医护英语水平考试(医药类)

（2012试用版）医护英语水平考试(医药类)第二级考试大纲Medical English Test System (METS)For Healthcare ProfessionalsLevel 2医护英语水平考试办公室目 录一、METS（医药类）简介1. METS（医药类）考试体系的背景2. METS（医药类）考试的目标与宗旨3. METS（医药类）考试的设计原则4. METS（医药类）考试的成绩的使用及适用范围5. METS（医药类）考试的组织实施二、METS（医药类）第二级考试级别与内容概述1. METS（医药类）第二级考试的语言能力描述2. METS（医药类）第二级考试的话题范围描述三、METS（医药类）第二级考试结构与样卷1. METS（医药类）第二级考试结构2. METS（医药类）第二级考试样卷3. METS（医药类）第二级考试答题卡4. METS（医药类）第二级考试听力录音文本5. METS（医药类）第二级考试答案及评分标准附录 METS（医药类）第二级考试词汇表一、METS（医药类）考试简介1、METS（医药类）考试体系的背景为适应经济全球化、教育国际化、医药卫生人才专业化的发展，满足国内外人才资源合理配置的需要，促进医药卫生类英语水平的提高，同时为进一步贯彻落实国家中长期教育改革和发展规划纲要（2010年-2020年）和医药卫生中长期人才发展规划（2011-2020年）的文件精神，健全符合卫生人才特点的科学化、社会化评价机制，“以用为本”，促进医药院校的行业英语教育教学改革，为医疗机构选拔人才提供评价服务，根据医护英语水平考试主办机构的统一规划，医护英语水平考试办公室（简称METS办公室）总结了METS（护理类）考试成功经验，力图在卫生行业除护理类以外，继续提供其他专业的医护英语考试评价标准。经过几年的积累，METS考试办公室通过组织从事临床和科研工作的专家、语言测试专家和英语教学专家，根据医疗机构岗位的实际需求，开发设计了医护英语水平考试（医药类）考试大纲（试用版），其中涉及临床医学、中医、药学、助产、检验、康复等不同的专业类别，以下简称METS（医药类）。这一考核标准旨在通过卫生英语的考核，加强卫生专业技术人才的英语学习能力的培养、提高卫生人才队伍的外语素质，进而使METS（医药类）成为医疗机构选才英语标准，在医疗机构招聘、考核、选拔人才中发挥一定的作用。同时，通过该考核标准的使用，促进医药院校卫生英语的教学改革，以考促学、以考促教，为医药院校人才培养提供统一的测评手段，搭建起沟通医药院校人才培养和医疗机构用人标准的桥梁，在卫生人才队伍的建设过程中做出应有的贡献。2、METS（医药类）的目标和宗旨1） 建立一个覆盖卫生行业不同专业（除护理类）、不同教育层次需要的、拥有4个级别的标准参照性卫生英语考试体系。考生不受年龄、学历等方面的限制，在全国范围内推动医护英语的学习与提高，满足社会发展特别是经济全球化的需要。2） 完善各种考查手段，尤其是听、说方面的考查方法，确保各级别都能考察考生听、说、读、写、译的语言交际能力，促进医护英语教学改革。3）结合我国卫生英语的教学实际和社会发展的客观需要，在同一能力量表的基础上进一步合理设置各级考试的评价标准并给出详尽的说明，科学界定各种考查要求的关系。4）采取有效的技术手段，确保相同级别不同考次之间考生成绩的等值，逐步与有关国际考试接轨，拓展考生成绩的使用范围，为考生就业和用人单位录用人才提供有价值的参考标准。3、METS（医药类）设计原则1）突出语言交际能力的考查。METS（医药类）试题与评分标准以考查交际能力为核心，以促进考生医护英语实际交际能力的提高为原则。2）强调系统性，注重实用性。考查要求应设计合理、连贯有序。注意各级别同类知识或技能之间的考查要求逐步递进。努力做到低级别所要求的能力包括在高级别所要求的能力之中；高级别的考查要求应是低级别考查要求在纵、横两个方面上的发展，妥善协调同级别各种技能之间的考查关系。3）妥善处理教学现状与社会发展需要的关系。METS（医药类）的设计既要充分考虑我国卫生技术人才国际化的需要，又十分注意我国卫生英语目前的实际教学水平。既注重导向性又强调实用性。4）大胆使用现代考试技术，注意兼顾考试技术现状与今后的技术发展。努力从实际出发，在考试的各个阶段，尽可能采用高科技手段。注意既积极稳妥地使用各种成熟的考试技术又要不断地引进、研发最新的考试手段，力争使本考试成为设计先进、技术先进、较具权威的现代化专业英语考试。注意为今后考试技术的发展奠定良好的基础。4、METS（医药类）考试成绩的使用以及适用范围METS（医药类）考试是综合考虑用人单位的岗位需求和不同教育层次的实际情况设计开发的，METS（医药类）的考试级别设置为一级、二级、三级、四级，一级是初始级，四级是最高级。考核对象适用于临床医学、中医、药学、助产、检验、康复等专业不同层次的在校和在职考生。METS（医药类）是社会评价类证书考试，考生不受年龄、学历、专业和所在地区等方面的限制。为保证考试评价尺度的统一性，METS考试办公室对考试成绩拥有解释权。考试成绩有效期的认定和使用权由考生所在学校和相关用人单位自行决定。证书的签章单位为中华医学会、教育部考试中心中英教育测量交流中心。5. METS（医药类）考试的组织实施METS（医药类）由METS考试办公室组织实施，每年举办两次。考试时间分别为每年6月和12月的第一个周六，如与国家法定节假日冲突，METS考试办公室会另行通知。2012年6月考试为试考，只进行第二个级别的考试。若想获取更多考试信息请登录METS考试官方网站：。二METS (医药类) 第二级考试级别与内容概述METS (医药类) 第二级是METS (医药类)考试四个级别中的第二级。通过该级考试的考生，能用英语进行一定范围内的、与临床医疗活动相关的语言交流活动；能就常见的医疗话题，如问诊、了解病史、解释诊断、安慰患者、讨论症状以及对患者的健康教育等用英语进行一般的交流,其临床医学英语水平能满足中级医疗岗位对英语的基本要求，并掌握3000左右英语单词及相关词组。1.METS（医药类）第二级考试的语言能力描述 1） 听力 听力部分测试考生获取口头信息的能力，即能听懂日常及一般临床医疗活动谈话内容，能掌握中心大意，抓住要点。听力部分的语速为每分钟100词左右。听力测试技能包括：（1）理解中心思想和重要细节； （2）正确判断说话人的观点、 态度等；（3）正确推断说话的背景、说话者之间的关系等；（4）理解所听材料的基本含义。 2）阅读阅读部分测试考生通过阅读获取书面信息的能力，要求考生能基本读懂一般性的、与医学背景相关的医学应用文体的文章，能够理解主要事实和相关细节，能够在阅读中使用有效的阅读方法。 阅读测试技能包括：（1）理解主旨要义；（2）理解文中具体信息；（3）根据上下文推测生词的词义；（4）理解篇章结构及上下文逻辑关系；（5）理解段落大意，理顺段落顺序；（6）了解作者的目的、态度和观点等。 3) 写作 写作部分测试考生用英语进行书面表达的能力，要求考生能完成一般性写作任务；能写常见的医学应用短文；能就一般性话题或提纲在30分钟内完成100词左右的短文；内容基本完整，用词恰当，语意连贯，语法正确；能掌握基本的写作规范。 