Урок английского языка в 11-м классе по теме: "Do You Have to Pay for Medical Care?"

Учебник В. П. Кузовлев “English 10-11”, Unit 5. Урок рассчитан на 2 часа.

Цели урока:

Образовательные задачи:

1. Формирование грамматических навыков чтения и говорения.
2. Развитие умения аудировать с общим охватом содержания, с целью извлечения конкретной информации.
3. Умение отличать факты от мнений, развитие умения говорить на основе прочитанного, оценивать себя в различных видах речевой деятельности.

Развивающие задачи:

1. Формирование способности к сравнению и сопоставлению речевых единиц.
2. Формулирование выводов из прочитанного.
3. Планирование своего высказывания, способность к оценке фактов.

Воспитательные задачи:

1. Воспитание интереса к фактам культуры стран изучаемого языка.
2. Воспитание правового сознания, формирование потребности понимать чужие точки зрения на социальные и гуманитарные проблемы.

Оборудование: а/магнитофон, а/кассета с записью, классная доска, учебники и учебные пособия “Across Cultures” издательства “Longman”.

ХОД УРОКА

1. Организационный момент.

Good morning boys and girls! Today our lesson is devoted to the Medical Care in English-speaking countries and in Russia. We are going to talk about some facts and opinions about the system of health care and medical insurance in Great Britain and in the USA. I hope you will learn many interesting facts at the lesson.

2. Чтение статьи “Overworked and underpaid” с целью развития языковой догадки и выполнение лексических заданий.

Now let’s read the article in more detail about the National Health Service in Britain and do some exercises.

Britain’s National Service (the NHS) is funded by the government, and is the biggest employer in Europe, with 1.2 million employees. But nursing recruitment in the UK is at its worst level for 25 years, and 40% of new nurses come from overseas, often from South East Asia. In 2001, the Royal College of Nursing published the results of a survey of its members. These are some of the key results.

Most nurses work both day and night shifts.

Three fifths of NHS nurses an average 6.5 hours overtime per week.

One third do this for no extra pay.

90% think that they are poorly paid.

A quarter have a second job to supplement their salary.

The biggest age group is 35-44. Only 1 in 8 nurses is under 30.

31% would leave nursing if they could.

3. Найдите правильное значение слов.

Find words that mean:

• Someone who gives someone a job. (employer)
• People who do a job for someone else. (employees)
• Bringing new people into a profession. (recruitment)
• Blocks of time that you work. (shifts)
• Extra work outside of your normal hours. (overtime)
• The money that you earn from your job. (salary)

4. Беседа по содержанию текста, направленная на развитие разговорных навыков.

Find the right statistics from the text:

• How many people work for Britain’s NHS?
• What percentage of new nurses are from outside the UK?
• What is the average length of nurses’ overtime per week?
• What percentage of nurses think that they are well-paid?
• What percentage of nurses have another job?
• What age are 7/8 of nurses?

5. Практика учащихся в аудировании короткого текста и беседа по прослушанному.

Listen to Jenny, a seniour nurse, talking about her typical working day in hospital and answer the questions.

a) First, match the words with their definitions:

1. ward	a. a senior, specialist doctor
2. admission	b. a hospital department for seriously ill people
3. patient	c. papers showing someone’s medical history
4. intensive care	d. a room full of beds in a hospital
5. records	e. someone who is being looked after in hospital
6. consultant	f. someone who has just entered hospital

b) Students read the questions before listening.

1. What type of ward does she work on?
2. How is the shift system organized?
3. How many beds do they have?
4. What time do the doctors see the patients on the ward?
5. What does she do in the afternoons?
6. What is the last thing she does before going home?

c) Tapescript. Listen to the cassette recorder.

Well, my name’s Jenny Write, I’m a registered nurse and I work at the princess Margaret Hospital in Swindon. I manage one of the children’s wards there.

I’m responsible for the other seven nurses and for organizing their shifts. The nurses do shifts on a rotational basis. That means that they work five weeks of day shifts and then one week of night shifts. There are a couple of hours each day where the shifts change over.

Every morning I go round the ward to check the new admissions and talk to the staff and patients. We have 22 ordinary beds and 10 intensive care beds. I try to check all the patients’ records before the consultants come round, which is usually at about 10 o’clock. In the afternoons, I do paperwork and have meeting with nurses or doctors. The last thing I do before I go home is to check that there are beds free for any emergency admissions in the night.

6. Ролевая игра. Roleplay. In pairs students roleplay the following conversation:

Student A: You are a nurse in the UK. Try to persuade your friend, a nurse in Russia, to come and work with you.

Student B: You are a nurse in Russia. Tell you friend in UK how you feel about your job, and listen to him/her talking about working condition in UK.

(Students speak about any experience they have of hospitals in your country, whether as patients or as visitors. Did the hospital(s) seem well-organised and well-funded?).

7. Введение новых предлогов и союзов, использующихся в придаточных предложениях.

Учитель использует транспаранты для объяснения материала.

while/whereas- в то время как	although/though-хотя
because of -из-за	despite/in spite of –несмотря на

8. Чтение учащимися упражнения с общим охватом содержания, с целью определения позитивных и негативных моментов в представленном фактическом материале.

