Self-employed private physicians who charge a fee for each patient visit are the foundation of medical practice in the United States. Most physicians have a contract relationship with one or more hospitals in the community. They send their patients to this hospital, which usually charges patients according to the number of days they stay and the facilities(operating room, tests, medicines that they use). Some hospitals belong to a city, a state or, in the case of veteran's hospitals, a federal government agency. Others are operated by religious orders(教会) or other non-profit groups.

Some medical doctors are on salary. Salaried physicians may work as hospital staff members, or residents, who are often still in training. They may teach in medical schools, be hired by corporations to care for their workers or work for the federal government's Public Health Service.

Physicians are among the best paid professionals in the United States. In the 1980s, it was not uncommon for medical doctors to earn incomes of more than $ 100 000 a year. Specialists, particularly surgeons, might earn several times that amount. Physicians list many reasons why they deserve to be so well rewarded for their work. One reason is the long and expensive preparation required to become a physician in the United States. Most would be physicians first attend college for four years, which can cost nearly $ 20 000 a year at one of the best private institutions. Prospective physicians then attend medical school for four years. Tuition alone can exceed $ 10 000 a year. By the time they have obtained their medical degrees, many young physicians are deeply in debt. They still face three to five years of residency(实习阶段) in a hospital, the first year as an apprentice physician. The hours are long and the pay is relatively low.

Setting up a medical practice is expensive, too. Sometimes several physicians will decide to establish a group practice, so they can share the expense of maintaining an office and buying equipment. These physicians also take care of each other's patients in emergencies.

Physicians work long hours and must accept a great deal of responsibility. Many medical procedures, even quite routine ones, involve risk. It is understandable that physicians want to be well rewarded for making decisions which can mean the difference between life and death.

26. According to the passage, it is very unlikely that an American hospital is owned by _______.

A. a church            B. a corporation            C. a city                       D. a state

27. The expenses for becoming a doctor are spent on _______.

A. schooling and retraining                        B. practice in a hospital

C. facilities he or she uses                          D. education he or she receives

28. According to the passage, how long does it take for a would-be physician to become an independent physician in the USA?

A. About seven years.                                B. Eight years.

C. Ten years.                                             D. About twelve years.

29. Sometimes several physicians set up a group medical practice mainly because _______.

A. there are so many patients that it is difficult for one physician to take care all of them

B. they can take turns to work long hours

C. facilities may be too much of a burden for one physician to shoulder

D. no one wants to assume too much responsibility

30. Which of the following statements could fully express the author's view towards physicians’ payment in the USA?

A. For their expensive education and their responsibility, they deserve a handsome pay.

B. It is reasonable for physicians to have a large income because their work is very dangerous.

C. Physicians should be better paid because they work long hours under bad conditions.

D. Physicians have great responsibility, so it is understandable that they should be well rewarded.

Self-employed private physicians who charge a fee for each patient visit are the foundation of medical practice in the United States. Most physicians have a contract relationship with one or more hospitals in the community. They send their patients to this hospital, which usually charges patients according to the number of days they stay and the facilities (operating room, tests, medicines that they use). Some hospitals belong to a city, a state or, in the case of veteran's hospitals, a federal government agency. Others are operated by religious orders(教会) or other non-profit groups.
Some medical doctors are on salary. Salaried physicians may work as hospital staff members, or residents, who are often still in training. They may teach in medical schools, be hired by corporations to care for their workers or work for the federal government’s Public Health Service.
Physicians are among the best paid professionals in the United States. In the 1980s, it was not uncommon for medical doctors to earn incomes of more than $ 100,000 a year. Specialists, particularly surgeons, might earn several times that amount. Physicians list many reasons why they deserve to be so well rewarded for their work. One reason is the long and expensive preparation required to become a physician in the United States. Most would-be physicians first attend college for four years, which can cost nearly $ 20,000 a year at one of the best private institutions. Prospective physicians then attend medical school for four years. Tuition alone can exceed $ 10,000 a year. By the time they have obtained their medical degrees, many young physicians are deeply in debt. They still face three to five years of residency(实习阶段) in a hospital, the first year as an apprentice physician. The hours are long and the pay is relatively low.
Setting up a medical practice is expensive, too. Sometimes several physicians will decide to establish a group practice, so they can share the expense of maintaining an office and buying equipment. These physicians also take care of each other’s patients in emergencies.
Physicians work long hours and must accept a great deal of responsibility. Many medical procedures, even quite routine ones, involve risk. It is understandable that physicians want to be well rewarded for making decisions which can mean the difference between life and death.
【小题1】According to the passage, it is very unlikely that an American hospital is owned by ______.

