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  • So you want to be a gastroenterologist.

    所以你想成為一個胃腸科醫生。

  • You like the idea of poop, the digestive tract, and more poop.

    你喜歡大便,消化道,還有更多的大便。

  • Let's debunk the public perception myths, and give it to you straight.

    讓我們來揭穿公眾的認知誤區,直接給你說說。

  • This is the reality of gastroenterology.

    這就是胃腸病學的現實。

  • Dr. Jubbal, MedSchoolInsiders.com.

    朱波醫生,醫派內參網。

  • Welcome to our next installment in So You Want to Be.

    歡迎來到我們下一期的《所以你想成為》。

  • In this series, we highlight a specific specialty within medicine, such as gastroenterology,

    在這個系列中,我們將重點介紹醫學中的一個特定專業,如消化內科。

  • and help you decide if it's a good fit for you.

    並幫助你決定是否適合你。

  • You can find the other specialties on our So You Want to Be playlist.

    你可以在我們的 "所以你想成為的人 "播放列表中找到其他特產。

  • If you want to vote in upcoming polls to decide what future specialties we cover, make sure

    如果您想在即將到來的民意調查中投票決定我們未來的專業內容,請確保

  • you are subscribed.

    你已經訂閱了。

  • If you'd like to see what being a gastroenterologist looks like, check out my second channel, Kevin

    如果你想知道作為一個胃腸病醫生是什麼樣子的,看看我的第二個頻道,凱文。

  • Jubbal, M.D., where we'll be covering a day in the life of a gastroenterologist soon.

    Jubbal,醫學博士,我們很快就會報道消化科醫生的一天生活。

  • Gastroenterology is the specialty within medicine focusing on the gastrointestinal system, including

    胃腸病學是醫學中專注於胃腸系統的專業,包括

  • everything from the mouth to anus along the alimentary canal.

    沿著消化道從口腔到肛門的一切。

  • It's the only field that's truly mouth to anus, covering not only the entire gastrointestinal

    這是唯一一個真正從口到肛門的領域,不僅覆蓋了整個胃腸。

  • tract, but also the pancreas and liver.

    道,但也包括胰腺和肝臟。

  • Conditions you'll manage include inflammatory bowel disease, or IBD, not to be confused

    您要處理的疾病包括炎症性腸病,或IBD,不要混淆。

  • with irritable bowel syndrome, or IBS, which you'll also treat.

    與腸易激綜合症,或IBS,你也會治療。

  • Colon cancer, which, excluding skin cancer, is the third most common form of cancer among

    大腸癌,不包括皮膚癌,是第三大常見癌症。

  • men and women in the United States, will also fall under your preventative screening and

    美國的男性和女性,也將屬於您的預防性檢查範圍。

  • management.

    管理;

  • Gastroenterologists deal with dysphagia, meaning trouble swallowing, and anything relating

    胃腸科醫生處理吞嚥困難,即吞嚥困難,以及任何有關的問題。

  • to nutrition.

    到營養。

  • After all, the gut is where we absorb nutrients and water.

    畢竟,腸道是我們吸收營養和水分的地方。

  • Liver diseases, such as liver cancer, cirrhoses, and hereditary pathologies such as hemochromatosis

    肝臟疾病,如肝癌、肝硬化、遺傳性病變如血色病等。

  • or alpha-1 trypsin deficiency fall under GI care, as do pancreatic diseases such as pancreatitis

    或α-1胰蛋白酶缺乏症屬於消化道護理,胰腺炎等胰腺疾病也是如此。

  • or pancreatic cancers.

    或胰腺癌。

  • Ultimately, gastroenterology is a subspecialty of internal medicine, and having a strong

    歸根結底,胃腸病學是內科的一個亞專業,擁有強大的。

  • foundation in internal medicine is essential to be an effective GI doctor.

    要想成為一名有效的消化道醫生,內科的基礎是必不可少的。

  • After all, many of the GI conditions and pathologies you'll encounter are closely involved with

    畢竟,你會遇到的許多消化道疾病和病理都與以下情況密切相關。

  • other parts of the body.

