2017五年制醫(yī)學(xué)英語-17.4專外課學(xué)醫(yī)學(xué)專業(yè)獨特性詞匯量大、來源復(fù)雜構(gòu)詞講究

ClinicalMedicalBiLi RheumatologyDept.ofChina-JapanUnionHospitalofJilinUniversity:LinBai ）Liu 教育部《 課程教學(xué)要求一般要較高要更高要理解能視，每分150~180口語表達(dá)能閱讀理解能70100表達(dá)能翻譯能推薦詞匯掌握4795詞和700組，其中2000掌握6395詞和1200組，其中2200掌握7675詞和1870其中2360臨床專業(yè)英閱讀：醫(yī)學(xué)專 (實驗研究、臨床研究、病例報告其他（臨 、藥品說明書等寫作 的 要、英 、英文簡口語表達(dá)：詞匯： 構(gòu)詞：《Physicaldiagnosis》6th 學(xué)》英文原 完成的臨床病例資料（病史、體征、斷、治療的全部信息）以英語國家醫(yī)學(xué)院校的標(biāo)準(zhǔn)為藍(lán)本，根據(jù)教學(xué)需使學(xué)生學(xué)到具有實用價值的、可以用于交流的英語。4020Physical ConductinganGettingGreetthe“Goodmorning,Mr.Smith,I’mMaryJones,amedicalstudentatNormanBethuneSchoolofMedicineinJilinUniversity.I’vebeenaskedinterviewandexamineyouinthenextCorrectPronunciation,askpatient“howtosayyournameSomeHavingameal,“IfIcanreturnwhenyouhavefinishedVisitor,“Whetheryouwishthevisitorto“Wouldyouturndownthevolumeofradio StandorSitinachair,notontheDistance：3-4feet(1.0-1.2m)frompt.>5feet(1.5m): al;<3Eyes,atthesameConductinganBegintheinterview,askageneral,open-ended“whatmedicalproblemhasbroughtyoutotheIfpatientsays:”Haven’tyoureadmy“No,I’vebeenaskedtointerviewyouwithoutanyprioror“Iwouldliketohearyourstoryinyourownwell基本可以,somewhat偶爾,rarely很少,average平均“whatdoes‘sometimes’mean?”or“HowoftenisTheArethereanyquestionsyoumightliketoYouhavebeenveryhelpful.IwouldnowliketotakeafewIamamedicalstudent.IthinkitwouldbebesttoaskyourdoctorBasicInterviewingQuestionsthatstimulatethepatienttotalkfreelyareOpen-endedquestions（開放性問題–Whatkindofmedicalproblemareyou–Howhasyourhealth–Areyouhavingstomach lmeabout lmeaboutyour–Howwasyourhealthbeforeyourheart–Canyoudescribeyourfeelingswhenyougetthe–I’mcuriousBasicInterviewingDirectQuestions（封閉性問題WheredoseitWhendoyougettheburningHowdoyoucomparethispainwithyourulcerpain?DirectElementsofBodilylocation,onset,quality, associatedmanifestations.Bodily‘‘Whereinyourbackdoyoufeel‘‘Can lmewhereyoufeelthe‘‘DoyoufeelitanywhereOnset‘‘Whendidyoufirstnotice‘‘Howlongdidit‘‘Haveyouhadthepainsincethat‘‘Thenwhat‘‘HaveyounoticedthatitisworseduringyourmenstrualDirectWhatmakesitWhatseemstobringontheHaveyounoticedthatitoccurs ertaintimeofday?Isthereanythingelsebesidesexercisethatmakesitworse?DoseexerciseincreasetheshortnessofDosestressprecipitatetheDirectWhatdoyoudotogetmoreDoselyingquietlyinbedhelpDoserestDoseaspirinhelptheDoseeatingmakeitWhatdoseitfeelCanyoudescribetheWhatdoyoumeanbya‘stickingWasitsharp,dull,orWhenyougetthepain,isitsteady,orit

DirectWhenyougetthepaininyourchest,doyoufeelitinanyotherpartofyourbody?Whenyouexperienceyourabdominalpain,doyouhavepaininanyotherareaofyourbody?

