Для решения причин неуспешности, а также для преодоления индивидуальных учебных проблем нами были изучены материалы исследований по технологии разноуровневого обучения.

Нам удалось выявить ряд преимуществ данной технологии:

· Каждый работает в своем темпе и в меру своих способностей;

· Все участники обучения вовлечены в процесс активно;

· Каждый добивается завершенности своих знаний и достигает успешности на своем уровне;

· Благодаря сотрудничеству и взаимодействию с другими участниками учебного процесса у каждого есть стремление достичь следующего уровня;

· Интенсивность занятий заметно возрастает.

Мы пришли к выводу, что организация разноуровневого обучения с учетом всех учебных потребностей взрослых является методической необходимостью. Поэтому мы разработали макет технологии разноуровневого обучения ИЯ, где раскрыли сущность понятия "разноуровневое обучение", исследовали условия и методики обеспечения разноуровневого обучения, разработали индивидуальные траектории обучения.

В практической части нашего исследования мы создали методическую разработку по организации занятий на основании разноуровневого подхода к обучению иностранному языку взрослой аудитории, куда вошли: планы аудиторной работы по теме "You are a doctor", анализ учебно-методического комплекса по английскому языку для работы со взрослой аудиторией, индивидуальные маршрутные листы, прогнозирование ожидаемых результатов обучающихся, а также карточки с заданиями для разноуровневой группы по данной теме, учитывающие индивидуальные учебные проблемы. Все созданные нами дополнительные материалы, представленные в приложении, отвечают задачам разноуровневого обучения и соответствуют принципам коммуникативно-когнитивного обучения взрослой аудитории. В наших практических материалах разработаны задания как для индивидуальной и самостоятельной работы, так и для работы в парах, малых группах и в общегрупповой речевой деятельности.

Таким образом, мы можем сказать, что разработанные нами материалы и предложенная организация занятий обеспечивает эффективность работы, повышает ее интенсивность и обеспечивает успешность каждого взрослого обучающегося.

Мы считаем, что с теоретической позиции наша гипотеза верна, но ее еще предстоит проверить на практике.

В заключение хочется сказать, что для реализации данной программы требуется очень большая подготовка преподавателя. Оплата труда преподавателя не учитывает контроль самостоятельной работы с помощью компьютерных средств, а также составление раздаточных материалов.

Опыт показывает, что, готовясь по учебнику, преподаватель тратит около получаса или меньше на планирование аудиторного занятия; разрабатывая или выискивая раздаточные и дополнительные материалы, преподаватель может тратить от часа до трех часов своего времени, иногда и больше. А если каждому обучающемуся дать свою серию упражнений? Составленные нами раздаточные материалы только к одному разделу составляют более 40 страниц, и это не предел. А в учебнике имеется от 10 до 30 разделов. Чем сложнее материал, тем больше требуется карточек по работе с пробелами в знаниях.

Очевидно, составление такого набора карточек для индивидуальной работы должно рассматриваться по временным затратам как написание учебного пособия, и соответственно оплачиваться. Пока же подобный способ организации занятий держится только на энтузиазме отдельных преподавателей, девиз которых - учить каждого, организуя взаимодействие всех со всеми.

Литература

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Приложение

A: Phonetics

Card Ph.1A

1. Work in pairs and pronounce the following sounds. Practice them by repeating the given words.

[u:] [?u] [??]

news routine juice lonely soul blow beer fear area

[a?] [?]

style buy crime doctor assertive temper

[?] [?] [?]

jazz judge original operation shy conscious hot dot spot

2. Read the following transcriptions using the coloured prompts over

[nju?'m?un??]

[?da??'r??]

[??nd?'?es?(?)n]

['k?n(t)??s]

[wu?nd]

3. Match these transcriptions with the given words

['k?n(t)??s] [nju?'m?un??] [wu?nd] [?da??'r??] [??nd?'?es?(?)n]

diarrhea pneumonia indigestion conscious wound

Card Ph.2A

1. Work in pairs. Pronounce the given sounds and drill them

a) [ж]b) [?u]c) [?]d) [?]

a) A fжt cжt is always glжd to scrжtch а vжndal's bжck.

b) B?uth friends of mine have sore thr?ut, they have to stay at h?ume.

c) If you are ?ealous you can't be ?enerous - ?ealousy is an ori?inal sin.

d) They want to give me an injec?on before the opera?on, I feel so an?ous to lose my con?ousness, so I'm ?ocked.

2. Read the following words correctly

Back, allergy, rash, asthma, bandage, antibiotic

Throat, nose, swallow, injection, surgeon, infection, operation, unconscious

3. Write the words from the previous task in the correct column

[ж]	[?u]	[?]	[?]

