标题: PT3-2-14 求指点 [打印本页] 作者: latteismilk 时间: 2020-5-10 14:59 标题: PT3-2-14 求指点 Pamela: Physicians training for a medical specialty serve as resident staff physicians in hospitals.They work such long hours—up to 36 consecutive hours—that fatigue impairs their ability to make the best medical decisions during the final portion of their shifts.
Quincy: Thousands of physicians now practicing have been trained according to the same regimen, and records show they generally made good medical decisions during their training periods. Why should what has worked in the past be changed now?
Which one of the following, if true, is the most effective counter Pamela might make to Quincy’s argument?
(A) The basic responsibilities of resident staff physicians in hospitals have not changed substantially over the past few decades.
(B) Because medical reimbursement policies now pay for less recuperation time in hospitals, patients in hospitals are, on the average, more seriously ill during their stays than in the past.
(C) It is important that emergency-room patients receive continuity of physician care, insofar as possible, over the critical period after admission, generally 24 hours.
(D) The load of work on resident physicians-in-training varies according to themedical specialty for which each is being trained.
(E) The training of physicians should include observation and recognition of the signs indicating a hospitalized patient’s progress or decline over a period of at least 36 hours.
P: One thing should be changed due to a certain trait.
Q: That thing requires no change, since 1. training for the same situation be offering. 2. Records of the training are goods.
If we want to help P weaken Q, then the fattest and best way is to find the assumption immediately.
What if its not the same situation ? What if work loads increase ? What if patients become more severe under any conditions ?
A - its actually support Q
B - less reimbursement for less recuperation time, so patients are more seriously ill now than past ( Situation is different now !!!!! Thats why we should change what has worked in the past now for its not the same.
C. Not really do anything to the argument of Q.
D. The fact that the load of work varied based on the speciality does not mean that they should or should not be doing the same thing under the same condition. Non-relevant
E. So ? We are discussing whether the training situation be changed but not the " contents " of the training to be changed.