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Unit 01 Why Medicine STUDENT
Unit 01 Why Medicine STUDENT
1 You have come to this faculty to study for a medical degree, which is a rather important life decision. Discuss
your motivation for choosing medicine with your colleagues. Base your discussion on the questions below. In
your discussion, try to go beyond the most commonly stated reasons such as following in your parents'
footsteps or wanting to help people (though the latter one is of course paramount).
2 The following quotes are authentic medical student statements. Which one do you identify with the most and
why? Write a similar statement of your own and share it with your colleague.6
I wanted something where I could talk to a huge range of people, be challenged to leave my ‘comfort zone’ and be
humbled by what I saw.
I wanted a dynamic job that changed and improved over time, where
‘cutting-edge’ scientific innovation has a practical application in ‘real-
life’ problem solving.
Caring for patients as people really is at the heart of medicine, and
it's a great privilege to be able to help people when they're at their
most vulnerable.
Medicine's a relatively secure career, offering a multitude of
different areas of work – including opportunities for working in the
developing world. At a time where many people are being made
redundant, doctors are still in the same demand.
I'm really happy to be studying medicine and I'm excited to eventually practise as a doctor, but medicine isn't for
everyone. Caring for the infirm is rarely glamorous and patients aren't always cooperative and grateful – the decision
to become a doctor has to be your own.
I knew I'd find medicine intellectually rewarding.
Studying medicine is a privilege, to me medicine is the ultimate career.
3 You are going to work in groups and prepare a poster with an overview of tips
on the following: adjusting to medical school, study skills, test taking skills,
and time managements skills. The teacher will provide you with further instructions.
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UNIT 1 WHY MEDICINE
B MEDICAL CAREER
1 How do you envision your future medical career? Read the text below and then discuss the follow-up
questions with your colleague.1
1 Have you already thought about what particular specialty1 you would like to choose?
2 Alternatively – which one(s) would you definitely not opt for?
3 Would you rather work on your own or be part of a team?
2 Below are some of the necessary traits for people who want to work in medicine (in whatever specialty).
Choose five that you believe are the most significant. Compare your list with a colleague and justify your
choice.
3 The National Health Service (NHS) in the UK claims to operate on a set of values commonly termed as 6 C's.
Try to guess what these might be, two have been done for you as an example.1, 5
care c
c c
competence c
1Specialty (UK, speciality US) is a particular area of medicine that someone is an expert in. Dr Jones's specialty is obstetrics. Do not confuse with
specialization which is a particular part of a wider subject that someone studies especially thoroughly. Applications for geriatric physiotherapy
specializations may be sent to the School of Physiotherapy.
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UNIT 1 WHY MEDICINE
4 You are going to watch a video in which a practising doctor discusses five qualities which he believes are
essential for becoming an excellent doctor. They are listed below. Make notes for each of them to explain why
they are considered important and compare them with a colleague.10
1 Empathy
2 Desire to help
3 Passion for teaching
4 Passion for growth
5 Performing well under pressure
5 The following expressions have been taken from a text which presents a career profile of a paediatrician.
Match them with their definitions below.
be rostered entail (v) delve into hold the bleeps combat (v)
rota bay mandatory daunting ward
resus call obstetric theatre
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UNIT 1 WHY MEDICINE
6 In the rest of the unit you will be focusing on various medical specialties. Before you deal with them in more
detail, practise their pronunciation and spelling. Read the following and transcribe the words back.
7 Depending on your study programme, read one of the profiles of the professionals listed below. You will find
the texts in the SUPPLEMENTS section. Note how the text is structured and what information individual
paragraphs contain.1, 7
8 Using the same structure as in the text in exercise 6, prepare a 2 min talk where you will describe your
professional self five years after graduation. For information and vocabulary on various specialties, go to the
supplement to this exercise (in the Supplements section), where you can choose one which might appeal
to you.1, 3, 4, 7, 9, 11
LANGUAGE PRACTICE
1 Complete the gaps in the sentences with the most suitable option (A–D).
1 In the medical school you are expected to _______ from content-driven to time-driven way of studying.
This means you will _______ to studying what is most high-yield based on what you have time to do.
