Many Older Doctors Plan to Give up Their Practice The results of a new survey indicate that 48 percent of physicians between 50 and 65 years of age are planning to reduce or end their clinical practic 题目和参考答案——青夏教育精英家教网—

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Many Older Doctors Plan to Give up Their Practice

The results of a new survey indicate that 48 percent of physicians between 50 and 65 years of age are planning to reduce or end their clinical practice in the next l to 3 years. The findings also suggest that many older physicians believe that their younger counterparts do not have the work ethic they do.

The survey, which was conducted by Merritt Hawkins＆Associates, a Texas-based physician search and consulting firm, suggests that many older physicians are simply unhappy with the changes that have taken place in medicine over the years.

"When Baby Boom doctors entered medicine, they had control over how they practiced and the fee they charged. But the rules changed on them in mid-stream and now many are looking for a ticket out," Mark Smith, executive vice president of Merritt Hawkins＆Associates, said in a statement. "Our study is the only one I am aware of that examines the career plans of physicians in the 50-to-65 age group." This age group represents more than one-third of all physicians in the U. S. If they stop working in the coming years, it will have a "significant impact" on the overall supply of physicians, Smith told Reuters Health.

The results of the survey, which included 1,170 respondents（调查对象）, show that 24 percent of older physicians are planning to leave clinical practice all together in the next 1 to 3 years. Specifically, 14 percent said they were planning on retiring, 7 percent said they were looking for a medical job in a non-patient care setting, and 3 percent said they were seeking a job in a non-medical field.

For those physicians not leaving clinical practice, many said they would make changes to reduce the number of patients they treat. For instance, 12 percent said they would begin working part-time, 8 percent said they planned to stop taking new patients or markedly reduce their patient load, and 4 percent expressed a desire to work on a temporary basis.

When asked about the work ethic of physicians entering practice today, 68 percent of the respondents said that these younger doctors are not as dedicated or as hard working as physicians who entered practice 20 t0 30 years ago. Fifty-seven percent of older physicians said they would not recommend medicine as a career to their own children. Similarly, 44 percent said they would not select medicine as a career if they were starting out today.

"The most ominous（不祥的）finding is that about one half of physicians surveyed plant to either abandon patient care in the next 1 to 3 years, or significantly reduce the number of patients they see," Smith said. "The U. S. already is facing a widespread shortage of physicians. Should older, ‘workhorse' physicians choose to give up patient care, access to medical services will be further restricted."

66. Which is NOT true of physicians in the 50-to-65 age group in the U. S.?

A. They are mostly baby boomers.

B. They have nothing to complain about.

C. Many of them plan to gradually stop their practice.

D. They account for over one-third of all physicians in the country.

67. The survey was focused on .

A. the living conditions of older physicians in the U. S.

B. the career plans of older physicians in the U. S.

C. the retirement plans of older physicians in the U. S.

D. the achievements of older physicians in the U.S.

68. Many older physicians in the U. S. view the work ethic of their younger

counterparts .

A. with appreciation B. with disapproval

C. with jealous D. with indifference

69. In the eyes of many older physicians, medicine .

A. comes first in their choice of a career for their children

B. remains their lifelong pursuit

C. is not as good a career as it used to be

D. is more demanding than it used to be

70. If many older physicians stop working in the coming years, Americans will have .

A. even less access to medical services B. even better patient care

C. a shortage of younger physicians D. more job opportunities

66-70 BBBCA

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Contrary to the impression that grandmothers are delighted to help their grown daughters and care for their grandchildren, a study of multigenerational families shows that many older women hate the frequent demands that the younger generations make on their time and energy.

“Young women with children are under a lot of pressure these days, and they expect their mothers to help them pick up the pieces,” noted Dr. Bertram J. Cohler, a behavioral scientist at the University of Chicago. “This is often the strongest source of complaint on the part of Grandmother, who has finished with child caring and now has her own life to live. Grandmothers like to see their children and grandchildren, but on their own time.”

Dr. Cohler is director of a study, sponsored by the National Institute of Aging, of 150 workingclass families that live in a Midwestern suburb. He and Dr. Henry U. Gruebaum of Harvard Medical School, have already completed their study of four such families in New England.