写作测试技能包括：（1） 能够正确表达重要或特定信息；（2） 能够围绕所给的题目叙述或描述；（3） 能够连贯地组句成段，组段成篇；（4） 能够运用恰当的词汇、正确的语法及句子结构，并能正确使用标点符号；（5） 能够遵循合适的英语写作规范。2METS（医药类）第二级考试的主题范围描述l Greeting and reassuring patients问候并安抚患者l Asking about patients personal details (name, age, occupation, past medical history, etc) 询问患者个人信息（姓名、年龄、职业、病史等）l Asking a patient about symptoms 问询患者症状l Asking about a case history了解患者病史l Understanding complaints (the intensity of pain, etc.)理解主诉（如疼痛的程度等）l Describing patient observations (blood pressure, pulse, respiration, etc.)描述患者生命体征（如血压、脉搏、呼吸等）l Describing symptoms of common diseases描述常见疾病的症状l Making medical records 填写临床诊断病历l Giving advice to patients 指导患者就医l Taking a physical examination检查身体l Giving instructions for CPR, etc.下达做心肺复苏等的指令l Explaining a diagnosis to a patient向患者解释诊断结果l Discussing symptoms and tests for diagnosis 与患者讨论症状与化验报告l Explaining pathology tests and their results解释病理检验及其结果l Explaining to a patient a diagnosis, a plan of treatment, and further tests向患者说明诊断结论、治疗方案以及进一步化验项目Explaining medical terminology to a patient向患者解释医疗术语l Giving instructions to a patient during a physical examination or before and after an operation在患者体检时或手术前后给予指导l Describing patients feelings描述患者的感受l Encouraging patients to express their fears and concerns鼓励患者说出内心的恐惧与忧虑l Reassuring a patient for surgery打消患者手术前的顾虑l Explaining drug interactions 解释药物的相互作用l Describing benefits and side effects of medication说明药品的疗效与副作用l Giving instructions for medication指导患者用药l Describing common medical charts (pain assessment chart, etc.)描述常见医疗图表（如疼痛评估表等）l Interpreting common medical images (ECG, etc.) 解释常见的医疗影像（如B超、心电图等）l Holding consultation of doctors 组织医生会诊l Describing benefits and side effects of a plan of treatment说明治疗方案的疗效与副作用l Describing alternative treatments描述不同的治疗方案l Negotiating a plan of treatment协商治疗方案l Using medical euphemism使用医学委婉用语l Delivering bad news in a sensitive way得体地传递噩耗l Completing a report about a patients death完成病人死亡报告l Using common medical abbreviations使用常见的医学缩略语l Handling well baby clinic 很好地进行新生儿诊治l Managing emergency cases处理急症病例l Offering health education to patients对患者进行健康教育三、METS (医药类) 第二级考试结构与样卷1.METS（医药类）第二级考试结构METS（医药类）第二级考试（笔试）由三部分构成：I.听力，II.阅读，III.写作。考试时间为120分钟，满分为100分。其中，听力部分有4项任务，20道试题，每题1分，共20分；阅读部分有7项任务，45道试题，每题1分，共45分；写作部分计15分。整份试卷原始分数为80分。METS（医药类）第二级考试（笔试）采用了分数加权的办法，对各部分题目的原始分数分别给予不同的权重。其中听力部分（1-20题）占满分100分权重的30%，阅读部分（1-45题）占55%，写作部分占15%。经加权处理，考试成绩60分以上为合格。合格者将获得医护英语水平考试（医药类）合格证书（二级）。凡参加METS（医药类）第二级考试者均能得到有关的成绩通知书。 METS（医药类）第二级考试试卷结构如下表所示。测试任务类型*为考生提供的信息题目数量原始分数权重(%)时间(分钟)I. 听力Part 1听后判断短对话553020Part 2正误判断长对话55Part 3多项选择独白55Part 4填写表格长对话55II. 阅读Part 1标题选择段落与标题555570Part 2单句插入段落与单句55Part 3段落顺序短文55Part 4补全阅读长对话、短文与单句55Part 5多项选择单句77Part 6信息判断短文88Part 7完形填空短文1010III. 写作短文写作表格1151530I. 听力（Listening）听力测试由长、短对话和独白等部分组成。听力部分测试考生理解日常临床交际活动中口头信息的能力。所占分值比例为20%。其中短对话部分5%，长对话部分10%，独白部分5%。测试内容包括临床医学基本常识、常见疾病诊治以及医学科普常识等。考试时间为20 分钟。Part 1 听后判断（5题）本部分要求考生根据听到的5个简短对话，辨识重要或特定的信息。听力文本来自日常临床交际活动，录音播放两遍。样卷中的题目要求考生对听到的语料作出正确或错误的判断。