The clock always seems to be ticking rather too fast in the doctor's office and the queue of patients outside the door seems to be pressing rather too hard. Some say it's high time for the model of short, sharp one-to-one appointments to give way to shared medical appointments (SMAs).
    SMAs are doctor-patient visits in which a group of patients receive patient education and counseling(咨询), physical examination and medical support in a group setting. Typically SMAs are designed to have one or more doctors attend to a group of patients who share a common illness or medical condition. In contrast to one-to-one visits, SMAs provide a longer appointment time-frame as well as the opportunity for patients to have improved access to their physicians and meanwhile pick up additional information and support from peers.
    However, doctors who have pioneered the shared appointment approach report that there are significant challenges involved. Dr. Sumego, director of shared medical appointments, Cleveland Clinic, identifies culture change as the most significant challenge. Physicians and nurses are trained in a model of personal service and privacy: the SMA approach is a fundamental challenge to those fixed ideas. They need shared goals and a way of testing the innovation against agreed standards. Dr. Sumego says, “The physicians may be worried about the possible chaos and efficiencies that are marketed. They also have to make the patients understand what their appointment is, and what the expectation is. "                  
    “So, if an organization was looking to start shared medical appointments, I would advise them to start the buy-in from a few champion physicians, develop the work-flow and develop some experience. Provide some support behind what that best practice should look like. Create some standards so that, as the concept spreads, you can employ that experience to start the next shared medical appointments and the next. "
28．What is the purpose of the SMA approach?
    A．To improve medical service.
    B．To promote doctors' reputation.
    C．To conduct medical research.
    D．To meet patients' expectation.
29．According to Dr. Sumego, what prevents the SMA approach from being widely adopted?
    A．Personal service.                      B．Fixed ideas.
    C．Lack of equipment.                    D．Shared goals.
30．What can the underlined "buy-in" in Paragraph 4 be replaced by?
    A．Support.                              B．Organization.
    C．Practice.                             D．Purchase.
31．What can be learned about the SMA approach in the last paragraph?
    A．It is currently being questioned.
    B．It is impractical in some areas.
    C．It will enjoy wide popularity soon.
    D．It should be carried out step by step.
28~31:ABCD