1. The author's attitude toward the inefficiencies at academic medical centers is one of
A. reluctant acquiescence
B. strident opposition
C. agonized indecision
D. reasoned criticism
E. enthusiastic support
Throughout the passage, the author presents constructive criticism about the inefficiences at AMCs. He isn't accepting it as stated in (A), nor is he stridently opposing it as mentioned in (B). He is not indecisive as in (C), nor does he zealously support the inefficiencies as in (E). Thus, (D) is the most appropriate option here.2. The author of the passage would most likely agree with which of the following statements about primary care at AMCs?
A. AMCs would make more money if they focused mainly on primary care.
B. Burn and transplant patients need specialty care more than primary care.
C. AMCs offer the best primary care for most patients.
D. AMCs have not tried hard enough to publicize their primary care services.
E. lnefficiencies at AMCs would be reduced if better primary care were offered.A closer look at the fourth paragraph of the passage reveals that -
"While AMCs have emphasized cutting-edge specialty medicine, their more routine medical services need development and enhancement." This clearly means that the primary care at AMCs is not upto the mark and need development. Thus, one of the inefficiencies of AMCs is the poor primary care . If this were to be imrpoved, the inefficiencies would be reduced! One inefficiency less
3. The author’s primary purpose in this passage is to
A. discuss the rise and fall of academic medical centers -
passage does not discuss the "rise" or the "fall" of AMcs.B. explain that multiple lines of authority in a medical center create inefficiencies -
Scope limited to paragraph 2.C. delineate conflicts occurring i.n academic medical facilities
D. examine the differences between academic and other health care entities -
While such a comparison has been made, it is not prevalant throughout the passage. Thus, the purpose of the passage wasn't to examine differences between the two entities.E. warn that mixed accountabilities result in treatment errors -
Very limited scope.
4. The author implies which of the following about faculty physicians at AMCS?
A. Most of them lack goodlbusiness sense. -
Not having correct information about cost of treatment does not amount to lacking good business sense.B. They put patients’ physical health above their hospitals’ monetary concerns: -
Not stated in the passage.C. They sometimes focus on education at the expense of patient care. - "For the benefit of medical students, physicians may order too many tests, prolong patient visits, or encourage experimental studies of a patient". This sentence strengthens out belief that they sometimes give more weightage to education than patient care.
D. They lack official affiliation with the medical schools connected to AMCS. -
Not stated in the passage.E. They choose AMCS because follow—up care can be given very quickly. -
Patients tend to choose AMCs because of this reason, not the faculty physicians.5. Which of the following would the author probably consider a good strategy for academic medical centers dealing with competition from tertiary hospitals?
A. recruiting physicians away from tertiary centers
B. increasing the focus on patient care
C. sending patients to tertiary facilities
D. eliminating specialty care
E. reducing dependence on grant money
The last few sentences of the final paragraph states that tertiary hospitals are a big competition to the AMCs because their sole goal is patient care. Thus, if the AMCs were to deal with this competition, they must also increase their focus on patient care. Option (B) is most approporiate here.