is often woefully inaccurate.

往往是非常不準確的。

From personality to intellect, motivations and biases, much of what you think you know

從性格到智力、動機和偏見，很多你認為你知道的東西

about doctors is probably wrong.

關於醫生可能是錯誤的。

So what is true and what is false?

那麼什麼是真，什麼是假？

We'll separate the fact from fiction.

我們要把事實和虛構分開。

Dr. Jubbal, MedSchoolInsiders.com.

朱波醫生，醫派內參網。

First, Doctors Are Incredibly Smart

首先，醫生是非常聰明的

Given the path it takes to become a doctor,

鑑於成為一名醫生所需要的道路。

I understand why most people would assume doctors are particularly intelligent.

我理解為什麼大多數人會認為醫生特別聰明。

First you compete as a pre-med student in college in an often cut throat environment,

首先，你在大學裡作為一個醫學預科生，在一個經常被淘汰的環境中競爭。

you score well on the MCAT, pass through medical school and take your boards, and then go through

你在MCAT考試中取得好成績，通過醫學院，並取得你的董事會，然後通過。

3-7 years of residency before you're a fully board certified and practicing attending physician.

3-7年的住院醫師培訓，你才能成為一個完全獲得董事會認證的執業主治醫師。

Don't get me wrong, the gauntlet that is medical training is incredibly challenging

不要誤會我的意思，醫學培訓的挑戰是非常大的。

and should not be taken lightly.

而不能掉以輕心。

But I'd argue you don't have to be all that intelligent to get through it.

但我想說的是，你不需要那麼聰明，也能通過它。

As they say, learning in medical school is like drinking from a fire hydrant.

俗話說，在醫學院學習就像喝消防栓一樣。

The information isn't particularly challenging, but rather it's the quantity and rate at

這些資訊並不是特別具有挑戰性，而是在數量和速度上的挑戰

which you must learn.

你必須學會的。

And this has less to do with intelligence and more with work ethic.

而這與智商無關，更多的是與職業道德有關。

If you're willing to put in the time with repetition repetition repetition through the

如果你願意花時間與重複的時間重複的通過

form of Anki cards and other active learning methods, you should be fine.

安琪卡等形式的主動學習方法，你應該是可以的。

The key point is this: being successful in medicine has less to do with intelligence,

最關鍵的一點是：在醫學上取得成功，與智力的關係不大。

and much more to do with work ethic.

而更多的是與職業道德有關。

Getting into certain competitive specialties may favor those who are better at taking tests,

進入某些競爭激烈的專業，可能有利於那些更擅長考試的人。

productive in research, and liked by their preceptors.

在研究中取得了豐碩的成果，並受到預科生的喜歡。

But that doesn't necessarily make them more intelligent.

但這並不一定能讓他們更聰明。

I go over the [top 5 most competitive specialties in a previous video.

我在之前的視頻中介紹了【最具競爭力的五大專業】。

Certain other specialties may require more brain power, like electrophysiology as a sub

某些其他專業可能需要更多的腦力，比如電生理學作為一個亞

specialty within cardiology, but you still don't have to be a genius by any means to

在心臟病學內的專業，但你仍然不必是一個天才，無論如何，以

do it.

做到這一點。

Number two, We Hate Eastern Medicine

第二，我們恨東醫

Complementary and Alternative Medicine, or

補充和替代醫學，或

CAM for short, covers therapies not traditionally included in western medicine.

CAM簡稱CAM，涵蓋了傳統西醫所沒有的療法。

CAM often gets pitted against western medicine, as if it's an either or and that western

CAM經常被與西醫對立起來，彷彿它是一個非此即彼的問題，而西醫也是如此。

medicine physicians must be diametrically opposed.

醫學醫生一定是截然相反的。

But that isn't quite true.

但這並不完全正確。

You see, modern physicians strive to practice evidence based medicine, meaning therapies and medicine

你看，現代醫生努力實行循證醫學，也就是療法和醫學。

which has demonstrated utility through sound research.

