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1/103surgeon与doctorSurgeon(外科医生)meansadoctorwhoperformsoperations;Doctor(医生)meansapersonwhoknowshowtotreatdiseases.Therefore,physicians(内科医生),dentists(牙医)andsurgeons(?)arealldoctors.2/103Thetitleofthetext:TheMakingofaSurgeonThetitlemeans“Thecauseofasurgeon’ssuccess.”Translatedas“外科医生成功之道”“making”meansofgainingsuccess“成功之道”;e.g.①Theperseverancewasthemakingofthewriter.(坚忍不拔是这位作家成功原因。)3/103而inthemaking=intheprocessofbeingmade;readytobeproduced“在制造中,在酝酿中”;e.g.②Ourplansarestillinthemaking.(我们计划还在酝酿之中。)另外,makings=thequalitiesneeded(含有)成为…所需素质;e.g.Hehasthemakingsofagooddoctor.(他含有成为好医生素质。)4/103residentv.s.residencyResident:

(实习结束后进入高级训练阶段)住院医生;doctorwholivesinthehospitalandcontinuepracticingaftercompletinghisinternship(n.〔美〕实习医生或实习教师、实习生职位或职务;实习生).Residency:(高级专科)住院实习期;thelaststageofadoctor’strainingatahospital.5/103I.Warming-upexercisesII.AbriefIntroductiontothetextIII.DetailedexplanationofthetextIV.SummaryofthetextV.LanguagepointsVI.HomeworkTeachingProcedures6/1037/103Questionsfordiscussion

Inyouropinion,howcanapersonbesuccessful?(hard-working,lucky,chance,

opportunity,healthy,intelligence,

self-confidence…)8/103

Asfarasadoctorisconcerned,whatshouldbethemostimportantfactor(原因)forhimtobesuccessful?(self-confidence)9/103“Self-confidenceisthefirstrequisite(必要条件)togreatundertakings(事业).”

——SamuelJohnson10/103WordsReadingofthenewwordssurgeonn.

doctorwhoperformsoperations外科医生self-confidence

n.

自信心11/103Wordsmakingn.

meansofgainingsuccess

成功之道resident

n.

住院医生12/103Wordsconcludevt.

arriveatabelieforopinionbyreasoning得出结论surgicala.

of,by,orforsurgery外科;手术13/103Wordscompetently

ad.

withthenecessaryskill称职地;胜任地nearvt.

approach;comeclosertocompetent

a.14/103Wordsemergency

n.

suddenanddangeroushappeningneedingimmediateaction

紧急情况;急症encounter

vt.

befacedwith(difficulties,danger,etc.);meetunexpectedly遭到;意外地遇见15/103Wordsdreadvt.

feargreatly畏惧criticala.

importantatatimeofdangeranddifficulty紧要;关键性16/103Wordsparticulara.belongingtosomeoneperson,thing,oroccasion特定casen.

instanceofdiseaseorinjury病例17/103Wordsinfrequentlyad.seldom;notoftenrelaxvi.becomelesstense放松relaxationn.18/103Wordsresidencyn.thelaststageofadoctor’strainingatahospital高级专科住院实习(期)constanta.

happeningallthetime;unchanging不停;一直如一19/103Wordsresolvevt.solve处理considereda.carefullythoughtout

经过深思熟虑resolution

n.20/103Wordsdwell(dwelt;dwelled)vi.live(inaplace)居住bounda.

verylikely;certain一定;必定21/103Wordssounda.correct;basedongoodjudgment

正确;合理confident

a.

sureofoneselfandone’sabilities自信confidence

n.22/103Wordshandlevt.manage,dealwith处理butterfly

n.

