Shadowing Practice: PEBC Pharmacist OSCE Rx Scenario - Learn English Speaking with Video

Ders oluşturuluyor...
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Thank you for taking the time to watch these videos.
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SOLAR -X Pharmacy Review Program has created these videos to help candidates prepare for the qualifying exam part 2.
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You are now going to watch a scenario followed by a quick review with the pharmacist.
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Hi, my name is Julie, I'm the pharmacist on duty.
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How can I help you?
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I'm just here to pick up my medicine.
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Sure, not a problem.
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Just to reassure you, everything we discuss is private and confidential
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so everything stays between you and I
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and before I give you your medication I just like to
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ask you a few questions about your medical history to make sure it's the most appropriate medication for yourself is
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that okay not a problem what was your name my name is Jessica Anderson okay great
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and I have your profile on file here is it okay
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if we review it together not a problem okay
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so it says here that you are taking Lipitor 20 milligrams once a day is that correct?
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Oh no, the doctor discontinued that.
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I was getting really bad muscle pain.
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Oh, I'm sorry to hear about that.
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So we'll address that very shortly.
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Just before we get to that, are you taking any other medications?
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Maalox.
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Maalox?
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So that's an over -the -counter medication, is that correct?
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That's right, for acid. For acid.
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And how often do you take that?
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Maybe three or four times a week.
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Okay, Okay.
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That sounds good.
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Any other medications, any herbal products, any natural products, multivitamins?
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No, nothing like that.
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Okay.
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And also because lifestyle can affect the way your medicines work in your body, I'd like to ask you a few questions about that.
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Okay.
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Can you tell me about your alcohol consumption?
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No, I don't drink.
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You don't drink.
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What about caffeine consumption?
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Also, I don't do that.
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No. And what about exercise?
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I try, but it's fairly infrequent.
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Okay.
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And what about any smoking?
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Do you smoke at all?
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Not a smoker.
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No. Okay.
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Let me just record that.
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And sometimes in females, medicines can have different effects if women are of childbearing age.
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Is there any chance that you're pregnant or breastfeeding?
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Oh, no. No. Okay.
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Okay.
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So I do have your prescription ready for you.
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I'd like to review it with you if that's okay.
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So you've been prescribed Crestor 10 milligrams at bedtime.
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The chemical name for Crestor is rosuvastatin and the doctor, like I mentioned, has suggested taking it at bedtime.
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So it's one tablet before going to bed.
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You can take it with or without food.
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It doesn't matter.
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However, sometimes it can cause a bit of an upset stomach.
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So if that happens, you can take it after taking some food.
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Okay.
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When you were taking the Lipitor, if you remember there was a restriction on grapefruit juice
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because there was an interaction with grapefruit juice that's not the case with Crestor
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so just so you know you can take it with or without grapefruit juice.
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Some other things in terms of side effects so I know you had the muscle pain with the Lipitor.
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Generally patients who have had muscle pain with Lipitor do a lot better
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when they switch to a different medicine within the same class
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so Crestor should be okay but unfortunately there's still a small chance
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that it can still cause muscle pain so if
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that happens i would suggest
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that you contact your doctor as soon as you can there's also a very rare
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but important side effect that it can severely affect your muscles in
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which case you may have dark or dark brown pee
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when you go to the washroom so if
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that happens i would advise you to call your doctor immediately okay like i mentioned these are rare side effects
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but it's important for me to mention for you.
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Because it's the first time that you're taking the Crestor, there's always a small risk that there might be an allergy.
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It's not common, but just in case it happens, make sure to watch out for anything after the first dose and you can either call us or call your doctor.
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And then you mentioned you were taking the Maalox three or four times per week.
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So there's actually an interaction with Maalox and Crestor, the way it's absorbed.
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So it's still okay for you to take the Maalox, it's just important to space it out from when you take it compared to the Crestor.
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So there are also some lifestyle changes that you can make that can help make improvements in your cholesterol levels.
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You had mentioned that you don't exercise that much, so exercise can be a key component in improving your cholesterol. So
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if you can, maybe try adding in 20 to 30 minutes of exercise a few times per week to start off with.
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And then also diet is very key.
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So in terms of diet, I can actually refer you to a dietitian and you can speak in further detail about ways to optimize your cholesterol levels.
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Is that okay?
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That'd be great.
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If it's okay with you, I'd like to maybe give you a call in a few days just to see how you're doing, that you're not having any more muscle pain.
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And then we can speak in about a month's time as well to see
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if there's been any improvement in your blood work.
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Oh, that'd be great.
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Thank you.
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Okay.
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Have a great day.
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Thank you.

Bu dersin kelimeleri ve konuşma notları

Bu konuşma dersi “PEBC Pharmacist OSCE Rx Scenario” videosuna dayanıyor. En çok tekrarlanan kelimeler: Crestor, muscle, Maalox, medication, doctor. Bu videoda gölgeleme çalışması için 95 cümle ve 921 kelime var. Konuşma bölümü 5:24 sürüyor. Konuşmacı dakikada yaklaşık 170 kelimeyle, günlük konuşmaya yakın doğal bir hızda konuşuyor. Kelimelerin %85’i İngilizcede en sık kullanılan 3.000 kelime arasında; geri kalanına başlamadan önce bakmakta fayda var.