Read the facts and opinions about health care. Which of these opinions characterize the health care system positively and which negatively? While reading, pay attention to the following conjunctions and prepositions.

• In Britain, medical insuarance is organized by the Government and is compulsory, while in some other countries it is not.
• The country doesn’t spend a lot of money per person on health care, whereas in some other western countries health care systems are much more expensive.
• Despite the shortage of money, the system of medical care works well.
• The British spend a small proportion of their wealth on health service, because of its simple administration.
• In spite of poor, you can get good medical care in Britain.
• Although Britain has public health care, it has a private sector too.
• The exceptions to free medical care are teeth and eyes, though even this care is available to large numbers of people who do not have to pay.

9. Беседа с учащимися по прочитанному:

Speaking-practice.

• What happens in Britain’s health care service despite and because of some facts?
• What happens in Britain’s health care service alt hough there are some other circumstances?
• What happens in Britain while/whereas other things happen in other countries?
• Because of the central organization of public health care, there is little cooperation between public care service and the private sector.

Учащиеся самостоятельно делают вывод о том, что, сравнивая факты, события, или действия не противопоставляя их друг другу, мы используем союзы while/whereas, а когда мы хотим сказать о том, что что-либо происходит вопреки, несмотря на, или из-за каких-либо других событий или действий мы используем союзы и предлоги although/ though, despite/in spite of/ because of. После того как учащиеся придут к такому выводу они знакомятся с правилами в учебнике.

10. Выполнение упражнения на закрепление грамматического значения союзов и предлогов, используемых для связи сложноподчинённых предложений. Ученики выполняют упражнение в тетрадях.

What is the real situation and which are the opinions?

11. Работа учащихся и группах с последующим совместным обсуждением. При обсуждении учащиеся используют известные им выражения функции согласия и несогласия (I can’t agree that…, I can’t fully agree with…, I don’t think….).

Here some facts and some people’s opinions about medical care service in the United States of America. Which of the following statements are facts and which are opinions?

Now we have a group work. Try to use different prepositions and conjunctions to express your point of view.

• I think that in many ways it is a wonderful system, but in many other ways it is a catastrophe.
• The USA is one of the most developed countries in the world, but it doesn’t provide health care for all.
• Medical care is not free, but many hospitals provide some free or low-cost care for those who cannot pay.
• The USA has no public health service, so most people have private health insurance.
• America with its private insurance-based system spends 14% of GDP on health. Britain with its popular state-funded NHS spends only 7%.
• There are people who receive medical care through social programmers. They are Medicare, which is intended for people over 65 and the disabled, and Medicaid, which is available to the poor.
• They say that when the world’s rich want the best treatment money can buy, they usually go to the USA. Small wonder, most new medical techniques and technologies become available in America before anywhere else.

12. Практиковать учащихся в устной речи.

Communication.

Health care in Russia has its own good and bad points. What can you say about the health care service in Russia from your own experience? How do all these facts and opinions characterize medical care service in Russia?

Public health care —> private sector

Although Russia has a public health care service, we have a private sector too.

The work of the public health service Central organization of the health care system Central organization of the health care system The quality of the private health care The quality of the public health care Physicians who get a free for each patient’s visit

the shortage of money cooperation with private sector compulsory medical insurance high cost free of charge treatment physicians on a salary.

13. Практиковать учащихся в диалогической речи по теме. Дети разыгрывают диалоги.

Try a dialogue. Consider the following situation.

All systems of medical care have both advantages and disadvantages. Exchange your opinions on the matter.

Group 1	Group 2
Try to convince your partners that there are a lot of disadvantages in health care systems of your country, Great Britain, and the USA.	Say that you partly agree, but in spite of all these disadvantages, there are some advantages, too.

Прослушивается несколько пар.

14. Практиковать учащихся в чтении текста с полным пониманием прочитанного и определения стран, занимающих высшую ступень в области здоровья в Европе.

Here is an indicator of European health according to an index created by Healthcare Europe, a new publication from the economist Intelligence Unit, a sister organization of The Economist.

Read it carefully, have a good look at the chart and fill in the blanks with the appropriate information.

The Nordic trio of _______, ______, and ______, are the healthiest countries in Europe, according to an index created by Healthcare Europe.

The index covers _______ European countries and is an unweighted sum of their rankings on 14 different indicators, including life expectancy, infant mortality, immunization covtrage, the number of AIDS cases, death rates from cancer, heart, respiratory and infectious diseases, and tobacco use. Strong community health care and good coverage by public health programmers help to explain why Nordic countries rank so highly. Italy ranks_______, partly dtcfuse of a dramatic improvement in immunization rates. Other Mediterranean countries, such as Greece and France, are also high on the list, thanks to good diets and lower levels of heart disease. Northern European countries fare worse because of their poor diets and lifestyles. Britain, for instance, ranks ______ and Germany ______. But the unhealthiest countries in Europe are in the east, where diets are bad and health care is dominated by expensive and inefficient hospitals. _______ is the sickest man of Europe.

15. Подведение итогов урока.

Today we have spoken about the most serious problems of health care in English-speaking countries.

And you can summarise the reasons of good and bad health service in different countries.

16. Выставление оценок.

17. Объяснение домашнего задания.