Card Ph.3A

1. Work in pairs. Study these examples and try to remember what combination of letters give the following sounds

[f]	[k]
- flower	- key
- phone	- ache
- cough	- neck
- traffic	- chemist
- elephant	- calm
- tough	- queue

2. Work in pairs. Fill in the gaps with a correct sound or letters. Transcribe them, then check your answers with the partner's

St.1	St.2
Heada [..]e (ch) Cou [..](gh) Ba [..](ck) [..]old (c) Inje [..]tion (c) O [..]thalmologist (ph)	Heada(..)e [k] Cou(..) [f] Ba(..)…………………. [k] (..)old [k] Inje(..)tion……………. [k] O(..)thalmologist [f]

Card Ph.1B

1. Work in pairs and pronounce the following sounds. Practice them by repeating the given words.

[u:] [?u] [??]

news routine juice lonely soul blow beer fear area

[a?] [?]

style buy crime doctor assertive temper

[?] [?] [?]

jazz judge original operation shy conscious hot dot spot

2. Read the following transcriptions using the coloured prompts over

[nju?'m?un??]

[?da??'r??]

[??nd?'?es?(?)n]

['k?n(t)??s]

3. Work in pairs. Fill in the gaps with a correct sound or letters. Transcribe them, then check your answers with the partner's

St.1	St.2
fl [..](u) [..]rache (ea) d [..]rection (i) str [..]ke (o) Injec [..]on (ti) Banda [..](ge) V [..]mit…………………...(o)	Fl [u:](..) [??]ache (..) d [a?]rection… ….. (..) str [?u]ke (..) Injec [?]on……….. (..) Banda [?]…… …..(..) V [?]mit (..)

Card Ph.2B

1. Work in pairs. Pronounce the given sounds and drill them

a) [и]b) [р]c) [?]d) [?]

a) Boи friends of mine are healиy-that's true. They have no problems with teeи

b) Alрough рe weaрer is fine, I'd raрer consult wiр рe doctor wheрer I can go out tonight.

c) If you are ?ealous you can't be ?enerous - ?ealousy is an ori?inal sin.

d) They want to give me an injec?on before the opera?on, I feel so an?ous to lose my con?ousness, so I'm ?ocked.

2. Work in pairs. Read the following words correctly

Healthy, teeth, asthma, therapist, ophthalmologist, breathe, sore throat, injection, unconscious, operation, blood pressure, rash, specialist

3. Find phonetic mistakes in the following words

['bжnd??], [?n'?ekt?(?)n], [?n'fek?(?)n], [?n'k?n(t)??s]

4. Write the words from the previous task in the correct column

[и]	[р]	[?]	[?]

Card Ph.3B

1. Work in pairs. Study these examples and try to remember what combination of letters give the following sounds

[f]	[k]
- flower	- key
- phone	- ache
- cough	- neck
- traffic	- chemist
- elephant	- calm
- tough	- queue

2. Work in pairs. Fill in the gaps with a correct sound or letters. Transcribe them, then check your answers with the partner's

St.1	St.2
Heada [..]e (ch), Cou [..](gh), Ba [..](ck) [..]old (c), Inje [..]tion (c) O [..]thalmologist (ph)	Heada(..)e [k], Cou(..) [f], Ba(..)…………………. [k] (..)old [k], Inje(..)tion……………. [k] O(..)thalmologist [f]

3. Think up your own examples of words with these sounds. Put them down

[f]	[k]

Card Ph.1C

1. Read these transcriptions

a) [bru?z]

b) ['pre??]

c) [?n'?ek?(?)n]

d) [??nd?'?es?(?)n]

e) [?n'k?n(t)??s]

f) [nju?'m?un??]

g) [?da??'r??]

h) ['s???(?)n]

i) ['иer?p?st]

j) ['s?mpt?m]

2. Write down the words using the following transcriptions

a) [nju?'m?un??]	_________________
b) [?da??'r??]	_________________
c) [??nd?'?es?(?)n]	_________________
d) ['k?n(t)??s]	_________________
e) ['s?mpt?m]	_________________
f) ['sw?l?u]	_________________
g) [?n'?ek?(?)n]	_________________
h) ['s???(?)n]	_________________
i) ['иer?p?st]	_________________
j) [?'p??ntm?nt]	_________________

3. Work in pairs. Fill in the gaps

St.1	St.2
Pn [..]monia (eu) Pre [..]ure (ss) In [..]ection (j) B [..]ndage (a) D [..]rrhea (ia) App [..]intment (o) Indi [..]estion (g)	Pn [ju?]monia (.) Pre [??](.) In [?]ection (.) B [ж]ndage (.) D [a??]rrhea (.) App [?]intment (.) Indi [?]estion. (.)