    身體的其他部位。

  • For example, the liver is intimately connected with the adrenal system and kidneys.

    例如,肝臟與腎上腺系統和腎臟密切相關。

  • The brain-gut is another intimate association that can influence your patient's symptoms

    腦-腸是另一個可以影響病人症狀的親密關聯。

  • and disease course.

    和病程。

  • Gastroenterology is a unique subspecialty of internal medicine, as it combines a high

    胃腸病學是內科的一個獨特的亞專業,因為它結合了高難度的胃腸病治療。

  • degree of clinical continuity and longitudinal care with procedural medicine, something that

    程醫學的臨床連續性和縱向護理的程度,這一點

  • few other specialties providecardiology being another example.

    很少有其他專科提供--心臟病學就是另一個例子。

  • While not a surgical subspecialty, you are working with your hands plenty.

    雖然不是外科亞專業,但你的工作與你的手很多。

  • Gastroenterologists perform endoscopies, colonoscopies, ERCP's, and biopsy of virtually any abdominal

    消化內科醫生進行內窺鏡、結腸鏡、ERCP和幾乎所有腹部的活檢。

  • organ via endoscopic ultrasound.

    通過內鏡超聲檢查器官。

  • Moreover, it is now quite common to have many procedures, previously only addressed by surgeons,

    此外,現在很多以前只有外科醫生才能解決的手術也很常見。

  • now performed endoscopically as it is often less invasive for sicker patients - these

    現在,內窺鏡下進行,因為它通常對疾病患者的侵入性較小--這些都是在內窺鏡下進行的。

  • might include drainage of abscesses, placement of a luminal stent, or a nissen fundoplication.

    可能包括膿腫引流、放置腔內支架或Nissen眼底手術。

  • You'll work with either pediatric or adult patients, and you'll be dealing with both

    你將與兒童或成人患者一起工作,你將同時面對以下兩種情況。

  • acute and chronic processes.

    急性和慢性過程。

  • Those acute processes will be anything but boring.

    這些急性的過程將是什麼,但無聊。

  • Bleeding gastric ulcers are high acuity and can be life threatening, and foreign body

    出血性胃潰瘍屬於高發疾病,可危及生命,異物

  • removals, such as toy cars or phallic shaped objects in someone's behind that they "accidentally

    搬運,如玩具車或某人背後的法器,他們 "不小心 "搬走了。

  • slipped on" is a common occurrence.

    滑 "的情況屢見不鮮。

  • From the top end, poorly chewed meat, dentures, chicken bones, and even silverware will require

    從上端來看,咀嚼不良的肉、假牙、雞骨,甚至銀器都需要。

  • your expertise in removing safely.

    您的專業技術安全去除。

  • There are a few ways of categorizing gastroenterology.

    胃腸病的分類有幾種方法。

  • As an academic gastroenterologist, you'll be focusing on teaching students and GI fellows,

    作為一名學術型消化科醫生,你將專注於教授學生和消化科研究員。

  • in addition to the academic side of medicine.

    除了醫學的學術方面。

  • In academia, you typically see more variety in pathology, unique cases, and rare hereditary

    在學術界,你通常會看到更多種類的病理,獨特的病例,和罕見的遺傳性的。

  • diseases.

    疾病;

  • As a community gastroenterologist, working in a smaller institution, you'll be dealing

    作為一名社區腸胃科醫生,在一個較小的機構中工作,你將處理的是

  • with more bread and butter cases that tend to be less complicated or unique.

    與更多的麵包和黃油案例,往往不那麼複雜或獨特。

  • If you're at a county hospital, where patients often don't seek medical help until much later,

    如果你在縣級醫院,病人往往要到很久以後才會尋求醫療幫助。

  • you might see more rare, advanced pathophysiology and presentations.

    你可能會看到更多罕見的、先進的病理生理學和演示。

  • Private practice is the least common practice setting for a gastroenterologist, and usually

    私家診所是消化內科醫生最不常見的執業環境,通常是

  • only occurs in smaller towns.

