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  3. The competition for spots in medical schools may get a little less fierce over the next few years, but the competition for postg

The competition for spots in medical schools may get a little less fierce over the next few years, but the competition for postg

admin2015-03-25  41
问题     The competition for spots in medical schools may get a little less fierce over the next few years, but the competition for postgraduate residencies(the period of specialized training in a hospital that a doctor receives after leaving university)may be heating up. The number of federally funded residencies has remained capped since 1997, despite the expected significant increase in the number of first-year medical students by 2017.
    These training positions are largely funded by the federal health care program known as Medicare. There are hardly more residency spots being created to meet the demand of new graduates. Medical organizations are pushing House of Representative and Senate leaders to create more spots to offset these challenges, but their efforts may be ineffective in the short term.
    In March the Association of American Medical Colleges backed two bills introduced in the House and one in the Senate that outline a plan for adding 3,000 residency positions each year from 2015 through 2019. Even though the bills provide a compromise, they may not enact immediate change. "Members of Congress might agree that we need new residency spots," says Ray Quintero, director of the department of government relations for the association. But "the cost of residency spots is quite expensive. So there’s been an inability to find the funding. "
    The University of Nevada School of Medicine is preparing students to get into residencies when fewer spots are available. ln the last few years the school has started gathering more data about the profiles of students who match in competitive residencies and using data from the National Resident Matching Program to advise students about the specialties in which they should attempt a match. That data, combined with an analysis of a student’s strengths and likes, can give them a better chance at solidifying a residency match.
    At the School of Medicine at Oregon Health and Science University, professors are trying a variety of ways to make students more competitive residency candidates. They now receive training in topics such as informatics, which examines how information is delivered. Students are encouraged to think about how tools such as Facebook, Twitter and email factor into corresponding with patients and others in the health care community. Residency programs have changed and what they’re looking to do has changed, says George Mejicano, the school’s senior associate dean for education. "It’s both an advising and a curriculum process," he says.
    Prospective students trying to plan their medical careers should spend time with physicians in multiple health care settings to see if being a doctor is really what they want to do, says Margo Vener, a family physician who also teaches medicine at the University of California—San Francisco. She has been advising UCSF students on their career and residency choices since 1999. "This is an incredibly long and hard training process," says Vener. And because it’s followed by possibly a 30- to 40-year career, "training is the tip of the iceberg. "
What is the main obstacle of setting up more residency positions?
选项 A、The limitation of the budget.
B、The negative attitude of the government.
C、The reluctant reaction of the patients.
D、The pushing of the medical associations.
答案A
解析 事实细节题。根据题干关键词obstacle和residency positions定位到第三段最后两句可知，虽然各方面都认为应该增加住院医生的岗位，但增设住院医生岗位的最大难题是资金问题。换句话说，紧张的预算限制了住院医生岗位的数量，因此选[A]。文章当中并没有提到政府对增加住院医生持否定态度，相反，该段第一句说到美国众议院和参议院都有增加住院医生岗位的议案，因此排除[B]；文章中没有任何内容与病人的态度有关，故排除[C]；该段第一句提到，美国医学院协会对众议院和参议院的议案表示支持，但没有说这种支持反而成了增加住院医生岗位的障碍，故排除[D]。
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