2024年醫(yī)學(xué)考博英語統(tǒng)考大綱

一、考試目的

為了配合我國實施醫(yī)學(xué)專業(yè)學(xué)位制定改革，保證醫(yī)學(xué)博士生學(xué)位授予質(zhì)量，特舉行全國醫(yī)學(xué)博士英語統(tǒng)一考試。考試目的在于科學(xué)、公正地測試考生掌握和運用英語的實際能力是否達到申請臨床醫(yī)學(xué)、口腔醫(yī)學(xué)博士專業(yè)學(xué)位或攻讀醫(yī)學(xué)博士學(xué)位的英語水平。

二、考試設(shè)計

本考試主要用于醫(yī)學(xué)博士研究生入學(xué)和在職申請醫(yī)學(xué)博士專業(yè)學(xué)位的英語水平測評，其命題不以任何一種醫(yī)學(xué)英語教材為依據(jù)。

考試內(nèi)容為醫(yī)學(xué)公共英語，注重突出醫(yī)學(xué)英語特點?？荚囶}材主要涉及醫(yī)普、科普、人文方面的內(nèi)容。

本考試設(shè)置聽力理解、詞語用法、完型填空、閱讀理解和書面表達5種題型，全面測試考生的英語水平，并突出對考生英語應(yīng)用能力的測試，以衡量其是否已達到在職申請醫(yī)學(xué)博士專業(yè)學(xué)位的英語水平或是否已達到醫(yī)學(xué)博士研究生入學(xué)英語水平。

三、試卷結(jié)構(gòu)

試卷分為試卷一(paper one)和試卷二(paper two)。試卷一包括聽力(30%)、詞語用法(10%)、完型填空(10%)和閱讀理解(30%)，答卷時間115分鐘;試卷二包括書面表達(20%)，答卷時間50分鐘。

整個試卷共五大部分，總分 100 分，答卷時間共 165 分鐘，加上考場指令與試卷收發(fā)時間，總共考試時間 180 分鐘。

試卷一(paper one)

part Ⅰ 聽力理解(listening comprehension)

聽力理解分兩部分：section a 和 section b，答題時間為 30 分鐘。

section a：對話(conversations)

本部分共 5 個對話，每個對話分別由100個左右的單詞組成，旨在測試考生對英語對話的聽力理解能力，要求考生能理解所聽對話的中心思想和主要內(nèi)容，并能根據(jù)所聽到的內(nèi)容進行邏輯推理、分析概括和歸納總結(jié)。

題型包括大意概括題 ( questions for the general idea )、具體細(xì)節(jié)題 ( questions for specific details ) 和判斷推理題 ( questions for inference )。每個對話附有3個小題，每個小題附有 4 個選項，要求考生在聽完每個對話之后，根據(jù)所聽內(nèi)容于12秒內(nèi)從中選出1個最佳答案。對話及問題只讀1遍。

該部分共15個小題，序號為 1～15。每題1分，共計15分。例：

聽力錄音：對話(題材：人文)

w: can you tell me about yourself, please?

m: sure, my name's harry, 18 years old, currently studying biology and chemistry at school. as you are aware, i hope to pursue a career in medicine.

w: harry, why do you want to be a doctor?

m: well, everyone in my family is a doctor, so i think i can follow on nicely.

w: apart from treating patients, what do you think being a doctor is going to require?

m: well, you also need to be academic and have to be an excellent communicator with your team and the patients.

question number 1: what are the two speakers talking about?

question number 2: why does harry choose to be a doctor?

question number 3: what is mentioned by harry as one of the requirements for a doctor?

聽力試題：

1. a. switching to biology and chemistry.

b. choosing to be a family physician.

c. going to college.

d. being a doctor.

答案：d

預(yù)估難度：易

知識點：大意概括

2. a. because of his family's influence.

b. because of the fact that he's young.

c. because of the practical skills he has.

d. because of his love for biology and chemistry.

答案：a

預(yù)估難度：易

知識點：具體細(xì)節(jié)

3. a. a strong sense of responsibility.

b. good communicative skills.

c. excellent health.

d. great patience.