    只發生在小城鎮。

  • It's more difficult to manage because there are multiple moving parts in a GI practice,

    由於GI實踐中存在多個運動部件,管理起來比較困難。

  • including both acute and chronic as well as procedural and non-procedural.

    包括急性和慢性,以及程序性和非程序性。

  • Coordinating staff, clinic, and most importantly patient safety, such as cleaning scopes, proper

    協調工作人員、診所,最重要的是患者的安全,如清潔窺鏡、適當的。

  • sedation, and having state of the art equipment, makes private practice increasingly cumbersome.

    鎮靜劑,並擁有最先進的設備,使得私人診所越來越麻煩。

  • As an outpatient gastroenterologist, you'll have the more standard 9 to 5 or 8 to 4 working

    作為一名門診消化科醫生,你會有比較標準的朝九晚五或朝八晚四的工作時間。

  • hours and a predictable schedule.

    小時和可預測的時間表。

  • This offers flexibility with your lifestyle, including better hours, and a high degree

    這為您的生活方式提供了靈活性,包括更好的工作時間,以及高程度的

  • of clinic time and procedures, primarily in diagnostic screenings, such as a colon cancer

    診所的時間和程序,主要是在診斷性篩查方面,如結腸癌

  • screening colonoscopy.

    篩查結腸鏡檢查。

  • You'll generally spend 3 or 3 and a half days doing procedures each week, and 1 and a half

    一般來說,你每週要花3天或3天半的時間做程序,1天半的時間

  • to 2 days in clinic.

    到2天的診所。

  • The majority of your work will be outpatient in nature, but a few nights per month you'll

    您的大部分工作將是門診性質的,但每個月有幾個晚上您會

  • be on call with the local hospital or academic setting for emergencies.

    在當地醫院或學術環境中隨叫隨到,以應對緊急情況。

  • As an inpatient gastroenterologist, you're likely to be working in academia.

    作為一名住院消化科醫生,你很可能在學術界工作。

  • Again, this translates to teaching medical students, residents, and fellows, and also

    同樣,這也轉化為對醫學生、住院醫師和研究員的教學,同時也是

  • seeing more advanced pathologies.

    看到更高級的病理。

  • You'll be busier than your outpatient colleagues, and patients will be sicker.

    你會比門診的同事更忙,病人也會更病。

  • It's more rigorous, but for many the rewards pay offprimarily in teaching and involvement

    這是更嚴格的,但對許多人來說,回報是有的,主要是在教學和參與方面。

  • with more intricate procedures, such as ERCP in dealing with the liver and pancreas.

    與更復雜的程序,如ERCP處理肝臟和胰腺。

  • In terms of schedule as a GI in academia, you can expect typically 9 to 6 pm depending

    在學術界作為GI的日程安排方面,你可以期待通常9點到6點,這取決於你的工作。

  • on inpatient rounds with some time on call at night each month.

    對住院病人進行巡視,每月晚上有一定時間值班。

  • If you are a GI hospitalist, you can expect one week on and one week off, like an internal

    如果你是消化道醫院的醫生,你可以像內科醫生一樣,一週上一週下。

  • medicine inpatient hospitalist.

    內科住院醫師。

  • Gastroenterology is a fascinating field.

    消化內科是一個迷人的領域。

  • After I was diagnosed with inflammatory bowel disease over 10 years ago, I was actually

    10多年前,我被診斷出患有炎症性腸病後,我其實是

  • inspired to pursue pediatric gastroenterology so that I could help children with similar

    受此啟發,我開始從事小兒腸胃病學的研究,以便能夠幫助有類似情況的兒童。

  • digestive disease processes.

    消化疾病過程。

  • I was drawn to the procedural elements and found nutrition and digestion fascinating,

    我被程序化的元素所吸引,覺得營養和消化很有魅力。

  • but I ended up pursuing plastic surgery.

    但我最終還是選擇了整形手術。

  • That's another story told on my personal channel.

