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

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

Electronic waste, or e-waste, refers to electronic products that are no longer usable. This can include TVs, cell phones and computers and other office electronics, electronic toys and videos machines. Today, the average turnover（更换）rate for a computer in the United States is every two years, according to the environmental group, Greenpeace.

The group's Dai Yun says e-waste is a global problem. "The electronic industry is one of the fastest growing industries in the world. The high speed of growth in this industry means more and more electronic products are being wasted and thrown away. If no one decides to retrieve the old products and process them properly, the electronic waste will sweep over the earth like the huge wave behind me and pollute the Earth seriously."

Greenpeace works out that 20 to 50 million tons of e-waste are produced globally each year. The components（部件）in many electronic products contain harmful chemicals that pollute ground water and the environment.

At present , the U.S. has no federal law for the disposal (处理) of e-waste although a few states have e-waste recycling programs in place, but there is no law. The U.S. exports much of its e-waste to third world countries, such as India and China, where workers took apart computers for valuable parts, hoping to sell them for money. But harmful wastes expert, Dr. Bakul Rao, says that's a dangerous practice. "From now on, the recyclers are not very educated. All they know is they can retrieve copper or gold out of it. So, the easiest way to do that is leach (过滤) it out in an acid or burn it off to retrieve it. So, that's where they don't know how to deal with it, neither do they have any health systems in place. So, their exposure is more."

What does the underlined word "retrieve" (paragraph 2) probably mean?

A. look into   B. take apart   C. get back   D. throw away

What of the following statements is true according to the passage？

A. The U.S. has strict national laws for dealing with e-waste.

B. Third world countries import e-waste to get valuable parts, which is a safe and easy way to make money.

C. The way uneducated workers deal with old computers does great harm to the environment as well as to their own health.

D. More and more electronic waste is being wasted and thrown away mainly because of people's bad habits.

What is the purpose of writing the passage?

A. To attract more people's attention to e-waste.

B. To call on people not to throw away e-waste anywhere.

C. To tell people what e-waste is and how to deal with it well.

D. To warn people to break away from the electronic industry.

The next paragraph probably concerns ___.

A. how to deal with e-waste properly

B. how to protect ourselves from harm by e-waste

C. How to slow down the development in the electronic industry

D. how to make full use of e-waste

Barack Obama

In the past hundred years, the U.S. presidency has turned more and more to the left – not in policy, but in handedness. Barrack Obama is the latest to join a long list of left – handed presidents from the 20th century: James Garfield, Herbert Hoover, Henry Truman, Gerald Ford, Ronald Reagan, George H.W. Bush and Bill Clinton were all southpaws.

What makes lefties so electable? Some experts think left-handed people have a greater aptitude for language skills, which may help them craft the rhetoric necessary for political office. And as for the bout of recent left-handed presidents, some think it’s because teachers only recently stopped working to convert lefties to rightist at an early age.

Bill Gates

Claiming the nation’s richest man among their number is a source of considerable pride for America’s society of southpaws. In fact, the Microsoft titan and philanthropist(巨头兼慈善家) is one of a surprising number of U.S. business moguls to be left-handed, including Henry Ford, John D. Rockefeller and former IBM head Lou Gerstner. But the club seems to be a guys-only fraternity — research suggests that while left-handed men tend to earn more than their right-handed colleagues, there is no similar advantage for women. A study by the National Bureau of Economic Research floated the idea that left-handed men favor "divergent" thinking, a form of creativity in which the brain moves "from conventional knowledge into unexplored association." Maybe that’s what it takes to develop a net worth estimated at $ 57 billion.