蝴蝶23/103Wordsabdomenn.belly腹(部)anticipatevt.

seebeforehand预期anticipation

n.24/103Wordssweatn.&vi.汗;流汗stab

/stAb/n.

thrustmadewithapointedweapon刺,戳25/103Wordsbellyn.肚,腹部puncturevt.

makeasmallholein(sth.)withsth.pointed刺穿26/103Wordscompound

a.havingmorethanonepart复合fracturen.

breakinabone骨折27/103Wordscompoundfracturen.复合性骨折inevitablyad.

unavoidably不可防止地inevitablea.28/103Wordserrvi.makemistakes;dowrongoperatevi.

performasurgicaloperation动手术29/103Wordssurgeryn.外科;外科手术solea.

unshared;oneandonly唯一30/103Wordsresponsibilityn.责任,责任心avoidvt.

escape;keeporgetawayfrom防止31/103Wordsconceiteda.havetoohighanopinionofoneself自负conceitn.toohighanopinionofoneself32/103Wordstryinga.

hardtoendureorbear;verydifficult难受;恼人bother

vt.annoy,trouble烦扰,麻烦33/103Wordsuncertainty

n.

uncertaincondition;doubt34/103Agameofwordsconf__d__ntc__ncl__dec__mp__tentcr__t__calres__l__tionc__ns__deredant__c__pates__rg__ryc__nce__trespons__b__l__tyin__v__tablyinfr__qu__ntlyeiouoeiiouoiiiueoiiiieiee35/10336/103ThisarticleiswrittenbyDr.WilliamNolen,awell-knownAmericansurgeonandauthor.Do.Nolenrevealstousinhisarticlethathe,asadoctor,hadgonealongwaybeforehebecameasurgeon.Then,whatquality,accordingtoDr.Nolen,isessentialinthemakingofasurgeonandatwhatpointoftimedoesadoctorfinallybecomeasurgeon?37/10338/103Afamoussurgeontellsabouttheimportanceofself-confidencefromhisownexperience.39/103THEMAKINGOFASURGEONDr.NolenHowdoesadoctorrecognizethepointintimewhenheisfinallya“surgeon”?AsmyyearaschiefresidentdrewtoacloseIaskedmyselfthisquestiononmorethanoneoccasion.40/103THEMAKINGOFASURGEONDr.NolenHowdoesadoctorrecognizethepointintimewhenheisfinallya“surgeon”?AsmyyearaschiefresidentdrewtoacloseIaskedmyselfthisquestiononmorethanoneoccasion.doctorphysician 内科医生surgeon

外科医生specialist 专科医生dentist 牙科医生obstetrician 产科医生pediatrician 儿科医生surgeon

外科医生41/103THEMAKINGOFASURGEONDr.NolenHowdoesadoctorrecognizethepointintimewhenheisfinallya“surgeon”?AsmyyearaschiefresidentdrewtoacloseIaskedmyselfthisquestiononmorethanoneoccasion.resident

住院医生intern(实习医生)

residentsurgeonInternship+residency=3~5years42/103BackgroundinformationCareerinmedicineintheU.S.(行医在美国)

在美国作医生得先修完四年本科课程,最少先读四年大学,取得学士学位,然后在医学院再学习四年。毕业后普通先在医院作实习医生,接收训练和指导。要和医生一起巡视病房,帮助处理急诊。之后做“住院医生”。住院医生所担负责任比实习医生要大,除了应继续向同行学习、专研业务外,还要经常在手术台旁作有经验医生助手,同时也接替在职医生处理急诊。住院医生在住院期间如表现突出,可提升为住院长,负起更多责任。当实习医生及住院医生年限,依据所学专业不一样,或三年或五年不等。43/103ThreetypesofdoctorsintheU.S.