答案：b

預(yù)估難度：易

知識點：具體細(xì)節(jié)

section b：短文(passages)

本部分共由 5 篇短文組成，每篇短文由 150 個左右的單詞組成。旨在測試考生對英語篇章的聽力理解能力。要求考生能理解所聽短文的中心思想和主要內(nèi)容，并能根據(jù)所聽到的內(nèi)容進行邏輯推理、分析概括和歸納總結(jié)。

題型包括大意概括題(questions for the general idea)、具體細(xì)節(jié)題(questions for specific details)和判斷推理題(questions for inference)。每篇短文附有 3 個小題，每個小題附有 4 個選項，要求考生在聽完每篇短文后，根據(jù)所聽內(nèi)容于 12 秒內(nèi)從中選出 1 個最佳答案。短文及問題只讀一遍。

該部分共 15 個小題，序號為 16～30。每題 1 分，共計15分。例：

聽力錄音：短文(題材：醫(yī)普)

we commonly think that our health is affected by our age, gender, lifestyle and genetic factors that we inherit from our parents. however, these factors are only a small part of what affects our health. other factors include our social relationships, income, education and working conditions. let's look at stress for example. unemployment or poor working conditions create unstable life situations and cause stress, which has negative effects on health. one major factor, education, determines income or employment. however, even if you are employed, some workplace conditions, such as lack of flexibility and control over your workday can cause stress. as you can see, many complex social processes and other factors are connected with one another to affect our health. studying how these factors work together in large populations is a challenge for researchers and that is what we would like to look at next.

question number 16: what is the passage mainly about?

question number 17: what does the speaker intend to say by mentioning stress?

question number 18: what does the speaker call for at the end of the passage?

聽力試題:

16. a. the role of genetic factors.

b. the factors that affect health.

c. the impact of lifestyle on health.

d. the importance of working conditions.

答案：b

預(yù)估難度：易

知識點：大意概括

17. a. people with jobs have less stress.

b. the more education, the less stress.

c. many factors affect health via stress.

d. stress is not related to genetic make-up.

答案：c

預(yù)估難度：中

知識點：具體細(xì)節(jié)

18. a. more challenging research on workplace stress.

b. a better understanding of stress-health relationship.

c. a better connection between medical research and practice.

d. more research on the combined effects of health-related factors.

答案：d

預(yù)估難度：難

知識點：判斷推理

part ii 詞語用法(vocabulary)

詞語用法分 section a 和 section b 兩部分?？荚嚂r間為 10 分鐘。旨在測試考生對英語詞匯和短語的理解和使用能力，重點考查名詞、形容詞、動詞、副詞和短語等的用法。

section a：填空 ( blank filling )

本部分試題的題干為一個或兩個句子，句中留有一處空白，題干后附 4 個選項，要求考生從中選出 1 個最佳答案，填入題干空白處使該句語法正確、意思完整、邏輯合理。

該部分共 10 小題，序號為 31~40，每題 0.5 分，共計 5 分。例：

31. i hope you will _______ your cold in a couple of days.

a. get over

b. get off

c. get away

d. get out

答案：a(從病中恢復(fù))

預(yù)估難度：易

知識點：短語動詞

32. bacteria's needs vary in the living environment, but most of them grow best in a slightly acid _______.

a. mechanism

b. miniature

c. medium

d. minimum

答案：c(介質(zhì))

預(yù)估難度：易

知識點：名詞

33. postnatal care includes assessment and counseling provided to the mother after ________ in a health facility.

a. giving birth

b. receiving an injection

c. getting pregnant

d. undergoing an operation

答案：a(分娩)

預(yù)估難度：中

知識點：動詞短語

34. mean blood vitamin d3 increased ________ in the intervention when compared with the control group.

a. abundantly

b. significantly

c. radically

d. maximally

答案：b(在統(tǒng)計上顯著地)

預(yù)估難度：中

知識點：副詞

35. ________ your poor record in the medical school, we think you should study harder.

a. in spite of

b. in case of

c. in charge of

d. in view of

答案：d(鑒于)

預(yù)估難度：中

知識點：介詞短語

36. the sufferer with hydrophobia is ________ of water.

a. curious

b. considerate

c. doubtful

d. dreadful

答案：d(懼怕......的)

