シャドーイング練習: Vaginal Swabs | STI Screening | OSCE Guide | UKMLA | CPSA | PLAB 2 - 動画で英語スピーキングを学ぶ
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80 文
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1
Hi my name is Grace, one of the doctors at the clinic.
2
Could I confirm your name and date of birth please?
3
Yes it's Charlotte Borum and my date of birth is the 15th of May 1994.
4
Nice to meet you Charlotte and the plan today is to take some genital swabs is that right?
5
Yes.
6
Okay so I'll explain the procedure.
7
So first I'm going to examine the external genitals so your vulva to check for any abnormalities.
8
I'll take a swab from the lower vagina at this point.
9
Next I'll insert a speculum which is a small plastic tube into the vagina
10
so that I can examine the cervix which is the neck of the womb.
11
I'll take some more swabs from the vagina at this point.
12
This may be a little uncomfortable but it shouldn't be painful you can ask me to stop at any point.
13
I would usually have a female member of staff present as a chaperone if that's all right with you.
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Yeah that's fine.
15
Okay do you have any questions about the examination or the procedure?
16
No. No and are you happy for the examination to go ahead?
17
Yes.
18
I just have a few questions to ask before we start.
19
Do you have any pain anywhere?
20
No. And is there any chance that you could be pregnant?
21
No. Would you like to empty your bladder before we begin?
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No I'm okay.
23
Okay in that case I'll ask you to step behind the curtain and undress from the waist down including your underwear.
24
Have a lie down on the examination couch and there's a sheet there to cover yourself with.
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I'll gather my equipment and when you're ready just let me know and I'll come around with the chaperone.
26
Okay.
27
Okay.
28
I'm ready now.
29
Okay, I'm going to come through with the chaperone now.
30
I'm going to examine your genitals now.
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So for that, please draw your ankles up to your buttocks and let your legs fall open.
32
I'm going to sit at the foot of the bed
33
and I'm going to use a light so that I can see better.
34
And when you're ready, I'm going to pull the blanket back to start the examination.
35
Okay.
36
Are you happy for me to go ahead?
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Yes.
38
Okay.
39
First I'm going to examine the outside.
40
I'm going to start by pressing on your groin creases to check your lymph nodes.
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And the same on the other side.
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I'm going to examine your vulva now looking for any lumps or bumps or skin changes.
43
I'm going to take a swab from this ulcer on your vulva, this may be slightly uncomfortable.
44
Next I'm going to take a swab from the lower vagina so you'll feel the cotton wool bud being inserted.
45
Next is the internal examination with the speculum.
46
The speculum has some lubricating jelly on it which may feel a little cold.
47
Are you okay for me to go ahead with this examination?
48
Yes.
49
Remember you can ask me to stop at any point.
50
Okay I'm inserting the speculum now.
51
I'm going to open the speculum a little now so that I can see your cervix.
52
You will feel a bit of pressure.
53
I'm going to take some more swabs now, one from the top of your vagina.
54
Okay, now for your cervical swab.
55
To get a more accurate sample I'm going to wipe down the surface of your cervix first.
56
I'm going to take the swab from your cervix now.
57
I'll take the speculum out now.
58
And that's all the swabs taken and that's the end of the examination.
59
I'll cover you back up.
60
If you'd like to get dressed and I'll meet you on the other side of the curtain when you're ready.
61
There's some wipes here if you'd like to use them.
62
Okay Charlotte, so the examination today was normal and your cervix looked healthy.
63
I have taken some swabs for infection
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so I'll send these off to the lab and you'll get your results directly from them by text.
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If you haven't heard back within seven days then please get in touch with us.
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There's a leaflet here for you to take on your way out
67
which explains a bit more about the test that we've done today.
68
Do you have any questions?
69
No. In that case that's the end of the consultation today.
70
Great, thank you.
71
Thank you.
72
Today I examined Charlotte, a 28 year old woman.
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Abdominal examination was unremarkable as was vulval inspection.
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On speculum examination the cervix appeared healthy with a closed os and there was normal vaginal discharge.
75
As part of my assessment today I took a vulvo vaginal swab for gnat testing for STI screening
76
and I took a high vaginal swab for culture and sensitivities.
77
In order to complete my assessment I would do the following further investigations.
78
Check out the GeekyMillix collection of over 1000 OSCE stations.
79
You can practice with friends using our group study mode or chat with our amazing AI -powered virtual patients.
80
Let's go.
