase managersancillary servicesthe simplest: timeUnit 1 Doctors LifeCritical reading and thinking29学术英语医学Text A Useful expressionscompText A Useful expressionsan hour for each patient a spectacular

29、doctorSituation in China?the choices that practicing physicians face every day, with every patientrely on our clinical judgment to prioritisetransplant fielda dedicated and competent clinical partner such as a one-on-one nursemedical budgetsUnit 1 Doctors LifeCritical reading and thinking30学术英语医学Tex

30、t A Useful expressionsan hText A Difficult Sentences1 that one stray request from a patienteven one that is quite relevantmight send the delicately balanced three-ring circus tumbling down. (Para.1) 如果病人冷不丁提个要求，即使所提要求十分中肯，也会让我那内心脆弱的平衡乱作一团，就像井然有序同时演出三台节目的大马戏场突然崩塌一样。Unit 1 Doctors LifeCritical reading

31、 and thinking31学术英语医学Text A Difficult Sentences1 2 . Im piling yet another pill onto her . (Para. 3) 我还要再给她另加一种药Text A Difficult SentencesUnit 1 Doctors Life32学术英语医学2 . Im piling yet another pText A Difficult Sentences shes caught one of my neurons in mid-fire (Para. 4) 她让我如火如荼的思绪戛然而止 My instinct is

32、 to put one hand up and keep all interruptions at bay. (Para. 4) 我的本能反应是举手，阻止她打断我的思路。Unit 1 Doctors LifeCritical reading and thinking33学术英语医学Text A Difficult Sentences sText A Difficult Sentences We merely zip back and forth between them, generally losing accuracy in the process. (Para. 7) 我们人类只是在两个

33、想法之间来回快速转换，通常 情况下，在转换的过程中丢失了精准。 The more thoughts we juggle, the less we are able to attune fully to any given thought. (Para. 8) The higher up, the heavier the fall. The more, the better.Unit 1 Doctors LifeCritical reading and thinking34学术英语医学Text A Difficult SentencesUniText A Difficult SentencesM

34、y choices seem to boil down to entertaining fewer thoughts, accepting decreased accuracy for each thought, giving up on thorough documentation, or having a constant headache from neuronal overload. (Para. 10) boil down to:归结为It boils down to a question of ethics.它可归结成一个伦理学问题。Unit 1 Doctors LifeCriti

35、cal reading and thinking35学术英语医学Text A Difficult SentencesMy Text A Difficult SentencesIn some cases, having a dedicated and competent clinical partner such as a one-on-one nurse can come close to simulating a second brain, but most medical budgets dont allow for such staffing indulgence. (Para.12)有

36、些情况下，有个专注、出色的临床搭档，如一对一的护士，就仿佛有了第二个大脑，不过大多数医疗预算不会如此大方，这样配备人员。Unit 1 Doctors LifeCritical reading and thinking36学术英语医学Text A Difficult SentencesIn Text A Language Building-up Signpost LanguageAn innocentand completely justifiedrequest, but (Para.5) What is the function of the parentheses / dashes in t

37、he sentence? Parenthetical statements: inserting additional information without creating a separate sentence and are often demonstrated by parentheses and dash.Unit 1 Doctors Life37学术英语医学Text A Language Building-up SText A Language Building-up Formal EnglishDegree of formality should be determined b

38、ythe audiencethe expectations of the audiencethe writers purposes For example, the writer of Text A employs informal language when recording her juggling thoughts, and a noticeable shift from that of the rest of the article where formal style is consistently maintained. A juggling mind is vividly pr

39、esented by informal and even ungrammatical use of language, such as “Maybe leave this until next time?”Unit 1 Doctors Life38学术英语医学Text A Language Building-up FText A Language Building-up Formal EnglishFormal EnglishIt is used in official, literary, academic writing, or formal social events.It is mor

40、e commonly used in writing than speech.Sentences are often long and complex.Contractions are avoided.Informal EnglishIt is used in everyday personal conversations or letters to friends. It is more commonly used in everyday speech than in writing.Sentences are often short and simple.Contractions are

41、common.Unit 1 Doctors Life39学术英语医学Text A Language Building-up FText A Language Building-up Formal EnglishFormal EnglishThe passive voice is often used, making it sound impersonal.Much vocabulary derived from French and Latin is used.Colloquial terms, slangs and many phrasal verbs are avoided.Informa

42、l EnglishThe active voice is often used.Vocabulary derived from French and Latin is not used.Colloquial terms, slangs and many phrasal verbs are common.Unit 1 Doctors Life40学术英语医学Text A Language Building-up FText A Language Building-up Formal EnglishFormal EnglishThe researchers identified the impor

43、tant properties.Doctors have established a new method.This appeared to rectify the problemInformal EnglishThe researchers found out what the important things were.Doctors have come up with a new method.This seemed to fix the problemUnit 1 Doctors Life41学术英语医学Text A Language Building-up FText A Langu

44、age Building-up Formal EnglishFormal EnglishHis words demonstrate that Details of the report are to be found on Page 26.The experiment was carried out / performed.Informal EnglishHis words show that You can find out all about the report on page 26.They did an experiment.Unit 1 Doctors Life42学术英语医学Te