Card Ph.2C

1. Work in pairs. Pronounce the given sounds and drill them

a) [и]b) [р]c) [?]d) [?]

a) Boи friends of mine are healиy-that's true. They have no problems with teeи

b) Alрough рe weaрer is fine, I'd raрer consult wiр рe doctor wheрer I can go out tonight.

c) If you are ?ealous you can't be ?enerous - ?ealousy is an ori?inal sin.

d) They want to give me an injec?on before the opera?on, I feel so an?ous to lose my con?ousness, so I'm ?ocked

2. Work in pairs. Ask your partner to pronounce any word with one of these sounds. Write down the transcription of this word after him/her, then change your roles and check results.

3. Make one or two tongue twisters using words from the previous card. Remember to employ the following sounds:

[и]- [р] [?]- [?] [?u]- [?]

B: Lexis

Card Lex.1A

Match the following symptoms and pictures

A person has/has got…

1. a fever 2. a cough 3. an indigestion 4. a head/stomach/ear/backache 5. a constipation 6. a diarrhea 7. a rash 8. a bliste	9. a pain (in one's chest) 10. a sore throat 11. He's being sick/vomiting 12. She's sneezing a lot 13. His finger is bleeding 14. His ankle is swollen 15. Her back hurts 16. To keep to a diet

Card Lex.2A

Match the sentences.

1. He's unconscious 2. She has a sore throat 3. has diarrhea 4. She feels sick 5. He fainted 6. She feels dizzy	A It hurts when she talks or swallows food B He's breathing but his eyes are closed and he can't hear or feel anything C She wants to vomit D It was so stifling in the bus that he lost consciousness E She feels as if everything is spinning around F He's been to the toilet six times this morning

Find the correct part of word combinations and fill in the gaps

sore keep off sick laid wrong directions keep to

see X-rayed breathe leave attack breath examine

nervous run an appointment test made up take

1. Have you seen Mike recently?

- No. He is___ up with flu.

2. I have something___ with the lungs. I'm constantly coughing! - You should consult a doctor and have your lungs___.

3. She has a___ throat. It hurts when she talks.

4. If you feel___, you'd better___ a doctor.

5. You're right. I'd rather go and make___ with a doctor.

6. If I take a long walk, I struggle for___.

7. Let me ___ you. Open your mouth and show me your tongue. Now ___ in deeply, through the nose. Ok, now I'm going to___ your blood pressure.

8. There doesn't seem to be radically wrong with you, but it's quite clear that you're____ down. If you don't stop worrying you're sure to have a ___ breakdown.

9. Everything you need is just to follow the doctor's ___.

10. First of all, ____ alcohol,____ a diet of salads and fruit, have this tonic___ and___ two tablespoonfuls three times a day before meals.

What happened to you? Why are you so unhappy? - I've been on sick___ for seven months with depression, after having a heart___.

Card Lex.2B

Match the diseases/conditions with their causes or symptoms. Discuss with the partner

1. He has flu 2. She's caught a cold 3. She's allergic to dogs 4. She has asthma 5. He has high/low blood pressure 6. He's had a stroke 7. He's had a heart attack 8. She has food poisoning 9. He's twisted his ankle 10. He's burnt himself 11. She has a bruise on her toe 12. They have insomnia 13. He has a scarlet fever	A She has difficulty breathing B They can't fall asleep C It's 160 over 100 D He was overweight, a smoker, and very highly stressed E She ate yoghurt that wasn't fresh F This is an infectious disease characterized by the red rash G He's sneezing a lot and has a cough H She stumbled over a threshold and now there's a blue mark I She starts sneezing as soon as she is near a dog J He's got a fever and his body hurts K He touched the iron, it was on.

Find the correct part of word combinations and fill in the gaps

St.1	St.2
Have you seen Mike recently? -No. He is laid (in/up/down)___ with flu.	Have you seen Mike recently? -No. He is (layed/laid/laded)___ up with flu.
I have something wrong (on/of/with/in)___ the lungs. I'm constantly coughing! - You should consult a doctor and have your lungs X(raid/rayed/reign)_	I have something___ with the lungs. I'm constantly coughing! - You should consult a doctor and have your lungs(Y/X/Я)___rayed.
You're right. I'd rather go and make an appointment (for/of/with)___ a doctor.	You're right. I'd rather go and make an (atonement/appointment/attainment)___with a doctor
If I take a long walk, I struggle (of/on/for) breath.	If I take a long walk, I (quarrel/struggle/gargle) for breath.
Open your mouth and show me your tongue. Breathe (on/up/in/down)___deeply, through the nose. Ok, now let me test your blood (treasure/pressure/moisture)	Open your mouth and show me your tongue. (breed/breath/breathe)___ in deeply, through the nose. Ok, now let me test your (head/blood/absolute)__ pressure.
There doesn't seem to be radically wrong with you, but it's quite clear that you're run (off/out/down)___. If you don't stop worrying you're sure to have a nervous break(up/down/on).	There doesn't seem to be radically wrong with you, but it's quite clear that you're (run/gone/worked)___ down. If you don't stop worrying you're sure to have a nervous (break/crack/track)___ down
First of all, keep (on/off/up)___alcohol, keep(on/to/at)___ a diet of salads and fruit, have this tonic made(down/up/off)___ and take two tablespoonfuls three times a day before meals.	First of all, (keep/take/make)___ off alcohol, (take/make/keep)___ to a diet of salads and fruit, have this tonic(prepared/made/done)___ up and take two tablespoonfuls three times a day before meals
What happened to you? Why are you so unhappy? - I've been on sick (leaf/leave/blank)___ for seven months with depression, after having a heart(kick/stroke/attack)___.	What happened to you? Why are you so unhappy? - I've been (at/on/in)___ sick leave for seven months with depression, after having a (heart/hard/mind)___ attack