預(yù)估難度：難

知識點：形容詞

section b: 替換 ( substitution )

本部分試題的題干為一個或兩個句子，句中有一個單詞或短語帶有下劃線，題干后附 4 個選項，要求考生從中選出1個和句中劃線部分的意義基本相同或近似的最佳答案。

該部分共 10 小題，序號為 41~50，每題 0.5 分，共計 5 分。例：

41. experts can even reach consensuson how the material standard of living sharply reduces the death rate.

a. agreement

b. contention

c. judgment

d. resolution

答案：a(共識)

預(yù)估難度：易

知識點：名詞

42. habits can be consciouslystrengthened, as when a patient in physical rehabilitation practices and memorizes different limb activities.

a. conveniently

b. sufficiently

c. occasionally

d. intentionally

答案：d(有意識地)

預(yù)估難度：易

知識點：副詞

43. if the cells can't use sugar, the body begins to break downits own tissues for food.

a. degenerate

b. dehydrate

c. decompose

d. dispose

答案：c(分解)

預(yù)估難度：中

知識點：短語動詞

44. doctors discourage massivedoses of drugs for infants.

a. excessive

b. repetitive

c. progressive

d. indicative

答案：a(過多的)

預(yù)估難度：難

知識點：形容詞

45. biologically speaking, she doesn't resembleeither of her parents.

a. take over

b. take after

c. take on

d. take up

答案：b(與......相似)

預(yù)估難度：難

知識點：動詞

part iii完型填空(cloze)

本部分為 1 篇短文。旨在測試考生在篇章水平上理解和運用語言的綜合能力。實意詞與功能詞基本上各占 50%。實意詞主要是指具有語義內(nèi)容，在特定句子中具有獨立內(nèi)涵的詞，包括名詞、動詞、形容詞、副詞等。功能詞主要是指具有語法結(jié)構(gòu)、句法功能的詞或詞組，包括從屬連詞、關(guān)系代詞、冠詞、介詞及表明時態(tài)和語態(tài)的功能詞。要求考生閱讀一篇約 200 個單詞的英語短文，其中留有 10 處空白，每一處空白對應(yīng) 4 個選項?？忌诶斫馊拇笠夂蜕舷挛囊馑嫉幕A(chǔ)上，從 4 個選項中選出一個最佳答案。使短文在語法、用詞、句型結(jié)構(gòu)和上下文邏輯關(guān)系等方面都能完善。

該部分共 10 小題，每題 1 分，共計 10 分。序號為 51～60，考試時間 10 分鐘。例：

despite growing numbers of joggers, canada fitness surveys demonstrate that canadians are less physically fit than their u.s. or swedish counterparts. many people are convinced that they do not exercise often or vigorously __51__ for optimal benefits. only about 25 per cent of canadian adults paddle at the __52__level that increases the heart beat to a(n) __53__level and keeps it there for at least 15 minutes thrice weekly. men are more likely to be either "sedentary" or "very active", __54__women are more likely to be"moderately active."

common reasons for __55__are no willpower, poor facilities, boredom, fatigue, sheer laziness or lack of time. experts suggest that incentives and rewards be used to help sustain the exercise habit until the 56 become so self-evident that activity is automatically scheduled into daily routines.

a modest increase in daily activity __57__the sedentary could improve the overall health of our population more than increased activity in those already __58__exercise. activities in older people help them stay agile, and feel better.

even a small gain in fitness among the elderly may permit them to replace a restricted lifestyle with an enriched one __59__they can play golf, dance, cycle and garden. the __60__message is clear: physical activity benefits body and mind, especially for the least active ones.