    這是我個人頻道上講的另一個故事。

  • Many people think that because of the colonoscopies and other procedures within GI, it's a field

    很多人認為,由於腸鏡等手術在消化內科,是一個領域的

  • that's hard on your nose.

    這是很難在你的鼻子。

  • The truth is, it rarely smells bad because patients are generally prepped beforehand,

    事實上,它很少有異味,因為患者一般都會事先做好準備。

  • meaning their colons are cleaned with laxatives to improve visualizing the colon walls.

    意味著他們的結腸要用瀉藥清洗,以提高結腸壁的可視性。

  • While GI is technically mouth to anus, you'll find in practice that it more practically

    雖然GI在技術上是口對肛門,但在實踐中你會發現,它更實際的是

  • begins at the upper esophageal sphincter.

    始於食管上括約肌。

  • Above that, it's primarily ENT, also known as otolaryngology, although there is some

    以上,主要是耳鼻喉科,也就是耳鼻咽喉科,雖然也有一些。

  • overlap between the two.

    兩者之間有重疊。

  • And yes, digital rectal exams are important, and if you're a medical student or resident

    是的,數字直腸檢查很重要,如果你是醫學生或住院醫師的話

  • don't shy away from them.

    不要羞於啟齒

  • And for the rest of you, make sure you're comfortable with poop if you're considering

    而對於其他人來說,如果你正在考慮,請確保你對大便的舒適度。

  • GI.

    GI.

  • To become a gastroenterologist, you first complete 4 years of medical school, then 3

    要成為一名胃腸科醫生,你首先要完成4年的醫學院學業,然後再完成3年。

  • years of internal medicine residency, and then 3 years of gastroenterology fellowship.

    年的內科住院醫師培訓,然後是3年的消化內科獎學金。

  • That's a total of 6 years of postgraduate training after medical school.

    也就是說,醫學院畢業後,總共要接受6年的研究所學生培訓。

  • Many gastroenterologists also pursue an additional 1 or 2 year fellowship to further subspecialize.

    許多胃腸病醫生還額外進行1或2年的研究,以進一步分科。

  • Gastroenterology is one of the most competitive internal medicine fellowships, duking it out

    消化內科是競爭最激烈的內科專業之一,對決的是

  • with cardiology.

    與心臟病學。

  • They do consider all three USMLE scores, including Step 1, Step 2CK, and Step 3 in assessing

    他們在評估USMLE成績時,確實考慮了所有三個步驟,包括步驟1、步驟2CK和步驟3。

  • your application.

    您的申請。

  • Research is also highlighted, with the average matriculant having 11 research items, compared

    同時突出研究性,預科生平均有11項研究,而

  • to 9 for cardiology.

    心內科改為9。

  • This isn't so much a rite of passage, but rather highlighted because gastroenterology

    這並不是什麼禮節,而是因為胃腸病學而凸顯出來的。

  • is a rapidly changing and evolving field.

    是一個快速變化和發展的領域。

  • Hot topics in gastroenterology right now are related to new endoscopic surgical techniques

    現在消化內科的熱點話題與內鏡手術新技術有關。

  • such as POEM, or Peroral Endoscopic Myotomy, an endoscopic procedure used to treat swallowing

    如POEM,或口周內窺鏡肌切術,一種用於治療吞嚥的內窺鏡手術。

  • disorders, most commonly for Achalasia.

    紊亂,最常見的是跟腱炎。

  • Another hot topic is the gut microbiome as it relates to various aspects of health including

    另一個熱門話題是腸道微生物組,因為它與健康的各個方面有關,包括

  • the gut.

    腸道。

  • There is also attention focused on developing oral medications rather than intravenous for

    還有人關注開發口服藥物,而不是靜脈注射藥物。

  • ease of administration for patients, especially for those with inflammatory bowel disease.

    便於患者,特別是炎症性腸病患者服用。

  • If pediatric gastroenterology is your goal, then you'd first complete three years of

    如果你的目標是小兒胃腸病學,那麼你首先要完成為期三年的

  • pediatrics residency rather than internal medicine residency.