Card Lex.1C

Go to the doctor's. She may tell you to…

· take some___ e.g. antibiotics.

· stay at home and___.

· go to hospital to see a___.

· to___one's throat, e.g. to wash one's mouth and throad with a special liquid

· to have a___made up and take two___three times a day before meals

· to keep to a___of salads and fuit

· to take___.

Go to hospital/to A&E (Accident and Emergency). You may have to…

8. have an___or scan to see if anything is broken

9. have___if you have a deep cut

10. have an___, when a drug is put into your body through a needle

11. have a___put on to keep the wound clean

12. have an___, when part of your body is cut open to remove or repair a damaged part.

Fill in the gaps

1. Have you seen Mike recently?

- No. He is___ up with flu.

2. I have something___ with the lungs. I'm constantly coughing! - You should consult a doctor and have your lungs___.

3. She has a___ throat. It hurts when she talks.

4. If you feel___, you'd better___ a doctor.

5. You're right. I'd rather go and make___ with a doctor.

6. If I take a long walk, I struggle for___.

7. Let me ___ you. Open your mouth and show me your tongue. Now ___ in deeply, through the nose. Ok, now I'm going to___ your blood pressure.

8. There doesn't seem to be radically wrong with you, but it's quite clear that you're____ down. If you don't stop worrying you're sure to have a ___ breakdown.

9. Everything you need is just to follow the doctor's ___.

10. First of all, ____ alcohol,____ a diet of salads and fruit, have this tonic___ and___ two tablespoonfuls three times a day before meals.

11. What happened to you? Why are you so unhappy? - I've been on sick___ for seven months with depression, after having a heart_

Card Lex.2C

Work in pairs. Make up ten sentences (5 in russian, 5 in english), using the phrases listed below. Exchange with your partner and translate

· to have a sore throat/to sneeze and cough constantly/to have a headache/to have a fever/to see a doctor/to take medicines/to feel better

· to have smth. wrong with one's lungs/heart/ to struggle for breathe/to be run down/to make an appointment with a doctor/to follow the doctor's directions/to keep fit/to keep off alcohol/to give up smoking/to keep to a diet/to take medicines/ to have one's blood pressure tested/to recover

· to have pneumonia/to cough constantly/to have a fever/to see a doctor/there's nothing to worry about/to have a prescription made up/to have a mixture made up/ to take two tablespoonfuls three times a day before meals.

C: Grammar

Card Gr.1A

Read the sentences. Decide what conditions these sentences belong to. Choose and write down

· If you eat too much ice-cream when it's hot outside you're sure to become ill ______________

· If I get better I'll go for a walk _____________

· If there weren't anything radically wrong with me I wouldn't keep to a diet _______________

· If your friend had taken medicines yesterday he wouldn't have had complications ______________

· He would have participated in the conference if he hadn't fallen ill_______

· If she hadn't left the knife on the table the child wouldn't have cut his finger__________

· If I didn't have a headache I could go to the party tonight___________

· If you were more self-disciplined you would have followed the doctor's directions____________

· If you had taken the pills yesterday, you wouldn't be coughing now______

· If you don't keep your feet warm, you will catch a bad cold_________

Fill in the gaps

· If you____(make) an appointment with the doctor yesterday, you____(feel) better

· Don't worry, the child ____(to be) cheerful if he____(to be) seriously ill.

· If I___(to be) you, I____(test) my blood pressure

· If you ____(to be) so absent-minded, you____(forget) to gargle the throat.

· If Mike____ (become) conscious you____(have) a chance to talk.

· If Ann____(eat) more fruit and vegetables, she____(have) a constipation.

· If Mike ____(to be operated) yesterday, he____(die) of bleeding.