每组对话持续约10秒，对话之间有5秒钟的间隔时间供考生答题。Part 2 信息判断（5题）本部分要求考生根据听到的1组长对话，辨识重要的或特定的细节内容。听力文本来自日常临床交际活动，录音播放两遍。样卷中的题目要求考生根据一段医患之间的电话录音，对相关事实性信息做出正误判断。这段录音持续约1分钟。Part 3 多项选择（5题）本部分要求考生根据听到的1段独白，辨识重要的或特定的细节内容。听力文本来自日常临床交际活动，录音播放两遍。样卷中的题目要求考生根据一位患者家属对病人病情的描述，从所提供的3个选项中选择一个最佳答案。这段录音持续约一分半钟。Part 4 填写表格（5题）本部分要求考生根据听到的1组长对话，辨识重要的或特定的细节内容。听力文本来自日常临床交际活动，录音播放两遍。样卷中的题目要求考生根据医务人员对患者个人信息的询问，填写病患登记表格。这段录音持续约2分钟。II. 阅读 (Reading) 阅读由7个部分组成，主要测试考生理解书面信息的能力，所占分值比例为45%。其中单句7%、对话5%、段落10%，短文23%（根据不同题型和题量，以上比例可作适当调整）。阅读内容包括临床基本常识、常见疾病以及科普常识等。考试时间为70分钟。Part 1 标题选择（5题）本部分考查考生理解段落大意的能力。样卷中的试题共有6段，其中5段编号（首段通常不编号）；同时给出6个句子或标题，这些句子或标题分别是对文章某段的概括，要求考生根据文章内容，从这6个选项中选出最恰当的5个选项填入编号的空格处。Part 2 单句插入（5题）本部分考查考生理解文章上下文逻辑关系的能力。样卷中的题目给出5篇小短文，每篇短文中有三处分别标有(A)、(B)、(C)；同时给出一句话（斜体），要求考生将这句话插入文中(A)、(B)、(C)中合适的一处。Part 3 段落排序（5题）本部分考查考生理解语篇总体结构、段落大意，从而正确判断段落间逻辑顺序的能力。样卷中的题目将所给文章（7段）原有段落顺序打乱，仅给出2个段落的正确位置，要求考生根据文章的结构、内容及段落间的逻辑关系给另外5段重新排序。Part 4 补全阅读（5题）这部分考查考生理解常见临床环境中短文或会话文本的能力。样卷中的题目要求考生在通读全文的基础上，根据上下文从8个选项中选出最佳答案。Part 5 多项选择（7题）本部分考查考生理解常见医疗操作流程的能力。样卷中的题目要求考生阅读有关X光检查步骤的7个连续的句子后，从每句所给的3个选项中选出最佳答案。Part 6 信息判断（8题）本部分考查考生理解常见医学短文，获取重要信息的能力。样卷中的题目要求考生在读懂全文的基础上，对给出的8个句子所表达的信息做出判断，有的信息是正确的，有的信息是错误的，有的信息文中没有提到。Part 7 完形填空（10题）本部分考查考生综合理解与运用语言的能力。样卷中的题目要求考生阅读一篇约100词的短文（删去其中10个词），并根据上下文从每题的3个选项中选出最佳答案。 . 写作（Writing）写作部分测试考生书面表达的能力，写作内容为撰写与临床医学活动相关的短文。样卷中给出的信息是一份患者就医病例登记表，要求考生根据登记表所提供的信息，对患者的情况用文字表述出来。本部分所占分值比例为15%，考试时间为30分钟。METS（医药类）第二级考试样卷笔试样卷医护英语水平考试 (医药类)第二级Medical English Test System (METS) (For Healthcare Professionals)Level 2姓名_ 准考证号_ 时间：120分钟考生须知1. 严格遵守考场规则，考生得到监考人员指令后方可开始答题。2. 答题前考生须将自己的姓名和准考证号写在试卷和答题卡上。3. 答客观题时，一律用2B铅笔，按照答题卡上的要求答题。如要改动答案，必须用橡皮擦干净。4. 答写作题时，必须用黑色签字笔在答题卡上答题。5. 注意字迹清楚，保持卷面整洁。6. 考试结束时将试卷和答题卡放在桌上，不得带走。待监考人员收毕清点后，考生方可离场。= 未经批准，本试卷任何单位或个人不得保留、复制和出版，违者必究。医护英语水平考试办公室I ListeningPart 1Questions 1 5l You will hear five short conversations. Each conversation is followed by a statement.l Are the statements “Right”A or “Wrong”B?l For questions 1-5, tick () A or B.l You will hear each conversation and statement twice.Example:0 ARight BWrong 1 A Right B Wrong 2 A Right B Wrong 3 A Right B Wrong 4 A Right B Wrong 5 A Right B Wrong Part 2Questions 6 10l Listen to Dr. Smith talking to a patient in the ward.l Are the sentences (6-10) “Right” (A) or “Wrong” (B)l For questions 6-10, tick () A or B.l You will hear the conversation twice.Example:0The patient has pain all over. ARight BWrong 6 The patient vomits sometimes. ARight BWrong 7 The patients pain in the abdomen started yesterday. ARight BWrong 8 The patient has a slight fever. ARight BWrong 9 The patient doesnt have pain in the stomach.ARight BWrong 10 The patient has to be checked in the abdomen. ARight BWrong Part 3Questions 11 15l Listen to a husbands description of his wifes disease to a doctor.l For questions 11-15, tick () A, B or C.l You will hear the talk twice.Example:0The wife is A25. B30. C48. 11 The wife is sick in Athe stomach. Bbrain. Cheart. 12 She has taken Ax-ray examination. Bneurological examination. Cblood examination. 