45、xt A Language Building-up FText A Language Building-up Formal English key to Task 31 Good thing she did her blood tests. Glucose is a little better. Cholesterol isnt great. May need to think about starting a statin. Are her liver enzymes normal? (Para. 3)Good signs include that she did her blood tes

46、ts, and that her glucose level is a little better. However, her cholesterol level isnt great, and I may need to consider prescribing a statin for her. Furthermore, I wondered if her liver enzymes are normal.Unit 1 Doctors LifeTask 3 Rewrite the following sentences from Text A with a more formal styl

47、e.43学术英语医学Text A Language Building-up FText A Language Building-up Formal English key to Task 32 Has she been to the eye doctor? The podiatrist? (Para. 3)Unit 1 Doctors LifeHas she been to the eye doctor and the podiatrist?44学术英语医学Text A Language Building-up FText A Language Building-up Formal Engli

48、sh key to Task 33 But now Im piling yet another pill onto her, and one that requires detailed instructions. Maybe leave this until next time? (Para. 3)Unit 1 Doctors LifeBut now Im piling yet another pill onto her, and the pill requires detailed instructions. “Maybe, should I leave this until next t

49、ime?” I thought.45学术英语医学Text A Language Building-up FText A Language Building-up Formal English key to Task 34 Health maintenance: when was her last mammogram? PAP smear? (Para. 3)Unit 1 Doctors LifeTo my mind came her health maintenance. I asked myself, “When did she receive her last mammogram and

50、PAP smear?”46学术英语医学Text A Language Building-up FText A Vocabulary test _ overload（神经过载） a typical office _（典型的诊所就诊） DEXA _（DEXA扫描） medical _（行医）visitscanpracticeneuron / neuronal_ report（乳房X-线检查报告）_ examination（体检）_ of a medication（药物的副作用）mammogramside-effectsphysicalUnit 1 Doctors LifeLanguage Buil

51、ding-up 47学术英语医学Text A Vocabulary test _Text A Vocabulary test_control（血压控制）health _（健康保持） perpetual _（永久的恐慌）_ physicians（执业医生）_ field（移植领域）medical _（医疗预算）paracetamol _（扑热息痛药片）_ cap（防孩子打开的盖子）panicblood pressuremaintenancepracticingtransplantbudgettabletchildproofUnit 1 Doctors LifeLanguage Building-

52、up 48学术英语医学Text A Vocabulary test_Text A Suggested answersUnit 1 Doctors LifeTask 1. 2 Match each of the following English term and Chinese equivalent.pneumothoraxnutrienthypertensioncolonoscopymammectomyrefillneuralgiapodiatristnutritionistosteoporosisneurontransmittransplantpneumoniamammograma. 移植

53、b. 高血压c. 乳房X线照片d. 结肠镜检查（术）e. 神经元，神经细胞f. 肺炎g. 营养物h. 神经痛i. 营养学家j. 再配（处方）k. 气胸l. 传染m. 骨质疏松n. 足病医生o. 乳房切除术kgbdojhnimeiafc49学术英语医学Text A Suggested answersUnit 1Text A Suggested answers language building-upUnit 1 Doctors LifeTask 1. 2 Match each of the following definitions with its corresponding English

54、term and Chinese equivalent.EnglishChinese Definition1examination of the colon with a colonoscope2abnormally elevated blood pressure3an x-ray image of the breast4nerve cell5one who is trained or an expert in the field ofnutrition6a disease in which the bones become weakand break easilycolonoscopy结肠镜

55、检查（术）hypertension高血压mammogram乳房X线照片neuron神经元，神经细胞nutritionist营养学家osteoporosis骨质疏松50学术英语医学Text A Suggested answers lanText A Suggested answers language building-upUnit 1 Doctors LifeTask 1. 2 Match each of the following definitions with its corresponding English term and Chinese equivalent.EnglishChi

56、nese Definition7inflammation of the lungs8one who is specialized in the diagnosis, treatment, and prevention of diseases of the human foot9a second or subsequent filling10transfer a tissue or an organ from one body or body part to anothertransplant移植pneumonia肺炎podiatrist足病医生refill再配（处方）51学术英语医学Text

57、A Suggested answers lanText A Suggested answers language building-upUnit 1 Doctors LifeTask 2 Signpost language Find some examples of parenthetical statement from Text A.From her perspective, this is probably the most important item in our visit, but the fact is that shes caught one of my neurons in

58、 mid-fire (the one thats thinking about her blood sugar, which is segueing into the neuron thats preparing the diet-and-exercise discussion, which is intersecting with the one thats debating about initiating a statin). (Para. 4)What if I drop onewhat if one of my thoughts evaporates while I address

59、another concern? (Para. 4)52学术英语医学Text A Suggested answers lanText A Suggested answers language building-upUnit 1 Doctors LifeTask 2 Signpost language Find some examples of parenthetical statement from Text A.An innocentand completely justifiedrequest, but I feel that this could be the straw that br

60、eaks the camels back, that the precarious balance of all that Im keeping in the air will be simply unhinged. (Para. 5)There are many proposed solutionscomputer-generated reminders, case managers, ancillary services. (Para. 10)53学术英语医学Text A Suggested answers lanText BPre-reading questionCritical rea