The clock always seems to be ticking rather too fast in the doctor’s office and the queue of patients outside the door seems to be pressing rather too hard. Some say it’s high time for the model of short, sharp one-to-one appointments to give way to shared medical appointments (SMAs共享医疗预约).
SMAs are doctor-patient visits in which a group of patients receive patient education and counseling(咨询), physical examination and medical support in a group setting. Typically SMAs are designed to have one or more doctors attend to a group of patients who share a common illness or medical condition. In contrast to one-to-one visits, SMAS provide a longer appointment time-frame as well as the opportunity for patients to have improved access to their physicians and meanwhile pick up additional information and support from peers.
However, doctors who have pioneered the shared appointment approach report that there are significant challenges involved. Dr. Sumego, director of shared medical appointments, Cleveland Clinic,identifies culture change as the most significant challenge. Physicians and nurses are trained in a model of personal service and privacy; the SMA approach is a fundamental challenge to those fixed ideas. They need shared goals and a way of testing the innovation against agreed standards. Dr. Sumego says, “The physicians may be worried about the possible chaos and efficiencies that are marketed. They also have to make the patients understand what their appointment is, and what the expectation is.”
“So, if an organization was looking to start shared medical appointments, I would advise them to start the buy-in from a few champion physicians, develop the work-flow and develop some experience. Provide some support behind what that best practice should look like. Create some standards so that, as the concept spreads, you can employ that experience to start the next shared medical appointments and the next.”
1.What is the purpose of the SMA approach?
A. To improve medical service. B. To promote doctors’ reputation.
C. To conduct medical research. D. To meet patients’ expectation.
2.According to Dr. Sumego, what prevents the SMA approach from being widely adopted?
A. Personal service. B. Fixed ideas.
C. Lack of equipment. D. Shared goals.
3.What can the underlined “buy-in”in Paragraph 4 be replaced by?
A. practice. B. organization.
C. purchase. D. support.
4.What can be learned about the SMA approach in the last paragraph?
A. It is currently being questioned. B. It is impractical in some areas.
C. It will enjoy wide popularity soon. D. It should be carried out step by step.
高二英语阅读理解中等难度题
The clock always seems to be ticking rather too fast in the doctor’s office and the queue of patients outside the door seems to be pressing rather too hard. Some say it’s high time for the model of short, sharp one-to-one appointments to give way to shared medical appointments (SMAs共享医疗预约).
SMAs are doctor-patient visits in which a group of patients receive patient education and counseling(咨询), physical examination and medical support in a group setting. Typically SMAs are designed to have one or more doctors attend to a group of patients who share a common illness or medical condition. In contrast to one-to-one visits, SMAS provide a longer appointment time-frame as well as the opportunity for patients to have improved access to their physicians and meanwhile pick up additional information and support from peers.
However, doctors who have pioneered the shared appointment approach report that there are significant challenges involved. Dr. Sumego, director of shared medical appointments, Cleveland Clinic,identifies culture change as the most significant challenge. Physicians and nurses are trained in a model of personal service and privacy; the SMA approach is a fundamental challenge to those fixed ideas. They need shared goals and a way of testing the innovation against agreed standards. Dr. Sumego says, “The physicians may be worried about the possible chaos and efficiencies that are marketed. They also have to make the patients understand what their appointment is, and what the expectation is.”
“So, if an organization was looking to start shared medical appointments, I would advise them to start the buy-in from a few champion physicians, develop the work-flow and develop some experience. Provide some support behind what that best practice should look like. Create some standards so that, as the concept spreads, you can employ that experience to start the next shared medical appointments and the next.”
1.What is the purpose of the SMA approach?
A. To improve medical service. B. To promote doctors’ reputation.
C. To conduct medical research. D. To meet patients’ expectation.
2.According to Dr. Sumego, what prevents the SMA approach from being widely adopted?
A. Personal service. B. Fixed ideas.
C. Lack of equipment. D. Shared goals.
3.What can the underlined “buy-in”in Paragraph 4 be replaced by?