51. a. plenty

b. enough

c. sufficient

d. adequate

52. a. recommending

b. recommended

c. recommends

d. recommend

53. a. record

b. exercise

c. target

d. time

54. a. though

b. while

c. since

d. for

55. a. not exercising

b. not to exercise

c. being exercised

d. being exercising

56. a. reasons

b. benefits

c. demands

d. repetitions

57. a. by b. at c.to d. on

58. a. excluded from

b. launched into

c. dedicated to

d. done with

59. a. in which

b. for whom

c. therefore

d. because

60. a. crystal

b. overall

c. definite

d. complete

part iv 閱讀理解(reading comprehension)

本部分由 6 篇閱讀短文組成，每篇短文有 350 個單詞左右。旨在測試考生通過閱讀獲取信息的能力，包括閱讀速度和理解程度。要求考生在讀完一篇短文后，能理解其主題思想、主要內(nèi)容和相關(guān)細(xì)節(jié);能根據(jù)所讀短文的內(nèi)容進行推理判斷，理解某些詞和短語在具體語境中的意義，理解句與句之間的內(nèi)在篇章邏輯關(guān)系，能領(lǐng)會作者的觀點和思想情感，判斷其對事物的態(tài)度。

測試材料主要涉及醫(yī)普、科普和人文等各種題材和體裁的文章。每篇短文通常包括 3 種題型：大意概括題(questions for general idea)具體細(xì)節(jié)題(questions for specific details)和判斷推理題(questions for inference)。大意概括題主要考查考生對文章主題思想的概括和歸納能力;具體細(xì)節(jié)題主要考查考生對短文中存在的相關(guān)事實或現(xiàn)象的辨認(rèn)能力;判斷推理題主要考查考生對文字背后和字里行間的含義進行正確判斷或推理的能力。

每篇短文后附有 5 個問題，每個問題后均有 4 個選項，要求考生根據(jù)所讀短文的內(nèi)容從每個題的 4 個選項中選出 1 個最佳答案。

該部分共 30 個小題，序號為 61~90，每題 1 分，共計 30 分?？荚嚂r間 60 分鐘。例:

passage one(題材：人文)

new orleans, with too many private hospitals competing desperately for paying patients, has become notorious for dumping patients. a typical "dump" was described by a director of emergency medical care at charity hospital. early in november his department received a call from a private hospital seeking to transfer a patient. they told us he had slight facial lacerations, the director said. "it sounded ordinary enough. but what the emergency room doctors found when the man arrived was something else. his face was torn to bits. we found teeth in the man's throat. i could take my fingers and move his jaws back and forth like a flag in a high wind. the bottom part of the man's face was crushed. we had to give him six pints of blood. he wasn't getting enough oxygen because of the blood in his throat." doctors at the first hospital had done nothing for the man other than transfer him.

dumping has become so routine in new orleans that, even though anyone needing emergency treatment is supposed to be taken to the nearest hospital, ambulance crews routinely ask accident victims or members of the families if they have insurance. if the answer is no, the ambulance crew quietly transfers patients to charity hospital.

frequently, the transferees weren't told the reason for the transfer. a quarter of all those transferred were physically unstable—they suffered from bleeding, shock, severe burns, etc.—and shouldn't have been transferred.

patients who get dumped aren't the only ones hurt. at a hospital such as cook county, in los angeles, which treats nearly a thousand patients a day in its emergency room, extra cases create real hardship." these patients go through incredible ordeals. some of them don't get seen the day they come and have to come back and line up again," said hospital personnel.

despite the horrors revealed by studies of dumping, not many cases have resulted in lawsuits. this isn't surprising, for people who get dumped often don't have the resources to fight legal battles, and in many states there are no laws protecting against dumping. on the national level, legislation is pending to protect patients by mandating that patients be stabilized before they are transferred.

61. in a typical case of dumping patients, the private hospital would ______.

deliberately get rid of patients with no means to pay

refer a difficult case to a better-equipped hospital

deal quickly with the patient before transferring

only give primary treatment to paying patients

答案：a

預(yù)估難度：中

知識點：具體細(xì)節(jié)

62. as required in new orleans, ________.

the medical insurance does not cover the ambulance

the patient can't be transferred against his or her will

the ambulance crews should include experienced doctors

the patient in emergency should be sent to a nearby hospital

答案：d

預(yù)估難度：易

知識點：判斷推理

63. as implied in the 4th paragraph, patients who get dumped ________.

are accepted normally and treated quickly

often need to wait for their turns just like others

may disrupt the routine treatment of other patients

are usually taken back to the hospital where they belong

答案：c

預(yù)估難度：中

知識點：判斷推理

64. what, according to the passage, is the legal problem about dumping?

the transferees can hardly make out a good case.

the transferees are not rich enough to hire lawyers.

the transferees often have difficulty fighting legal battles.

the transferees are often not surprised by the horrors due to dumping.

