You want to serve your country, travel around the world, and be at the cutting edge of medical

你想報效祖國，周遊世界，走在醫學的最前沿。

technology.

技術。

This is what it means to be a military doctor, and we'll help you decide if it's a good

這就是當軍醫的意義，我們會幫你決定是否是一個好的。

field for you.

領域為你。

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 or discipline within medicine, such as being

在這個系列中，我們強調了醫學中的一個特定的專業或學科，例如是

a military physician, and help you decide if it's a good fit for you.

軍醫，幫你決定是否適合你。

You can find more specialties on our So You Want to Be playlist.

你可以在我們的 "所以你想成為 "播放列表中找到更多的特產。

Military medicine is widely misunderstood by us civilians.

軍醫被我們老百姓廣泛誤解。

We're going to be comparing military medicine to civilian medicine, so it will make the

我們要把軍醫和民醫進行比較，所以會讓。

most sense if you are familiar with the civilian medical training process.

如果你熟悉民間醫療培訓流程，最有意義。

If you're not, then first watch this video for a brief overview .

如果你不是，那就先看這段視頻，簡單瞭解一下 。

To become a physician in the military, there are two main paths to choose from: the Health

要想成為一名軍隊的醫生，主要有兩條路可以選擇：衛生。

Professions Scholarship Program, or HPSP for short, and the Uniformed Services University

職業獎學金計劃，簡稱HPSP，以及軍警大學的。

of the Health Sciences, also known as the USUHS.

的健康科學，又稱USUHS。

HPSP is the more common path of the two, whereby you go to any medical school, whether osteopathic

HPSP是兩個更常見的路徑，據此，你去任何一所醫學院，無論是整骨外科，還是骨科。

or allopathic, and here's the kicker: your tuition is entirely paid for and you also

或對症治療，這裡的關鍵是：你的學費是完全支付，你還

receive a monthly stipend for living expenses.

每月領取生活費津貼。

For the most part, your medical training is pretty similar to that of your civilian counterparts.

在大多數情況下，你的醫學訓練和你的民用同行的訓練是非常相似的。

However, as a HPSP recipient, you will have basic military training, most commonly during

然而，作為高考狀元，您將接受基本的軍事訓練，最常見的是在以下期間進行

your second year of medical school.

你在醫學院的第二年。

During your clinical years, meaning third and fourth year, you are usually granted the

在臨床工作的幾年中，也就是第三年和第四年，你通常會被授予以下權利

opportunity to become “active duty” and rotate at military hospitals if you choose.

機會成為 "現役"，如果你選擇在軍隊醫院輪轉。

So what's the catch?

那有什麼辦法呢？

The United States military paid for your medical school education, so it's only fair to pay

美國軍方為你的醫學院教育付出了代價 所以付出代價是很公平的。

it back.

它回來。

Generally speaking, there's a 1 to 1 payback in service to the military under HPSP.

一般來說，根據聯考政策，服兵役有1比1的回報。

That means if you graduated medical school after the traditional 4 years, you are required

這意味著，如果你在傳統的4年之後才從醫學院畢業，你就需要

to be a physician serving in the military for at least 4 years after completing your

在完成學業後，成為一名在軍隊服役至少4年的醫生。

training.

訓練；

While you are of course being paid when you are serving as a physician, note that military

雖然你在當醫生的時候當然是有工資的，但要注意，軍

compensation rates are usually lower than civilian counterparts.

賠償率通常低於文職人員。

The main benefit to HPSP is that you have complete flexibility to where you attend medical

HPSP的主要好處是，您可以完全靈活地選擇就醫地點。

school.

學校：

Want to go to UC San Diego and enjoy the awesome weather?

想去加州大學聖地亞哥分校享受美妙的天氣嗎？

No problem.

沒問題。

What about staying at Ohio State to be close to family?

留在俄亥俄州立大學和家人親近呢？

Also totally fine.

也完全可以。

The downside is that unless you're attending a medical school that has several HPSP recipients,

缺點是，除非你就讀的醫學院有幾個HPSP得主。

you will be isolated from the rest of the military medical training process.

你將被隔離在軍醫訓練過程中的其他地方。

You won't be exposed to the military match process, the military in general, and you

你不會接觸到軍事比賽的過程，一般的軍隊，你會

won't be participating in drills or field exercises.

不會參加演習或野外演習。

The USUHS is the military's medical school.

美大附中是軍隊的醫學院。

Like HPSP, tuition is completely free, but rather than a small stipend for living expenses,

和HPSP一樣，學費是完全免費的，但不是生活費的小補貼。

you'll be serving as an active duty 2nd Lieutenant and paid as such, which is around

你將作為一個現役的少尉服務，並支付作為這樣的，這是約。

$40,000 per year base pay, with about another $20,000 of non-taxable income for housing.