Dr. Cohler tells of a middle-aged Boston woman who works as a cook all week and for her parish (教区) on Sundays. Every Saturday, her one day off, her daughter and family visit, expecting mother to make lunch, shop, and visit. “That's not how she wants to grow old,” said Dr. Cohler, who was told by the older woman, “My daughter would never speak to me if she knew how angry and unhappy I get.”

In all the four New England families studied, the older women disliked the numerous phone calls and visits from their grown daughters, who often turned to the mothers for advice, physical resources, love, and companionship as well as baby-sitting services. “American society keeps increasing the burdens for older people, particularly those in their 50s and 60s,” Dr. Cohler said in an interview here. “They're still working and they're taking care of their grown children and maybe also their aged parents. Sometimes life gets to be too much.”

Which of the following is closest in meaning to the expression “pick up the pieces” in the second paragraph?

A. Save a bad situation. B. Put children's toys in their proper places.

C. Gather up pieces of clothing. D. Keep the room in good order.

The middle-aged Boston woman ______.

A. expects her mother to cook lunch for her

B. enjoys the room in good order

C. visits an older woman every Saturday

D. works six days a week

The passage is mainly about ______.

A. young women's inability to look after their children

B. Grandmothers' attitudes toward helping their grown daughters

C. average American women's family life

D. grandmother should give more help to their daughters

From Dr. Cohler's study we may reach the conclusion that ______.

A. daughters should be independent of their old grandmothers

B. grandmother should give more help to their daughters

C. mothers and daughters should support each other

D. daughters should be more considerate toward their mothers

Psychiatrists(精神病专家)，who work with older parents say that maturity can be an asset(资产) in child raising----older parents are more thoughtful, use less physical discipline and spend more time with children. But raising kids takes money and energy, many older parents find themselves balancing their limited financial resources, declining energy and failing health against the growing demands of an active child. Dying and leaving young children is probably the older parents’ biggest and often unspoken fear. Having late-life children, says an economics professor, often means parents, particularly fathers, “end up retiring much later.” For many, retirement becomes an unobtainable dream.
Henry Metcalf, a 54-year-old journalist, knows it takes money to raise kids. But he’s also worried that his energy will give out first. Sure, he can still ride bikes with his athletic fifth grader, but he’s learned that, young at heart doesn’t mean young. Lately he’s been taking afternoon naps to keep up his energy.” My body is aging,” says Metcalf, “You can’t get away from that.”
Often, older parents hear the ticking of another kind of biological clock. Therapists who work with middle-aged and older parents say fears about aging are nothing to laugh at. “They worry they’ll be mistaken for grandparents, or that they’ll need help getting up out of those little chairs in nursery school.” Says Joann Galst, a New York psychologist .But at the core of those little fears there is often a much bigger one. “that they will not be alive long enough to support and protect their child, ” she says .
Many late-life parents, though, say their children came at just the right time. After marrying late and undergoing years of fertility(受孕) treatment, Marilyn Nolen and her husband, Randy, had twins. “We both wanted children,” says Marilyn, who was 55 when she gave birth. The twins have given the couple what they desired for years, “a sense of family.”
Kids of older dads are often smarter, happier and more sociable because their fathers are more involved in their lives. “The dads are older, more mature,” says Dr. Silber, “and more ready to focus on parenting.”
【小题1】Why do psychiatrists regard maturity as an asset in child raising?
A Older parents can better balance their resources against children’s demands.
B Older parents are usually more experienced in bringing up their children.
C Older parents are often better prepared financially.
D Older parents can take better care of their children.
【小题2】What does the author mean by saying “For many, retirement becomes an unobtainable dream”
A They have to go on working beyond their retirement age.
B They can’t get full pension unless they work some extra years.
C They can’t obtain the retirement benefits they have dreamed of.
D They are unwilling to retire when they reach their retirement age
【小题3】The author gives the examples of Henry Metcalf to show that______.
A many people are young in spirit despite their advanced age
B taking afternoon naps is a good way to maintain energy
C older parents tend to be concerned about their aging bodies
D older parents should exercise more to keep up with their athletic children
【小题4】What’s the biggest fear of older parents according to New York psychologist Joann Galst?
A Being laughed at by other people B Slowing down of their pace of life
C Being mistaken for grandparents D Approaching of death
【小题5】What do we learn about Marilyn and Randy Nolen?
A They thought they were an example of successful fertility treatment
B Not until they had the twins did they feel had formed a family
C They believe that children born of older parents would be smarter.
D Not until they reached middle age did they think of having children.