答案：c

預(yù)估難度：易

知識點：具體細(xì)節(jié)

65. we can infer from the last paragraph that in the us ________.

not many lawsuits can result in compensation

the phenomenon of dumping is going to be against the law

dumping patients is becoming an important area for legal battles

some states will pioneer in passing the law protecting against dumping

答案：b

預(yù)估難度：難

知識點：判斷推理

passage two(題材：科普)

brittany donovan was born 13 years ago in pennsylvania. her biological father was sperm donor g738. unbeknown to brittany's mother, g738 carried a genetic defect known as fragile x-a mutation that all female children born from his sperm will inherit, and which causes mental impairment, behavioral problems and atypical social development.

last week, brittany was given the green light to sue the sperm bank, idant laboratories of new york, under the state's product liability laws. these laws were designed to allow consumers to seek compensation from companies whose products are defective and cause harm. nobody expected them to be applied to donor sperm.

thousands of people in the us have purchased sperm from sperm banks on the promise that the donor's history has been carefully scrutinized and his sample rigorously tested, only for some of them to discover that they have been sold a batch of bad seed. some parents learn about genetic anomalies after their disabled child is born and they press the sperm bank for more information. others realize it when they contact biological half-siblings who have the same disorder.

so will donovan vs idant laboratories open the floodgates? it seems unlikely. new york's product liability laws are highly unusual in that they consider donor sperm to be a product just like any other. most other us states grant special status to blood products and body parts, including sperm. in these states, donor sperm is not considered a"product"in the usual sense, despite the fact that it is tested, processed, packaged, catalogued, marketed and sold. similarly, european union product liability law could not be used in this way.

even if this lawsuit is an isolated case, it still raises some difficult questions. first, to what lengths should sperm banks go to ensure they are supplying defect-free sperm? as we learn more and more about human genetics, there is a growing list of tests that could be performed. nobody would deny that donor sperm carrying the fragile x mutation should be screened out-and there is a test that can do so-but what about more subtle defects, such as language impairment or susceptibility to early alzheimer's?

66. donovan sued idant laboratories for ________.

selling donor sperm as a product

supplying problematic donor sperm

boasting defective biological products

failing to protect the client's confidentiality

答案：b

預(yù)估難度：易

知識點：具體細(xì)節(jié)

67. under the state's product liability laws, the controversial question of the case was whether ________.

donated sperm could be considered just a product

donovan could be allowed to sue the sperm bank.

donovan's genetic defect could be confirmed

the company could afford the compensation

答案：a

預(yù)估難度：中

知識點：判斷推理

68. it can be inferred from the passage that actually thousands of people in the us purchase sperm _______.

out of their desperate needs

regardless of repeated warnings

with a series of privacy violations

without knowing its potential dangers

答案：d

預(yù)估難度：中

知識點：判斷推理

69. the reason why the case is unlikely to open the floodgates is that the ny-based laws _______.

guarantee the safety of donor sperm

give special status to the issue of sperm

treat donor sperm as a product by all means

are specially designed for body parts, including sperm

答案：c

預(yù)估難度：易

知識點：具體細(xì)節(jié)

70. which of the following can most probably serve as the general idea of the passage?

a chance in a million.

science behind the law.

a product hard to guarantee.

no such a thing as donor sperm.

答案：c

預(yù)估難度：難

知識點：大意概括

passage three(題材：醫(yī)普)

after 25 years of battling the mother of all viruses, have we finally got the measure of hiv? three developments featured in this issue collectively give grounds for optimism that would have been scarcely believable a year ago in the wake of another failed vaccine and continuing problems supplying drugs to all who need them.

perhaps the most compelling hope lies in the apparent "cure" of a man with hiv who had also developed leukemia. doctors treated his leukemia with a bone marrow transplant that also vanquished the virus. now us company sangamo biosciences is hoping to emulate the effect using gene therapy. if it works, and that is still a big if, it would open up the possibility of patients being cured with a single shot of gene therapy, instead of taking antiretroviral drugs for life.