每年4萬元的基本工資，還有2萬元左右的住房非稅收入。

The most obvious downside is that you won't have a choice in where you attend medical

最明顯的缺點是，你將無法選擇在哪裡就醫。

school - you'll have to attend USUHS, which is located in Bethesda, Maryland.

學校--你得去位於馬里蘭州貝塞斯達的USUHS上學。

Additionally, the payback period is longer than HPSP at 7 years on average.

此外，投資回收期比HPSP長，平均為7年。

That being said, there are several benefits to this path.

也就是說，這條路有幾個好處。

You'll be fully integrated into the military medical training system from the get go, and

你將從一開始就完全融入到軍醫訓練體系中去，而且。

that means many more opportunities, unique experiences, and full immersion into the military

這意味著更多的機會，獨特的體驗，以及完全融入到軍隊中去。

culture.

文化。

Of course, you'll be participating in field exercises, but it gets much more exciting

當然，你會參加實地演習，但會變得更激動人心

than that.

比這。

For example, you can gain early exposure and do rotations in humanitarian medicine, disaster

例如，你可以儘早接觸並輪換到人道主義醫學、災害防治、醫療衛生等領域。

medicine, rotate across the U.S. and even internationally.

醫學，在美國乃至國際上輪轉。

The world of military medicine shares many similarities with civilian medicine, but is

軍醫的世界與民用醫學有許多相似之處，但卻又是

in some ways a world of its own.

在某些方面，它是一個獨立的世界。

As a military physician, it's not only necessary for you to be a specialist in your field,

作為一名軍醫，不僅要成為本專業的專家。

but also a competent and flexible generalist while deployed.

但同時也是一名稱職靈活的通才，同時部署。

For example, a general surgeon, while deployed, may be asked to do cases more typically reserved

例如，一名普通外科醫生在部署期間可能會被要求做一些通常保留的病例。

for a neurosurgeon, otolaryngologist, or urologist.

為神經外科醫生、耳鼻喉科醫生或泌尿科醫生。

Alternatively, a pediatrician may be deployed as a battalion doctor, the military equivalent

或者，兒科醫生可以作為營級醫生部署，相當於軍隊。

of a primary care physician.

初級保健醫生的。

This is a difficult and stressful aspect of military medicine, but it's mitigated by

這是軍醫的一個難點和壓力，但通過以下方式來緩解。

a strong support system and excellent training.

強大的支持系統和優秀的培訓。

You'll always have someone to call to ask for help or clarification.

你總會有人打電話來尋求幫助或澄清。

And these cross-specialty responsibilities are only reserved while you're deployed.

而這些跨專業的職責只是在你被部署時才保留的。

Back home, you'll stick to working within your intended specialty.

回國後，你會堅持在你預定的專業內工作。

The military match process is an entirely different animal.

軍配的過程完全是另一種動物。

The regular civilian match occurs in March, but the military match occurs in December.

常規的文職比賽在3月進行，但軍事比賽在12月進行。

All specialties are still available for residency training, however the military is working

所有的專業都還可以進行住院醫師培訓，不過軍方正在進行

to curtail the number of “non-deployable specialists.”

以減少 "不可部署的專家 "的數量。

For example, the military will still train pediatricians but may limit additional subspecialty

例如，軍隊仍將培訓兒科醫生，但可能會限制更多的亞專業。

training in fellowship.

獎學金的培訓。

Once you graduate medical school and start residency, you are promoted to captain in

一旦你從醫學院畢業並開始做住院醫師，你就會被提升為隊長。

the Army and Air Force, or to Lieutenant in the Navy.

陸軍和空軍，或海軍中尉。

A majority of graduates match into their intended specialty of choice.

大多數畢業生匹配到自己選擇的意向專業。

For the Army that number was 85% in 2018.

對於軍隊來說，2018年這個數字是85%。

The Air Force's most recent published number was 85% for 2017.

2017年，空軍最新公佈的數字是85%。

Taking into account specialty and location, in 2016 72% of USUHS graduates got their first

考慮到專業和地點，2016年，72%的美大附中畢業生拿到了第一份

choice of specialty and site (across all branches).

專業和場地的選擇(所有分支機構)。

The Navy is a bit different in that the majority of their graduates will complete an intern

海軍的情況有些不同，他們的畢業生大多會完成一個實習生

year and do a General Medical Officer Tour prior to completing residency.

年，並在完成住院醫師培訓前做一次總醫師巡視。

A General Medical Officer, or GMO for short, is essentially a primary care plus doctor.

全科醫生，簡稱全科醫生，本質上就是一個主治加醫生。

After completing intern year, GMO's are assigned to different units.

在完成實習年後，GMO的被分配到不同的組織、部門。

Depending on their unit, they will undergo additional training, lasting months to years,

根據不同的組織、部門，他們將接受額外的訓練，持續數月至數年。

to best be in service of their unit.

