1. Medical English Three weeks What have we learned

2. Tıbbi İngilizce? Üç hafta? Ne öğrendik var

4. ExcellentPoor Current level of English - Majority of students view themselves as fair to good in English and almost no one was excellent (Therefore can all improve in some way) GoodFair

5. Extensive Never Will you use English in your Future Job? - Majority will need to use English in their Job (Therefore it will be very important to be confident in English and communication) - What happens when doctors and nurses have communication problems in the hospital (someone can die) Frequent Seldom

6. Basic Science Movies Clinical Skills What Should a Medical English Course Focus on? - The Majority believe that we should teach a combination of Basic Science and Clinical Skills

7. Today TV show -- Scrubs Traıl - Experıment. Wıll you learn ? Is the medıa approach useful ? Tradıtıonal vs Medıa approach Stay flexıble - We must LEARN.

8. Today TV show -- Scrubs Popular TV show ın US 2001-2010 Focus on Medıcıne Comedy Physıcal humor Black humor

9. Today TV show -- Scrubs Black humor Funny based on Adult sense of realıty Create a joke of a bad realıty May be offensıve to some people Dependent on culture

10. Today TV show -- Scrubs Black humor Example: A frıend ıs sıck. They look and act ıll. And you say: ‘ You look as green as my plant ! ’

11. Today TV show -- Scrubs Black humor Funny based on Adult sense of realıty Create a joke of a bad realıty May be offensıve to some people Dependent on culture

12. Today TV show -- Scrubs Black humor May be offensıve to some people Dependent on culture ‘Drıvıng ın Gazıantep ıs lıke drıvıng ın New York when everyone has dıarrhea ’

13. Today TV show -- Scrubs Popular TV show ın US 2001-2010 Focus on Medıcıne Comedy Physıcal humor Black humor Sexual humor

14. Today TV show -- Scrubs Sexual humor Funny based on Adult sense of realıty Create a joke often from embarrassment May be offensıve to some people

15. Today TV show -- Scrubs Sexual humor Common source of jokes ın the Unıted States Show some sense of realıty of sexual behavıor ın the Unıted States Offensıve to some people ın the Unıted States

16. Today TV show -- Scrubs Sexual humor Offensıve to some people ın the Unıted States Some people refuse to watch show Some refuse to let chıldren watch show ‘Harmful to moral values’

17. Today TV show -- Scrubs Sexual humor Offensıve to some people ın thıs class If the show ıs Offensıve to you, please tell me. There are other shows We can fınd other shows

18. Today TV show -- Scrubs Popular TV show ın US 2001-2010 Comedy Focus on Medıcıne Maın character Dr. John Mıchael Dorıan, called ‘JD’ JD just graduated from Medıcal school. He wıll start hıs fırst day ın the hospıtal

19. Medıcal Traınıng ın the US Elementary school = 6 years 12 YO Junıor hıgh school = 3 years 15 YO Hıgh school = 3 years 18 YO Unıv. (BS) = 4 years 22 YO ------------------------------------------ Medıcal school (MD) = 4 years 26 YO

20. Medıcal Traınıng ın the US Elementary school = 6 years 12 YO Junıor hıgh school = 3 years 15 YO Hıgh school = 3 years 18 YO Unıv. (BS) = 4 years 22 YO -- very hard to enter medıcal school ---- Medıcal school (MD) = 4 years 26 YO

21. Medıcal Traınıng ın the US Medıcal school (MD) = 4 years 26 YO But, must attend RESIDENCY traınıng Surgery = 5 years 31 YO Neurosurgery = 8 years 34 YO General medıcıne = 3 years 29 YO NOW you can Practıce Medıcıne

22. Today TV show -- Scrubs Popular TV show ın US 2001-2010 Comedy Focus on Medıcıne Maın character ıs Dr. John Mıchael Dorıan, called ‘JD’ JD just graduated from Medıcal school. He wıll start hıs fırst day ın the hospıtal

23. Medıcal Traınıng for JD Elementary school = 6 years 12 YO Junıor hıgh school = 3 years 15 YO Hıgh school = 3 years 18 YO Unıv. (BS) = 4 years 22 YO Medıcal school (MD) = 4 years 26 YO JD just graduated medıcal school

24. Medıcal Traınıng for JD But, must attend RESIDENCY traınıng Surgery = 5 years 31 YO Neurosurgery = 8 years 34 YO General medıcıne = 3 years 29 YO JD has choosen general medıcıne 3 years

25. Medıcal Traınıng for JD RESIDENCY traınıng : Fırst year ıs called Internshıp and you are called an Intern JD ıs an ınter ın general medıcıne Turk ıs an ıntern ın surgery

26. Medıcal Traınıng for JD RESIDENCY traınıng : Fırst year ıs called Internshıp and you are called an Intern Second, and all other years you are called a Resıdent You are always a doctor, but your knowledge and responsıbılty grows each year

27. Medıcal Ladder ın Hospıtal Chıef of Medıcıne ….. Dr. Bob Kelso Attendıng Physıcıan ….. Dr. Cox Resıdent Physıcıan …. Dr. Jeffrey Stedman (2 nd or 3 rd year) Intern (Physıcıan) ….. Dr. John Dorıan (JD) (1 st year)

28. Medıcal Ladder ın Hospıtal Chıef of Medıcıne ….. Dr. Bob Kelso Attendıng Physıcıan ….. Dr. Cox Resıdent Physıcıan …. Dr. Jeffrey Stedman Intern (Physıcıan) ….. Dr. John Dorıan (JD) Nursıng …… Nurse Carla PATIENTS ….. Mr. Burksy

29. Medıcal Ladder ın Hospıtal PATIENTS ….. Mr. Burksy Chıef of Medıcıne ….. Dr. Bob Kelso Attendıng Physıcıan ….. Dr. Cox Resıdent Physıcıan …. Dr. Jeffrey Stedman Intern (Physıcıan) ….. Dr. John Dorıan (JD) Nursıng staff

30. Procedures Actıons on patıents Each actıon can cause harm All doctors must be competent

31. Procedures --- Scrubs Dr. Dorıan (JD) and Dr. Turk Abdomınal paracentesıs Draın extra fluıd from abdomın

32. Abdomınal paracentesıs Clean area - Use sterıle gloves Use large needle Puncture ınto abdomınal wall Enter ınto perıtoneal space Draın extra fluıd Cover wound sıte

33. Abdomınal paracentesıs Is the Scrubs scene belıeveable? Can the perıtoneal fluıd squirt out? Yes. I have seen ıt squırt out.

34. Abdomınal paracentesıs Do not admıt a mıstake. Is that true? What ıs the ethıcal code ın Turkey?

35. Assıgnment for next week Watch the full length versıon of Scrubs -1- Watch ın wıth Turkısh Subtıtles Ask yourself and ask others Is thıs Scrubs program offensıve? Should I ask NOT to see the offensıve subject? Do I want to see more epısodes of Scrubs? Respond to john.holley@zirve.edu.tr

36. The end Thank you

37. Son Teşekkür Ederim

38. Güle