A. practice. B. organization.
C. purchase. D. support.
4.What can be learned about the SMA approach in the last paragraph?
A. It is currently being questioned. B. It is impractical in some areas.
C. It will enjoy wide popularity soon. D. It should be carried out step by step.
高二英语阅读理解中等难度题查看答案及解析
What seems to be the problem?
A.Jane can’t type fast.
B.The report is too long.
C.The computer may break down.
高二英语短对话中等难度题查看答案及解析
So far, the disease has not been _____ terrible as it seems to be.
A. so B. too C. very D. rather
高二英语单项填空简单题查看答案及解析
When you are ________ in a book or simply trying to rest, the phone always seems to be ringing, ________ whatever peace you might have.
A. absorbed; destroying B. absorbing; destroyed
C. lost; damaging D. losing; damaged
高二英语单项填空中等难度题查看答案及解析
The most striking trait of Americans is that they always seem to be in a hurry. ________ is this more evident than in their eating habits-sitting down to a leisurely meal seems to be a luxury.
A.Barely B.Only C.Nowhere D.Eventually
高二英语单项填空简单题查看答案及解析
What I _________ most about visiting my boyfriend’s parents is the loud tick of the clock in the dining room as we _______ ate our meal. With so little conversation I was quick to _______ his family as cold. When we got into the _______to go home, his father suddenly appeared. _______, he began to wash his son’s windscreen. I could feel he was a caring man through the glass.
I learned another lesson about love a few years later. My father often _______ me early in the morning, “Buy Xerox. It’s a good sharp price,” he might say when I answered the phone. No pleasant _______or inquiry about my life, just financial instructions. This manner of his _______ me and we often quarreled. But one day, I thought about my father’s success in business and realized that his concern for my financial security lay behind his _______ morning calls. The next time he called and told me to buy a stock, I ________ him.
When my social style has conflicted with that of my friends, I’ve often felt __________. For example, I always return phone calls ________ and regularly contact with my friends. I expect the same from them. I had one friend who rarely called, answering my messages with short e-mails. I rushed to the ________: She wasn’t a good friend! My anger grew ________ the holidays approached. But then she came to a gathering I ________ and handed me a beautiful dress I had fallen in love with when we did some window-shopping the previous month. I was ________ at her thoughtfulness, and regretful for how I’d considered her to be ________. Clearly I needed to change my expectations of friends.
Far too often, I ignored their __________ expressions, eagerly expecting them to do things in my ________. Over the years, however, I’ve learned to read other persons’ love__________.
1.A. remember B. enjoy C. value D. admire
2.A. excitedly B. nervously C. silently D. instantly
3.A. regard B. confirm C. take D. think
4.A. bus B. train C. car D. plane
5.A. Punctually B. Carefully C. Proudly D. Coldly
6.A. visited B. interrupted C. warned D. called
7.A. greeting B. meeting C. apology D. explanation
8.A. interested B. angered C. encouraged D. surprised
9.A. long B. short C. warm D. polite
10.A. praised B. remembered C. blamed D. thanked
11.A. content B. guilty C. curious D. disappointed
12.A. in order B. in turn C. without delay D. without difficulty
13.A. feeling B. suggestion C. judgment D. belief
14.A. while B. as C. before D. though
15.A. opened B. refused C. hosted D. invited
16.A. depressed B. upset C. fascinated D. shocked
17.A. uncaring B. dishonest C. unhappy D. uncooperative
18.A. unique B. common C. pleasant D. familiar
19.A. opinion B. way C. mind D. life
20.A. symbols B. signs C. letters D. stories
高二英语完形填空中等难度题查看答案及解析
Paris in the springtime was, is and always will be, something rather special. Why not experience it for yourself with this excellent break for four days? This attractive city has something to offer to everyone and with prices at just £129.
Your break begins with comfortable bus transfer (运送) from local pick-up points and travel to Paris is via cross-channel ferry, arriving at your hotel in the evening. The Ibis is an excellent quality hotel with private facilities in all rooms: satellite TV, radio, telephone and alarm clock. It has a bar and restaurant and is situated about two miles south of Notre Dame, enabling you to explore Paris with ease.