· If she____(to have one's lungs X-rayed), she____(know) it was a cancer.

· If you____(follow) my directions, you___(recover) soon.

· If you____(drink) hot milk with honey yesterday, you____(cough) now.

Card Gr.1B

Read the sentences. Decide what conditions these sentences belong to. Choose and write down

· If you eat too much ice-cream when it's hot outside you're sure to become ill ______________

· If I get better I'll go for a walk _____________

· If there weren't anything radically wrong with me I wouldn't keep to a diet _______________

· If your friend had taken medicines yesterday he wouldn't have had complications ______________

· He would have participated in the conference if he hadn't fallen ill_______

· If she hadn't left the knife on the table the child wouldn't have cut his finger__________

· If I didn't have a headache I could go to the party tonight___________

· If you were more self-disciplined you would have followed the doctor's directions____________

· If you had taken the pills yesterday, you wouldn't be coughing now______

· If you don't keep your feet warm, you will catch a bad cold_________

Fill in the gaps

· If you____(make) an appointment with the doctor yesterday, you____(feel) better

· Don't worry, the child ____(to be) cheerful if he____(to be) seriously ill

· If I___(to be) you, I____(test) my blood pressure

· If you ____(to be) so absent-minded, you____(forget) to gargle the throat

· If Mike____ (become) conscious you____(have) a chance to talk

· If Ann____(eat) more fruit and vegetables, she____(have) a constipation

· If Mike ____(to be operated) yesterday, he____(die) of bleeding

· If she____(to have one's lungs X-rayed), she____(know) it was a cancer

· If you____(follow) my directions, you___(recover) soon

· If you____(drink) hot milk with honey yesterday, you____(cough) now

Paraphrase the sentences to make them hypothetic

Example: I have a fever. I can't help you about the house

(If I didn't have a fever, I could help you about the house)

· You eat too much ice-cream. You're sure to become ill.

· Consult the doctor and he will write out a sick leave for you.

· If you don't give up smoking, you will die of cancer

· There's something radically wrong with me. I need to keep to a diet

· I have to take this tonic twice a day before meals. I can't stop coughing

· You will catch a bad cold if you don't keep yourself warm

· If you don't keep off alcohol, you will have a lot of diseases

Card Gr.2A,B

Use `But for' and `If I were you' to complete the sentences (for gr.B only)

· ____I wouldn't attend fitness classes

· ____I wouldn't have eaten junk food when a child

· ____he would never consult the doctor

· ____I would keep fit

· ____she wouldn't have a bad headache

· ____interference, things should have looked very black indeed

· ____I would have gone to see a doctor

Work together. Fill in the gaps. St.A should choose the correct form or the verbs. St.B should complete the sentences. Check your results with your partners'

St.A	St.B
If she___the doc's advice, all will be fine with her.	If she follows the doc's advice,_____.
If you___so much in your childhood, you wouldn't be so fat now	If you hadn't eaten so much in your childhood,____.
If he___so stupid, he would call for an ambulance	If he weren't so stupid,_____.
But for his wife, he___hospitalised yesterday	___his wife, he wouldn't have been hospitalized yesterday
If I were you, I___have my chest X-rayed	___you, I'd have my chest X-rayed
If you___hot milk yesterday, you___(cough) now	You wouldn't be coughing now if you____yesterday.

Keep on working together. Make questions and answers, give advice using active vocabulary and 2 types of Cond.(real/unreal)

What would you do if… (your best friend has a bad cold or flu/you have a fever/you feel sick/ you have a sore throat/you feel dizzy/you friend has lost his consciousness)

If I were you, I would…

But for…

Card Gr.1C

Read the sentences. Decide what conditions these sentences belong to. Choose and write down

· If you eat too much ice-cream when it's hot outside you're sure to become ill _______

· If I get better I'll go for a walk _____________

· If there weren't anything radically wrong with me I wouldn't keep to a diet _______

· If your friend had taken medicines yesterday he wouldn't have had complications ______________

· He would have participated in the conference if he hadn't fallen ill_______

· If she hadn't left the knife on the table the child wouldn't have cut his finger __________

· If I didn't have a headache I could go to the party tonight___________

· If you were more self-disciplined you would have followed the doctor's directions ____________

· If you had taken the pills yesterday, you wouldn't be coughing now__________

· If you don't keep your feet warm, you will catch a bad cold_________

Fill in the gaps and complete the sentences

· If you____ an appointment with the doctor yesterday, you____ better

· Don't worry, the child ____ cheerful if he____ seriously ill

· If I___ you, I____ my blood pressure

· If you ____ so absent-minded, you____ to gargle the throat

· If Mike____ conscious you____ a chance to talk

· If Ann____ more fruit and vegetables, she____ a constipation

· If Mike ____ yesterday, he____ of bleeding

· If she____, she____ it was a cancer

· If you____ my directions, you___soon

· If you____ hot milk with honey yesterday, you____ now

Paraphrase the sentences to make them hypothetic

Example: I have a fever. I can't help you about the house

(If I didn't have a fever, I could help you about the house)

· You eat too much ice-cream. You're sure to become ill.

