8 CLINICAL SETTING: PRIMARY CARE Exercise D


Set for individual work and pairwork checking. Make sure students understand that they should find a verb in column 2 with a similar meaning to one of the verbs in column 1.


Feed back with the whole class, discussing the extent to which the verbs are exact synonyms, and if not, identifying any differences in meaning.


Answers Model answers:


Verb


advise assess check detect


examine explain help


Noun advice


assessment check


detection


examination explanation help


manage management


reference/ referral


support


renewal support


Verb Noun


recommend recommendation evaluate verify find


look at outline assist


control


minimize minimization reduce refer


renew Exercise E


Sentences in this exercise need to be full paraphrases with different sentence structures as well as word-level synonyms.


This is an exercise in paraphrasing based on word and sentence-level techniques. As well as finding their own synonyms from memory and using the synonyms already discussed in Exercises C and D, students will use noun phrases in place of verb phrases as a technique in paraphrasing. Students should also make passive sentences wherever they can.


1 Set for individual work. Feed back with the whole class.


2 Set for individual work and pairwork checking.


3 Set for pairwork; pairs then check with other pairs. Alternatively, tell some students to write their answers on an OHT or other visual medium for discussion by the whole class.


Answers Model answers:


1 preventative role of primary care = helping patients avoid disease or disability


support role of primary care = detect disease at an early stage and refer patients to acute care for further tests or treatments


131 transfer update


evaluation verification finding –


outline


assistance control


reduction transfer


update sympathize sympathy


2 Possible synonyms (including synonyms from Exercises C and D):


A Preventative medicine A major preventative role of primary care is to (help) assist patients avoid (disease) illness or disability. It is, perhaps, even more (crucial) vital than its other role, (providing) offering treatment for patients who (suffer from) have these conditions already. A(n) (important) crucial aspect of this is the (vaccination) immunization services that the clinics provide.


B Support for acute care The (role) function of primary care is to (detect) identify disease at an early stage and to (refer) transfer patients to acute care for (further) additional tests or treatments. This means that the (damage) harm caused by a disease can be (minimized) reduced. It can also help with (monitoring) observing the progress of post- operative healing, so (complications) problems can be identified quickly.


3 Possible paraphrases:


A Preventative medicine Primary care has a major role in assisting patients to avoid illness or disability. It could probably be regarded as even more vital than its other role, offering treatment for patients who have these conditions already. The immunization services that the clinics provide are a crucial aspect of this.


B Support for Acute Care The function of primary care is to identify disease at an early stage and patients are transferred to acute care for additional tests or treatments. This means a reduction in the harm caused by a disease. Additionally, by observing the progress of post-operative healing, it can identify problems quickly.


Exercise F


Set for pair or small group discussion. Feed back with the whole class. Accept any reasonable suggestions.


Closure Ask students to work in pairs or small groups to discuss their experiences of attending their doctor in their own country. Are similar services to those outlined provided along with the GP, and are there any other services available?


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