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このレッスンの語彙とスピーキングのポイント
このスピーキングレッスンは、動画「Vaginal Swabs」を教材にしています。 繰り返し出てくる語は次のとおりです：swab, examination, speculum, cervix, vagina。 この動画には、シャドーイング用の文が80文、単語が842語あります。 音声の長さは7:37です。 話す速さは1分あたり約111語で安定しており、シャドーイングしやすいペースです。 英語の頻出3,000語に含まれる単語は77%だけなので、語彙は難しめです。
この動画の重要語彙
動画に出てくる覚えておきたい単語15語を、発音と意味つきで紹介します。
| 単語 | 発音 | 意味 |
|---|---|---|
| examination 名詞 | /ɪɡˌzæm.ɪˈneɪ.ʃən/ | 診察, 検査 |
| examine 動詞 | /ɪɡˈzæmɪn/ | 調べる |
| vagina 名詞 | /vəˈdʒaɪ.nə/ | 膣, ワギナ |
| insert 動詞 | /ɪnˈsɝt/ | 差し込む, 挟み込む |
| assessment 名詞 | /əˈsɛsmənt/ | 評価 |
| procedure 名詞 | /pɹəˈsiː.d͡ʒə/ | 手段, やり方 |
| uncomfortable 形容詞 | /ʌnˈkʌm.fɚ.tə.bl̩/ | 心地よくない |
| wipe 動詞 | /waɪp/ | 拭く |
| curtain 名詞 | /ˈkɜɹt(ə)n/ | カーテン |
| confirm 動詞 | /kənˈfɝm/ | 確認する |
| sheet 名詞 | /ʃit/ | 枚, シート |
| tube 名詞 | /tuːb/ | チューブ |
| cotton 名詞 | /ˈkɑt.n̩/ | 綿, 綿糸 |
| infection 名詞 | /ɪnˈfɛkʃən/ | 伝染 |
| painful 形容詞 | /ˈpeɪn.fl̩/ | 痛い, 痛みの伴う |
動画に出てくる句動詞
| 単語 | 発音 | 意味 |
|---|---|---|
| go ahead 動詞 | /ˌɡoʊ əˈhɛd/ | どうぞお先に |
| check out 動詞 | 試験する, 検査する |
繰り返し練習したい文
動画に出てくる短く完結した文です。日常会話でそのまま使えます。
- Could I confirm your name and date of birth please?
- No and are you happy for the examination to go ahead?
- Do you have any pain anywhere?
- Are you happy for me to go ahead?
- Do you have any questions?
この動画の文法
話し手がよく使っている文型を、動画の実際の表現とともに紹介します。
| 文型 | 動画での表現 |
|---|---|
| 現在完了形 have/has + 過去分詞 — 過去の出来事が今も関係している | have taken · haven't heard · we've done |
| 関係詞節 who / which + 節 — 人や物について情報を加える | speculum which is · cervix which is |
注意したい発音
話し手はI'm, I'll, you'reなど、短縮形や弱形を39回使っています。聞こえたとおりの短い形で発音しましょう。
- 「sh」と「zh」の音: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, sheet /ʃit/, infection /ɪnˈfɛkʃən/, inspection /ɪnˈspɛkʃən/, consultation /ˌkɑnsəlˈteɪʃən/
- 長い単語（アクセントの位置に注意）: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, consultation /ˌkɑnsəlˈteɪʃən/, sensitivity /ˌsɛn.səˈtɪv.ə.ti/, abnormality /ˌæbˌnɔɹˈmæl.ət.i/
日本語話者が苦手な音：
- /r/ と /l/ の区別 — /l/ は舌先を歯茎につけ、/r/ はどこにもつけない: virtual /ˈvɜɹt͡ʃuəl/, abnormality /ˌæbˌnɔɹˈmæl.ət.i/, lubricate /ˈluːbrɪkeɪt/, unremarkable [ˌʌn.ɹɪˈmɑɹ.kə.bl̩]
- /v/ — /b/ にならないように、上の歯を下唇に当てる: vagina /vəˈdʒaɪ.nə/, virtual /ˈvɜɹt͡ʃuəl/, sensitivity /ˌsɛn.səˈtɪv.ə.ti/, cervix /ˈsɝ.vɪks/, vaginal /ˈvæd͡ʒ.ən.əl/
- /f/ — 「フ」ではなく、上の歯と下唇で出す: uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, confirm /kənˈfɝm/, infection /ɪnˈfɛkʃən/, painful /ˈpeɪn.fl̩/, leaflet /ˈliːflɪt/
この動画での練習方法
- まず声を出さずに動画を最後まで聞き、知らない単語をメモします。
- 通常の速度で一文ずつシャドーイングし、話し手のリズムに合うまで繰り返します。
- 自分の声を録音して元の音声と比べます。examination, examine, vaginaなどの単語に特に注意しましょう。
シャドーイングとは？英語上達に効果的な理由
シャドーイング（Shadowing）は、もともとプロの通訳者養成プログラムで開発された言語学習法で、多言語習得者として知られるDr. Alexander Arguelles によって広く普及されました。方法はシンプルですが非常に効果的：ネイティブスピーカーの英語を聞きながら、1〜2秒の遅延で声に出してすぐに繰り返す——まるで「影（shadow）」のように話者を追いかけます。文法ドリルや受動的なリスニングと異なり、シャドーイングは脳と口の筋肉が同時にリアルタイムで英語を処理・再現することを強制します。研究により、発音精度、抑揚、リズム、連音、リスニング力、そして会話の流暢さが大幅に向上することが確認されています。IELTSスピーキング対策や自然な英語コミュニケーションを目指す方に特におすすめです。