C
Many Older Doctors Plan to Give up Their Practice
The results of a new survey indicate that 48 percent of physicians between 50 and 65 years of age are planning to reduce or end their clinical practice in the next l to 3 years. The findings also suggest that many older physicians believe that their younger counterparts do not have the work ethic they do.
The survey, which was conducted by Merritt Hawkins＆Associates, a Texas-based physician search and consulting firm, suggests that many older physicians are simply unhappy with the changes that have taken place in medicine over the years.
"When Baby Boom doctors entered medicine, they had control over how they practiced and the fee they charged. But the rules changed on them in mid-stream and now many are looking for a ticket out," Mark Smith, executive vice president of Merritt Hawkins＆Associates, said in a statement.   "Our study is the only one I am aware of that examines the career plans of physicians in the 50-to-65 age group." This age group represents more than one-third of all physicians in the U. S. If they stop working in the coming years, it will have a "significant impact" on the overall supply of physicians, Smith told Reuters Health.
The results of the survey, which included 1,170 respondents（调查对象）, show that 24 percent of older physicians are planning to leave clinical practice all together in the next 1 to 3 years. Specifically, 14 percent said they were planning on retiring, 7 percent said they were looking for a medical job in a non-patient care setting, and 3 percent said they were seeking a job in a non-medical field.
For those physicians not leaving clinical practice, many said they would make changes to reduce the number of patients they treat. For instance, 12 percent said they would begin working part-time, 8 percent said they planned to stop taking new patients or markedly reduce their patient load, and 4 percent expressed a desire to work on a temporary basis.
When asked about the work ethic of physicians entering practice today, 68 percent of the respondents said that these younger doctors are not as dedicated or as hard working as physicians who entered practice 20 t0 30 years ago. Fifty-seven percent of older physicians said they would not recommend medicine as a career to their own children. Similarly, 44 percent said they would not select medicine as a career if they were starting out today.
"The most ominous（不祥的）finding is that about one half of physicians surveyed plant to either abandon patient care in the next 1 to 3 years, or significantly reduce the number of patients they see," Smith said. "The U. S. already is facing a widespread shortage of physicians. Should older, ‘workhorse' physicians choose to give up patient care, access to medical services will be further restricted."
66. Which is NOT true of physicians in the 50-to-65 age group in the U. S.?
A. They are mostly baby boomers.
B. They have nothing to complain about.
C. Many of them plan to gradually stop their practice.
D. They account for over one-third of all physicians in the country.
67. The survey was focused on         .
A. the living conditions of older physicians in the U. S.
B. the career plans of older physicians in the U. S.
C. the retirement plans of older physicians in the U. S.
D. the achievements of older physicians in the U.S.
68. Many older physicians in the U. S. view the work ethic of their younger
counterparts        .
A. with appreciation    B. with disapproval    C. with jealous        D. with indifference
69. In the eyes of many older physicians, medicine         .
A. comes first in their choice of a career for their children
B. remains their lifelong pursuit
C. is not as good a career as it used to be
D. is more demanding than it used to be
70. If many older physicians stop working in the coming years, Americans will have         .
A. even less access to medical services         B. even better patient care
C. a shortage of younger physicians             D. more job opportunities

There are many older people in the world and there will be many more. A little-known fact is that over 60 percent of the older people live in developing countries. According to the World Health Organization, by 2020 there will be 1 billion, with over 700 million living in developing countries.

　It is a surprising fact that the population ageing is particularly rapid in developing countries. For example, it took France 115 years for the rate of older people to double from 7 percent to 14 percent. It is estimated to take China a mere 27 years to achieve this same increase.

　What are the implications of these increased numbers of older folk? One of the biggest worries for governments is that the longer people live, the more likelihood there is for diseases and for disability. Attention is being paid to the need to keep people as healthy as possible, including during old age, to lessen the financial burden on the state.