The following day, after continental breakfast (included), the bus takes you on a comprehensive sightseeing tour of the city, during which you will see the Eiffel Tower, Champs Elysees, L’Arc de Triomphe, the Louvre, in fact almost every famous landmark you have ever heard of. You then leave Paris and take a short drive to the magnificent Palace of Versailles, the home of Louis XIV. The tour ends mid-afternoon back in Paris where you will have the remainder of the day at your leisure. In the evening there is a “Paris by Night” tour showing you the beautiful buildings with bright lights.
Day three takes you to Montmarter, perhaps the most attractive quarter. In the afternoon you are free to explore this beautiful city as you wish, perhaps having a pleasant voyage on the River Seine, wandering around the beautiful gardens or looking among the antique shops(古董店). In the evening you will have the opportunity to visit the best nightclub in the city, the splendid Paradis Latain. On the final day it’s back to the UK via channel ferry.
Included in the price of £129 per person :
●Return comfortable bus travel to Paris
●Return ferry crossings
●3 nights housing in a twin bedded room in a Central Paris hotel with private facilities
●Continental breakfast during your stay
●Guided sightseeing tour of “Paris by Day” and “Paris by Night”
●Visit to the Chateau of Versailles (admission not included )
●Tour around Montmartre
1. What is the purpose of this passage?
A. To show the price of traveling to Paris .
B. To tell tourists the routes to Paris.
C. To introduce the city of Paris.
D. To attract tourists to Paris.
2. During the stay in Paris, the tourists will _________.
A. have a “Paris by Night” tour on the first evening
B. live in a hotel two miles away from Paris
C. have free time for half a day
D. have a pleasure voyage on the River Seine together
3. What does the underlined word “quarter” mean in the passage?
A. An area. B. A period of time.
C. A coin worth 25 cents. D. One of four equal parts.
4. According to the passage, which of the following is true?
A. The Palace of Versailles is not in the center of Paris.
B. The tourists can telephone in the Ibis without paying.
C. It will take you a long time to get to Montmartre from Paris.
D. The tourists will spend the night in the antique shops on the third day.
5. This passage is probably written for _____
A. Asians B. Australians C. Chinese D. Englishmen
高二英语阅读理解中等难度题查看答案及解析
Worth the pain in the end
I used to hate running. It seemed too hard and pushing outside my comfort zone was not something I was raised to do.
In fact, I wouldn’t have become a_____if it weren’t for my husband Charles. He had been a serious competitive runner for many years. After our marriage, he wouldn’t stop talking about how much he missed it.
“So start running again, why don’t you?” I was getting _____ of hearing about it.
So he picked it up again, and after about a year, I started to join him at the track (跑道). Just a few weeks later, Charles signed us both up for a five-kilometer race. I ____about doing it. It was too soon.
But on _____ day, there I was.
The gun went ____.Thousands of runners pushed forward.
The first kilometer was ____.
“I don’t think I’m going to make it.” I was already breathing heavily and painfully aware of the group of runners _____ past me.
“No, you’re doing ____”, said Charles. He was trying to encourage me, to get me focused on something other than my ____.
“I can’t,” I said,_____ audibly (听得见地).
He tried a different way to _____ me. “Just make it to that house and let’s see how you feel.”
After another minute I saw the three-kilometer ____. All I could think of was that I was dying and that my husband was torturing (折磨) me.
Miserable doesn’t even begin to describe _____ I felt. And there was so much _____.
“You’ll be fine. You’ve got less than a kilometer to go.”
I rounded a corner and saw both sides of the street thick with people watching the race, all cheering the runners on. I _____ my legs to keep going.
Then I looked up and saw the clock. The seconds ticking away (一分一秒地过去) gave me an incentive (助力). I knew that if I finished this race, I would have achieved something. So, I straightened up, and kicked it.
I had my arms held higher when I passed ____the finish line. A volunteer put a _____ around my neck.
“You did great! I’m so _____ of you!” Charles was thrilled that I’d _____ it.