美国医生三种类型一、全科医生(generalpractitioner)治疗全部常见疾病。在有些需要专门技术病例中,患者要被介绍去看教授(也即,第二种医生)。二、专科医生(specialist),专科医生可分为牙科医生(dentist),儿科医生(pediatrican),外科医生(surgeon),内科医生(physician),产科医生(obstertrician)等。三、医学研究者,他们一样受过医学训练,但不行医,只在医学院或大学医学中心从事医学研究与教学工作。44/103Theanswer,Iconcluded,wasself-confidence.Whenyoucansaytoyourself,“ThereisnosurgicalpatientIcannottreatcompetently,treatjustaswellasorbetterthananyothersurgeon”—then,andnotuntilthen,youareindeedasurgeon.Iwasnearingthatpoint.我能胜任对任何外科病人治疗,我治疗和其它外科医生一样高明,甚至比其它医生更高明。45/103Whatisthemostimportantforadoctortobecomeasurgeonfinally?(AccordingtoDo.Nolen,

self-confidence

isessential(主要)inthemakingofasurgeon,andonlywhenadoctorhasbuiltupperfectconfidenceinhimselforherself,willheorshereallybeasurgeon.

)Question1:46/103Howcanyouunderstand“Iwasnearingthatpoint”?(IwasnearingtimewhenIwasindeedasurgeon.

)Question2:47/103Take,forexample,theemergencysituationsthatweencounteredalmosteverynight.ThefirstfewmonthsoftheyearIhaddreadedtheringingofthetelephone.Iknewitmeantanothercriticaldecisiontobemade.Often,afterIhadtoldWaltorLarrywhattodoinaparticularsituation,I’dhavetroublegettingbacktosleep.I’dreviewallthefactsofthecaseand,notinfrequently,wonderifIhadn’tmadeapoordecision.Morethanonceattwoorthreeinthemorning,afterlyingawakeforanhour,I’dgetoutofbed,dressanddrivetothehospitaltoseethepatientmyself.ItwastheonlywayIcouldfindthepeaceofmindIneededtorelax.emergencysituations

紧急情况criticaldecision

关键性决定particularsituation

特殊情况我会重温那位急诊病人整个病情,经常会怀疑自己是否作出了不妥决定。这是我能找到安心休息所需要内心平静唯一方法。48/103Accordingtopara.3,howdidtheauthortrytofindthepeaceofmindheneededtorelax?Question3:(Togetoutofbed,todressandtodrivetothehospitaltoseethepatienthimself.

)49/103Now,inthelastmonthofmyresidency,sleepingwasnolongeraproblem.TherewerestillsituationsinwhichIcouldn’tbecertainmydecisionhadbeentherightone,butIhadlearnedtoacceptthisasaconstantproblemforasurgeon,onethatcouldneverbecompletelyresolved—andIcouldlivewithit.So,onceIhadmadeaconsidereddecision,Inolongerdweltonit.Reviewingitwasn’tgoingtohelpandIknewthatwithmyknowledgeandexperience,anydecisionI’dmadewasboundtobeasoundone.Itwasanicefeeling.

Here“it”referstothepreceding(前面)

sentence“TherewerestillsituationsinwhichIcouldn‘tbecertainmydecisionhadbeentherightone…aconstantproblem…thatcouldneverbecompletelyresolved…”considereddecision

深思熟虑决定50/103Whatcanwelearnfrompara.4?Question4:(self-confidencehelpshimwhenheismakingadecision.

)51/103IntheoperatingroomIwasequallyconfident.IknewIhadtheknowledge,theskill,theexperiencetohandleanysurgicalsituationI’deverencounterinpractice.TherewerenomorebutterfliesinmystomachwhenIopenedupanabdomenorachest.Iknewthatevenifthecasewasoneinwhichitwasimpossibletoanticipatetheprobleminadvance,IcouldhandlewhateverIfound.I’dsweatedthroughmyshareofstabwoundsofthebelly,ofpuncturedlungs,ofcompoundfractures.Ihadsweatedoverthemforfiveyears.Ididn’tneedtosweatanymore.butterfliesinone’sstomach

afeelingoffearoranxiety

担心不安,忐忑不安

I’dbeennervousandfilledwithanxietywhilepainstakinglytreatingtheseriousinjuriesthatcometoeveryyoungdoctor-suchseriousinjuriesasstabwoundsintheabdomen,puncturedlungsandcompoundfractures.我战战兢兢地治疗过交在我手下腹部刺伤、肺部穿孔以及复合性骨折等病例。52/103Canyoufindthetopicsentenceinpara.5?Question5:(Thefirstsentence:Intheoperatingroom,Iwasequallyconfident.