Oprah Winfrey

The talk-show queen doesn’t need much more to set her apart from the rest — what with her estimated $ 2.7 billion fortune and a magic ability to sell books just by glancing at them — but she also has the distinction of being a member of the left-handed club. Since men are more likely to be left-handed than women, that makes Oprah doubly impressive. She’s in good company: Other show-business ladies of the left – handed  persuasion include Whoopi Goldberg, Julia Roberts and Angelina Jolie

Marie Curie

Not only was atomic scientist Marie Curie left-handed, but she was the matriarch of a whole family of accomplished, southpaw scientists. Curie, who discovered the principles of radioactivity and won two Nobel Prizes, was married to fellow lefty Pierre Curie, who was instrumental in helping Marie’s atomic research and shared one of her Nobel awards. Historians believe their daughter, Irene, was also left-handed. Irene went on to win a Nobel Prize of her own with her husband — who, you guessed it, was also left-handed.

59．The underlined word “southpaws” in the last sentence of Paragraph 1 means_______.

A．people coming from the south B．powerful presidents

C．people who use their left hand D．forceful speakers

60．What makes it so easy for lefties to be elected as presidents according to the passage?

A．Their great gift for foreign language.

B．Their great language skills to make speeches.

C．The need of left – hinders in the political office.

D．Teachers stopping to force them to use their right hand.

61．It can be implied that Bill Gates, Henry Ford, John D. Rockefeller and Lou Gerstne_______.

A．have creative thinking              B．have formed a special club.

C．earn more money than their wives   D．are wealthy philanthropists

62．The underlined sentence in Paragraph 4 “She is in good company” means “_______”.

A．she works in a very good company   B．she has many good friends

C．she has got on well with others        D．she is among many female lefties

 

April 22,2010 will be the 18th celebration of the annual Take Our Daugluers to Work Day （TOD）, a project the National Ms．Foundation for Women of America （NFW） developed to expose girls to expanding opportunities for women in the workplace．

The program offers, millions of girls a first - hand view of the many career opportunities available in their futures．Now that women make up 46 peroent of the U．S．workforce, girls can find role models in every occupational field-from politics to molecular biology to professional athletics, to name just a few．TOD encourages girls to focus on their abilities and opportunities, not just their appearance．

The NFW developed the project more than a decade ago to address the self - esteem problems that many girls experience when they enter adolescence．At school, boys often receive more encouragement in the classroom, especially in math．science and computer science, the academic fields that tend to lead to the highest salaries．Women receive on average only 73 cents for every dollar that men are paid．and remain vastly underrepresented （数量不足） in top executive positions and technology fields．TOD aims to give girls the confidence and inspiration they need to develop successful careers, particularly in non-traditional fields．

Perhaps because the program had become so widespread and successful, TOD had been criticized for excluding boys．and it was expanded in 2003to include boys．The program’s official website states that the program was changed in order to provide both boys and girls with opportunities to explore careers at an age when they are more flexible in tenns of gender stereotyped roles．"We should also show boys that becoming a child care provider is as acceptable a choice as becoming a police officer or CEO," added Sara K．Gould．executive director of the NFW．

1.The purpose for having a Take Our Daughters to Work Day is ____

A．to encourage girls to get top paying jobs ,

B．to let girls spend more time with their mothers

C．to show girls possibilities for work and careers

D．to give girls a chance to visit their mothers' offices

2.Why are women underrepresented in some fields such as technology?

A．They are not interested in these fields．

B．They are not encouraged to work in these fields．

C．They are not paid the same as men in these fields．

D．They are not allowed to be educated in these fields．

3.TOD was criticized because some people ____．

A．thought it was not fair to boys

B．did not like having children at work

C．did not have daughters to take to work

D．would rather have their daughters stay at home

4.Which of the following is true according to the passage?

A．Boys are now included on Take Our Daughters to Work Day．

B．Women and men have always been treated equally at work．

C．Homemaking and raising children are jobs for girls only．

D．Girls grow up receiving more attention than boys．

5.What can we learn from Sara K．Gould's words?

A．Boys are sometimes more careful and responsible than girls．

B．It is most suitable for women to look after children at home．

C．Aboy's life ambition should be to become an officer or CEO．

D．It is also acceptable for boys to do what girls are supposed to．