通過紮實的研究證明了它的實用性。

And often times, the research in a certain areas of health is lackluster, like nutrition,

而很多時候，某些健康領域的研究是乏善可陳的，比如營養學。

and clinical judgment is necessary.

和臨床判斷是必要的。

For example, I have Crohn's colitis, and research demonstrates that curcumin and vitamin

例如，我有克羅恩結腸炎，研究表明，薑黃素和維他命。

D supplementation helps to maintain remission in patients with my condition.

補充D有助於維持我病情患者的緩解。

Is it CAM or is it western medicine?

是CAM還是西醫？

Call it whatever you want, but it's evidence based medicine at the end of the day.

隨你怎麼說，但歸根結底是循證醫學。

That being said, clinical judgment and reason is essential to know what supplements interact

也就是說，臨床判斷和理性是必不可少的，要知道什麼樣的補充劑會產生相互作用。

with others and how to take them in a safe and efficacious manner.

與他人，以及如何以安全有效的方式服用。

For example, I'm not going to pull a Gary Null and overdose on Vitamin D to the point

例如，我不會像Gary Null那樣，過量服用維生素D，以至於...

of requiring hospitalization.

需要住院治療的。

Watch out for such charlatans who promote questionable (and often times harmful) alternative

小心那些推銷可疑（往往是有害的）替代品的金光黨。

and naturopathic medicine practices while antagonizing evidence based western medicine.

和自然療法醫學實踐，同時對抗循證西醫。

Number three, Doctors Make Bank

第三條，醫生賺大錢

Contrary to popular belief, doctors are not

與人們的想法相反，醫生並不是......。

nearly as wealthy or financially well off as society would have you believe.

幾乎沒有社會上的財富或經濟上的富裕，你會相信。

This misconception comes from the high salary that physicians earn.

這種誤解來自於醫生的高薪。

Primary care doctors earn on average $220,000 per year, and specialists earn an average

初級保健醫生的平均年薪為22萬美元，專科醫生的平均年薪為5萬美元。

of $320,000 per year.

每年320,000美元。

Seems like good money, right?

似乎是好錢，對吧？

It's a good living, but remember that doctors only begin earning this salary after 4 years

這是一個很好的生活，但要記住，醫生要在4年後才開始賺取這個薪水。

of college, 4 years of medical school, and 3-7 years of residency.

大學、4年醫學院、3-7年住院醫師。

Tack on another 1 or more years if they decide to do fellowship.

如果他們決定做研究員，再加1年或更多。

Plus the average student debt for graduating medical students is near $200,000.

再加上畢業醫學生的平均學生債務接近20萬。

Given the opportunity cost and significant loan burden, it still takes some time for

考慮到機會成本和巨大的貸款負擔，仍需要一定的時間來進行

physicians to catch up to their peers.

醫師要趕超同行。

These numbers have been explained time and time again, but another largely overlooked

這些數字已經被反覆解釋過了，但另一個基本被忽略的數字

reason is the distribution of income amongst physicians versus other professions.

原因是醫生與其他職業之間的收入分配。

If you are a physician working full time, there's a very high likelihood that you'll

如果你是一個全職工作的醫生，很有可能你會

be making low to mid six figures.

賺取低至中六位數。

Not too many do more than that, and not too many do less.

做得多的不多，做得少的也不少。

In statistical terms, we call this a low variance.

在統計學上，我們稱之為低方差。

With other professions, however, there is a much broader spread.

不過，與其他專業相比，分佈更廣。

If you're a higher level programmer or business person in a large company, making seven figures

如果你是大公司的高級程序員或業務人員，收入七位數的

is not out of the ordinary.

並不是出格的。

Do some physicians make seven figures?

有些醫生的收入是七位數嗎？

Absolutely, but they're the exception and not the rule.

當然，但他們是例外而不是規則。

Number four, All Doctors Know Medicine Broadly

第四，所有醫生對醫學的認識都是廣義的。

If you don't use it, you lose it.

如果你不用它，你就會失去它。

For most physicians, they'll have the highest level of broadly applicable knowledge after

對於大多數醫生來說，他們將擁有最高水準的廣泛適用的知識，經過

taking Step 2CK during their last year in medical school.

