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# Pamela: Physicians training for a medical specialty serve as

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Director
Joined: 04 Jan 2008
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Pamela: Physicians training for a medical specialty serve as [#permalink]

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23 Apr 2009, 09:00
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14. 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 Quincy’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 patient’s progress or decline over a period of at least 36 hours.
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Manager
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23 Apr 2009, 19:46
IMO E

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 Quincy’s argument?

(A) The basic responsibilities of resident staff physicians in hospitals have not changed substantially over the past few decades -->no impact
(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 -->no impact
(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 -->seems attractive, however, physicians here can be official physicians, not only trained physicians, therefore it's not a strong weaken. Besides, trained physicians can't only make the best medical decision at the final portion of 36hours, while here is only 24hours emergency patients need care of physicians, so wrong
(D) The load of work on resident physicians-in-training varies according to the medical specialty for which each is being trained --> irrelevant
(E) The training of physicians should include observation and recognition of the signs indicating a hospitalized patient’s progress or decline over a period of at least 36 hours -->best choice. Because the training course for physicians require at least 36 hours to fulfill their roles, while they can't retain their best abilities at the final portion of the their 36hours training course. Therefore, the training course turns out to be ineffective in its training purpose, and that's the reason to counter Quincy's argument - change a traditional work to reach the effectiveness

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23 Apr 2009, 21:24
C is the best

Pamela argument is on the out-of-training period, not on the in-training period
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23 Apr 2009, 21:59
sondenso wrote:
C is the best

Pamela argument is on the out-of-training period, not on the in-training period --> I think you should re-check Pamela's argument, it mentions about physicians who are on training period but who can work as official staffs during this period as a requirement of the training course

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Director
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23 Apr 2009, 22:23
B

patients are sicker thses days so a tired physician can do more damage than before

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Director
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24 Apr 2009, 22:29
OA-B
bigtreezl wrote:
B

patients are sicker thses days so a tired physician can do more damage than before

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28 Apr 2009, 08:51
Ditto on this.

bigtreezl wrote:
B

patients are sicker thses days so a tired physician can do more damage than before

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08 Jun 2009, 12:06
I'm with B too.

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08 Jun 2009, 23:11
B for me too.

Only on option comparing the past and present activity and is relevant to the stance by Pamela.
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14 Jun 2009, 08:36
I'll vote for B...It is the one that brings out that the medical expertise shown by the doctors will no more be suffiient enough and something new needs to be done...
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Re: CR-LSAT   [#permalink] 14 Jun 2009, 08:36
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