5
Unit 5: I like that!
Is it all about money?
Know more about different payment methods and motivation
Understand and practise fixed phrases and collocations on the topic of money
Introduction Various ways of payment and remuneration are presented in this lesson. In healthcare, workers may be paid in these ways for their services. The phenomenon of ‘piece rate’ as such doesn’t exist (it’s much more a business or retail concept), but it does in the form of P4P – pay for performance, where a professional gets paid extra for treating a patient in a particular way or with particular medication (something not all healthcare experts agree on, but it is a fact of medical life). Another specific healthcare- oriented method of pay is HPSA: Health Professional Shortage Area payment, paid only to those who go and work in areas where there are not enough healthcare professionals of a particular kind. These phenomena may go under different names in different countries.
A
1. Give students time to try to work out the missing items. Ask students to quickly skim the conversation. Elicit that the conversation is between two young people working in healthcare, who are at the start of their careers. Refer students to the advertisements for the words to use.
2. Play the recording for students to check. Feed back. 3. Select a few lines from the conversation for drilling and repetition. Then students practise in pairs. Students use the completed dialogue on page 207 and rehearse the dialogue.
Answers
1.–2. hourly pay salary fringe benefits commission piece rate bonus
Transcript 079
Jodi: Last year I worked in an old people’s home. Rob: Was it OK? Were you on hourly pay? Jodi: Working with the old people was great. But, no, I got a salary and it was very low. And no fringe benefits – no free meals or gym membership. What about you?
Rob:
I earned a lot of money in my last job! I was a medical equipment salesperson, and I got a high commission. The more I sold the better.
Jodi: Wow! That sounds really good! Lucky you! Jodi:
Rob:
I know! But it was a bit boring. Do you know my friend Navnit? He’s a GP. For every child he vaccinates, he gets extra money. It’s called P4P – pay for performance. It’s like a piece rate in a factory. I don’t like that.
Interesting. My American-Chinese friend, Liu, is a gynaecologist. She works in a rural area. There aren’t enough doctors. So she gets an HPSA bonus. HPSA means Health Professional Shortage Area.
Rob: It’s different all over the world, isn’t it? Jodi:
Yeah, but I don’t work in healthcare for the money …
Rob: Of course not. We’ve got a whole career ahead of us!
B
Students discuss the questions. Encourage students to talk about the advantages and disadvantages of each method. After a few minutes, elicit ideas.
Answers
1. Jodi: good = working with old people; bad = low salary/no fringe benefits
2. Rob: good = earned a lot of money/commission; bad = a bit boring
C
Focus students on the information in the advertisements at the top of the page. Students do mini-dialogues using that information, taking turns.
Answers (possible questions/answers)
1. What’s the annual pay for a GP? It’s £60,000 + P4P. 2. What’s the commission for a medical equipment salesperson? It’s 1% of sales.
3. What’s the annual salary for a surgeon? It’s £75,000. 4. What’s the bonus for a gynaecologist in rural area? It’s 10% of the annual salary.
5. What are the fringe benefits for a ward cleaner? They get a free uniform and free meals.
D
1. Students cover the conversation in the left column, and complete the sentences.
2. Then students can uncover the conversation and check. Elicit answers and go over any problem areas.
Answers a.
I earned a lot of money in my last job.
b. I got a high commission. c. He gets extra money for every child he vaccinates. d. There were no fringe benefits. e. I didn’t get a bonus. There were enough doctors in the area.
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