“That was AMAZING! I want to do another race. This running stuff is amazing!” I proudly hugged my medal as we started to walk to the post-race festivities.
My lungs and my comfort zone both ____.
1.A.runner B.traveler C.racer D.cheerleader
2.A.afraid B.tired C.aware D.confident
3.A.thought B.dreamed C.hesitated D.cared
4.A.race B.sport C.show D.task
5.A.on B.off C.up D.down
6.A.long B.short C.easy D.tough
7.A.brushing B.walking C.pounding D.sliding
8.A.wrong B.right C.great D.bad
9.A.disability B.dishonor C.disgrace D.discomfort
10.A.barely B.nearly C.merely D.roughly
11.A.advise B.persuade C.order D.force
12.A.signal B.symbol C.point D.mark
13.A.how B.what C.when D.why
14.A.sweat B.anger C.pain D.pleasure
15.A.willed B.dragged C.pulled D.supported
16.A.by B.over C.at D.through
17.A.ring B.necklace C.medal D.scarf
18.A.ashamed B.guilty C.sure D.proud
19.A.done B.made C.taken D.caught
20.A.developed B.expanded C.changed D.progressed
高二英语完形填空中等难度题查看答案及解析
Be aware of, be supposed to, rather than, in particular, upside down, reflect on, make it
1.The speaker talked about sport in general and about football __________.
2.Teachers __________treat all the students alike.
3.---You have only 15 minutes to catch the train.
----All right. I guess I can __________.
4.She pretended to be reading because she was holding the book ___________.
5.He ______________ the risk, but he had no choice but to go ahead.
高二英语完成句子简单题查看答案及解析
Being lonely in the crowd might seem ridiculous. But according to a recent survey, the situation is all too common. Loneliness and other anxiety problems – worrying about life’s pressures – can even lead to self-murder.
An article in China Daily gave no reason for this other than the usual blaming of the post-80s generation. According to a high level official, young people suffering from discouragement are mostly “spoiled and have not been taught to be independent, responsible and express ‘thank-you’.” Well, how do you like that? First, I don’t think China’s youth are exactly spoiled. They certainly have more things than their parents did, but a lot of the money spent on them is for their education including various extra classes.
Discouragement and anxiety are now the fastest growing challenges in modern societies. We sense a lack of close friends who can talk to honestly and openly. In 1985, a US study found that one in ten people did not have such a friend. In 2006, it was one in four. It’s easy to see the connection between loneliness and discouragement. But what actually causes this increasing loneliness?
Surely, with Internet social networking sites such as Kaixin, we have more friends than ever. A new study has shown that the more time teenagers spend in front of computers, the less close they are to friends and family. Kaixin or QQ may be fun but it lacks meaning, compared to personal connections in the real world.
And then there are those endless online games popular with young Chinese but increasingly there are more interesting choices. For example, new sports such as skateboarding are starting to catch on(流行) in bigger cities, as is playing music in a band. These creative hobbies are done in a group and thus friendship can be stronger. Hopefully young people will also be drawn out of the Internet cafes and interactive computer games that in fact fail to recreate a real and interactive experience.
1.According to the high level official, it is easy for teenagers lacking independence and responsibility to _______.
A. become spoiled
B. play endless online games
C. suffer from loneliness and anxiety
D. refuse to express gratitude
2.What does the writer think of the Internet social networking site Kaixin?
A. Open but ridiculous.
B. Honest and responsible.
C. Real and fun.
D. Interesting but meaningless.
3.It can be inferred in Paragraph 3 that _______.
A. it’s now more difficult for people to find close friends to have an honest chat with
B. parents focus mostly on children’s education rather than the personality building
C. young people have no idea of expressing appreciation because of being spoiled
D. teenagers will recreate a real and interactive experience to strengthen friendship
4.According to the text, which of the following can help us avoid being lonely in the crowd?
A. To stay long in Internet cafes.
B. To focus on extra courses.
C. To give up our own hobbies.
D. To play music in a band.
高二英语阅读理解中等难度题查看答案及解析