    兒科住院醫師,而不是內科住院醫師。

  • After that, you would complete 3 years of pediatric gastroenterology fellowship.

    之後,你將完成3年的小兒消化科獎學金。

  • If you're interested in doing surgery on the digestive tract, you want to look to general

    如果你有興趣做消化道的手術,你要看一般的

  • surgery and its subspecialties, such as colorectal or hepatobiliary surgery.

    外科及其亞專業,如結直腸或肝膽外科。

  • That's a separate residency training process, whereby you match into general surgery first

    那是一個單獨的住院醫師培訓過程,你要先匹配到普外科去

  • and complete the relevant fellowship after.

    並完成相關的研究金後。

  • As for the medical students who typically go for gastroenterology, they're usually the

    至於醫學生一般都會去讀消化內科,他們一般都是

  • ones who enjoy a fast paced specialty, are efficient, yet are also laid back and can

    喜歡快節奏的專業,效率高,但也是悠閒的,可以是一個很好的選擇。

  • handle the sometimes high acuity and stressful situations.

    處理有時高尖銳度和壓力的情況。

  • They're adaptable and versatile, being able to turn on and quickly lock in for an acute

    它們的適應性強,用途廣泛,能夠開啟並迅速鎖定急性

  • bleed, but also able to slow down for clinic.

    出血,但也能夠慢下來進行診治。

  • Most of the gastroenterology fellowships are 1 year in duration, although some programs

    大多數胃腸病學研究金的期限為1年,但有些項目的期限為1年。

  • are 2 years, particularly if they have a heavier focus on research.

    是2年,特別是如果他們的研究重點比較重。

  • Note that with any of these fellowships, you'll still be treating general gastroenterology

    請注意,在這些獎學金中的任何一個,你仍然會治療普通的胃腸病

  • conditions and performing screening colonoscopies in varying amounts.

    狀況,並進行不同量的腸鏡檢查。

  • Interventional and advanced endoscopy focuses on endoscopic procedures, such as endoscopic

    介入和先進的內窺鏡檢查主要是內窺鏡手術,如內窺鏡下。

  • retrograde cholangiopancreatography, or ERCP, to visualize the gallbladder, biliary system,

    逆行性胰膽管造影術,或ERCP,用於觀察膽囊、膽道系統。

  • pancreas, and liver.

    胰腺和肝臟。

  • You'll also be trained in endoscopic ultrasound, which is similar to endoscopy, but rather

    你還將接受內窺鏡超聲的培訓,這與內窺鏡檢查類似,但更多的是。

  • than a camera at the end, you'll have an ultrasound probe.

    比起末端的攝像頭,你會有一個超聲探頭。

  • Ultrasound is commonly done from the outside of the body, but endoscopic ultrasound offers

    超聲檢查通常從身體外部進行,但內窺鏡超聲檢查可提供

  • internal imaging that's highly accurate, and is used to diagnose cancer, take biopsies,

    高精度的內部成像,用於診斷癌症、取活檢。

  • or place enteral stents.

    或放置腸道支架。

  • Advanced endoscopists do a great deal of stenting when cancers obstruct the GI passages, whether

    高級內鏡醫生在癌症阻塞消化道時,會做大量的支架手術,無論是

  • in the esophagus, stomach, small intestine, or colon.

    食道、胃、小腸或結腸中。

  • In these instances, your interventions are more therapeutic or palliative, rather than

    在這些情況下,你的干預措施更多的是治療或緩解,而非

  • curative.

    治療性的。

  • It's a highly rewarding subspecialty, but it comes with longer hours and is often inpatient

    這是一個回報率很高的亞專業,但它的工作時間較長,而且經常是住院治療。

  • in nature.

    性質上。

  • You'll also be wearing lead aprons for long periods of time for frequent use of x-rays,

    頻繁使用X射線的你還會長期穿著鉛圍裙。

  • which can be tiresome, particularly when also maneuvering the scope.