A.a churchB.a corporationC.a cityD.a state
【小题2】The expenses for becoming a doctor are spent on _______.
A.schooling and retraining
B.practice in a hospital
C.facilities he or she uses
D.education he or she receives
【小题3】According to the passage, how long does it take for a would-be physician to become an independent physician in the USA?
A.About seven year.B.Eight years.
C.Ten years.D.About twelve years.
【小题4】Sometimes several physicians set up a group medical practice mainly because _______.
A.there are so many patients that it is difficult for one physician to take care all of them
B.they can take turns to work long hours
C.facilities may be too much of a burden for one physician to shoulder
D.no one wants to assume too much responsibility
【小题5】Which of the following statements could fully express the author’s view towards physicians’ payment in the USA?
A.For their expensive education and their responsibility, they deserve a handsome pay.
B.It is reasonable for physicians to have a large income because their work is very dangerous.
C.Physicians should be better paid because they work long hours under bad conditions.
D.Physicians have great responsibility, so it is understandable that they should be well rewarded.

Students who work during term time to support themselves at university are far more likely to graduate with a poor degree, according to a government-funded study published yesterday.

Undergraduates with part-time jobs are a third less likely to get a first or upper second-class degree than other students, harming their career chances. Students from the poorest backgrounds were most likely to take jobs during term because they could not depend on help from their parents.

The report, commissioned (委托) by the Department for Education and Skills, also found a clear relation between fear of debt and employment in non-graduate jobs. Students from poorer backgrounds are known to be more unwilling to be in debt than those from middle class families.

The study of 8,600 people who graduated in 1999 was made by Peter Elias, of Warwick University, and Kate Purcell, from Bristol Business School. They found that twice as many first-class degrees were awarded to students who did not work during term compared with those who did. Between 35 and 38 percent who worked during term achieved a lower second, compared with about 28 percent of those who did not.

Professor Elias said that the increase in school fees next year to £3,000 would have to be monitored (监控) carefully for its effect on poorer students. "Higher education is going to be a harder struggle for those who do not come with all the advantages," he said.

He suggested that universities could get in touch with employers to provide work experience on good salaries to choose students during holidays, so that they did not have to work during term.

1.What's the main idea of the passage?

A. Students at university like to take part-time jobs to support themselves,

B. Term-time jobs at university lead to poorer examination results.

C. The school fees are becoming higher and higher at university.

D. Students at university have much difficulty getting first-class degrees.

2.Why did lots of students take term-jobs at university?

A. No one would lend them money to continue their study.

B. They wanted to improve themselves by taking part-time jobs,

C. Their families were poor and couldn't afford the high expense.

D. They thought earning money was more important than studying.

3.Students who took term-jobs at university ____.

A. had no possibility to study better than those who didn't

B. couldn't graduate from school normally in the future

C. might have trouble in finding a job in the future

D. were more independent than those who didn't in the future

4.Which of the following statements is TRUE according to the passage?

A. Poor students can't take part-time jobs all the time at university.

B. Employers have the duty to help poor students solve the money problem.

C. First class degrees couldn't be given to the students whose families were poor.

D. High school fees are one of the important reasons why students have to take term-jobs.

 

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