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Pamela: Physicians training for a medical specialty serve as [#permalink]
06 Oct 2004, 19:53
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Pamela: Physicians training for a medical specialty serve as resident staff physicians in hospitals. They work such long hours up to 36 consecutive hours that fatigue impairs their ability to make the best medical decisions during the final portion of their shifts. Quincy: Thousands of physicians now practicing have been trained according to the same regimen, and records show they generally made good medical decisions during their training periods. Why should what has worked in the past be changed now?
Which one of the following, if true, is the most effective counter Pamela might make to Quincyâ€™s argument?
(A) The basic responsibilities of resident staff physicians in hospitals have not changed substantially over the past few decades.
(B) Because medical reimbursement policies now pay for less recuperation time in hospitals, patients in hospitals are, on the average, more seriously ill during their stay than in the past.
(C) It is important that emergency-room patients receive continuity of physician care, insofar as possible, over the critical period after admission, generally 24 hours.
(D) The load of work on resident physicians-in-training varies according to the medical specialty for which each is being trained.
(E) The training of physicians should include observation and recognition of the signs indicating a hospitalized patientâ€™s progress or decline over a period of at least 36 hours.
Oops read D completely wrongly. I was looking for either of the two possibilities - One the training and the actual situation cannot be compared or secondly, what happened in the past may not be comparable to the present because of some new changes. D is fine for the first part, but later D is without life and compares medical speciality.
B is right. It was different in the past and it is different now.
I would also go for B for the reason that it is the only choice which establishes that something about patience in the past has changed and therefore nurses must alos change their old ways of doing things