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Exercises:

1.Complete the phrases with verbs from the box. Two phrases can be completed in two different ways. Look at A and В to help you.

assess deliver demonstrate provide supervise take

1.__________a competence or how to do something

2.__________a trainee by ensuring she successfully completes her training

3.__________a course or a training programme (as a teacher)

4.__________a course or a training programme (as a student)

5.__________progress or competence

2.Match the two parts of the sentences. Look at А, В and С to help you.

  1. A demonstrator is an anatomy teacher

  2. A clinical trainer is a consultant

  3. A supervisor is a consultant

  4. A medical school is

  5. A placement is

  6. A college is

  7. A Fellow is a specialist

a) a body of specialists responsible for delivering and assessing training in their specialty.

b) responsible for the training programme of a trainee.

c) a period spent as a trainee in a hospital or in General Practice.

d) who has reached the highest level in their specialty.

e) who provides training during periods of direct clinical care.

f) part of a university responsible for medical education.

g) who teaches dissection.

Unit 5 Hospitals Lesson 1

Introduction to a hospital

Jordi Pons is a fourth-year medical student from Barcelona. He has come to Britain to the Royal Infirmary, Edinburgh. Dr Barron is introducing him to the hospital.

Dr Barron: The Royal Infirmary is the name of the university hospital for Edinburgh University. It is a general hospital, dealing with all types of patients and illnesses, except paediatrics. We have a specialist hospital for that in another part of Edinburgh, the Hospital for Sick Children. You can see some of the departments in our hospital on the sign. Of course, there are many others, for example the Intensive Care Unit (ICU), and the Surgical High Dependency Unit (HDU).

Jordi: What does 'outpatient' mean?

Dr Barron: Outpatients are the people who come to hospital to attend a clinic or to have tests or treatment and then return home on the same day. Inpatients stay in the hospital for one or more days. The rooms where they stay are called wards. If a patient's treatment requires only one day, such as a simple operation, they can be admitted to the day surgery unit.

Outpatients

Dr Barron: The Accident and Emergency Department (A&E), also called Casualty, is where patients who are acutely ill - with a sudden, serious condition - come for assessment and treatment. Outpatients who have an appointment to see a specialist go to a clinic in one of the Outpatient Departments (OPDs). They have usually been referred to the hospital by their GP, who writes a referral letter to the consultant explaining the patient's problem.

Inpatients

Dr Barron: The inpatients in a hospital are admitted in one of three main ways. They may be seen in one of the outpatient clinics and admitted from there or, if there is a lot of demand for the treatment they need, as in the case of a hip replacement, they are put on a waiting list for admission. Alternatively, their GP may arrange the admission by telephone because they are acutely ill, for example with suspected myocardial infarction. Or they are seen in the A&E Department, where the doctor on duty - working at that time -arranges the admission. This would happen in the case of a patient with a fractured neck of femur, for example. Larger hospitals may have an assessment unit where patients can be admitted temporarily while their condition is assessed.

Jordi: Assessed?

Dr Barron: Yes - decisions are made about their condition, and what needs to be done to help them. After treatment is completed, the patient is discharged back to the GP's care.

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