
- •Kursk state medical university
- •V.I. Narolina, I.F. Shamara
- •Communication in doctor’s profession Kursk – 2008
- •Государственное образовательное учреждение
- •Содержание contents
- •Предисловие
- •Методика работы с учебным пособием
- •Рекомендации студенту
- •Unit I. Discussing the medical profession
- •Раздел I. Беседуем о профессии врача методические рекомендации по работе с материалами раздела
- •Коммуникативные задания
- •Terms and Speech Patterns
- •Speech Patterns:
- •My Future Profession
- •Not only by the Drugs
- •Becoming a Doctor Pre-reading
- •What Happens at a Medical School
- •Task 2. Summary Writing
- •Task 3.
- •Task 4.
- •The pediatrician
- •Case history
- •The physician
- •Case history
- •The surgeon
- •Case history
- •The general practitioner
- •Case history
- •The doctor in the Third World
- •Case history
- •The intensive care doctor
- •Case history
- •The terminal care doctor
- •Case history
- •The doctor and the law
- •Alternative medicine
- •Case history
- •Unit II. Communication of a doctor with a patient
- •Раздел II. Общение врача с больным методические рекомендации по работе с материалами раздела
- •Коммуникативные задания
- •Terms and Speech Patterns
- •Adjectives:
- •General symptoms:
- •Doctor-Patient Interaction Asking the Patient about the Present Illness
- •Physical Examination of a Patient (Giving commands)
- •Additional / Further Examination & Treatment Laboratory and Instrumental Studies
- •Consulting Specialists
- •Suggesting Hospitalization
- •Case History (Main Points)
- •Illness: described as to the time of onset, mode of onset, duration,
- •2. Nose, throat: running nose/caryzo/nasal cold ;sore
- •Enquiring into the Case History (Speech Models)
- •Pain characteristics
- •Intensity
- •E. Personal History:
- •Texts and dialogues At the Doctor’s Consulting Room
- •At the Polyclinics
- •Summoning a Doctor
- •Talk between a Mother (m), her Son (s) and the Doctor (d)
- •Examination of the Patient
- •Taking a Case History
- •Asking about the Present Complaints
- •Аsking about Pain Characteristics
- •At the Cardiologist’s
- •Asking about the Personal History & the Present Illness
- •System Review
- •Details of the Present Condition
- •Disorders Accompanying the Main Disease
- •Examining the Patient (Giving Commands)
- •Consilium on Investigations
- •Diagnosis and Treatment (Explaining to the patient)
- •Giving Advice
- •Unit III. Discussing the work of a hospital
- •Раздел III. Обсуждаем работу больницы методические рекомендации по работе с материалами раздела
- •Коммуникативные задания
- •Terms and Speech Patterns Polyclinics/Out-patient Department
- •Speech Models:
- •Medical Personnel
- •Paramedical Personnel
- •Junior Medical Personnel
- •Hospital
- •Verbs and Verb Combinations
- •Speech Models
- •Texts and Dialogues District Polyclinic
- •Interviewing the Doctor-in- Chief about the Work of the Polyclinic
- •At the Registry
- •District Doctor’s Work
- •District Doctor’s Working Day
- •Combined City Hospital
- •Interviewing the Doctor-in-Chief about the work of the Hospital
- •Work of an In-Patient Department
- •Visiting an In-Patient
- •Unit IV. Discussing the work of a chemist’s shop
- •Раздел IV. Беседуем о работе аптеки методические рекомендации по работе с материалами раздела
- •Коммуникативные задания
- •Terms and Speech Patterns
- •Drug Classes
- •Verbs and Verb Combinations:
- •Speech Patterns
- •Texts and Dialogues At the Chemist’s
- •Medicines and Medical Commodities
- •Voltaren
- •Indications
- •At the Ready-Made Medicine Department
- •At the Prescription Department
- •At a Hospital Chemist’s
- •At the University Chemist’s
- •Unit V. Discussing national health services in russia, usa, uk
- •Раздел V. Обсуждаем организацию систем здравоохранения в россии, сша, великобритании методические рекомендации по работе с материалами раздела
- •Коммуникативные задания
- •Public health institutions list
- •Management in preventive medicine (medico-sanitary) work
- •Texts and Dialogues Medical Service in Russia
- •An Interview on Medical Service in Russia
- •The National Health Service in Great Britain
- •Practitioner Services
- •Family Doctor Service
- •Professional Training
- •National Health Services in the United Kingdom
- •Medical Service in the usa
- •Health Services in the usa Situation for intercultural communication: a Russian doctor comes to the usa for a tour and speaks to an American guide about the problems of health services in the usa
- •Unit VI. Discussing scientific aspects of medicine
- •Раздел VI. Участвуем в научном общении ученых-медиков методические рекомендации по работе с материалами раздела
- •Коммуникативные задания
- •Terms and Speech Patterns Scientific Knowledge
- •Adjectives:
- •Speech Models
- •Rendering a Scientific Paper
- •Discussing an Article Starting the Сonversation
- •Discussing the Contents
- •Making Things Clear
- •Impressions
- •Closing the Discussion
- •Opening the Discussion
- •Conducting the Conference
- •Closing the Conference
- •Presenter Giving his Paper (Report)
- •Some Words Linking Ideas
- •Interaction between the Participants and the Speaker after his Report Participants Addressing the Chairman and the Speaker
- •The Speaker’s Replies
- •Some Notes for Speakers
- •Fragments of Scientific Correspondence
- •Appendix I
- •Speech Models
- •Size, Shape, Colour, Texture Characteristics
- •Speech Models
- •The Human Body
- •Speech Models
- •Muscular-Skeletal System
- •Cardiovascular System
- •Аррendix II
- •Physiological Processes and Changes
- •Приложение II
- •Описание физиологических процессов и изменений
- •Speech Моdels
- •Appendix ііi General Symptoms and Adverse Reactions: Приложение ііi
- •Пожелание студенту
- •Список литературы
- •305041, Г. Курск, ул. К. Маркса, 3.