13 Her state is getting Abetter. Bunchanged. Cworse. 14 The child of the couple is Avery little. Ba boy. Ca girl 15 The husband wants Aa psychiatric hospital treatment. BDoctor Whites treatment. CDoctor Yangs treatment.Part 4Questions 16 20l You will hear a nurse getting personal details from a patient.l Listen and complete questions 16-20.l You will hear the conversation twice.Friendship HospitalAdmission CardDate & Time9:0015/4/2011Surname (16) First name BreeDOB (17) Gender FOccupationteacherMarital status (18) Next of kinHusband, John Contact no.(19) Address(20) Family doctorDr. ZhangII Reading Part 1Questions 1 5l Read the following text and the list of headings.l Choose a heading from the list A-F that best fits the meaning of each numbered part of the text (1-5)l The first paragraph is not numbered.l Mark the correct letter A-F on your answer sheet.Example: 0 Improve the results of the medical experiment Answer: A. Ounces of water needed per day B. Importance of water C. Careful use of flavored water D. Signs of dehydration E. Supply of water F. Necessity for bringing a bottle for water with you The Drink Your Body Needs Most The human body is estimated to be approximately 60% to 70% water. Blood is, of course, mostly water; our muscles contain a lot of water; many organs, such as lungs, liver, and brain all contain a lot of water.1._Water is needed to regulate body temperature and to provide the means for nutrients to travel to all our organs. Water also transports oxygen to our cells, removes waste, and protects our joints and organs. 2._We lose water through urination, respiration, and by sweating. If you are physically very active, you lose more water than if you do not take much exercise. Symptoms of mild dehydration include chronic pains in joints and muscles, lower back pain， headaches, and constipation. A strong smell to your urine, along with a yellow color indicates that you are not getting enough water. Thirst is an obvious sign of dehydration and in fact, you need water long before you feel thirsty. 3._A good way is to take your body weight in pounds and divide that number in half. That gives you the number of ounces of water per day that you need. For example, if you weigh 160 pounds, you should drink at least 80 ounces of water per day. If you exercise you should drink another 8-ounce glass of water for every 20 minutes you are active. If you drink coffee or alcohol, you should add at least an equal amount of water. When you are traveling on an airplane, it is good to have 8 ounces of water for every hour you are on board the plane. 