Claire Brickell, 25, an aspiring neurologist in her third year at Harvard Medical School, already knows far more about health care than most of us. She can diagnose heart failure from a chest X ray. She can diagram the intricate circuits of the brain. And if she needed to, she could probably pull off a pretty decent tracheotomy. But when it comes to communicating with patients, Brickell has a problem: she’s too healthy. Like most of her classmates, she has spent very little time as a patient. She has never had to weigh the advice of a trusted friend against conflicting orders given by a cold and distant doctor. She has never had to take daily injections for a disease she doesn’t understand. She has rarely even gone through the most basic crucible of illness in the U. S. , the interminable wait in a doctor’s office.
Enter Santa Ocasio, 56, a Dominican immigrant who is fighting a protracted battle with Type 2 diabetes. In a pilot program that is the leading edge of a broad curriculum overhaul at Harvard Medical School, Brickell has been paired with Ocasio for nearly five months. ~ She sees her as a patient every week at the Spanish Clinic of Boston’s Brigham and Women’s Hospital and tags along on visits to her specialists. In fact, the goal is for Brickell to be there every time Ocasio encounters the health-care system. It’s not just a way to learn about treating diabetes; it’s a crash course in the myriad frustrations of a patient caught in the maw of modern medicine--confusing prescriptions, language barriers and an endless parade of strangers in white coats.
Why would the U. S. ’s top medical school ask its students to spend valuable time trailing a patient instead of a doctor? At Harvard and other medical schools across the country, educators are beginning to realize that empathy is as valuable to a doctor as any clinical skill. Whether it’ s acknowledging that a patient was inconvenienced by having to wait an hour before being seen or listening when someone explains why he didn’t take his meds, doctors who try to understand their patients may be the best antidote for the widespread dissatisfaction with today’s health-care system.
So Harvard has built closer partnerships between students and patients into the principal clinical experience, a small but important part of its most significant curriculum reform in two decades. The University of Pennsylvania Medical School began a similar program in 1997, and other schools are following suit. As long as medical students are still getting a healthy diet of clinical learning, educators say, there’s little downside. [435 words]
1. The comment she’s too healthy in the first paragraph means that______.
A. Brickell has learnt a lot to stay healthy,examda.com
B. Brickell is too healthy to become a patient
C. Brickell has few experiences of being a patient
D. Brickell knows how to keep herself from being ill
2. It is implied in the text that ______
A. the advice of a friend is much better than a doctor’s orders
B. it is difficult for a doctor to communicate with his patients
C. daily injections for a disease are occasionally ineffective
D. patients hate to wait long before being seen by a doctor
3. Brickell has been paired with a patient with diabetes in order ______
A. to be caught in the modern medical system as a patient
B. to learn the best way to treat diabetes in a pilot program
C. to learn what frustrations a patient has to face in hospital
D. to encounter the health-care system as closely as possible
4. Top medical schools ask their students to trail patients for the purpose of ______
A. helping doctors better understand their patients,examda.com
B. building closer relationships between students and patients
C. acknowledging the inconveniences experienced by patients
D. alleviating the dissatisfaction of patients with medical system
5. It can be seen from the text that Harvard Medical School intends ______
A. to illustrate the frustrations of American patients
B. to teach doctors to provide more care to patients
C. to call on doctors to learn more from their patients
D. to build closer partnerships between students and patients
难句透析
①She has never had to weigh the advice of a trusted friend—agai—nst Econflicting orders(given by a cold and dlstan doctor)].
【结构】方括号所标示的动名词短语“conflicting orders…”是介词“against”的宾语。圆括号所标示的过去分词短语"given by…doctor”是“0rders”的后置定语。“to weigh…against…”:使…跟…权衡比较。
【释义】她从来不会在挚友的建议与冷漠的医嘱之间左右为难。