    這可能是令人厭煩的,特別是當還操縱範圍。

  • Inflammatory bowel disease is an autoimmune condition, consisting of two types: Crohn's

    炎症性腸病是一種自身免疫性疾病,包括兩種類型。克羅恩病

  • disease and ulcerative colitis.

    病和潰瘍性結腸炎。

  • With an autoimmune disease, the body is attacking itself, and these are the specialists in managing

    有了自身免疫性疾病,身體就會自我攻擊,而這些都是管理的專家。

  • the heavy hitting and sometimes dangerous immunosuppressive agents that get this disease

    重拳出擊,有時甚至是危險的免疫抑制劑,使這種疾病得到

  • under control.

    受控。

  • It's a rapidly evolving field, taking a closer look at how the gut microbiome influences

    這是一個快速發展的領域,仔細研究腸道微生物組如何影響

  • these conditions.

    這些條件。

  • You'll also be dealing with awesome patients like me.

    你也會和像我這樣的厲害的病人打交道。

  • In terms of lifestyle, hours are the more predictable and typical 9 to 5 in nature.

    在生活方式上,時間是比較可預測的,典型的朝九晚五的性質。

  • Hepatology and transplant hepatology are the experts on the liver, dealing with liver cirrhosis,

    肝病學和移植肝病學是肝臟方面的專家,處理肝硬化。

  • autoimmune diseases of the liver, hereditary diseases, and liver failure.

    肝臟的自身免疫性疾病、遺傳性疾病和肝衰竭。

  • While the transplant surgeon will be doing the actual harvesting and surgery, you'll

    當移植醫生將進行實際的採集和手術時,你將會

  • be evaluating the patient for liver transplant candidacy and will provide pre-op and post-op

    評估患者是否適合進行肝臟移植,並提供術前和術後服務。

  • care.

    照顧。

  • Often times, this includes stabilizing and improving a patient's health from first presentation

    通常情況下,這包括穩定和改善患者的健康狀況,從第一次出現。

  • such that they are realistic liver transplant candidates.

    以至於他們是現實的肝移植候選人。

  • This requires careful attention and nuance to medication management and peri and post

    這就需要認真注意和細微地處理藥物管理以及圍手術期和術後。

  • operative care.

    手術護理;

  • Motility is the least common of GI fellowships, dealing with peristalsis of the gastrointestinal

    運動性是最不常見的消化道交誼,處理胃腸的蠕動。

  • tract, meaning the wavelike motion that propels food down the alimentary canal.

    意思是說,食物在消化道中的波浪式運動。

  • These coordinated contractions push stomach contents into the small intestine, or help

    這些協調的收縮將胃內容物推入小腸,或幫助胃內容物進入小腸。

  • the colon and rectum move feces prior to having a bowel movement.

    在排便前,結腸和直腸會移動糞便。

  • Peristalsis is reliant on the nervous system, endocrine system, and balance between sympathetic

    蠕動依賴於神經系統、內分泌系統和交感神經之間的平衡。

  • and parasympathetic systems.

    和副交感系統。

  • Motility experts are often working with various systemic conditions that impair motility,

    運動能力專家經常與各種損害運動能力的系統性疾病打交道。

  • such as neurologic diseases or scleroderma, an autoimmune connective tissue disease that

    如神經系統疾病或硬皮病,這是一種自身免疫性結締組織疾病,它的特點是

  • causes hardening of the skin and other tissues.

    導致皮膚和其他組織的硬化。

  • There's a lot to love about gastroenterology.

    胃腸病學有很多優點。

  • It uniquely offers a good breadth of medical knowledge applied in both the acute and chronic

    它獨特地提供了一個良好的醫學知識的廣度,應用於急性和慢性。

  • settings.

    設置。

  • If you enjoy procedures but don't quite want to do surgery, consider this specialty.

    如果你喜歡程序,但又不太想做手術,可以考慮這個專業。

  • If you're into exciting high acuity situations, there's plenty of GI emergencies through acute

    如果你喜歡刺激的高敏度情況,有很多消化道急症通過急性

  • bleeds and foreign body ingestion.

