II. Read the sentences in the text which imply the ideas:

1. The course integrated knowledge with clinical practice of dentistry.

2. A solid understanding.

3. Connection between oral health and general health.

4. Problem-based bearing format.

5. Preclinical sciences.

6. Clinical training. Practice.

7. Varying needs and levels of general health.

III. Review the text and compose questions.

IV. Give a general description of the Harvard School of Dental Medicine using phrases:

• Without going into detail I should say that …

• I should point out …

Give your advice on how to receive more information about DMD program using: another possibility would be …, I’d like to stress the fact that.

Listening and speaking

Discuss the question with another students (doctor-patient relation).

1. In your opinion, how important is it to have a doctor who is sympathetic and listens to what you say?

2. There a lot of doctor jokes. Why do you suppose people make jokes about doctors (см. книгу Focus on Listening……).

Internet is often used as a term to describe the World Wide Web.

The World Wide Web (WWW) is the medium of choice for both new and experienced users on the Net, and for good reasons: it’s visually attractive, easy-to-use, easy-to-understand, and manages to combine many other Internet-based means of communication.

Once you have had some practice and gained some experience with Web its time to more on to look at email. Email is the most used tool, on the Internet.

Sites htt://www.yahoo.com

a) Find a website connected with a hobby or interest.

b) Pay attention to the websites of medicine.

c) Read the terms and their meanings. Then fill in the gaps in the text.

Personal computers (PCs)	Small, computers which people use at work/home.
A network	Computers joined together so that they can communicate.
The Internet	A network of millions of computers around the world.
Email (Electronic mail)	A way of sending and receiving messages on the Internet.
The World Wide Web	A user-friendly way of looking at words, pictures and sounds on the Internet. Also called the Web or the WWW.
A browser	Computer software used to look at the Web.
A site	A place on the Internet, also called a webpage.
An address	The location of a site/webpage.

The ……………………has existed since 1969. It was created by the USA military as a way of communicating even after a nuclear war. Universities soon used it. At first it was only used to send and receive ……………….messages. In 1969 computers were very big and very expensive. Today millions of people use computers at home and at work. Many people can afford to have a ………… at home and, at work, computers are joined over …………………..s. In 1991 what we know as the ………………………….was invented (Webpages themselves have been around a lot longer). Now people looked at words, saw pictures and even heard sounds from around the world on their PCs. The Web was very popular. In 1987 there were 10.000 webpages but by 1992 there were more than one million ………………………s and many millions of webpages. Thirty years ago a few people used the Internet to send email. Today, all you need is a PC and a……………………… like Explorer to discover the wonderful world of the Web.

Work in a small group. Read the following quotation about the relationship between doctors and patients. Then answer the questions.

“Many physicians … may want to give you the feeling of participating in decisions without the reality of true participation. They are not used to viewing patients as partners or as equals.” – Lawrence C.Horowitz, physician

1. What do you think the phrase “give you the feeling of participating in decisions” means? Do most patients make decisions with their doctors? Should they?

2. Why don’t doctors view patients as “partners or as equals”? Should doctors and patients be equal? Explain.

3. How would you explain this quote in your own words?

Background

Read the information and do the activity that follows.

Many people believe that there is a crisis in health care in the United States today. Unlike the situation in many countries, many people in the Unites States do not have adequate health care because medical insurance is very expensive. Many Americans who do not have jobs that provide health insurance cannot afford to buy insurance themselves.

Another problem is the quality of health care. Although Americans spend far more on health care than people in most Western countries do, many patients are not satisfied with the treatment they receive. They often feel that the quality of medical care they receive depends on how much and what kind of insurance they have.

Health care has become a big business. Now that corporations run large health maintenance organizations (HMOs), many patients feel that money and technology have replaced the relationships they used to have with their doctor. They feel that human interaction is essential to the doctor-patient relationship and that it is being lost today.

Work in a small group. Read the chart, which lists a doctor’s responsibilities, and indicate how important you think each one is by checking the appropriate box. Then discuss your answers.

It is important a doctor to:	very important	somewhat important	not important
1. make patients feel comfortable
2. diagnose and treat illness skillfully
3. have polite, helpful nurses and secretaries
4. have a comfortable waiting room, exam room, and office
5. clearly explain diagnosis and treatment to patients
6. ask patients what kind of treatment they prefer and try to adjust treatment to fit patients’ requests
7. be available when the office is closed
8. be sensitive to the cost of health care
9. talk to other doctors who are also involved in a patient’s care