· Consult the doctor and he will write out a sick leave for you.

· If you don't give up smoking, you will die of cancer

· There's something radically wrong with me. I need to keep to a diet

· I have to take this tonic twice a day before meals. I can't stop coughing

· You will catch a bad cold if you don't keep yourself warm

· If you don't keep off alcohol, you will have a lot of diseases

Card Gr.2C

Make Conditional sentences for each of the following situations.

Example: I felt sick. I went to bed early.

(If I hadn't felt sick, I wouldn't have gone to bed early)

· I had a fever. I didn't go to the party

· I was ill. I didn't participate in the conference

· He didn't follow the doctor's advice. He is still ill

· She didn't think the nurse would come. She threw the pills out

· It was too stifling in the bus. The young woman lost her consciousness

· The doctor wrote out a sick leave for me. I didn't go to school

What would you do if…

(your mother has a high blood pressure/you have insomnia/your sister has a bruise on her toe/you're highly stressed/ you have a diarrhea/a strong headache)

Remember to give a full answer, using all types of Cond.s-ces

Make short stories using constructions `But for', 'If I were you', all types of Cond. S-ces and the following situations

· To have a sore throat/to sneeze and cough constantly/to have a headache/to have a fever/to see a doctor/to take medicines/to feel better

· To have smth. wrong with one's lungs/heart/ to struggle for breathe/to be run down/to make an appointment with a doctor/to follow the doctor's directions/to keep fit/to keep off alcohol/to give up smoking/to keep to a diet/to take medicines/ to have one's blood pressure tested/to recover

· To have pneumonia/to cough constantly/to have a fever/to see a doctor/there's nothing to worry about/to have a prescription made up/to have a mixture made up/ to take two tablespoonfuls three times a day before meals.

D: Reading

Card R.1(A)

Read the text. Think about the message of this extract. Discuss in pairs.

" A Visit To The Doctor"

- Well, what's the matter with you, Mr. Walker?

- You'd better ask me what is not the matter with me, doctor. I seem to be laid up with all the illnesses imaginable: insomnia, headaches, backache, indigestion, constipation, and pains in the stomach. To make things still worse, I've caught a cold, I've got a sore throat and I'm constantly sneezing and coughing. To crown it all, I had an accident the other day, hurt my right shoulder, leg and knee, and nearly broke my neck. If I take a long walk, I struggle for breathe. In fact, I feel more dead than alive.

-I'm sorry to hear that. Anyhow, I hope things aren't as bad as you imagine. Let me examine you. Your heart, chest and lungs seem to be all right. Now open your mouth and show me your tongue. Now breath in deeply, through the nose…There's doesn't seem to be anything radically wrong with you, but it's quite clear that you're run down, and if you don't take care of yourself, you may have a nervous breakdown and have to go to hospital. Everything that you need is just to follow my directions. First of all, stop worrying. Take a long rest, I'll write out a sick leave for you. Have regular meals, keep to a diet of salads and fruit, and very little meat. Keep off alcohol. If possible, give up smoking, at least for a time. Have this tonic made up and take two tablespoonfuls three times a day before meals and don't forget to test your blood pressure. If you do this, I can promise you full recovery within two or three months.

Match the highlighted word combinations with the correct definitions

1. To stay in bed because of a disease.

2. A common infection.

3. When your throat is red and it hurts when you talk or swallow food.

4. To make a sudden expulsion of air from the nose and mouth due to irritation of one's nostrils.

5. To expel air from the lungs with a sudden sharp sound.

6. To catch a breath convulsively.

7. To observe a patient.

8. To make a deep breath.

9. When smth. is incorrect.

10. Exhausted.

11. a period of mental illness resulting from severe depression, stress, or anxiety.

12. to do everything you were told to do.

13. leave of absence granted because of illness.

14. to eat healthy.

15. to give up drinking alcohol.

16. to prepare medicines.

17. to measure your blood pressure.

Card R.2(A)

Think if these statements are true/false. Choose and tick

· Mr. Walker believed he had a lot of diseases___T/F_

· Mr. Walker complained about hurting his left shoulder___T/F__

· Mr. Walker caught a cold and his nose was running___T/F__

· The doctor didn't want to examine him___T/F__

· The doctor didn't find any fatal disease___T/F_

· Mr. Walker had a high risk of having a nervous breakdown___T/F__

· The doctor wasn't mind if the patient would keep on smoking__T/F__

· The doctor prescribed to have tonic 3 times a day after meals__T/F___

Read the text once again. Write down your notes. Discuss with the partner.