Direct‘‘Whatdoyoumeanby‘a(chǎn)‘‘Howmanysanitarynapkinsdoyou‘‘Howmanytimesdidyou‘‘Whatkindofeffectdoesthepainhaveonyour‘‘Howdoesthepaincomparewiththetimeyoubrokeyourleg?’’‘‘Canyoufallasleepwiththe‘‘Howhasthepainaffectedyourlife‘‘Onascalefrom1to10,with10theworstpainyoucanimagine,howwouldyouratethispain?’’DirectDoseiteveroccuratDoyouevergetthepainwhenyouareemotionallyupset?WherewereyouwhenitDosethepainoccurwithyourmenstrualDoseitawakenyoufromHaveyounoticedanyrelationshipofthepaintoDirectAssociatedDoyoueverhavenauseawiththeHaveyounoticedotherchangesthathappenwhenyoustarttosweat?Beforeyougettheheadache,doyoueverexperienceastrangetasteorsmell?O-P-Q-R-S-T，onset(chronology),precipitating(orpalliative),quality,radiation,severity,andtemporal,isusefultohelpyouremembertheseimportantdimensionsofasymptom.QuestionTypestoDoyoufeelthepaininyourleftaimwhenyougetitinyourchest? Whenyougetthepaininyourchest,doyounoticeitanywhereelse? “Why”WhydidyoustoptakingtheWhydidyouwaitsolongtocallQuestionTypestoMultipleorrapid-Haveyouhadnightsweats,fever,or Howmanybrothersandsistersdoyouhave,andhasanyoneofthemeverhasasthma,heartdisease,p onia,ortuberculosis?(?)medicalYouseemtohaveahomonymous Haveyoueverhadamyocardialinfarction erformPapanicolaousmearstocheckforcarcinomain IamgoingtoorderaCBCwith TheMUGAscanshowsthatyouhavecongestiveheartQuestionTypestoleadingorYoudon’thavediabetes,doyou Doyouhavediabetes Youhaven’tbeenwheezing,haveyou Haveyoubeenwheezing HowdoyoufeelaboutitWhatdoyouknowHowoftendoyoutakethismedicationHowdoyouremembertotakethisHowdosethatmakeyoufeelWhatareyouthinkingaboutYouwereThesethingsarehardtotalkYouwereabouttoQuestionstoDon’tcryPullyourselftogetherYoulookIsthereanyreasonwhyyoualwayslookawaywhenyoutalktome? fortableaboutWhatisthereasonyouarenotansweringmyquestions?YoulookasthoughyouaregoingtoYouseemtobequitehappyaboutSoundslikeyou’reAreyouafraidyou’vedonesomethingwrongYourdizzinessappearstobeaggravatedbyyourargumentswithyourwife.Patient“IwassosickthatIhaven’tworkedsinceOctober2006”.Response“Haven’tworkedsince2006I“That’swonderful!I’mdelightedthatyoustartedintherehabilitationprogramatthehospital.”‘‘That’sgreatthatyouwereabletostop‘‘Ihearwhatyou’reI’msureyourdaughter’sproblemhasgivenmuchThedeathofsomeonesoclosetoyouishardtoIguessthishasbeenkindofasilentfearallyourYoumusthavebeenveryIknowit’snoteasyforyou.I’mdelightedtoseethatyou’retryingtoeateverythingonyourtray.FormatoftheSourceandChiefHistoryofthepresentillnessanddebilitatingPastmedicalHealthOccupationalandenvironmentalBiographicFamilyPsychosocialandspiritualSexual,reproductive,andgynecologicReviewofChief‘‘WhatisthemedicalproblemthatbroughttotheChestpainforthepast5Terriblenauseaandvomitingfor2Headacheforthelastweek,onandRoutineexaminationforHistoryofPresentIllnessDebilitatingSymptomsincludepain,constipation,weakness,shortnessofbreath,depression,andAreyouhavingpainHaveyouhadpaininthepastweeklmewhereyourpainorpainsareHowhasthepainaffectedyourlifeAreyousatisfiedwithyourpaincontrollmealittlemoreaboutyourPastMedicalGeneralstateofPastSleepCurrentComplementaryandalternativeSleepandWheredoyougotobedDoyouhavetroublefallingasleepDoyoustayasleepthewholenight,ordoyouawakeninthemiddleofnight,unabletogobacktosleepDoyougotobedonlywhensleepyDoyouadheretoaregularwakingtimeAllcurrentmedicationsshouldbenoted.AskyourDoyouuseanyprescriptionmedicationsDoyouuseanyover-the-countermedicationsDoyouuseanyherbalmedicationsorvitaminsDoyouuseanyrecreationaldrugsOccupationalandEnvironmentalWhattypeofworkdoyoudoHowlonghaveyou ngthisworkDescribeyourAreyouexposedtoanyhazardousmaterials?DoyoueveruseequipmentWhatkindofworkdidyoudobeforeyouhadyourcurrentjobWheredoyoulive?ForhowlongHaveyoueverlivednearanyfactories,shipyards,orotherHasanyoneinyourhouseholdeverworkedwithhazardousmaterialsthatcouldhavebeenbroughthome?Doyounowhave，orhaveyoupreviouslyhad，environmentaloroccupationalexposuretoasbestos,lead,fumes,chemicals,dusts,loudnoise,radiation,orothertoxicfactors?PsychosocialandSpiritual lmealittleaboutyourself：yourbackground,education,work,family.WhoaretheimportantpeopleinyourlifeWhatdoyoudoforfunHowdoyoufeelaboutthewayyourlifeisgoingDoyouconsideryourselfspiritualorreligiousHowimportantarethesebeliefstoyou,anddotheyinfluencehowyoucareforyourself?臨床 教學(xué)查房常用Firstvisit初診?Toattendtheclinic復(fù)診?Out-call診?Case ?Turnoverofbeds病床周轉(zhuǎn)率?Averageofhospitalstay平均住院日數(shù)?Wardround查房?Consultation會診?Medicalcertification 書?Certificationforleaveofabsence病 明?Applicationforlaboratoryexamination化驗申請單?ApplicationforX-rayexaminationX光申請單?Requisitionfordrugs領(lǐng)藥單?case醫(yī)directorofthehospital院長?headofthenursingdepartment護(hù)理部?attendingdoctor主治醫(yī)師doctorinterndoctor實習(xí)醫(yī)師?chiefphysician任醫(yī)師?associatechiefphysician醫(yī)師?physician內(nèi)科醫(yī)師?urologicalsurgeon泌尿外科醫(yī)師?neurosurgeon神經(jīng)外科醫(yī)師?plasticsurgeon矯形外科醫(yī)師?anestheist麻醉科耳醫(yī)師?Ophthalmolgist眼科醫(yī)師?Dentist牙科醫(yī)師