)53/103NorwasIafraidofmakingmistakes.IknewthatwhenIwasoutinpracticeIwouldinevitablyerratonetimeoranotherandoperateonsomeonewhodidn’tneedsurgeryorsitonsomeonewhodid.Fiveyearsearlier—evenoneyearearlier—Iwouldn’thavebeenabletolivewithmyselfifIhadhadtotakesoleresponsibilityforamistakeinjudgment.NowIcould.Istilldreadederrors—woulddomybesttoavoidthem—butIknewtheywerepartofasurgeon’slife.IcouldacceptthisfactwithcalmnessbecauseIknewthatifIwasn’tabletoavoidamistake,chanceswerethatnoothersurgeoncouldhave,either.whenIcompletedmyresidencyperiodandbegantoworkonmyownasasurgeon当我出去开业行医时…itwasmostlikelythatnoothersurgeoncouldhaveavoidedthemistake.那么换了任何别外科医生很可能也不能防止。54/103Accordingtopara.6,what’stheauthor’sattitudetowardserrors?Question6:(Hetriedhisbesttoavoiderrors,buthewasnotafraidofthem,becauseheknewhewasn’tabletoavoidamistake,neithercouldothersurgeons.

)55/103Frompara.4–6,wecanconcludethatself-confidencehelpstheauthor________.

a.whenismakingadecisionb.whenheisperforminganoperationc.whenhehasmademistakesd.alloftheabove

Question7:56/103ThisallsoundsconceitedandIguessitis—butasurgeonneedsconceit.Heneedsittoencouragehimintryingmomentswhenhe’sbotheredbythedoubtsanduncertaintiesthatarepartofthepracticeofmedicine.Hehastofeelthathe’sasgoodasandprobablybetterthananyothersurgeonintheworld.Callitconceit—callitself-confidence;whateveritwas,Ihadit.57/103Howdoyouunderstand“asurgionneedsconceit”?Doyouagreewiththeauthor?Whyorwhynot?(Asurgeonneedsself-confidence.

)Question8:58/103Whatisthemainideaofthetext?

a.Youngsurgeonslosealotofsleep.b.Self-confidenceisthekeytothemakingofasurgeon.c.Agoodsurgeonisonewhomakesnomistakes.d.Failureisthemotherofsuccess.

Question9:59/10360/103PartI(para.1-2):

Theauthorputsforwardhisidea–––self-confidenceisvitaltothemakingofasurgeon.Organizationofthetext61/103PartIII(para.7):

Theauthorcomestoaconclusionthathehasself-confidence.PartII(para.3-6):

Theauthortriestosupporthisidea––reasonsandexamples.62/103WritingskillArgumentationPartI:thesis(论点)PartII:supporters(论据)PartIII:conclusion(结论)reasonsexamplestopicsentence(主题句)illustrating(举例)reasoning(说理)63/10364/1031.Grammaticalstructures(L12)

Often,afterIhadtoldWaltorLarrywhattodoinaparticularsituation,I’dhavetroublegettingbacktosleep.