Symptoms	Exam. procedure	Treatment

You are going to read these extracts. Work in pairs. Student 1 reads the 1^st extract, student 2 - the 2^nd. Take turns to tell each other each other the main idea of your texts

"The Health Service"

The level of medical service both in GB and the US is very high. Every employed citizen is obliged to pay weekly a certain amount of money to the National Health Service. The sum necessary to run medical services is very big and a large part of it comes not from weekly forms payment but from taxes Various forms of Medical Insurance are widespread in these countries.

Everything is paid. For example, in US if you turn to a city hospital, you should pay at least $50. Separately you will pay for a consultation, minimum $50-60 for a visit. A medicine will cost you another minimum $15-20. You should take a prescription for purchase of many drugs in American drugstores.

However you can take medical service free of charge in medical institutions attached to different charity and religious organizations. Thus, the National Health Servise (NHS),UK, provides free medical treatment for visitors from EU and Commonwealth countries and to visitors from other countries with reciprocal health arrangements An NHS prescription costs Ј5.25 at present.

Card R.3(A)

"Your Doctor and the Pills You Do not Need"

Britain hypochondriacs are increasing so rapidly that Health Servise prescriptions are rising by huge amount a year and 4,000 million aspirin tablets are being bought over the chemist's countries.

To find out the solution to the above problem, the case record of more than 500 hypochondriacs attending different hospitals have been studied. The commonest symptom of the hypochondriac is not fear of pain, but genuine pain itself, which can be just as unpleasant whether imaginary or touched off by organic disoder

Doctors conclude in this report that though those persons are real enough there's no such disease as hypochondria. Contrary to previous belief, compulsive pill swallowing turned out to be as common among men as with women.

Many hypochondriacs don't want to be deprived of their obsession They know they will miss the sympathy of the doctors, the pleasure of trying out new pill, and the fascination of taking about their fears and ilnesses.

The risk of adverse reactions of any drug was always present but in the past much had been left to chance in the hope that such effects would be reported by people who took the preparation.

There's also a good deal of trouble from injudicious and sometimes excessive prescribing. This includes the taking of drugs prescribed for somebody else. Besides many patients, particularly people overseas, were using drugs many years after they had been made.

After listening your partner's brief summary of his/her extract, make 5 questions to each text and share them with the rest of your subgroup to answer.

Card R.1(B)

Read the text. Answer the following questions

· Describe the way the doc examined Mr. Walker

· What Mr. Walker was suffering from?

· What directions the doc gave him?

"A Visit To The Doctor"

- Well, what's the matter with you, Mr. Walker?

- You'd better ask me what is not the matter with me, doctor. I seem to be laid up with all the illnesses imaginable: insomnia, headaches, backache, indigestion, constipation, and pains in the stomach. To make things still worse, I've caught a cold, I've got a sore throat and I'm constantly sneezing and coughing. To crown it all, I had an accident the other day, hurt my right shoulder, leg and knee, and nearly broke my neck. If I take a long walk, I struggle for breathe. In fact, I feel more dead than alive.

-I'm sorry to hear that. Anyhow, I hope things aren't as bad as you imagine. Let me examine you. Your heart, chest and lungs seem to be all right. Now open your mouth and show me your tongue. Now breath in deeply, through the nose…There's doesn't seem to be anything radically wrong with you, but it's quite clear that you're run down, and if you don't take care of yourself, you may have a nervous breakdown and have to go to hospital. Everything that you need is just to follow my directions. First of all, stop worrying. Take a long rest, I'll write out a sick leave for you. Have regular meals, keep to a diet of salads and fruit, and very little meat. Keep off alcohol. If possible, give up smoking, at least for a time. Have this tonic made up and take two tablespoonfuls three times a day before meals and don't forget to test your blood pressure. If you do this, I can promise you full recovery within two or three months.

Fill in the table

Symptoms	Doc's directions	What would you do…

Use the highlighted word combinations to make your own sentences. Remember to use all types of Conditions, "But for", "If I were you"

Card R.2(B)

You are going to read these extracts. Work in pairs. Student 1 reads the 1^st extract, student 2 - the 2^nd. Take turns to tell each other each other the main idea of your texts

"The Health Service"

The level of medical service both in GB and the US is very high. Every employed citizen is obliged to pay weekly a certain amount of money to the National Health Service. The sum necessary to run medical services is very big and a large part of it comes not from weekly forms payment but from taxes Various forms of Medical Insurance are widespread in these countries.

Everything is paid. For example, in US if you turn to a city hospital, you should pay at least $50. Separately you will pay for a consultation, minimum $50-60 for a visit. A medicine will cost you another minimum $15-20. You should take a prescription for purchase of many drugs in American drugstores.