- •305041, Г. Курск, ул. К. Маркса, 3.
Diagnosis and Treatment (Explaining to the patient)
D: Well, Mr. Jameson, there's a nerve running behind your knee and your hip and through your spine, When you lift your leg, that nerve should slide in and out your spine quite freely. But with your leg, the nerve won't slide very far. When you lift it the nerve gets trapped and it's very sore. When you bend your knee, that takes the tension off and eases the pain. If we straighten it, the nerve goes out and it's painful.
Now what is trapping the nerve? Well, your X-ray confirms that you've got a damaged disc in the lower part of your back. The disc is a little pad of gristle which lies between the bones in the spine. If you lift heavy loads in the wrong way, you can damage it. And that's what's happened to you. You've damaged a disc. It's pressing on a nerve in your spine so that it can't slide freely and that's the cause of these pains you've been having, Now we're going to try to solve the problem first of all with bed rest to let the disc get back to normal and with drugs to take away the pain and help the disc recover. We'll also give you some physio to ease your leg and back. I can't promise this will be entirely successful and we may have to consider an operation at a later date.
Giving Advice
Situation:
A doctor is giving advice to a patient. Some things are OK for this patient to do. But other things are not.
Patient: So, Doctor, what do you think?
Doctor: Well, first of all, you must stop smoking. You should also quit drinking coffee.
Patient: And what about my weight?
Doctor: Avoid losing any more weight. Stay at 160 pounds. That’s the perfect weight for you. As for your diet – you’re eating up protein. But I suggest eating more complex carbohydrates.
Patient: And what about exercise?
Doctor: Well, exercise is very important but avoid running every day; it is too stressful.
Patient: But I want to do some form of exercise every day.
Doctor: Have you considered riding a bike? Cycling is something you can do every day without harm.
Patient: OK, any other advice?
Doctor: Yes, keep working 8 hours a day. Being active mentally and physically is the best thing for you.
Unit III. Discussing the work of a hospital
Раздел III. Обсуждаем работу больницы методические рекомендации по работе с материалами раздела
1. Прежде всего, ознакомьтесь подробно с теми коммуникативными заданиями, которые Вам предстоит выполнить.
2. Внимательно изучите языковой (лексический) материал, представленный в блоках "Polyclinics", "Medical Personnel", "Hospital". Отберите те лексические единицы и речевые модели, которые помогут Вам успешно справиться с коммуникативными заданиями, выпишите их в Ваши индивидуальные словари.
3. Если Вы недостаточно хорошо знакомы со структурой и организацией работы больницы (поликлиники) и их оснащением - обратитесь к предлагаемым текстам и диалогам соответствующего содержания.
4. Рекомендуем Вам использовать соответствующие фонограммы, которые имеются в кабинете для самостоятельной работы студентов. При этом определите сами, какое количество прослушиваний фонограммы Вам необходимо в каждом случае. Наиболее трудные с фонетической точки зрения фрагменты текстов или диалогов слушайте с остановкой, повторяя в паузах вслед за диктором.
5. Вы можете также воспользоваться материалами видеосюжетов по данной теме с соответствующими дидактическими приложениям.
6. Надеемся, данная последовательность работы поможет Вам успешно овладеть материалами раздела.
7. Если Вы считаете, что более эффективным будет Ваш собственный алгоритм действий (например, просмотр видеосюжетов, аудирование, а затем отбор языкового и речевого материала и т.д.), воспользуйтесь им.