Bu videodaki önemli kelimeler

Videodan öğrenmeye değer 15 kelime, telaffuzu ve anlamıyla:

KelimeTelaffuzAnlam
muscle isim/ˈmʌs.əl/kas, adale
juice isim/d͡ʒuːs/meyve suyu
cholesterol isim/kəˈlɛstəɹɒl/kolesterol
acid isim/ˈæsɪd/asit
consumption isim/kənˈsʌmp.ʃən/tüketim
lifestyle isim/ˈlaɪfˌstaɪl/yaşantı, hayat tarzı
bedtime isim/ˈbɛdtaɪm/uyku vakti, yatma vakti
compare fiil/kəmˈpɛɚ/karşılaştırmak, kıyaslamak
refer fiil/ɹɪˈfɜː/zikretmek
stomach isim/ˈstʌmək/mide, karın
component isim/kəmˈpoʊ.nənt/parça, bileşen
examination isim/ɪɡˌzæm.ɪˈneɪ.ʃən/imtihan etmek, sınav yamak
dose isim/ˈdəʊ̯s/doz
scenario isim/sɪˈnɛəɹioʊ/senaryo
tablet isim/ˈtæblət/levha

Tekrar etmeye değer cümleler

Videodan, günlük konuşmada yeniden kullanabileceğiniz kısa ve tam cümleler:

  • How can I help you?
  • I'm just here to pick up my medicine.
  • Can you tell me about your alcohol consumption?
  • Do you smoke at all?
  • Is there any chance that you're pregnant or breastfeeding?

Dikkat edilecek telaffuzlar

Konuşmacı don't, you're, I'd gibi kısaltılmış biçimleri 19 kez kullanıyor. Bunları duyduğunuz gibi kısa söyleyin.

  • “sh” ve “zh” sesleri: medication /mɛdɪˈkeɪʃən/, consumption /kənˈsʌmp.ʃən/, interaction /ˌɪn.təˈɹæk.ʃən/, shortly /ˈʃɔɹtli/, examination /ɪɡˌzæm.ɪˈneɪ.ʃən/
  • Uzun kelimeler — vurguyu doğru yere koyun: medication /mɛdɪˈkeɪʃən/, cholesterol /kəˈlɛstəɹɒl/, interaction /ˌɪn.təˈɹæk.ʃən/, examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, confidential /ˌkɔn.fɪˈdɛn.ʃəl/

Türkçe konuşanların zorlandığı sesler:

  • /w/ — dudaklar yuvarlak, /v/ değil: qualify /ˈkwɑ.lɪ.faɪ/, washroom /ˈwɒʃrʊm/
  • Kelime başındaki ünsüz kümesi — araya ünlü eklemeyin: stomach /ˈstʌmək/, qualify /ˈkwɑ.lɪ.faɪ/, prescription /pɹəˈskɹɪp.ʃən/, breastfeed /ˈbɹɛs(t)fiːd/, prescribe /pɹɪˈskɹaɪb/
  • /æ/ — “e”den daha açık: acid /ˈæsɪd/, interaction /ˌɪn.təˈɹæk.ʃən/, examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, tablet /ˈtæblət/, absorb /æbˈsɔɹb/

Bu videoyla nasıl çalışılır

  1. Videonun tamamını konuşmadan bir kez dinleyin ve bilmediğiniz kelimeleri not edin.
  2. 0,75× hızla başlayın, cümle cümle tekrar edin ve kolaylaşınca normal hıza dönün.
  3. Kendinizi kaydedin ve orijinaliyle karşılaştırın; muscle, juice, cholesterol gibi kelimelere özellikle dikkat edin.

Gölgeleme Tekniği Nedir?

Gölgeleme, başlangıçta profesyonel tercüman eğitimi için geliştirilen ve çok dilli Dr. Alexander Arguelles tarafından popüler hale getirilen, bilim destekli bir dil öğrenme tekniğidir. Yöntem basit ama güçlüdür: ana dili İngilizce olan bir sesi dinler ve hemen yüksek sesle tekrar edersiniz — konuşmacıyı 1-2 saniye gecikmeyle takip eden bir gölge gibi. Pasif dinleme veya dilbilgisi alıştırmalarının aksine, gölgeleme beyninizi ve ağız kaslarınızı gerçek konuşma kalıplarını eşzamanlı olarak işlemeye ve yeniden üretmeye zorlar. Araştırmalar, telaffuz doğruluğu, tonlama, ritim, bağlı konuşma, dinleme anlama ve konuşma akıcılığını önemli ölçüde geliştirdiğini göstermektedir — bu da onu IELTS Konuşma hazırlığı ve gerçek dünya İngilizce iletişimi için en etkili yöntemlerden biri yapar.

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