注意:doingsth.havetroubleproblemdifficulty65/103(L12)

Often,afterIhadtoldWaltorLarrywhattodoinaparticularsituation,I’dhavetroublegettingbacktosleep.

eg.–––Suchapleasantgirlasshehasnotroublemakingfriendswithpeople.–––Theboyhadalotoftroublegettingupearlyinwinter.–––HehasproblemspellingEnglishwords..Grammaticalstructures66/103

(L21)

So,onceIhadmadeaconsidereddecision…eg.–––Onceagoodbeginningismade,youwillhavenofurtherdifficultyoperatingthemachine.–––OnceshebegantowriteinEnglish,shefelthowweakshewasinthelanguage.67/103

(L5)

ThereisnosurgicalpatientIcannottreatcompetently.–––Icantreatanysurgicalpatientcompetently.eg. Hisdogwilleatalmostanything. Hisdogwillnoteatalmostnothing. JohniscalledMr.Fixitbecausehecanfixalmostanything. JohniscalledMr.Fixitbecausehecannotfixalmostnothing.68/103cometoanend结束eg.——Thissemesterisdrawingtoaclose.——Theyearsoondrewtoitsclose.

drawtoaclose.Wordsandphrases69/103

treat:治疗

cure:治愈eg.——Whichdoctorsare_______herforherillness?——Thebonefracture(断裂)inthetruckdriver’sleftlegwasbeingcarefully________.——Thismedicineshould______youofyourcold.treatingtreatedcure70/103

encounter meeteg.——Hepromisedto_____herattheairport.——OnthetrainI__________(偶然遇见)anoldfriendofminewhoIhadnotseenforyears.meetencounteredEncounterisasynonym(同义词)formeet.Itisamoreformalwordandstronglyimpliesanunexpectedmeeting.71/103

particular,special尤其,特殊particular:

指在一定范围某一特定事物或人special:

泛指特殊,尤其72/103

particular,special尤其,特殊eg.——Asfarasfruitsareconcerned,Ihaveno____________taste.——Asaman,hehasnothing_______.particularspecial——Thebusdriverisusuallypolite,butinthis__________casehelosthistemper.——__________attentionwasgiventotheorphangirl.particularSpecial73/103

livewithaccept(sth.unpleasant)忍受,接收eg.——Mostofusdon’tlikethenewregulations,butwehavetolearntolivewith

them.——Youmustlivewiththefastthatyouarenolongerashealthyasyouwere.比较:putupwith忍受cometotermswith接收,妥协74/103

dwellonthinkabout,speakorwritealotabout多想eg.——Letbygonesbebygones.Don’tdwellsomuchonthepast.——Thespeakerdweltonthatpointformorethananhour.75/103

beboundtobecertainto;besureto

确实能,有把握eg.——Youareboundtosucceedifyoukeepontrying.——It’sboundtorain.Look!Thecloudsaregatheringquickly.76/103

inpractice在实际工作中intheory 在理论上inprinciple 在标准上inreality 在现实中77/103

operateoncutthebodyinordertosetrightorremoveadiseasedparteg.——Haveyoueverbeenoperatedon?——I’llhavetohavemystomachoperatedon.78/103

sitonneglect;donothingbout忽略eg.——Isentinmyapplicationingoodtime,butthesecretarysatonitforamonth.——Weshouldnotsitonthosewhoneedhelp.79/103自信心即将结束不止一次…做决定在某一特定情况下不妥当决定寻找内心平静self-confidencedrawtoacloseonmorethanoneoccasionmakeadecisioninaparticularsituationapoordecisionfindthepeaceofmindUsefulexpressionsUnit6TheMakingofaSurgeon80/103深思熟虑决定手术室经常碰到问题开业提前容忍说不定何时负担全部责任aconsidereddecisiontheoperatingroomaconstantproblembeinpracticeinadvancelivewithatonetimeoranothertakesoleresponsibilityforUsefulexpressionsUnit6TheMakingofaSurgeon81/103判断上失误考验人时刻为某人做手术生活中一部分amistakeinjudgmenttryingmomentsoperateonsomeonebepartofone’slifeUsefulexpressionsUnit6TheMakingofaSurgeon82/103PlasticsurgeryTheMakingofaHero城镇居民紧急呼叫松懈(努力)念叨过去整形外科/整形手术钢铁是怎样炼成CityresidentsEmergencycallRelaxone’seffortsDwellonthepastUsefulexpressionsUnit6TheMakingofaSurgeon83/103预支收入简单/不费劲背后捅刀Abellylaugh肺穿孔人非圣贤独家代理Anticipateone’sincomeNosweat.Stabsb.intheback捧腹大笑ApuncturedlungToerrishuman.SoleagentUsefulexpressionsUnit6TheMakingofaSurgeon84/103KEYFOREXERCISE

