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The competition for spots in medical schools may get a little less fierce over the next few years, but the competition for postg
The competition for spots in medical schools may get a little less fierce over the next few years, but the competition for postg
admin
2015-03-25
88
问题
The competition for spots in medical schools may get a little less fierce over the next few years, but the competition for postgraduate residencies(the period of specialized training in a hospital that a doctor receives after leaving university)may be heating up. The number of federally funded residencies has remained
capped
since 1997, despite the expected significant increase in the number of first-year medical students by 2017.
These training positions are largely funded by the federal health care program known as Medicare. There are hardly more residency spots being created to meet the demand of new graduates. Medical organizations are pushing House of Representative and Senate leaders to create more spots to offset these challenges, but their efforts may be ineffective in the short term.
In March the Association of American Medical Colleges backed two bills introduced in the House and one in the Senate that outline a plan for adding 3,000 residency positions each year from 2015 through 2019. Even though the bills provide a compromise, they may not enact immediate change. "Members of Congress might agree that we need new residency spots," says Ray Quintero, director of the department of government relations for the association. But "the cost of residency spots is quite expensive. So there’s been an inability to find the funding. "
The University of Nevada School of Medicine is preparing students to get into residencies when fewer spots are available. ln the last few years the school has started gathering more data about the profiles of students who match in competitive residencies and using data from the National Resident Matching Program to advise students about the specialties in which they should attempt a match. That data, combined with an analysis of a student’s strengths and likes, can give them a better chance at solidifying a residency match.
At the School of Medicine at Oregon Health and Science University, professors are trying a variety of ways to make students more competitive residency candidates. They now receive training in topics such as informatics, which examines how information is delivered. Students are encouraged to think about how tools such as Facebook, Twitter and email factor into corresponding with patients and others in the health care community. Residency programs have changed and what they’re looking to do has changed, says George Mejicano, the school’s senior associate dean for education. "It’s both an advising and a curriculum process," he says.
Prospective students trying to plan their medical careers should spend time with physicians in multiple health care settings to see if being a doctor is really what they want to do, says Margo Vener, a family physician who also teaches medicine at the University of California—San Francisco. She has been advising UCSF students on their career and residency choices since 1999. "This is an incredibly long and hard training process," says Vener. And because it’s followed by possibly a 30- to 40-year career, "training is the tip of the iceberg. "
What can be inferred from Margo Vener’s words?
选项
A、Physicians’ experience helps to ensure a residency position.
B、Being a doctor is not as splendid as most people think.
C、Becoming a doctor takes as long as 30-40 years.
D、Training is the basis of a successful career.
答案
B
解析
推理判断题。根据题干关键词Margo Vener’s words定位到第六段。该段提到了家庭医生马戈.韦奈尔的看法,她先是建议将未来职业规划设定为医生的学生们应该花点时间与拥有各种医疗背景的医生们谈一谈,以确认他们是否真的想成为一名医生,接着又说成为医生是一个极为漫长而艰辛的训练过程。由此可知,她是想告诉人们,医生并不像人们想象得那么容易、那么美好,因此选[B]。该段第一句提到,韦奈尔建议学生们与已经成为医生的人谈一谈,但目的是确认他们是否真的想成为一名医生,这些学生还没有进入医学院学习,还没有到需要住院医生职位的时候,故排除[A];该段最后一句说作为医生,这会是一份长达三、四十年的工作,而不是说成为医生需要三、四十年,故排除[C];该段最后一句说培训仅仅是成为医生的一小步,没有说培训是成为成功医生的基础,故排除[D]。
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