    出血和異物攝入。

  • On the other hand, you also enjoy longitudinal care and building relationships with your

    另一方面,您還可以享受到長期的關懷,並與您建立關係。

  • patients, as many GI diseases are chronic in nature.

    患者,因為很多消化道疾病都是慢性病。

  • Mastery is inherently rewarding, and my gastroenterologist friend says it's a very easy specialty to

    掌握了這個專業本身就有收穫,我的消化科醫生朋友說,這是一個很容易的專業。

  • master, assuming you have a strong foundation in internal medicine first.

    師,假設你先有一個堅實的內科基礎。

  • In terms of compensation, it's usually in the top 6 specialties, most recently at $419,000

    在薪酬方面,一般都在前6名的專業中,最近一次是41.9萬元。

  • per year, which makes sense given its procedural nature.

    每年,鑑於其程序性,這是有道理的。

  • You have flexibility with your lifestyle, and are able to have 9 to 5 hours while also

    您的生活方式很靈活,可以朝九晚五,同時也可以有自己的生活方式。

  • making a very comfortable living.

    使得生活非常舒適。

  • There's currently a widespread shortage of gastroenterologists in many cities, and therefore

    目前很多城市普遍存在消化科醫生短缺的問題,是以

  • you'll be in high demand, giving you leverage in having the type of practice you want.

    你會有很高的需求,讓你在擁有你想要的實踐類型的槓桿。

  • While GI is an amazing specialty, it's not for everyone.

    雖然GI是一個神奇的專業,但並不是每個人都適合。

  • If you are disgusted by the idea of feces, look elsewhere.

    如果你對糞便的想法感到厭惡,請到別處去找。

  • It's not a constant reality you'll be facing every minute of the day, but you'll be seeing

    這不是一個恆定的現實,你將面對每時每刻,但你會看到

  • at least a little bit on a daily basis.

    至少每天都有一點。

  • It can be a fast paced field, and you should be comfortable being able to jump around from

    這可能是一個快節奏的領域,你應該能夠舒適地跳來跳去。

  • clinic to rushing to the ED for an acute GI bleed, and then going to the procedure suite

    診所,到急診室進行急性消化道出血,然後到手術室。

  • to do your scopes for the day.

    做你今天的望遠鏡。

  • If you prefer a slow paced specialty, this may not be a good fit.

    如果你喜歡慢節奏的專業,可能就不太適合。

  • The specialty deals with a high number of chronic diseases, and these patients often

    該專業處理的慢性病患者較多,這些患者往往是

  • require more patience.

    需要更多的耐心。

  • You are often unable to quickly fix and cure someone of their ailmentif that's what

    你往往無法快速修復和治癒某人的疾病--如果這就是

  • you're looking for, then surgery would be better suited for you.

    你要找的,那麼手術會更適合你。

  • And lastly, I'll touch on my own personal experience.

    最後,我再談談自己的親身經歷。

  • When I was pursuing GI, I spent a great deal of time in the procedure suite, watching dozens

    當我追求GI的時候,我花了大量的時間在手術室裡,看了幾十個

  • of upper and lower endoscopies.

    上、下內窺鏡的。

  • I knew that I wanted to do something procedural, but the procedural variety is limited in something

    我知道我想做一些程序性的東西,但是程序性的東西種類有限,在一些

  • like GI, and doesn't compare to surgery in terms of complexity, nuance, and technical

    像GI,在複雜度、細微度和技術上都無法與手術相比。

  • challenge.

    挑戰。

  • That's not to take anything away from GI.

    這並不是要剝奪GI的任何權利。

  • It's simply a nature of the different approachesin surgery, you're completely hands on,

    這只是不同方法的性質--在手術中,你完全是親力親為。

  • touching, cutting, suturing various layers of tissue.

    觸摸、切割、縫合各層組織。

  • In comparison, with gastroenterology you're always separated to a larger degree, as the

    相比之下,胃腸科的你總是會被分離到較大的程度,因為。

  • scope or other tools place you much further from the action.

    範圍或其他工具使你離行動更遠。