IIbdcdcaba85/103III1)livewith2)resolve3)encounter4)sole5)drawingtoaclose6)anticipated7)dwelton8)saton9)hadbutterfliesinhisstomach10)conceited86/103III1)openup2)relaxed3)emergency4)concluded5)livewith6)atonetimeoranother7)particular8)surgery9)wassweating10)competently11)inadvance12)inpractice87/103III1)IwasconfidentthatIwouldwintherace./Iwasconfidentofwinningtherace.2)Withdeterminationandhardwork,youareboundtosucceedeventually.3)Theburglarwalkedveryfastinordertoavoidbeingseenbythepolicemanbehind.4)Drivingacarafterdrinkingalcoholwillinevitablyleadtoanaccidentorarrestbythepolice.5)Youmusttake(full)responsibilityforlosingthemoney.6)Greatsuccessatsuchanearlyagemadetheyoungbusinessmanquiteaconceitedfellow.88/1031)absence2)efficiency3)independence4)silence5)confidence6)patience7)distance8)competence/competency9)Frequence/frequency10)presence11)importance12)permanence/permanency13)constancy14)emergence/emergency15)evidenceIV89/1031)efficiency2)emergency3)absence4)confidence5)frequency6)distance7)presence8)independence1)haveenriched2)hadenjoyed3)ensured4)endeared5)enabled6)endanger7)enlarge8)havebeenembodied9)empower10)entitleIV90/1031)I'llgetyouone2)I'mthinkingofgettinganewone3)mustbuysomebiggerones4)Theoneatthefront5)haveeatenallthesoftones6)decidedtocatchalaterone7)Iwanttoborrowone8)theonesyouhadonyesterdayV91/1031)Onceagoodbeginningismade2)Onceyouunderstandtheserules3)Oncehemakesapromise4)Oncetheyareputdowninblackandwhite/Onceputdowninblackandwhite5)onceyougetintothehabitofsmoking6)OnceshebegantowriteinEnglishVI92/1031)Ihadalotoftroublegettingthecarstartedthismorning.

2)Youwon'thavemuchdifficultygettingtoknowpeopleinItaly.

3)Theconceitedyoungmansaidhehadnodifficultywhatsoeverreadingtechnicaldrawings.

4)Totheteacher'ssurprise,mostofthestudentsinhisclasshadlittledifficultyworkingoutthehardmathsproblems.

5)DidyouhaveanytroublefindingthebutterflyspecimenProf.Nolenwanted?

6)Theshepherdshadagreatdealoftroubledrivingthesheeptoaplaceofsafetyinthesnowstorm.

VI93/1031)Einsteinissofamousthatthereisnoonewhodoesn'tknowhim.2)Thereisalmostnothingthathisdogwon'teat.3)Thereisnoonewhodoesn'tmakeanymistakesinhislifetime.4)Thereisnogoalthatyoucannotobtainsolongasyouhaveanhonestattitudeandastrongwill.5)Thereisnobodyherewhowon'tlendyouahelpinghandwhenyoufindyourselfindifficulty.6)JohniscalledMr.FixItbecausethereisalmostnothingthathecannotfix.VI94/1031)surgical2)confident3)dwellon4)emergency5)sweat6)competent7)atonetimeoranother8)relaxVII95/103A1)from2)examined3)nothing4)trouble5)Much

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