A exchange B replace C substitute D shift
A rectify B adjust C rework D balance
2 You may feel that one lecturer _______ your learning needs while the other does not.
A corresponds B conforms C is compatible D matches
3 Make sure you _______ out to fellow-students if you don't understand the way the lecturer explained
a particular _______.
A speak B reach C check D draw
A cognition B reception C perception D concept
5 Challenges at medical school may _______ you to question whether you are intelligent enough to
_______ the curriculum.
A cause B effect C make D affect
A handle B run C supervise D charge
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UNIT 1 WHY MEDICINE
6 You may get so busy that you feel you are losing _______ with your family. This all can _______
an emotional toll on you.
A sight B touch C contacts D sense
A bring B take C have D pass
7 The stress can lead you to question even who you are and if you are on the right _______ in life.
A journey B passage C path D walk
8 Organize your studying by layering. Learn the major, _______ concepts first.
A over-bearing B over-reaching C over-arching D over-achieving
12 Pre-reading should _______ a basic skimming of the material and take about 10-15 minutes.
A involve B engage C input D enclose
14 _______ track of when you get hungry and what you need to eat to give yourself an energy _______.
A Have B Keep C Make D Maintain
A boost B fit C impulse D boom
17 Do not change your test answers _______ you misread the question.
A if not B unless C until D only if
18 Prepare for test _______ before and during the exam. What strategies or routines help you stay calm
the night before?
A mistrust B anxiety C suspicion D doubt
19 Keep the exam in _______. Even if you fail, it's not the end of the world.
A focus B horizon C perspective D outlook
20 In post-test analysis, note why you got both correct and incorrect answers and adjust your future study
plans _______.
A respectively B accordingly C nevertheless D equally
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UNIT 1 WHY MEDICINE
21 In the test room choose your seat carefully to avoid _______ such as the clock ticking too loudly or
watching the progress of others.
A preoccupations B distractions C abstractions D disorders
23 Every week, schedule a few hours for _______ with the rest of the study group.
A catching up B coming up to C drawing near D timing up
25 Know your _______ flags when it comes to procrastinating and losing focus.
A orange B flashing C bright D red
26 You must never _______ to thoughts telling you that you are not bright enough to study medicine.
A give up B give in C give out D give over
27 I have _______ to my current role as a senior dental officer through continuing professional
development (CPD).
A progressed B promoted C extended D enhanced
29 As the time pressure and stress levels _______, you need to be _______ and weather it out.
A raise B arise C rise D grow up
A tall B resilient C durable D elastic
31 When you are unsure about an answer to a test question, information in another one may help _______
your memory and you will suddenly remember.
A fire B peek C trigger D joke
32 It is crucial that you spend the time _______ to study most efficiently.
A assorted B allocated C distributed D amounted
33 Success for medical students _______ on how well they manage their time and use it effectively.
A triggers B bears C hangs D hinges
34 A good doctor listens to his or her patient carefully and tries to _______ the treatment with their values
and wishes.
A join B attach C align D place
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UNIT 1 WHY MEDICINE
36 It´s wonderful to see that you are _______ a difference in the lives of your patients.
A giving B bringing C doing D making
37 At first, I thought I would work in a lab but then I realized a career with patient contact would _______
me better.
A fill B match C suit D accompany
38 _______ bad news, i.e. telling the patient that the treatment has not been successful, is the most challenging
part of the job.
