part C

Medical Education

In 18th century colonial America, those who wanted to become physicians either learned as personal students from established professionals or went abroad to study in the traditional schools of London, Paris and Edinburgh. Medicine was first taught formally by specialists at the University of Pennsylvania, beginning in 1765, and in 1767 at King's College (now Columbia University), the first institution in the colonies to give the degree of doctor of medicine.

Following the American Revolution, the Columbia medical faculty (formerly of King's College) was combined with the College of Physicians and Surgeons, chartered in 1809, which survives as a division of Columbia University.

In 1893 the Johns Hopkins Medical School required all applicants to have a college degree and was the first to afford its students the opportunity to further their training in an attached teaching hospital. The growth of medical schools attached with established institutions of learning went together with the development of proprietary (私营的 ) schools of medicine run for personal profit, most of which had 10W standards and poor facilities. In 1910 Abraham Flexner, the American education reformer, wrote Medical Education in the United States and Canada, exposing the poor conditions of most proprietary schools. Subsequently, the American Medical Association(AMA) and the Association of American Medical Colleges (AAMC) laid down standards for course content, qualifications of teachers, laboratory facilities, connection with teaching hospitals,and licensing of medical practitioners (开业医师) that survive to this day.

By the late 1980s the U.S. and Canada had 1,424 medical colleges recognized by the Liaison(联络) Committee on Medical Education to offer the M. D. degree; during the 1987-1988 academic year, 47,262 men and 25,686 women entered these colleges and an estimated 11,752 men and 5,958 women were graduated. Graduates, after a year of internship ( 实习期 ) , receive licenses to practice if they pass an examination given either by a state board or by the National Board of Medical Examiners.

1. In 18th century America, higher institutions of learning that taught medicine __________.

A. did not exist

B. were few in number

C. were better than those in Europe

D. were known for their teaching hospitals

2. Initially most proprietary schools of medicine in America __________.

A. had established professionals

B. had good facilities

C. had high standards

D. were in poor conditions

3. The AMA and AAMC established standards so as to __________.

A. recruit more students

B. set up more schools of medicine

C. ensure the quality of medical teaching and practice

D. prevent medical schools from making huge profits

4. After a year of internship medical graduates can start to practice __________.

A. if they have worked in a laboratory

B. if they have studied abroad for some time

C. if they have obtained an M. D. degree

D. if they have passed an examination

5. This passage is mainly about __________.

A. how medicine is taught in America

B. how medical education has developed in America

C. how the American educational system works

D. how one can become a good doctor

答案与解析

part A

1. C。细节题。题干：研究的目标是发现新的方法来 __________。利用题干关键词可以定位到短文的第二段，提到了此项研究的goal，即aim，这便是learning new ways to treat or prevent illness。

2. D。细节题。题干：研究者收集了下列东西，除了 __________。利用题干关键词可以定位到短文的第四段。第四项应该是“参加研究的妇女及其婴儿家中的空气与水等物质”，而

不是“医院中的空气与水”。

3. A。细节题。题干：通过研究，国家的医疗费用期望可以 __________。利用题干关键词可以定位到短文的第六段，即预计从长远的角度讲，此项研究将有利于节约国家卫生保健费用的开支。

4. B。细节题。题干：参与者的婴儿会被跟踪调查 __________。利用题干关键词可以定位到短。文的倒数第三段，即这些婴儿将从出生前一直被跟踪到21岁。

5. D。细节题。题干：下列关于研究参与者的说法哪一项是不正确的?利用题干关键词可以定位到最后一段。前三项在短文的最后一段都有提及，只有第四项是错误的，因为研究对象都是怀孕的妇女，不可能是所有年龄段的人们。

part B

1. A。细节题。题干：为什么远古的火山爆发比近期的火山爆发破坏性更大?利用题干关键词可以定位到第一段：古代的火山更具破坏力，不是因为它们更大，而是因为它们释放出的二氧化碳更能轻易地毁灭生命。

2. D。细节题。题干：Wignall是如何计算出远古火山爆发的杀伤力的?利用题干关键词可以定位到第二段。第二段有这样一句话：He calculated the“killing efficiency”for these volcanoes by comparing the proportion of life they killed off with the volume of lava that they produced.(他通过比较火山释放出的熔岩的体积与杀死生命的比例计算这些火山的杀伤力)。

3. D。细节题。题干：恐龙是什么时候灭绝的?利用题干关键词可以定位到第三段。其中有这么一句话：He ignored the extinction which wiped out the dinosaurs 65 million years ago，because many scientists believe it was primarily caused by the impact of an asteroid.(他没有提及6500万年前恐龙的灭绝，因为许多科学家相信恐龙的灭绝是受一颗小行星的影响)。

4. D。细节题。题干：从第三段还可以推导出有关恐龙的什么样的信息?在讨论第三题的答案时，我们已经注意到了，Wignall没有提6500万年前恐龙的灭绝是否跟火山爆发有关，因为许多科学家相信恐龙的灭绝是受一颗小行星的影响。这就说明，关于恐龙灭绝的原因在科学家之间是有争议的。

5. B。主旨题。问题问的是：文章的主要论点是什么?答案在文章的第一句：Volcanoes were more destructive in ancient history(古代火山更具破坏力)。

part C

1. B。细节题。题干：在18世纪的美国，教授医学的'高等学习机构 __________。利用题干关键词可以定位到文章第一段，可知在18世纪的美国，医学院校寥寥无几。如果有人想当医生，就要跟专业人员私下学，或者出国学习。直到1765年，才首次有高等院校正式开设医学课程。

2. D。细节题。题干：最初多数的私营医学院 __________。利用题目顺序与段落顺序一致的原则和题干关键词可以定位到文章第二段中的第二句，即早期的私营医学院校大都标准不高，设备较差。

3. C。细节题：AMA and AAMC设立了标准，以便 __________。利用题干中的专有名词可以定位到文章第二段的最后一句，即AMA与AAM制订了一系列标准，以保证医学教学与实践的质量。

4. D。细节题。经过一年实习的毕业生可以开始 __________。利用题干关键词可以定位到文章的最后一段，即医学毕业生经过一年的实习期后，要通过州或国家的相关考试，方可获取行医执照。

5. B。主旨题。题干：这篇文章主要是关于 __________。从文章的题目和内容可知，全文重点探讨的是美国医学教育的历史沿革。