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VOA标准英语2011--Rural Medical School Keeps Doctors in Small Towns

时间:2011-12-22 06:18来源:互联网 提供网友:nan   字体: [ ]
    (单词翻译:双击或拖选)

Rural Medical School Keeps Doctors in Small Towns

 

For the first time in modern history, more people are now living in cities than in rural areas. That includes doctors, leaving many small communities with no primary care physician. However, a new program at Kansas University may change that.

“We need more doctors. A quarter of all of our physicians in Kansas are 60 years or older. So we need to be replacing physicians too,” says Dr. William Cathcart-Rake, who directs a new program at Kansas University which is designed to provide those physicians.

The idea is to get medical school students to practice in rural Kansas by educating them in the state’s smaller communities.

According to Cathcart-Rake, students from rural areas typically go off to medical schools in Wichita and Kansas City.

“They say they have every intention of coming back to rural Kansas but they meet a soul mate, they get married. Their soul mate happens to be from a big city and we never see them agai. They get captured in the big city," he says. "Hopefully, if we train them in smaller communities, they can meet their prospective1 spouses2 here, they can network here and they have those connections which can be lifelong.”

Medical students in the small town of Salina - population 50,000 - listen to a remote lecture. It's part of a Kansas University program designed to keep doctors in rural areas of the United States.

The program is based in the small town of Salina - population 50,000 - which is about a three-hour drive from Kansas City, past corn and soybean fields and the occasional cattle ranch3. The medical school in downtown Salina is housed in a three-story brick building which was refurbished specifically for the program.

The first thing you notice is that the professor is not in the room. Instead, he appears on a flat-screen monitor at the front of the classroom.

“It's set up with interactive4 TV, so we have two monitors. On one, we see the lecturer's slides, and on the other monitor, we see video of the lecturer,” says Claire Hinrichsen, a student in the Salina program. “Most of our lecturers are out of Kansas City. Today, our lecturer was in Wichita.”

The professor in Wichita also has a video feed of the Salina classroom. When students have a question, they raise their hand and speak into the microphone built into their desk.

Hinrichsen grew up in Lecompton, Kansas, a town of about 600 people. One of the reasons she chose the Salina program is because of the size of the class. There are only eight students, making it the smallest medical school in the country.

“I really like it. I know everybody in my class," she says. "We are close and it's a nice feeling. It goes back to when I went to KU (Kansas University), so I went to a big school, and I'm getting back to the small feel.”

Other classes are taught by professors in Salina, and students will get hands-on training throughout the four-year program. Then each one will go on to a residency in a small community in the surrounding area.

Dr. Kerry Murphy is a family physician at the Clay Center Clinic, about 100 kilometers northeast of Salina. Chances are at least one of the eight students in the program will do a residency here.

“This is a clinic that has currently eight doctors and four mid-level practitioners5 and we cover this town, but we also have satellite clinics in two nearby towns," Murphy says. "We operate as what I call a cradle-to- grave operation, we deliver babies and go up to doing nursing home care.”

It's unlikely that there will ever be enough primary care physicians for every small town to have its own doctor. Cathcart-Rake expects several doctors will work out of a central clinic, like Clay Center, and see patients at satellite clinics spread out around the county, like spokes6 of a wheel.

“Clay Center is a great model for what I foresee as what a primary care center in Kansas might be,” he says.

At the end of their residency, the students will have spent six years in rural communities in Kansas. Cathcart-Rake hopes that will be enough time for them to put down roots.

“And it's gonna hopefully harder for them to break away from those roots and go to bigger cities.”

One thing that could lure7 them away is money. Rural doctors typically serve older, poorer patients and going into a specialty8 practice in a big city tends to be far more lucrative9. And with the high cost of medical school, it's difficult for graduates to turn down those opportunities. So the Salina program is offering extra financial incentives10 to help them resist.

“It's called the KMS, the medical student repayment11 program,” says Claire Hinrichsen, one of the five medical students who signed up for it. “For every year you give back to a rural area they pay for all our tuition.”

That means, if they practice in an underserved county for four years, they will have essentially12 gotten their medical degree for free. But, Cathcart-Rake says there’s a catch.

“If they don't practice primary care in an under-served area, they have to pay that back, with interest. So they have got those hooks in them. We hope this innovative13 program will keep students close to their roots. But only time will tell.”