However you can take medical service free of charge in medical institutions attached to different charity and religious organizations. Thus, the National Health Service (NHS),UK, provides free medical treatment for visitors from EU and Commonwealth countries and to visitors from other countries with reciprocal health arrangements An NHS prescription costs Ј5.25 at present

"Your Doctor and the Pills You Do not Need"

Britain hypochondriacs are increasing so rapidly that Health Service prescriptions are rising by huge amount a year and 4,000 million aspirin tablets are being bought over the chemist's countries.

To find out the solution to the above problem, the case record of more than 500 hypochondriacs attending different hospitals have been studied. The commonest symptom of the hypochondriac is not fear of pain, but genuine pain itself, which can be just as unpleasant whether imaginary or touched off by organic disorder.

Doctors conclude in this report that though those persons are real enough there's no such disease as hypochondria. Contrary to previous belief, compulsive pill swallowing turned out to be as common among men as with women.

Many hypochondriacs don't want to be deprived of their obsession They know they will miss the sympathy of the doctors, the pleasure of trying out new pill, and the fascination of taking about their fears and illnesses.

The risk of adverse reactions of any drug was always present but in the past much had been left to chance in the hope that such effects would be reported by people who took the preparation.

There's also a good deal of trouble from injudicious and sometimes excessive prescribing. This includes the taking of drugs prescribed for somebody else. Besides many patients, particularly people overseas, were using drugs many years after they had been made.

Answer the following questions:

· Where does the money on Health Service come from?

· How much is a simple visit to a doctor?

· What names of illnesses do you know?

· What is hypochondria?

· What is the danger of taking pills you don't need?

Explain the meaning of the highlighted words

Card R.1(C)

Read the text. Do tasks below

"A Visit To The Doctor"

-Well, what's the matter with you, Mr. Walker?

- You'd better ask me what is not the matter with me, doctor. I seem to be laid up with all the illnesses imaginable: insomnia, headaches, backache, indigestion, constipation, and pains in the stomach. To make things still worse, I've caught a cold, I've got a sore throat and I'm constantly sneezing and coughing. To crown it all, I had an accident the other day, hurt my right shoulder, leg and knee, and nearly broke my neck. If I take a long walk, I struggle for breathe. In fact, I feel more dead than alive.

-I'm sorry to hear that. Anyhow, I hope things aren't as bad as you imagine. Let me examine you. Your heart, chest and lungs seem to be all right. Now open your mouth and show me your tongue. Now breath in deeply, through the nose…There's doesn't seem to be anything radically wrong with you, but it's quite clear that you're run down, and if you don't take care of yourself, you may have a nervous breakdown and have to go to hospital. Everything that you need is just to follow my directions. First of all, stop worrying. Take a long rest, I'll write out a sick leave for you. Have regular meals, keep to a diet of salads and fruit, and very little meat. Keep off alcohol. If possible, give up smoking, at least for a time. Have this tonic made up and take two tablespoonfuls three times a day before meals and don't forget to test your blood pressure. If you do this, I can promise you full recovery within two or three months.

Choose the correct answer

When Mr. Walker came to see the doctor he was:

A-anxious and bewildered

B-happy and excited

C-indifferent. It was just a common visit

The patient…

A-was drawing things too black

B-was describing the real symptoms he had

C-was lying to get a benefit from the situation

The doctor believed Mr. Walker health problem was connected with:

A-the high level of blood pressure

B-abuse of smoking and drinking alcohol

C-a terrible stress

To be run down means:

A-fatigued and completely exhausted

B-full of energy

C-depressive and sad

Work in pairs. Use the highlighted word combinations to write Conditional sentences

Card R.2(C)

You are going to read these extracts. Work in pairs. Student 1 reads the 1^st extract, student 2 - the 2^nd. Take turns to tell each other each other the main idea of your texts. Find the synonyms for the highlighted words

"The Health Service"

The level of medical service both in GB and the US is very high. Every employed citizen is obliged to pay weekly a certain amount of money to the National Health Service. The sum necessary to run medical services is very big and a large part of it comes not from weekly forms payment but from taxes Various forms of Medical Insurance are widespread in these countries.

Everything is paid. For example, in US if you turn to a city hospital, you should pay at least $50. Separately you will pay for a consultation, minimum $50-60 for a visit. A medicine will cost you another minimum $15-20. You should take a prescription for purchase of many drugs in American drugstores.

However you can take medical service free of charge in medical institutions attached to different charity and religious organizations. Thus, the National Health Service (NHS),UK, provides free medical treatment for visitors from EU and Commonwealth countries and to visitors from other countries with reciprocal health arrangements An NHS prescription costs Ј5.25 at present