在醫學院的最後一年，採取步驟2CK。

And it's all downhill from there.

從那裡開始，一切都在走下坡路。

Once upon a time, every physician had the cervical plexus memorized and could recite

曾幾何時，每個醫生都記住了頸椎穴位，並能背出

all the different types of diabetes management and a slew of other useful pieces of information.

所有不同類型的糖尿病管理和一系列其他有用的資訊。

But if one's specialty is not regularly doing work in these areas, it's only human

但如果自己的專業不經常做這些方面的工作，那只是人的

to forget the details after a certain period of nonuse.

在一定時間不使用後，忘記細節。

Would you expect your dermatologist to be well equipped to handle your high blood pressure

你會期望你的皮膚科醫生能很好地處理你的高血壓嗎？

or anxiety?

還是焦慮？

Obviously not, and that's why we have cardiology and psychiatry as specialties instead.

顯然不是，這也是為什麼我們把心臟病學和精神病學作為專科而不是專科的原因。

Sorry grandma, I'm not the best person to tell you what dose of hypertension meds you

對不起，奶奶，我不適合告訴你高血壓藥的劑量。

should be taking.

應採取。

Number five, We're in Bed With Pharmaceutical Companies

第五條，我們和藥廠有染

It's almost comical to me how often you

這幾乎是滑稽的，我怎麼經常你。

see lay people talking about doctors as if they're evil and just want to push drugs

看到非專業的人在談論醫生，好像他們是邪惡的，只是想推銷藥物。

to make money off your sick health.

以此來賺取你生病的健康的錢。

These are the same people that need to lay off the bath crystals and let go of their

這些人也需要放下浴晶，放下他們的。

tin foil hats.

錫箔帽。

The reason we go into medicine is ultimately to help people.

我們之所以從醫，最終是為了幫助人們。

Most of us love the biology and science, the intellectual stimulation, and some even get

我們大多數人都喜歡生物和科學，喜歡知識的刺激，有的人甚至會得到

a little too caught up in the prestige and salary.

有點太沉迷於聲望和薪水了。

But at the end of the day, physicians are in the business of healing their patients.

但歸根結底，醫生是為了給病人治病。

Are there bad apples?

有壞蘋果嗎？

Sure, but that's with anything in life and they are exceedingly rare.

當然，但這是與生活中的任何事情，他們是極其罕見的。

As a whole, physicians want what is best for you.

作為一個整體，醫生都希望為您提供最好的服務。

The overwhelming majority don't even have any affiliation or incentives from pharmaceutical

絕大多數人甚至沒有任何隸屬關係，也沒有任何來自醫藥的激勵措施。

companies.

公司。

And while pharmaceutical companies are highly polarizing given some of their more scrupulous

而製藥企業鑑於一些比較忌憚，兩極分化嚴重。

business practices, understand that if they didn't ultimately help people with their

的商業行為，明白如果他們最終沒有幫助人們解決他們的。

technologies and medications, they'd be out of business.

技術和藥物，他們會被淘汰。

People like to talk in black and white, but the truth is always more nuanced than that.

人們喜歡用白紙黑字說話，但事實總是比這更細微。

Don't be a sucker for the sensationalism and extreme opinions that are more fiction

不要一味地追求聳人聽聞和極端觀點，更多的是虛構的東西

than fact.

比事實。

Number six We Know the Answer and Don't Need Your Input

第六條 我們知道答案，不需要你的參與

This misconception is more common amongst

這種誤解在以下人群中比較常見

the older generation.

老一輩的人。

It's a common belief that doctors already know the answer and don't care what you

人們普遍認為，醫生已經知道了答案，並不關心你什麼

think.

認為。

Good physicians understand the utility of asking a patient what they think is at the

優秀的醫生都明白，詢問病人他們認為在什麼地方是有用的。

root of their concerns.

他們關注的根源。

In fact, the proper use of this sort of questioning can actually help reach a diagnosis, and equally

其實，正確使用這種問話方式，其實有助於達成診斷，同樣

important, be the foundation upon which a doctor can educate a patient on how to practice

重要的是，是醫生教育病人如何實踐的基礎。

the most effective treatment.

