Just few years ago, a graduate from Brown University medical school had just a slight understanding about how to care for the elderly. Now, Brown and other U. S. medical schools are plugging geriatric(老年医学的)courses into their curricula.
The U. S. Census Bureau projects the number of elderly Americans will nearly double to 71 million by 2030. The first members of the Baby Boomer generation, so named for the explosion in births in the years after World War Two, turn to 65 in three years. In addition, people are living longer than ever.
" The first ripples of the silver tsunami are lapping at the shores of our country, but there is not a coordinated or strategic response taking place in America," said Richard Besdine, who is director of the geriatrics division at Brown University medical school in Providence.
Geriatrics has never been a field of choice for young doctors. Elderly care doctors are paid less than most other physicians and surgeons and the aged can be hard to treat. They have complicated medical histories and their ailments, even such routine illnesses as pneumonia(肺炎), can be more difficult to diagnose because they may be masked by other conditions. Also, drugs can affect them more differently than middle-aged adults. "It's a hard job: it's not paid very well: it's complicated: and there's very little status within the hierarchy of medical specialties to being a geriatric physician," said Gavin Hougham, senior program officer and manager of medicine programs at the John A. Hartford Foundation.
" Out of 800, 000 doctors in the United States, roughly 7,000 are geriatricians," Hougham said. The country needs another 13,000 to adequately care for today's older population, according to the American Geriatrics Society. The shortfall could reach 36,000 by 2030.
To help counter that, private groups are bankrolling medical schools'emphasis on aging.
The Hartford Foundation has given more than $ 40 million to 27 schools to train faculties in elderly care, and the Donald W. Reynolds Foundation has given more than $ 100 million to 30 schools to include more geriatrics content.
"If they don't learn it, they still have to deal with it," Hougham said. "It's not that not learning geriatrics will cause these older people to go away. They're coming whether we're ready or not. "
单选题 What does Richard Besdine mean in Paragraph 3?
【正确答案】 C
【答案解析】推断题。第三段Richard Besdine说如今银发浪潮的第一波已经开始冲击美国的海岸,美国却还没有制定出一个协调或战略性的对策。说明美国还没有准备好应对这一大潮。银发浪潮指的是老年人口的增长。故选C。
单选题 The main point of Paragraph 4 is______.
【正确答案】 B
【答案解析】推断题。第四段主要分析了年轻医生不愿做老年病医生的原因:和其他科的医生相比收入低、地位低、治疗周期长、病情复杂等。本段第一句话是主题句“Geriatrics has neverbeen a field of choice for young doctors.”故选B。
单选题 It can be learned from the passage that in the U. S. , ______.
【正确答案】 A
【答案解析】细节题。第五段说在美国80万医生中只有约7000名老年医学专家,见本段第一句话:“‘Out of 800,000 doctors in the United States,roughly 7,000 are geriatricians’,Houghamsaid.”,为使老年人得到充分照顾,现在还需要13000名老年病医生。到2030年,老年病医生缺口将达到36000名。故选A。
单选题 The fact that private groups have provided money to medical schools______.
【正确答案】 B
【答案解析】推断题。倒数第二段说为了缓解老年医学人才不足的状况,私人团体向医学院提供资金支持以开设相关课程,提供培训。说明人们已经逐渐开始认识到培训专业人才的重要性。故选B。
单选题 According to Hougham, the challenge posed by the elderly is______.
【正确答案】 C
【答案解析】观点态度题。最后一段Hougham说:“即使他们不学这些内容,他们也必须面对这个问题。并不是说不学老年医学课程就能让老年人远离疾病。不管我们是否做好准备,他们都将到来。”也就是说老年人带来的问题不可避免。C选项unavoidable的意思是“不可避免的”。故选C。