A Putting B Breaking C Laying D Setting
40 People often think we grow babies in test tubes in the lab, but _______ are no test tubes involved!
A here B they C now D there
2 Complete the gaps with words derived from the words in brackets.
3 Embryologists work with _______________, _______________ and many other healthcare professionals.
(OBSTETRICS, GYNAECOLOGY)
4 Dentists should have high levels of manual _______________ to carry out _______________ and
_______________ procedures. (DEXTER, SURGERY, DENTIST)
5 Dentists should be able to lead their teams effectively, so _______________ and _______________ skills are
essential for them. (MANAGEMENT, ADMINISTRATION)
USEFUL EXPRESSIONS
commitment závazek, povinnost, angažovanost judgment zde: úsudek, odborný názor, stanovisko
company firma, společnost to keep sth in perspective dívat se na něco s
pharmaceutical ~ farmaceutická firma nadhledem, udržovat si odstup
compassion soucit knowledge (sg., pl.) znalost
courage odvaha to update ~ aktualizovat, obnovovat znalosti
to delve into sth ponořit se do něčeho, zahloubat se do to leave one's comfort zone opustit svoji komfortní
něčeho zónu
dentistry, dental medicine zubní lékařství letter dopis
to deserve zasloužit si acceptance ~ zde: dopis informující o přijetí na
determination odhodlání univerzitu
to determine rozhodnout, určit life život
determined rozhodný ~ circumstances životní okolnosti; ~-long
dexterity zručnost learning celoživotní učení / vzdělávání (se); ~-
manual ~ manuální zručnost threatening život ohrožující
to diagnose diagnostikovat to be on right / wrong path in ~ být na správné /
diagnosis (sg.), diagnoses (pl.) diagnóza špatné životní cestě
disease nemoc to lose touch with ztratit kontakt s
disorder porucha to make sb redundant, to be made redundant
embryologist embryolog propustit z práce z důvodu nadbytečnosti, být
embryology embryologie propuštěn z důvodu nadbytečnosti
emergency / resus call přivolání lékaře na to make sth a priority udělat z něčeho prioritu
pohotovost, k urgentnímu případu to make a difference zanechat pozitivní stopu,
empathy empatie, schopnost vcítit se dosáhnout něčeho, mít (pro něco) význam
to entail zahrnovat, obnášet to meet up with friends setkávat se s přáteli
exam zkouška mortality úmrtnost
to cram for an ~ šprtat se na zkoušku ~ under five úmrtnost u dětí mladších pěti let
extraction extrakce, vytržení zubu to combat ~ bojovat s úmrtností
to undertake an ~ provádět extrakci non-judgmental nevynášející hodnotící soudy
to follow in one's parents' footsteps jít ve stopách obstetric theatre porodní sál
rodičů obstetrician porodník
handover zde: předání péče, pacientů mezi lékaři overarching concept obecný, zastřešující koncept
heart attack infarkt to overcome sth překonat něco
to hinge on záviset na něčem pace tempo
to hold / respond to the bleeps být na pracovním at a rapid / slow ~ rychlým / pomalým tempem
telefonu (“pípáku”) paediatrician pediatr
to humble sb, to be humbled by sth zahanbit někoho, pager pager; malé osobní telekomunikační zařízení,
být zahanben někým/něčím které umožňuje přijímat krátké textové nebo
inevitable nevyhnutelný číselné zprávy
information informace pain bolest
to discover ~ objevovat informace; to give ~ chest ~ bolest na hrudi
předávat informace; to present ~ předkládat, ~ medicine algeziologie
prezentovat informace; to process ~ zpracovávat patient pacient
informace cancer ~ pacient trpící rakovinou; critically ill ~
innovation inovace kriticky nemocný pacient; grateful ~ vděčný
cutting-edge scientific ~s špičkové vědecké pacient; polite ~ zdvořilý pacient
inovace care of ~s péče o pacienty
intimidating zastrašující to break bad news to a ~ sdělit pacientovi
job práce, pracovní místo špatnou zprávu; to care for ~s pečovat o pacienty;
rewarding ~ vděčná práce; práce, která přináší to refer a ~ for a further treatment odeslat
vnitřní uspokojení
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UNIT 1 WHY MEDICINE
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UNIT 1 WHY MEDICINE
SUPPLEMENTS
Section B, Exercise 7
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UNIT 1 WHY MEDICINE
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UNIT 1 WHY MEDICINE
Name
Jack Pearson
Job title
Clinical scientist (currently in training)
Entry route
Science degree “I´m currently on rotation around multiple hospital
departments including genetics, histology and
cytology.”
How I got into the role The best bits and challenges
During my degree I knew that reproductive science Communicating with patients is my favourite aspect
was my passion. There’s nothing more remarkable of the job and I love that I get to use my scientific
than the thought of a single sperm fertilising an egg skills and knowledge to provide the best quality care
and the tiny chance of it producing us as unique for them.
individuals! I’ve yet to do it myself, but I know that breaking bad
After university I did some volunteer work and news – when treatment has been unsuccessful - will
research in andrology (the study of male be the most challenging thing.
reproductive problems) but I decided a career with
patient contact would suit me better so I applied for
the NHS Science Training (Master’s) Programme.