最有效的治療方法。

Often times, patients misunderstand the genesis of their disease or the interplay between

很多時候，患者誤解了自己疾病的發病機制或疾病之間的相互影響。

factors.

因素。

For example, when I volunteered at the free clinic, some diabetic patients believed that

例如，我在義診時，有的糖尿病患者認為。

taking insulin causes one to become blind, have peripheral nerve damage in the hands

服用胰島素會使人失明，手部周圍神經受損。

and feet, and lead to kidney dysfunction.

和腳，並導致腎功能障礙。

After understanding my patients' concerns, I was able to educate them they those are

在瞭解了病人的顧慮後，我能夠教育他們，他們那些是。

sequelae or poorly managed diabetes, not the insulin itself.

後遺症或管理不善的糖尿病，而不是胰島素本身。

Proper use of insulin, in fact, works to combat the high blood sugar levels that lead to these

適當使用胰島素，其實可以有效對抗高血糖水準，導致這些。

pathologies.

病理學；

And number 7, Doctors Are Invincible

第七條，醫生是無敵的。

This is a misconception that both the public

這是個誤區，無論是公眾還是

and physicians themselves often believe.

而醫生自己也常常認為。

Maybe it's because physicians are healers and help others, or maybe it's because they're

也許是因為醫生是醫者，幫助別人，也許是因為他們是

expected to act selflessly for much of their training and make immense sacrifices.

期待他們在大部分的訓練中無私行動，做出巨大的犧牲。

Whatever the cause, this misconception is ultimately incredibly harmful.

不管是什麼原因，這種誤區最終的危害性是非常大的。

If you don't take care of yourself, how can you expect to take care of others?

如果你不照顧好自己，怎麼能指望照顧好別人呢？

Physicians that are fatigued or overworked are prone to making more errors, and that's

疲勞或過度勞累的醫生容易犯更多的錯誤，這就是

bad for patient outcomes.

對患者的治療效果不好。

The epidemic of burnout, depression, and suicide amongst medical students and physicians is

醫學生和醫生中的職業倦怠、抑鬱和自殺的流行病是

something I've covered in greater detail in a previous video.

這一點我在之前的視頻中已經詳細介紹過了。

It's also a cause I'm deeply passionate about and investing my own time and energy

這也是我深深熱愛的事業，並投入了自己的時間和精力。

into through the #SaveOurDoctors initiative.

通過#拯救我們的醫生#倡議成。

If you enjoyed this video, you'll love my weekly newsletter.

如果你喜歡這個視頻，你會喜歡我的每週通訊。

It gets sent out once a week and is super short.

每週會發一次，時間超短。

In it, I share weekly insights, tools, tips, and resources available only if you sign up

在其中，我將分享每週的見解、工具、技巧和資源，只有在您註冊後才能獲得。

via email.

通過電子郵件。

I don't publish it anywhere else.

我不在其他地方發表。

When new projects come up, small in-person meetups, special deals, or anything else that

當新的項目出現時，小型的面對面見面會，特別的優惠活動，或者其他任何

is very limited, I share it first with Med School Insiders newsletter subscribers.

很有限，我先與醫派內參的通訊訂閱者分享。

Check it out at medschoolinsiders.com/newsletter.

在medschoolinsiders.com/newsletter上查看。

If you ever change your mind, it's one-click to unsubscribe, and I promise I'll never

如果你改變了主意，一鍵取消訂閱，我保證我永遠不會

spam you.

垃圾郵件你。

Thank you so much for watching.

謝謝你的觀看。

Are there any other misconceptions I missed?

還有沒有其他的誤區被我漏掉？

Let me know with a comment down below.

請在下面留言告訴我。

If you liked the video, let me know with a thumbs up.

如果你喜歡這個視頻，請用大拇指告訴我。

I'm in the comments during the first hour after a new video uploads, so make sure you're

我在新視頻上傳後的第一個小時就會在評論裡，所以請確保你是

subscribed with the notification bell enabled.

啟用通知鈴後，訂閱。

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。