4._It may be difficult to drink enough water on a busy day. Therefore, be sure you have water handy at all times by keeping a bottle for water with you when you are working, traveling, or exercising. In this way, you can maintain enough water in your body and effectively avoid dehydration.5._If you get bored with plain water, you can add a bit of lemon in your water for a touch of flavor. There are, in the meantime, a lot of brands of flavored water available on the market, but you have to be very careful when you drink them as some of them have sugar or artificial sweeteners that you dont need or that might even do harm to you. Part 2Questions 6 10l There are 5 short paragraphs below. l For each paragraph put the italicized sentence into one of the three positions marked (A), (B), and (C).l Mark the correct letter on your answer sheet.Example:0 C The Red Cross is an international organization. 6 They knew little about the process of pain itself. Pain is the most common reason we go to a doctor. It is the most common reason we take medicines. Until recently, however, most doctors knew of only a few drugs that stopped some pains. (A) But new knowledge about the process of pain is helping them to control pain better. Scientists have learned that the sense of pain is made up of both chemical and electrical signals. (B) Scientists also have learned that the nervous system sends two different kinds of pain messages to the brain: one very fast, the other slow. (C) The first message is the warning signal. It moves at a speed of 30 meters a second. In less than a second, the brain understands that part of the body is hurt and how badly it is injured. 7 Some have achieved even greater recognition and responsibility.The term “multidisciplinary” refers not only to the physicians who may participate as consultants in the ICU, but also to the other health care professionals who work side by side, around the clock in the ICU. (A) The most numerous of these are the critical care nurses, many of whom also have advanced training and certification in critical care and are recognized as CCRNs. (B) They are the acute care nurse practitioners and clinical nurse specialists who complement the physician staff in establishing plans, writing orders, and directing management. (C) Physician assistants also provide care in the ICU.8 A case in point is the coal miners. People work or live in a specific environment. The environment may do harm to peoples health. (A) In the past several decades, a lot of study has been made. (B) It makes people keenly aware of the relationship between environment and health. Studies have shown, for example, that industrial workers are more likely to have some kinds of cancer and other diseases if they are exposed to certain chemicals. (C) They once suffered from black lung disease when they were poorly protected from coal dust. The workplace may include other kinds of risk factors as well, such as high noise levels or increased emotional stress.9 But it cannot reduce this output to zero, and some salt is always escaping.The human body demands that the amount of salt in the blood always stay the same. When the body does not get enough salt, it protects itself by letting less salt leave the body in urine and sweat. (A) On a completely saltless diet, like that of some people in Africa, the body steadily loses small amounts of salt through the kidneys and sweat glands. (B) It then