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When The American College Of Surgeons (ACS) First Published Progressive GMAT Reading Comprehension

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Reading Passage Question
When the American College of Surgeons (ACS) first published progressive recommendations about the importance of and need for organized emergency services, no medical specialties were willing to endorse these suggestions. The notion of a comprehensive emergency medicine (EM) discipline did not fit within the scope of any established conventional specialty, but members of the medical community continued their efforts to define EM as a legitimate specialty. In 1968, as patient demand for quality emergency care grew, a group of concerned physicians joined forces to found the American College of Emergency Physicians (ACEP). By 1970, the University of Cincinnati opened its doors to the first EM residency and during the decade, ACEP worked relentlessly to gain specialty status for these new graduates. Soon a core framework of knowledge and skills for EM was created; Annals of Emergency Medicine was launched; and an Interim Review Committee (IRC) was formed. Finally in 1979, the American Board of Medical Specialties recognized EM as medicine’s newest specialty.

In 1980, the American Board of Emergency Medicine (ABEM) oversaw its first certification examination. At first, ABEM delineated two tracks that new doctors could follow to become certified in EM: graduation from an IRC-approved residency program, or interim practice for those who were not formally trained but had experience in EM. (The interim practice track was phased out in 1988.) Today, to maintain qualifying standards, ABEM requires recertification every ten years and has recently established continuous certification that involves annual education updates for EM physicians.

Since the establishment of the EM specialty, utilization of emergency services has steadily grown, increasing, for example, 23% from 1992 to 2002. Public awareness of EM as a specialty, consumer expectations of rapid and comprehensive emergency care, difficulty accessing primary care, lack of medical insurance, and federal mandates requiring emergency rooms to treat all patients regardless of status have all contributed to this increase.

Solutions and Explanation

  1. The passage suggests which of the following about medical professionals who wanted to practice emergency medicine after 1990?

(A) They could not fill the demand as utilization of emergency services increased.
(B) They, unlike their counterparts in other medical specialties, had to go through certification to be properly qualified to perform their duties.
(C) They could only become board-certified through an accredited residency program.
(D) They may have worked in emergency rooms, but they were not necessarily educated in an approved residency program.
(E) They face some of the most challenging and life-threatening situations, which is why they need to be highly prepared and qualified.

Correct Answer: C
Explanation:
The passage states that the American Board of Emergency Medicine (ABEM) initially hold two tracks to make the physicians certified. One way to certify the physicians was to graduate from an IRC-approved residency program. The second way to certify the physician was an interim practice. This practice is for those physicians experienced in the field of emergency medicine rather than formally trained physicians. This second practice expired in 1988. Thus, after 1988, physicians should have to pursue their graduation from an IRC-approved residency program. Thus option C is the correct answer since it satisfies the content described in the passage. The other options thereby get eliminated.

  1. According to information contained within the passage, all of the following were efforts that helped sway opinion about the specialty status of emergency medicine EXCEPT

(A) A coalition of doctors united to voice their concerns.
(B) A specialty journal was published.
(C) Guidelines and criteria were outlined for emergency practitioners.
(D) Medical schools nationwide introduced EM residency programs.
(E) A review committee was established

Correct Answer: D
Explanation:
The passage clearly states that the University of Cincinnati welcomes its first emergency medicine residency program in the year 1970. The American College of Emergency Physicians has worked hard to achieve speciality ranks for the new graduates. Thus the passage discusses that the University of Cincinnati introduced the residency programs for emergency medicine. There is nowhere mentioned in the passage about the other medical schools heeding this path. Therefore, option D is the correct answer since it is not depicted in the passage.

  1. In the passage, the author is primarily concerned with

(A) outlining an unconventional approach to resolve a concern
(B) discussing the steps taken to accomplish an objective
(C) advocating the importance of challenging convention
(D) evaluating methods used to legitimize a specialty service
(E) explaining why a new specialty is needed for effective patient care

Correct Answer: B
Explanation:
The passage clearly depicts the steps taken in order to attain a goal. It states that the University of Cincinnati introduced its residency program for Emergency medicine in 1970. The passage also states that in the year 1979, the American Board of Medical Specialities acknowledged EM as the newest speciality of medicine. The passage also explains that after the initiation of EM speciality, the application of emergency services has increased gradually. Therefore, option B is the correct answer since it satisfies the content of the passage. The other options thereby get eliminated.

  1. The final paragraph functions in the context of the entire passage to

(A) discuss what that influenced emergency medicine as it became its own specialty
(B) present reasons that contributed to patients’ increased use of emergency health care
(C) introduce a new subject that is not relevant to what was discussed earlier
(D) point out issues that physicians who are deciding whether to practice emergency medicine as a specialty need to consider
(E) outline some of the factors that many physicians cited when they campaigned for emergency medicine to be its own specialty

Correct Answer: B
Explanation:
The final paragraph of the passage states that after the initiation of the EM speciality, the application of emergency services has increased. For instance, it became 23% from 1992 to 2002. The awareness of the public for EM, consumer expectations for emergency care and several other reasons are responsible for this increase. Thus the third paragraph depicts the reasons that contributed to enhancing the emergency health care application for patients. Hence, option B is the correct answer since it holds the accurate information depicted in the passage. The other options thereby get eliminated.

“When the American College of Surgeons (ACS) first published progressive”- is a reading comprehension passage for the GMAT exam. The candidates must have adequate knowledge of the English language in order to grasp the English GMAT reading comprehension passages. The candidates can follow GMAT Reading Comprehension Practice Papers to get familiar with these passages to get better GMAT scores.

Suggested GMAT Reading Comprehension Samples:

*The article might have information for the previous academic years, please refer the official website of the exam.

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