What I do
I’ve always wanted to help people in my work and fertility is a particularly sensitive and compassionate field.
I’m currently on rotation around multiple hospital departments including genetics, histology and cytology to
see how other departments work.
But in my embryology role I perform fertilisation checks and contact the patients to let them know how their
embryos are progressing. I perform egg collections from women who’ve been on hormone treatment and
prepare sperm samples from men, as well as assisted reproductive techniques such as IVF and ICSI, and
embryo transfers for couples whose embryos are ready to be implanted.
People often think we grow babies in test tubes the lab, but there are no test tubes involved!
Life outside work
I’m a keen runner and gym member and both are essential for me to unwind and make me feel happy and
alert. I’m the chair of the Yorkshire and Humber Healthcare Scientist Trainee Network and help organise
events for trainees in the region and make the most of the weekends, visiting friends all over the country.
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UNIT 1 WHY MEDICINE
Section B, Exercise 8
Medical specialties patients with disorders affecting the brain and skull,
Medical specialties cover many of the conditions for spine and nervous system.
which people are admitted to hospital. They are
concerned with the science and practice of the Otorhinolaryngology (ear, nose and throat (ENT)
diagnosis, treatment and prevention of disease. surgery) has more separate surgical procedures than
most other surgical disciplines put together. There are
Medical oncology is solely concerned with treating a large number of conditions for which surgery of the
cancer. There is a great deal of contact with patients ear, nose and throat will be required. The procedures
and their relatives. Medical oncologists are physicians range from removing tonsils to the treatment of head
who specialise in the non-surgical treatment of cancer. and neck cancer.
Their role is to discuss the treatment options with They also include surgery for snoring problems, the
patients and their families, supervise the therapy and removal of nasal polyps and surgery to correct nasal
manage any complications that arise. deformities caused by injuries. An ENT surgeon may
also treat infants with hearing problems and older
Medical ophthalmology is the management of people who may be losing their hearing.
conditions of the eye and visual system. You will be
involved in the care of eye conditions in patients of all
Other specialties
ages, from premature babies to elderly people. Some
people may have eye conditions as part of a systemic Anaesthetics is experiencing huge advances in science
disease such as diabetes. and techniques, making longer and more complex
surgical procedures possible. More procedures are also
Palliative medicine supports patients with life-
being completed using regional anaesthesia instead of
threatening, advanced progressive illnesses that can't
general anaesthesia. As an anaesthetist, you will be an
be cured by conventional medicine. Doctors working
essential member of the team providing expert care to
in palliative medicine help to manage a patient’s
patients before, during and after surgery.
symptoms and provide psychological, social and
Anaesthetists also lead teams in the specialist areas of
spiritual support.
pain medicine and the intensive care management of
critically ill patients.
Surgical specialties
Emergency medicine is the only hospital-based
Surgeons specialise in operating on particular parts of specialty where a complete range of illness and injury
the body to address specific injuries, diseases or is managed. Doctors specialising in emergency
degenerative conditions. Advances in anaesthesia have medicine are generalists but specialise in resuscitation.
enabled surgeons to perform longer and more complex A number of doctors also develop their own sub-
operations, whilst innovation in areas such as keyhole specialty interests, such as trauma. It is an area that
surgery means that less-invasive surgical techniques attracts those who enjoy immediate decision-making.
are also being developed. As with medical specialties,
there is a range of specialties within surgery, including General practice is the first point of contact with the
those listed below. healthcare system for most people. It is the ‘gateway’
to it and GPs decide whether a patient needs to be
Cardiothoracic surgery deals with the diagnosis and referred for further treatment or investigation. Most of
management of surgical conditions of the heart, lungs your work will be carried out during consultations in
and oesophagus. A small aspect of the specialty is the the surgery and on home visits. No other specialty
transplantation of both heart and lungs. offers such a wide remit and range of conditions to
treat.