才能最好地服務於本組織、部門。

For example, Navy flight doctors will go to flight school where they will learn not only

例如，海軍的飛行醫生會去飛行學校，在那裡他們不僅可以學到

about the physiology involved in flying fighter jets and helicopters, but they themselves

關於駕駛戰鬥機和直升機所涉及的生理學，但他們自己

will also learn to fly.

也將學會飛行。

They'll work with pilots, go in jets, and experience multiple aspects of the unit.

他們會和飛行員一起工作，坐飛機去，體驗組織、部門的多方面工作。

The goal is to make them experts in their respective fields.

目標是讓他們成為各自領域的專家。

GMO units have a wide range, from flight medicine to dive medicine, and much more.

GMO組織、部門的範圍很廣，從飛行醫學到潛水醫學等等。

As a GMO, you can expect to get significant field experience and even deploy, with tours

作為一個GMO，你可以期望得到大量的實地經驗，甚至部署，與旅遊。

usually lasting 2 to 3 years.

通常持續2至3年。

During this time you will be treated and salaried as an attending physician.

在此期間，您將享受主治醫師的待遇和工資。

GMO's are colloquially referred to as “surgeons,” such as flight surgeon, dive surgeon, etc.

轉基因生物被通俗地稱為 "外科醫生"，如飛行外科醫生、潛水外科醫生等。

However, they are not surgeons.

然而，他們不是外科醫生。

If you want to be a surgeon and actually do surgery, the military has training programs

如果你想成為一名外科醫生，並真正做手術，軍隊有培訓計劃。

for the traditional surgical specialties such as general surgery, otolaryngology, orthopedics,

為傳統外科專業，如普外科、耳鼻咽喉科、骨科。

urology, etc.

泌尿科等。

If you don't become a GMO, you will proceed with residency training in a similar capacity

如果你不成為一名GMO，你將繼續以類似的身份進行住院醫師培訓。

to civilians.

對平民的影響。

The main difference is that you will be required to fulfill certain military requirements such

最主要的區別是，你將被要求滿足某些軍事要求，如

as physical fitness tests, drills, and online training.

作為體能測試、訓練和在線培訓。

Some programs offer the opportunity to attend military schools, such as airborne, air assault,

有些項目提供了上軍校的機會，比如空降、空襲。

or flight medicine.

或飛行醫學。

Those that fail to match will complete a transitional year and they will reapply during the subsequent

不符合條件者將完成一個過渡年，他們將在隨後的時間裡重新申請。

match.

匹配。

If they go unmatched again, they will go on to become a GMO. Navy graduates have the highest

如果再無人能比，他們就會去當轉基因生物。海軍的畢業生有最高的

rate of graduates becoming GMO's.

畢業生成為轉基因生物的比率。

This has nothing to do with the applicants — it's just part of Navy medicine to have

這與申請者無關 - 這只是海軍醫學的一部分，有

GMO's with units.

轉基因生物的與組織、部門。

The lowest rate for GMO's is in the Army with the Air Force in the middle.

轉基因生物的比例最低的是陸軍，空軍在中間。

Military medicine is certainly not for everyone.

軍醫當然不是每個人都適合。

Here's how you can decide if it's a good fit for you.

以下是你如何決定它是否適合你。

First consider the downsides.

首先考慮缺點。

If any of these are deal breakers for you, then it's likely not a good match.

如果這些都是你的交易障礙，那麼它很可能不是一個好的匹配。

The average military physician makes approximately $150,000 to $200,000 per year, depending on

軍醫的平均年薪約為15萬至20萬美元，具體取決於

your rank, although that is not fully accounting for specialty bonuses.

你的等級，雖然這並不能完全算作特長獎金。

As a civilian, you can make much more, depending on your specialty.

作為一個平民，你可以賺得更多，這取決於你的專業。

As a primary care doctor, you'll be making a similar amount, but as an orthopedic or

作為一名主治醫生，你的收入也差不多，但作為一名骨科醫生或

neurosurgeon, you'll be making 2-3x that amount.

神經外科醫生，你會賺2-3倍的錢。

As a military physician, you don't have much control over where you'll be living

作為一名軍醫，你對自己的生活地點沒有太多的控制權。

and practicing medicine.

和行醫。

While you can certainly submit preferences, it's ultimately up to the military to determine

你當然可以提交喜好，但最終還是要由軍方來決定。

where you are most needed.

在最需要你的地方。

Additionally, after residency you can be deployed at any time, and that usually means significant

此外，在居住後，你可以在任何時候被部署，這通常意味著重大的。

time away from your family and loved ones.

離開家人和夫妻的時間。

There are of course risks if you are deployed to active war zones.