点击收听单词发音收听单词发音  

1 prospective oR7xB     
adj.预期的,未来的,前瞻性的
参考例句:
  • The story should act as a warning to other prospective buyers.这篇报道应该对其他潜在的购买者起到警示作用。
  • They have all these great activities for prospective freshmen.这会举办各种各样的活动来招待未来的新人。
2 spouses 3fbe4097e124d44af1bc18e63e898b65     
n.配偶,夫或妻( spouse的名词复数 )
参考例句:
  • Jobs are available for spouses on campus and in the community. 校园里和社区里有配偶可做的工作。 来自辞典例句
  • An astonishing number of spouses-most particularly in the upper-income brackets-have no close notion of their husbands'paychecks. 相当大一部分妇女——特别在高收入阶层——并不很了解他们丈夫的薪金。 来自辞典例句
3 ranch dAUzk     
n.大牧场,大农场
参考例句:
  • He went to work on a ranch.他去一个大农场干活。
  • The ranch is in the middle of a large plateau.该牧场位于一个辽阔高原的中部。
4 interactive KqZzFY     
adj.相互作用的,互相影响的,(电脑)交互的
参考例句:
  • The psychotherapy is carried out in small interactive groups.这种心理治疗是在互动的小组之间进行的。
  • This will make videogames more interactive than ever.这将使电子游戏的互动性更胜以往。
5 practitioners 4f6cea6bb06753de69fd05e8adbf90a8     
n.习艺者,实习者( practitioner的名词复数 );从业者(尤指医师)
参考例句:
  • one of the greatest practitioners of science fiction 最了不起的科幻小说家之一
  • The technique is experimental, but the list of its practitioners is growing. 这种技术是试验性的,但是采用它的人正在增加。 来自辞典例句
6 spokes 6eff3c46e9c3a82f787a7c99669b9bfb     
n.(车轮的)辐条( spoke的名词复数 );轮辐;破坏某人的计划;阻挠某人的行动
参考例句:
  • Her baby caught his fingers in the spokes of the pram wheel. 她宝宝的手指被婴儿车轮的辐条卡住了。 来自辞典例句
  • The new edges are called the spokes of the wheel. 新的边称为轮的辐。 来自辞典例句
7 lure l8Gz2     
n.吸引人的东西,诱惑物;vt.引诱,吸引
参考例句:
  • Life in big cities is a lure for many country boys.大城市的生活吸引着许多乡下小伙子。
  • He couldn't resist the lure of money.他不能抵制金钱的诱惑。
8 specialty SrGy7     
n.(speciality)特性,特质;专业,专长
参考例句:
  • Shell carvings are a specialty of the town.贝雕是该城的特产。
  • His specialty is English literature.他的专业是英国文学。
9 lucrative dADxp     
adj.赚钱的,可获利的
参考例句:
  • He decided to turn his hobby into a lucrative sideline.他决定把自己的爱好变成赚钱的副业。
  • It was not a lucrative profession.那是一个没有多少油水的职业。
10 incentives 884481806a10ef3017726acf079e8fa7     
激励某人做某事的事物( incentive的名词复数 ); 刺激; 诱因; 动机
参考例句:
  • tax incentives to encourage savings 鼓励储蓄的税收措施
  • Furthermore, subsidies provide incentives only for investments in equipment. 更有甚者,提供津贴仅是为鼓励增添设备的投资。 来自英汉非文学 - 环境法 - 环境法
11 repayment repayment     
n.偿还,偿还款;报酬
参考例句:
  • I am entitled to a repayment for the damaged goods.我有权利索取货物损坏赔偿金。
  • The tax authorities have been harrying her for repayment.税务局一直在催她补交税款。
12 essentially nntxw     
adv.本质上,实质上,基本上
参考例句:
  • Really great men are essentially modest.真正的伟人大都很谦虚。
  • She is an essentially selfish person.她本质上是个自私自利的人。
13 innovative D6Vxq     
adj.革新的,新颖的,富有革新精神的
参考例句:
  • Discover an innovative way of marketing.发现一个创新的营销方式。
  • He was one of the most creative and innovative engineers of his generation.他是他那代人当中最富创造性与革新精神的工程师之一。
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TAG标签:   VOA标准英语  Medical  Doctor  Small  Town  Medical  Doctor
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