tries to adjust to this loss by speeding up its secretion of water. In this way, the body attempts to keep the amount of salt in the blood at the necessary level. (C) The result is a slow drying up of the body and, finally, death. The person dies of thirst.10 In addition, the nutritionist looks at the patients mouth.In the physical exam, the nutritionist looks for external signs of malnutrition. (A) For one thing, the nutritionist looks at the patients skin. Rough, dry skin, for example, may mean that the patient does not have enough vitamin A. (B) Cracks at the corner of the mouth, a purplish or bright red tongue, and bleeding gums can all be signs of vitamin deficiencies. (C) The nutritionist also notices the patients hair. If a patient does not have enough protein, the hair may be thinner and duller than normal.Part 3Questions 11-15l The following paragraphs are given in a wrong order.l For questions 11-15, you are required to reorganize these paragraphs into a coherent article by choosing from the list A-G to fill in each numbered blank.l The first and the last paragraphs have been placed for you.l Mark the correct letter A G on your answer sheet.Example Order: G11 B 12 A 13 D 14 C 15 E FA In fact, more than a third of patients who had an operation in the last five years never reviewed the qualifications of the surgeon who operated. Patients are more likely to spend time researching a job change (on average, about 10 hours) or a new car (8 hours) than the operation they are about to receive or the surgeon who wields (使用、挥舞) the knife. And many patients are satisfied with the answers they receive from their surgeon or primary care doctor, whoever those individuals happen to be.B There are consequences to that kind of “blind trust. Today, medicine and surgery are really team sports, Dr. Russell continued, and the patient, as the ultimate decision maker, is the most important member of the team. Mistakes can happen, and parents have to be educated and must understand what is going on.C I felt curious about the survey, so I called Dr. Thomas Russell, executive director of the American College of Surgeons. There is a tendency for patients not to get involved and not to feel forced to look into their surgery or surgeons, he told me. D In other words, a healthy doctor-patient relation does not simply require good bedside manners and responsible office management on the part of the doctor. It also requires that patients should be educated about their doctors, their illness and their treatment.E Trust is important. But as Sir Francis Bacon, who was among the first to understand the importance of gathering data in science, once said, knowledge is power. F “If we are truly going to reform the health care system in the U.S.,” Dr. Russell said, “everybody must participate actively and must educate themselves. That means doctors, nurses, other health care professionals, lawyers, pharmaceutical companies, and insurance companies. But most of all, it means the patient.”