當然，如果你被部署到現役戰區，也有風險。

If you'd like to subspecialize with fellowship training, understand that while it is certainly

如果你想分專業與獎學金培訓，要明白，雖然這肯定是

possible, the military limits the number of fellowship trainees every year.

可能的，軍方每年都會限制獎學金學員的數量。

Between 2016 and 2018, only about 50% of Army doctors who wanted to do a fellowship were

2016年至2018年，想做研究員的軍醫只有約50%。

allowed to do so.

允許這樣做。

That said, if you are permitted, military physicians typically go to top flight fellowship

話說回來，如果你被允許，軍醫一般都會去做頂級的飛行研究。

programs.

方案。

Lastly, as they say in the military, you need to “embrace the suck.”

最後，就像他們在軍隊裡說的那樣，你需要 "擁抱吸"。

If you are in military medicine, you will be deployed, and you will find yourself in

如果你是從事軍醫工作的，你將會被部署，你會發現自己在。

conditions that are not comfortable.

不舒適的條件。

Military medicine requires a greater level of flexibility and creativity than civilian

軍事醫學比民用醫學需要更多的靈活性和創造性。

medicine.

醫學。

Think of the generalist having to perform specialist surgeries while deployed.

想一想普通醫生在部署時必須進行專科手術。

Additionally, you will have to work in austere, unique, and changing environments.

此外，你將不得不在嚴謹、獨特和變化的環境中工作。

Military medicine can be practiced in active war zones, areas recovering from conflict,

軍醫可以在現役戰區、衝突後恢復地區進行。

pandemics such as Ebola, humanitarian missions, global training exercises, and areas subject

埃博拉等大流行病、人道主義特派團、全球訓練演習和受影響的領域。

to natural disasters such as hurricanes and tsunamis.

颶風和海嘯等自然災害。

Military medicine allows you to serve your country, see the world, be with America's

軍醫可以讓你報效祖國，放眼世界，與美國的

finest, get additional training, work with world leaders in the field, push yourself,

最好的，得到額外的培訓，與該領域的世界領導者合作，推動自己。

and do things you never thought would do.

並做一些你從未想過會做的事情。

It's not for everybody, but for those who do pursue it, there is nothing quite like

這不是每個人都適合的，但對於那些追求它的人來說，沒有什麼比這更適合了

it.

它。

If you're wondering how I know so much about military medicine, it's because of our awesome

如果你想知道我是怎麼知道這麼多關於軍醫的事情的，那是因為我們偉大的。

team of physicians at Med School Insiders, several of whom are current military physicians.

醫學院內部人士的醫生團隊，其中有幾位是現任軍醫。

Maybe you need help deciding if military medicine is right for you, or want to ensure you're

也許你需要幫助決定軍醫是否適合你，或者想確保你是

as successful as possible given its unique training intricacies.

鑑於其獨特的訓練複雜性，儘可能的成功。

Regardless of your situation, our team at Med School Insiders can help.

無論您的情況如何，我們的醫學院內部人士團隊都可以幫助您。

Our team of over 60 physicians are on standby, here to serve you in helping you become a

我們的團隊有60多名醫生隨時待命，在這裡為您服務，幫助您成為一個合格的醫生。

future physician.

未來的醫生。

With our extensive experience and broad range of expertise, from civilian to military, primary

憑藉我們豐富的經驗和廣泛的專業知識，從民用到軍用，主

care to plastic surgery, we can help students from any background, regardless of their goals.

從護理到整形外科，我們可以幫助任何背景的學生，無論他們的目標是什麼。

If you have a highly unique non-traditional story or very specific goals in the type of

如果你有一個非常獨特的非傳統故事或非常具體的目標，在類型的

medicine you want to practice, chances are we've successfully helped students in similar

醫學的機會，我們已經成功地幫助學生在類似的。

situations get to where they want to be.

情況下到達他們想去的地方。

We've helped over 1,000 students in the last year alone, and they've left us raving

僅去年一年，我們就幫助了1000多名學生，他們對我們讚不絕口。

reviews.

評論：

See what's made us the fastest growing company in this space and learn more at MedSchoolInsiders.com.

看看是什麼讓我們成為該領域發展最快的公司，並在MedSchoolInsiders.com瞭解更多資訊。

What type of doctor should I cover in the next So You Want to Be video?

在下一個《你想成為》視頻中，我應該涵蓋什麼樣的醫生？

Let me know with a comment down below.

請在下面留言告訴我。

If you enjoyed the video, please give us a thumbs up as it keeps the YouTube gods happy.

如果你喜歡這段視頻，請給我們豎起大拇指，因為它能讓YouTube的大神們高興。

As always, thank you all so much for watching.

一如既往，非常感謝大家的觀看。

Much love to you all, and I will see you guys in that next one.

很愛你們，我們下一場見。