antiretroviral therapy (art) is itself another reason for optimism. researchers at the world health organization have calculated that hiv could be effectively eradicated in africa and other hard-hit places using existing drugs. the trick is to test everyone often, and give those who test positive art as soon as possible. because the drugs rapidly reduce circulating levels of the virus to almost zero, it would stop people passing it on through sex. by blocking the cycle of infection in this way, the virus could be virtually eradicated by 2050.

funding such a long-term program would cost serious money-initially around s3.5 billion a year in south africa alone. huge as it sounds, however, it is peanuts compared with the estimated $1.9 trillion cost of the iraq war. it also looks small beer compared with the costs of carrying on as usual, which the who says can only lead to spiraling cases and costs.

the final bit of good news is that the cost of art could keep on falling. last friday, glaxosmithkline chairman andrew witty said that his company would offer all its medicines to the poorest countries for a lower price than the typical price in rich countries. gsk has already been doing this for art, and, hopefully, other companies may follow their lead.

no one doubts the devastation caused by aids. in 2007, 2 million people died and 2.7 million more contracted the virus. those dismal numbers are not going to turn around soon—and they won't turn around at all without huge effort and investment. but at least there is renewed belief that, given the time and money, we can finally start ridding the world of this most fearsome of viruses.

71. which of the following can be most probably used to describe the key message conveyed in the passage?

optimism should never be lost, whatever happens.

we can see some light at the end of the tunnel.

a quick fix is no longer a dream.

disasters can still hit endlessly.

答案：b

預(yù)估難度：中

知識點：大意概括

72. according to the passage, the case of the apparent"cure"could ______.

promise a new discipline of gene therapy in medicine

facilitate the development of an effective vaccine for hiv

help people draw an analogy between aids and leukemia

change the way we seek a possible cure for those with aids

答案：d

預(yù)估難度：中

知識點：判斷推理

73. which of the following is referred to as another bit of optimism?

the development of art has a time table.

hiv will be virtually wiped out first in africa.

the cycle of hiv infection can be broken with art.

the existing hiv drugs are being ungraded to become more effective.

答案：c

預(yù)估難度：易

知識點：具體細(xì)節(jié)

74. it can be safely inferred from the passage that in the foreseeable future ________.

even advanced aids patients can be treated free in the poorest countries

gsk will have no financial problem developing art in the world

aids patients in poverty can hopefully have easy access to art

governments will invest more in improving art globally

答案：c

預(yù)估難度：中

知識點：判斷推理

75. the last paragraph carries a tone of _______.

unreserved enthusiasmd36

cautious optimism

fearsome activism

hopeless idealism

答案：b

預(yù)估難度：易

知識點：判斷推理

試卷二(paper two)

part v 書面表達(writing)

本部分為書面表達，旨在測試考生使用英語書面表達自己思想的能力。測試分為摘要寫作翻譯(漢譯英)和命題作文 3 種形式，每年任選其中一種。題材內(nèi)容主要為與醫(yī)學(xué)相關(guān)的社會議論話題或科普內(nèi)容。

該部分共計 20 分?？荚嚂r間 50 分鐘

1. 摘要寫作(summary writing)

要求考生閱讀一篇漢語短文并為其撰寫英文摘要。摘要具有一定的體例規(guī)范要求，而不是簡單的選擇性漢譯英?？忌陂喿x一篇字?jǐn)?shù)為 600~800 之間的漢語短文后，用英語寫出一篇約 200 個單詞的摘要。該題型重點考查考生的分析歸納和書面表達能力，在分析歸納方面，要求考生撰寫的摘要必須覆蓋所規(guī)定的所有要點或重點，偏離主題或漏寫要點會影響得分。在英語書面表達能力方面，要求所寫摘要用詞恰當(dāng)、語法正確、篇章結(jié)構(gòu)合理，文字通順，符合英語表達習(xí)慣。

答題要求:

(1) 緊扣主題，歸納總結(jié)。

(2) 需涵蓋所有重點內(nèi)容。

(3) 避免選擇原句進行簡單翻譯。

(4) 無須推演或推論。

例:

薪酬收入與付出極不平衡是全科醫(yī)生(general practitioner, gp)目前最為突出的問題。全科醫(yī)生肩負(fù)基本醫(yī)療和公共衛(wèi)生兩項任務(wù)。這意味著除了醫(yī)療本職工作之外,還需要承擔(dān)預(yù)防保健、病人康復(fù)和慢性病管理、健康管理等任務(wù)。勝任這些任務(wù)就需要更高的綜合素質(zhì)。

據(jù)上海長寧區(qū)某社區(qū)醫(yī)院醫(yī)生透露,上級要求社區(qū)醫(yī)生學(xué)習(xí)中醫(yī)、心理咨詢、健康管理、營養(yǎng)等,并且還要求到達中級證書水平。學(xué)了這么多證書出來，每天上班既要從事醫(yī)療工作，又要做公衛(wèi)工作,一個人要簽約近 3000 名居民，收入?yún)s依然是四五千。增加了這么多技能，提供了這么多服務(wù)，工資卻沒有變化，全科醫(yī)師心理的天平自然會不平衡。

據(jù)央視報道，上海濰坊社區(qū)的醫(yī)生李亞玲一年收入是 7 萬元，而與她同期畢業(yè)在某三甲醫(yī)院工作的同學(xué)收入比她高 1 倍。面對這樣的現(xiàn)實，如果有機會找到收入更高的工作，她沒理由不改行。有數(shù)據(jù)顯示，2007 年至 2009 年，北京市社區(qū)衛(wèi)生服務(wù)機構(gòu)共引進 2000 人，但 3 年里流失率非常高，而社區(qū)醫(yī)生流失原因中 67% 是因為薪酬低。

據(jù)了解，國外全科醫(yī)生的收入是社會平均工資的 3~4 倍，這與當(dāng)下我國社會全科醫(yī)生的薪酬形成鮮明對比。國外全科醫(yī)生的待遇普遍較高，英國、德國等發(fā)達全科醫(yī)生待遇約是社會平均收人的 3~4 倍，與此相對，我國全科醫(yī)生收入與社會平均收入水平基本持平，僅有 4% 左右的醫(yī)生年收入超過 10 萬元，相較于發(fā)達 3~4 倍于社會平均收人水平的全科醫(yī)生收人，我國全科醫(yī)生的待遇較低，薪酬回報不具有吸引力，這也是我國全科醫(yī)生行業(yè)人才匱乏、素質(zhì)整體較低的重要原因。

參考答案(19~20分)

用中文概括三個重要方面:

(1) 問題的存在/性質(zhì)。

(2) 全科醫(yī)生需嚴(yán)格的資質(zhì)要求。

(3) 全科醫(yī)生收入偏低，以及其因果關(guān)系。

currently, the problem is that general practitioners(gp) are short-paid. their income does not match with their hard job. they have a wide range of duties such as clinical practice, preventive healthcare, patient's rehabilitation, chronic disease management, and health management. such duties are quite demanding on the gp. however, the efforts they have made are not paid for enough. on the one hand, gps are required to receive continuing medical education for certificates and qualifications. once a gp is qualified, he/she has to be engaged in both medical practice and public health for 3 000 local residents who have signed a contract with their gp. on the other hand, gps are quite short-paid for their hard efforts. as a case in point, dr. li yaling, a gp for a local community, earns her annual income of rmb70,000.00, much lower than that made by her counterpart who works in a tertiary hospital. gps in britain, germany and other developed countries earn their annual income 3~4 times higher than the national average income, while chinese gps make approximately the national average. as a result, they tend to leave their jobs for higher-paid positions. the insufficient workforce can lead to lowered quality of medical service in general.

2. 翻譯(translation;漢譯英)

將一篇 300 個字左右的漢語短文翻譯為英語，短文可以是一段,也可以是數(shù)段，共計 20 分。考試時間 50 分鐘，該題型旨在測試考生漢譯英的能力，重點考查考生用英語準(zhǔn)確再現(xiàn)漢語原文思想和內(nèi)容的能力。

答題要求:

(1) 譯文必須忠實于原文，不能隨意發(fā)揮。

(2) 用詞恰當(dāng)，注意詞性的必要轉(zhuǎn)換。

(3) 注意使用正確的英語語法。

(4) 文字通順，符合英語表達習(xí)慣。

例:

隨著生產(chǎn)社會化和科技現(xiàn)代化，越來越多的醫(yī)學(xué)科學(xué)技術(shù)成就已經(jīng)證實，社會因素對健康與疾病有著不可忽視的作用。因此，社會醫(yī)學(xué)的興起，是醫(yī)學(xué)現(xiàn)代化進程的一個標(biāo)志，是科學(xué)技術(shù)進步的必然結(jié)果。

由于人口老齡化進程加速和疾病譜(disease spectrum)從傳染病為主向以慢性非傳染性疾病為主的轉(zhuǎn)變，醫(yī)學(xué)模式已從傳統(tǒng)的生物醫(yī)學(xué)模式轉(zhuǎn)變?yōu)樯铩睦怼鐣t(yī)學(xué)模式。與此相應(yīng)，醫(yī)療衛(wèi)生服務(wù)已向四個方面擴展，即從單純治療擴展到預(yù)防保健，從生理擴展到心理，從醫(yī)院服務(wù)擴展到家庭和社區(qū)，從單純的醫(yī)療技術(shù)措施擴展到綜合的社會服務(wù)。

為適應(yīng)醫(yī)學(xué)模式轉(zhuǎn)變而發(fā)生的上述四個變化，是醫(yī)學(xué)社會化的必然趨勢，也是產(chǎn)生社會醫(yī)學(xué)的客觀依據(jù)。

參考答案(19~20分)

with the socialization of production and modernization of science and technology, a growing number of achievements and accomplishments in medical technology have proved that social factors can have a negative effect on health, causing medical problems. as a milestone in the medical modernization,the established discipline of social medicine is an inevitable result of the development of science and technology.

the medical model has changed from the biomedical one to the biology-psychology-society one simply because of the increasing speed of aging populations and the shift of disease spectrum from infectious disease to chronic and non-infectious ones. correspondingly, the healthcare services are managed in four directions:from the single medical treatment to preventive healthcare, from physiology to psychology, from the hospital service to community services and homecare, and from the single therapies of medical technology to the comprehensive social work.

in response to these four transfers caused by the shift of the medical model, inevitably, the medical socialization comes into being. the inevitable trend produces objective evidence for the development of social medicine.

3. 命題作文(essay writing)

根據(jù)題目要求，寫一篇 250 個單詞左右的文章。共計 20 分，考試時間 50 分鐘。該題型旨在測試考生英語議論文的寫作能力，重點考查考生在寫作中的思想性、邏輯性以及語言應(yīng)用能力。

答題要求：

(1) 緊扣題目，每段只聚焦一個主題思想。

(2) 用詞恰當(dāng)、語法正確。

(3) 注意句子之間的邏輯關(guān)系。

(4) 文字通順，注重篇章的連貫性和一致性。

例:

title: your health is in your own hands three topic ideas：

(1) 健康和影響因素;

(2) 主要影響因素：生活習(xí)慣;

(3) 自己的健康自己負(fù)責(zé)。

參考答案(19-20分)

Everyone hopes to be healthy—to feel fit and strong and happy. This gives rise to the rapid growth of health industry worldwide, which provides health products and services for people in pursuit of health. Unfortunately, our health is constantly put at risk. Climate change, environmental toxins, stress at work, junk food and many other risk factors all have serious consequences for our health.

One of the major health threats is largely related to our lifestyle, Cigarette smoking, alcohol abuse, overeating, sitting up late and excessive use of digital devices are health-damaging behaviors of many individuals. Abundant evidence shows that these unhealthy ways of living have become leading causes of many illnesses and diseases and even death. What's worse, even if one is informed of the negative impacts of these habits, he, or she may do nothing to quit them before their heart, spine or blood vessels are severely damaged or stop functioning.

How many of you are aware that, to a great extent, your health is in your own hands? Thanks to present-day information resources, you now have easier access to knowledge of health and professional consultation. Thus you are able to make lifestyle changes using scientifically-proven methods. Admittedly, you may find it uncomfortable or even maddening when you stop smoking or spend less time on your phone. You may start by taking some minor actions. Small changes will make big differences. Eat a balanced diet, sit less and move more, and rest well. The benefits are profound. You are your own health defender and life saver!