　Another significant problem is the need for the younger generations to understand and value the older people in their society. In some African countries, certainly in Asia, older people are respected and regarded as the ones with special knowledge. Yet traditions are fading away daily, which does not make sure the continued high regard of older people. As society changes, attitudes will change.

　Much needs to be done to get rid of age discrimination in employment. Life-long learning programs need to be provided to enable older people to be active members in a country's development.

　Social security policies need to be established to provide adequate income protection for older people. Both public and private schemes are vital in order to build a suitable safety net.

1.The rate of older people________.

A．is bigger in developed countries than in developing countries

B．is one-seventh of the population in developing countries

C．will increase much faster in China than in France

D．will be sixty percent in developing countries by 2020

2.According to passage, which of the following are governments most worried about

A．Thediseasesanddisabilityofolderpeople.

B．Thelongerlifeandgoodhealthofpeople.

C．Thelossoftaxesonolderpeople.

D．Theincreasingrespectforolderpeople.

3. It is stated directly in the passage that older people should ________.

A．be treated differently in different cultures

B．enjoy a similar lifestyle

C．be ignored as society changes

D．be valued by the yonger generations

4.Which of the following measure is NOT mentioned to solve the population ageing problem?

A．Getting rid of age discrimination in employment.

B．Supplying life-long learning programs to older people.

C．Making sure adequate income protection for older people.

D．Providing free health care for sick older people.

5.The author concludes in the last paragraph that ________.

A．governments have spent lots of time in solving the ageing problem

B．population ageing is a hard problem, but it needs to be solved urgently

C．people are too busy to solve the population ageing problem

D．much time and effort will be lost in solving the ageing problem

Happy birthday! Do birthday really make people happy? Of course they do. Birthday celebrate the day when we were born. Besides, that extra candle on the cake suggest another year of growth and maturity—or so we hope. We all like to imagine that we are getting wiser and not just older. Most of us enjoy seeing the wonder of growth in others, as well. For instance, seeing our children develop and learn new things makes us feel proud. For Americans, like people in most cultures, growing up is a wonderful process. But growing old? That is a different story.

Growing old is not exactly for people in youth-oriented(以年轻人为中心) American culture. Most Americans like to look young, act young and feel young. As the old saying goes, “You’re young as you feel.” Older people joke about how many years young they are, rather than how many years old. People in some countries value the aged as a source of experience and wisdom. But Americans seem to favor those that are young, or at least “young at heart”.

Many older Americans find the “golden years” to be anything but golden. Economically, “senior citizens” often struggle just to get by. Retirement at the age of 65 brings a sharp decrease in personal income. Social security benefits usually cannot make up the difference. Older people may suffer from poor nutrition, medical care, and housing. Some even experience age discrimination. American sociologist Pat Moore once dressed up like an older person and wandered city streets. She was often treated rudely—even cheated and robbed. However, dressed as a young person, she received much more respect.

Unfortunately, the elderly population in America is increasing fast. Why? People are living longer. Fewer babies are being born. And middle-aged “baby boomers” are rapidly entering the group of the elderly. America may soon be a place where wrinkles(皱纹) are “in”. Marketing experts are ready noticing this growing group of consumer.

1. Growing up is a wonderful thing because ____________.

A. people can celebrate their birthday B. people can receive many presents

C. people can become more mature and wiser D. people will feel younger at heart

2.We can infer from the second paragraph that __________.

A. different countries have different opinions on the old age

B. American older people often joke about their old age

C. American culture is very young

D. young people lack experience and wisdom

3. What does the third paragraph mainly tell us?

A. The golden years can make the old earn lots of money.

B. American social security benefits are not good.

C. The old in America are leading a hard life.

D. The old in America have to retire at the age of 65.

4.What does the underlined word “in” in the last paragraph mean?

A. serious B. disappearing slowly C. cool D. growing fast

5. According to the text, which of the following is correct?

A. The young are often discriminated in America.

B. The young are more respected than the old in America.

C. Growing old makes people feel proud in America.

D. The old are more respected than the young in America.

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