Neurosurgery deals with the nervous system. It
Increasingly, you’ll be working in teams with other
includes operative and non-operative procedures,
professionals, such as psychiatrists or public health
intensive-care management and rehabilitation of
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UNIT 1 WHY MEDICINE
specialists, helping patients take responsibility for Public health medicine deals with the medical aspects
their own health. of public health practice and aims to improve the
There are now more opportunities for GPs to specialise health of the community. Public health physicians tend
in particular conditions, such as diabetes, asthma or to be concerned with the wider population’s health
dermatology, and to become more involved in hospital needs rather than those of individual patients. As a
work, for example as a clinical assistant. General public health specialist, you could be carrying out
practice gives you the opportunity to help to prevent research into the health of your local population and
illness, not just treat it. devise programmes to tackle problems, or develop and
deliver health programmes with other organisations,
Obstetrics and gynaecology is the specialty that such as local councils. You will look at areas such as
covers the care of pregnant women, unborn children health inequalities, helping to close the gap between
and the management of diseases specific to women. As the least and most healthy communities.
well as being involved in clinical procedures, you will
have opportunities to work closely in the community. Radiology specialises in the detection of disease and
This specialty allows you to work using both medical every radiological investigation is a diagnostic
and surgical techniques. challenge. You might carry out simple investigative
In obstetrics, you will look after women who are going techniques or make decisions that are extremely
through one of the most important events in their life – complicated, such as those based on inconclusive
having a baby. In gynaecology, you could treat women images from a scan. The interpretation of any image
with gynaecological cancer or those having difficulty presents a medical and intellectual challenge.
getting pregnant. Radiologists work closely with other clinical
colleagues, such as the team of staff that looks after the
Paediatrics offers a varied career ranging from high care of a cancer patient, as well as being responsible
technology neonatal and paediatric intensive care, to for the management of the imaging departments.
the management of a disabled child. You may be Interventional radiologists carry out a range of
responsible for organising preventative services in the minimal invasive procedures on patients, such as
community or treating a child with cancer. It’s a inserting stents.
holistic specialty, in which you focus on the child
within a family and work to minimise the adverse Dental medicine is a branch of medicine that consists
effect of disease, enabling them to live as normal a life of the study, diagnosis, prevention, and treatment
as possible. of diseases, disorders, and conditions of the oral
cavity. Dentists mainly work in high street dental
Pathology specialises in the detection of disease practices, but may also work in community-based
through a variety of investigative techniques, such as settings, in hospitals and university settings. You’ll
blood tests and biopsy. Your work can be vital in need the skills and confidence to diagnose and treat
finding an accurate and early diagnosis and improving problems and provide good advice to patients, as well
prospects for treatment. You’ll also play an important as having high levels of manual dexterity to carry out
role in identifying the sources of disease and reducing intricate surgical and dental procedures. You will have
the risks of further spread. excellent knowledge of human anatomy and oral
diseases, as well as good clinical skills. It’s also
Psychiatry specialises in the care of patients with important for you to be able to lead your team
mental illness. Psychiatrists usually specialise in a effectively, so you’ll need good managerial and
particular branch of psychiatry. These include administrative skills.
specialties that cater for different age groups, such as
child and adolescent psychiatry, general (adult) Reproductive medicine is a branch
psychiatry or old age psychiatry. Specialties within of medicine concerning the male and
psychiatry include learning disability, forensic female reproductive systems. It encompasses a variety
psychiatry, medical psychotherapy, rehabilitation and of reproductive conditions, their prevention and
social psychiatry, substance misuse, neuropsychiatry assessment, as well as their subsequent treatment and
and eating disorders. prognosis. Embryologists deal with infertility
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UNIT 1 WHY MEDICINE
treatments including assisted conception procedures, Embryologists most often work in a team that includes
such as in vitro fertilisation (IVF) or intra-cytoplasmic other healthcare science staff working in the life
sperm injection (ICSI). Embryologists are involved in sciences (pathology, genetics, reproductive
the collection and fertilisation of eggs from patients. science), obstetricians and gynaecologists, doctors
Embryos are cultured, graded and selected for embryo specialising in genitourinary medicine,
transfer. Techniques associated with cryopreservation specialist nurses and counsellors
will be carried out to store patients’ samples.
REFERENCES
Pictures
Google Images
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