2. 医学
  3. Is the profession of medicine in retreat? I’m reminded of this with September welcoming a new influx (流入) of medical students. A

Is the profession of medicine in retreat? I’m reminded of this with September welcoming a new influx (流入) of medical students. A

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问题     Is the profession of medicine in retreat? I’m reminded of this with September welcoming a new influx (流入) of medical students. A handful of them may be some of the wide-eyed enthusiasts who attended a meeting at the Royal Society of Medicine (RSM) earlier this year about why they should choose a career in medicine. Choose medicine, I said, because it is a profession that allows you to pursue many different paths, catering for the diverse personalities that constitute any medical school’s intake.
    But I’m beginning to wonder if I misled them? Not just on the opportunities that will open up to them and only be limited by their own ambition and abilities. No, I’m questioning something more fundamental; the perception of medicine as a profession.
    Doctors have traditionally embellished (润色) their day jobs with roles, for example, on medical committees, college councils, and faculties for conferences, meetings and training courses. Journal editors and associate editors are prime examples of doctors taking on an additional responsibility to their full-time role.
    The advantages of these outside interests and positions have been considerable for individuals and for the organizations that employ them. The organizations gain greater influence, open themselves up to new ideas and alternative strategies, and can gain a competitive advantage. Doctors have considered that these additional responsibilities are an important differentiator between medicine as a profession and medicine as a factory job.
    Yet times are changing. Clock-watching has become common place, with the European a Working Time Directive being the most obvious examples. More troublesome for many senior doctors is the issue of job planning, which is beginning to limit the additional roles and responsibilities that doctors can undertake. Organizations are becoming more corporate and less enlightened.
    Most doctors will find a way round this new regime, but short-term petty-minded bosses are beginning to view doctors as factory workers. Their limited vision considers doctors to be dangerously independent, malfunctioning cogs (无足轻重的成员) in their wobbly health care machine, a species to be controlled and beaten into the shape of appropriate widget (装饰品) .
    Medicine was never meant to be governed by such runnel vision, was it? Ultimately it will be the less enlightened organizations who will fail. These organizations will perceive little value in doctors spreading their wings and will treat them like factory workers, clocking on and off and filling in timesheets.
    Doctors in these organizations will begin to wonder whether medicine is any longer a profession when its practitioners are forced to cower (畏缩) before number crunches and bean counters.
What is the most probably message from the passage?
选项 A、Most employers are short-term petty-minded.
B、Medicine is becoming more like a factory job.
C、Doctors’ role and responsibilities change all the time.
D、Senior doctors are challenged with a shrinking market.
答案B
解析 推理题。文章第1～4段讲的是医生一直以来会多元化发展，在医生本职工作之外还会承担多余的责任和任务。第五段Yet times are changing转折后说到，老板们的tunnel vision(短视)限制了医生承担更多的工作，如今的医生工作更多像factory job。因此本文传达的信息的正确表达为转折后的意思，即B选项。
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