™ Cambridge IGCSE *4357409459* FIRST LANGUAGE ENGLISH Paper 1 Reading 0500/12 February/March 2020 2 hours You must answer on the question paper. You will need: Insert (enclosed) INSTRUCTIONS • Answer all questions. • Use a black or dark blue pen. • Write your name, centre number and candidate number in the boxes at the top of the page. • Write your answer to each question in the space provided. • Do not use an erasable pen or correction fluid. • Do not write on any bar codes. • If additional space is needed, you should use the lined pages at the end of this booklet; the question number or numbers must be clearly shown. • Dictionaries are not allowed. INFORMATION • The total mark for this paper is 80. • The number of marks for each question or part question is shown in brackets [ ]. • The insert contains the reading texts. This document has 16 pages. Blank pages are indicated. 03_0500_12_2020_1.11 © UCLES 2020 [Turn over 2 Read Text A, National Doctors’ Day, in the insert and then answer Questions 1(a)–(e) on this question paper. Question 1 (a) What is meant to be the purpose of National Doctors’ Day? to bring attention to the service of ........................................................................................................................................... all doctors – living or dead [1] (b) Using your own words, explain what the text means by: (i) ‘their contribution to individual health’ (lines 2–3): ................................................................................................................................ their hard work to better the health of everyone ................................................................................................................................ [2] (ii) ‘to reflect on the wellbeing of doctors’ (lines 3–4): ................................................................................................................................ to evaluate and review the health, comfort and satisfaction of the doctors ................................................................................................................................ [2] (c) Re-read paragraph 2, (‘Doctors suffer patients too.’). Give two ways in which the physical and emotional effects of burnout might affect doctors’ attitudes to their work. • ......................................................................................................................................... drained and demotivated in work feel a lower sense of fulfilment and become more detached • ......................................................................................................................................... © UCLES 2020 03_0500_12_2020_1.11 [2] 3 (d) Re-read paragraphs 3 and 4, (‘Doctors have and training.’). (i) Identify two ways in which hospitals could make things better for doctors. More reasonable working • .............................................................................................................................. hours less demanding by not cramming many patients • .............................................................................................................................. [2] (ii) Explain why doctors can find it hard to ask for help. under immense pressure to maintain a strong demeanour ................................................................................................................................ lack of time ................................................................................................................................ stigma is difficult to overcome ................................................................................................................................ [3] (e) Re-read paragraph 5, (‘Perhaps if difference?’). Using your own words, explain why some people could think that National Doctors’ Day is not worthwhile. National Doctor's Day is celebrated only once in a while and it is usually done by just treating ........................................................................................................................................... doctors with a lunch. There is no significant reward, not even a day off for them, so the day ........................................................................................................................................... just has the title without being effective to make the doctors more content with their workplace. ........................................................................................................................................... [3] © UCLES 2020 03_0500_12_2020_1.11 [Turn over 4 Read Text B, A Dream Job, in the insert and answer Question 1(f) on this question paper. Question 1 (f) According to Text B, what are the attractions and challenges of being an MSF doctor? You must use continuous writing (not note form) and use your own words as far as possible. Your summary should not be more than 120 words. Up to 10 marks are available for the content of your answer and up to 5 marks for the quality of your writing. ........................................................................................................................................... Being an MSF doctor allows having two desirable jobs simultaneously as it does not require ........................................................................................................................................... full-time. It involves travelling to perilous places in the world, working with amiable local people, ........................................................................................................................................... who often cook meals for the MSF doctors. They are also provided with sustenance, space and security. if it's a long ........................................................................................................................................... stay. In addition to dealing with dangerous diseases, an MSF doctor works with new, yet skillful doctors. ........................................................................................................................................... ........................................................................................................................................... Even though the job makes less money, MSF is a humanitarian organization that does not involve with ........................................................................................................................................... politics and is solely aimed for health of each individual. ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... © UCLES 2020 03_0500_12_2020_1.11 5 ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... [15] [Total: 30] © UCLES 2020 03_0500_12_2020_1.11 [Turn over 6 Read Text C, This is going to hurt, in the insert and then answer Questions 2(a)–(d) on this question paper. Question 2 (a) Identify a word or phrase from the text which suggests the same idea as the words underlined: (i) Adam did not recall making an informed, planned choice to become a doctor. active career decision ................................................................................................................................ [1] (ii) When he was training, the idea that he would become a doctor gave Adam the motivation to achieve what he set out to do. propelled me towards my goal ................................................................................................................................ [1] (iii) Once he had completed his training at medical school, Adam was looking forward to applying what he had learned. turn theory into practice ................................................................................................................................ [1] (iv) Adam found working as a doctor during the daytime extremely boring. mind-numbing ................................................................................................................................ [1] (b) Using your own words, explain what the writer means by the words underlined: Night shifts were an unrelenting nightmare. At night, you’re given a paging device affectionately called a bleep, and responsibility for every patient in the hospital. All of them. (i) © UCLES 2020 intense unrelenting ............................................................................................................. [1] lovingly (ii) affectionately ......................................................................................................... [1] duty (iii) responsibility .......................................................................................................... [1] 03_0500_12_2020_1.11 7 (c) Use one example from the text below to explain how the writer suggests how difficult it is for Adam to deal with his patients. Use your own words in your explanation. It’s a ‘build-your-own-burger’ of symptoms layered on conditions layered on diseases. You’re a one-man, mobile, essentially untrained A&E department, reviewing an endless stream of worryingly sick patients who, twelve hours earlier, had an entire team of doctors caring for them. It’s sink or swim – you have to learn to swim because otherwise a tonne of patients sink with you. ........................................................................................................................................... The phrase "sink or swim" shows that he only has 2 choices: take action or not. This implies ........................................................................................................................................... the difficulty to make an important, yet arduous decision. He usually panics as he worries about not ........................................................................................................................................... making the right choice. He stands between the intense desire to save and not having the confidence to do so. ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... © UCLES 2020 03_0500_12_2020_1.11 [3] [Turn over 8 (d) Re-read paragraphs 2 and 4. • • Paragraph 2 begins ‘As you might ’ and is about Adam’s progress through training. Paragraph 4 begins ‘You turn up ’ and describes the daytime work as a junior doctor in the hospital. Explain how the writer uses language to convey meaning and to create effect in these paragraphs. Choose three examples of words or phrases from each paragraph to support your answer. Your choices should include the use of imagery. Write about 200 to 300 words. Up to 15 marks are available for the content of your answer. ........................................................................................................................................... The overall effect of language in paragraph 2 creates an image of fantasized view of practically working ........................................................................................................................................... after years of learning theory. The writer is also aware of how big of a responsibility this; this is shown by the phrase, "gargantuan undertaking". It implies that an immense amount of sacrifice has been made ........................................................................................................................................... to accept this crucial job of saving people's lives. The writer knows exactly how important the doctor's work is motivated by the thought of finally working. The phrase "like a superhero" is a use of simile and ........................................................................................................................................... it shows that the title of doctor is honorable and well-respected. The writer looks forward to a day that he finally becomes entitled as a doctor, comparing to the feeling of being a comical hero, implying that all of ........................................................................................................................................... this is a fantasy. He was "armed with exhaustive knowledge", claiming that he has learnt enough theory to practically take part in diagnosing patients. The word "armed" connotates a well-prepared soldier for ........................................................................................................................................... a battle. In this case, immense knowledge about human body is the strongest weapon he had, which was obviously not enough yet. ........................................................................................................................................... The overall effect of language in paragraph 4 creates an image of ridiculing the amount of work done ........................................................................................................................................... compared to the actual effectiveness and shows his little or no passion to do them. The phrase "whole team of doctors troops past" displays the large number of doctors slowly passing the patients as if they ........................................................................................................................................... are soldiers, welcoming unnecessary attention with a tiny amount of work. The phrase "trailed behind like a hypnotised duckling" is a use of simile. This implies the lack of enthusiasm of the writer to follow ........................................................................................................................................... the doctors and the cluelessness. He seemed as if he was forced to walk slowly behind a group of other ........................................................................................................................................... experienced doctors. The phrase "completing dozens, sometimes hundreds, of tasks" shows a plethora of work needed to be done, although the writer didn't feel satisfied to do them. The exaggeration of the ........................................................................................................................................... number of work implies his frustration and feeling of inability to finish all of them. ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... © UCLES 2020 03_0500_12_2020_1.11 9 ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... [15] [Total: 25] © UCLES 2020 03_0500_12_2020_1.11 [Turn over 10 Re-read Text C, This is going to hurt, in the insert and then answer Question 3 on this question paper. Question 3 Imagine you are Adam. After reading your diaries, you write a letter to your parents reflecting on your time in medicine and your decision to quit: In your letter you should explain: • • • why you went to medical school and what medical training was like the challenges involved in working on the wards as a junior doctor and how you felt about the job at the time why you felt you had to give up and your feelings as you look back now. Write the words of the letter. Base your letter on what you have read in Text C, but be careful to use your own words. Address each of the three bullet. Write about 250 to 350 words. Up to 15 marks are available for the content of your answer and up to 10 marks for the quality of your writing. Dear Pa and Ma, .......................................................................................................................................................... I've just read my old diaries back in 2020 to reminisce about my life in medicine. I know that you're quite .......................................................................................................................................................... upset to see me quit but I believe that I made a right decision. .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... © UCLES 2020 03_0500_12_2020_1.11 11 .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... [25] [Total: 25] © UCLES 2020 03_0500_12_2020_1.11 [Turn over 12 Additional Page If you use the following lined page to complete the answer(s) to any question(s), the question number(s) must be clearly shown. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. © UCLES 2020 03_0500_12_2020_1.11 13 Additional Page If you use the following lined page to complete the answer(s) to any question(s), the question number(s) must be clearly shown. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. © UCLES 2020 03_0500_12_2020_1.11 [Turn over 14 Additional Page If you use the following lined page to complete the answer(s) to any question(s), the question number(s) must be clearly shown. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. © UCLES 2020 03_0500_12_2020_1.11 15 Additional Page If you use the following lined page to complete the answer(s) to any question(s), the question number(s) must be clearly shown. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. ................................................................................................................................................................. © UCLES 2020 03_0500_12_2020_1.11 16 BLANK PAGE Permission to reproduce items where third-party owned material protected by copyright is included has been sought and cleared where possible. Every reasonable effort has been made by the publisher (UCLES) to trace copyright holders, but if any items requiring clearance have unwittingly been included, the publisher will be pleased to make amends at the earliest possible opportunity. To avoid the issue of disclosure of answer-related information to candidates, all copyright acknowledgements are reproduced online in the Cambridge Assessment International Education Copyright Acknowledgements Booklet. This is produced for each series of examinations and is freely available to download at www.cambridgeinternational.org after the live examination series. Cambridge Assessment International Education is part of the Cambridge Assessment Group. Cambridge Assessment is the brand name of the University of Cambridge Local Examinations Syndicate (UCLES), which itself is a department of the University of Cambridge. © UCLES 2020 03_0500_12_2020_1.11
