On one hand, we have alarming statistics about the physician shortage across the United States,

一方面，我們有關於全美醫生短缺的驚人數據。

and on the other hand, it's incredibly difficult to become a doctor.

而另一方面，要想成為一名醫生，卻非常困難。

In fact, some of the more competitive medical schools in the U.S. accept less than 4 percent

事實上，在美國一些競爭比較激烈的醫學院，錄取率不到4%。

of applicants.

申請人中，。

We need more doctors, but it's so difficult to become one.

我們需要更多的醫生，但要成為一名醫生是如此的困難。

What gives, and what are the implications for our future doctors?

給，對我們未來的醫生有什麼影響？

Dr. Jubbal, MedSchoolInsiders.com.

朱波醫生，醫派內參網。

Statistics from the Association of American Medical Colleges, or AAMC, reveal a steady

美國醫學院協會（AAMC）的統計數據顯示，美國醫學院的學生人數在穩步增長。

increase in the number of applicants to medical school each year.

每年申請醫學院的人數增加；

In the 2018-2019 cycle alone, only 21,600 out of close to 53,000 applicants successfully

僅在2018-2019年週期，在近5.3萬名申請人中，只有2.16萬人成功地

matriculated.

預科的。

That's a success rate of only 40%, meaning most med school applicants fail to get accepted

這樣的成功率只有40%，也就是說大部分醫學院的申請者都沒能被錄取。

to any medical school.

到任何一所醫學院。

And the competition is getting stiff – the average MCAT score of matriculants in this

而競爭也越來越激烈--這其中預科生的平均MCAT成績。

year compared to the previous year has increased by close to a full point.

年與上年相比增加了近一個百分點。

The reason it's becoming so competitive is simply a matter of supply and demand.

之所以競爭如此激烈，無非是供求關係的問題。

Younger generations are particularly eager to pursue a career in medicine, as it allows

年輕一代特別渴望從事醫學事業，因為它可以使

for a positive impact on society, emphasis on science, technology, and interpersonal

以期對社會產生積極的影響，重視科技和人際交往

connections.

連接。

It allows for autonomy and critical thinking.

它允許自主性和批判性思維。

It pays well too.

它的報酬也很高。

Being a physician is a pretty great job.

做醫生是一份相當不錯的工作。

The 2018 AAMC Physician Supply and Demand Report projects a total physician shortage

2018年美國醫學會醫師供需報告》預計醫師缺口總量為

between 43,000 and 121,000 physicians by 2030.

到2030年有43 000至121 000名醫生；

That's just 11 years away.

那只是11年後的事了。

And because it takes so long to train physicians, we need to get started on addressing these

因為培訓醫生需要很長時間，我們需要開始解決這些問題。

issues sooner rather than later.

遲早的問題。

Population growth and aging are the primary drivers of increasing demand between 2016

人口增長和老齡化是2016年之間需求增長的主要動力。

and 2030.

和2030年。

During this period, the U.S. population is projected to grow by 11% from 324 million

在此期間，美國人口預計將從3.24億增長11%。

to 359 million.

到3.59億。

More specifically, the population under the age of 18 is projected to grow only 3%, while

更具體地說，18歲以下的人口預計只增長3%，而18歲以下的人口則將增長5%。

the population over 65 will grow by 50%.

65歲以上的人口將增長50%；

And we all know that seniors have a much higher per capita consumption of health care than

而我們都知道，老年人的人均醫療消費要遠遠高於

younger generations.

年輕一代。

Given the medical school admissions statistics, the problem seems obvious - open more positions

鑑於醫學院的錄取數據，問題似乎顯而易見--開出更多的職位。

in medical schools!

在醫學院！

But the situation is more complex than that.

但情況比這更復雜。

Since 2002, class sizes have risen by approximately 30%.

自2002年以來，班級人數增加了約30%。

More students are matriculating to medical school than ever before.

比以往任何時候都要多的學生考入醫學院。

So what gives?

那是什麼？

The doctor shortage has multiple causes beyond just medical school class sizes.

醫生短缺的原因有多種，不僅僅是醫學院的班級規模。

One factor, for example, is the number of U.S. doctors who are nearing retirement age.

例如，一個因素是美國醫生中接近退休年齡的人數。

Another factor is that today's doctors are more eager to find work-life balance than

另一個因素是，如今的醫生比起以往更渴望找到工作與生活的平衡點。

their predecessors.

他們的前輩。

Doctors from previous generations often chalk this up to millennials being entitled and

上一代的醫生往往把這歸結為千禧一代的權利和。

lazy, but I'd argue against that.

懶，但我反對這種說法。

In fact, if you want to see me compare medicine in the old days versus modern day, including

其實，如果你想看我比較古今醫學，包括。

which parts are harder and easier in each, let me know with a comment down below.

每一個部分都有哪些難點和易點，請在下面留言告訴我。

It's a topic I'm considering if there's enough interest for it.

如果有足夠的興趣，我正在考慮這個話題。

Certain regions have more severe doctor shortages because physicians prefer to live in wealthy

某些地區的醫生短缺比較嚴重，因為醫生更願意生活在富裕的地區。

metropolitan areas with an abundance of highly educated individuals like themselves.

都市裡，像自己這樣的高學歷者比比皆是。

But it's the low income areas, with less educated populations, that are in the greatest

但是，低收入地區，受教育程度較低的人口，才是最大的。

need of physicians.

需要醫生。

Additionally, most medical schools are in these metropolitan areas that already have

此外，大多數醫學院在這些大都市已經有了

plenty of physicians.

大量的醫生。

And freshly trained doctors usually practice close to where they went to school or close

而剛畢業的醫生一般都會在自己上學的地方附近或附近執業

to their hometowns.

到他們的家鄉。

But these factors all pale in comparison to one.

但這些因素都是蒼白無力的。

Arguably the most important and severe limitation is the number of residency positions.

可以說，最重要也是最嚴重的限制是住院醫師崗位的數量。

It doesn't matter how many fresh medical school grads you're minting if they aren't

如果他們不在，你賺多少醫科大學的應屆畢業生都不重要了

able to complete their residency training and be board certified.

能夠完成住院醫師培訓並獲得委員會認證；

This scarcity of U.S. residencies has created a bottleneck in our doctor supply chain.

這種美國住院醫師的稀缺性造成了我國醫生供應鏈的瓶頸。

Residency positions in the United States are funded by Medicare.

美國的住院醫師職位是由Medicare資助的。

Therefore, to increase the number of practicing doctors, you need to increase Medicare funding.

是以，要想增加執業醫生的數量，就要增加醫保資金。

Unfortunately, calls to increase Medicare spending to fund new residency slots is usually

不幸的是，增加醫療保險支出以資助新的住院醫師名額的呼籲通常是

met with deaf ears on both sides of the aisle.

兩邊的人都充耳不聞。

For that reason, funding hasn't increased since 1997.

是以，自1997年以來，資金沒有增加。

It's ultimately in the hands of federal legislators.

最終還是掌握在聯邦立法者手中。

However, the Resident Physician Shortage Reduction Act of 2019 proposes adding up to 15,000 new

然而，《2019年住院醫師緊缺削減法》提出，最多新增1.5萬人。

Medicare-funded residency positions over a five year time span.

在5年的時間裡，醫保資助的住院醫師崗位。

It was introduced to the Senate earlier this year, and in my opinion, would be a big step

今年早些時候，它被提交給參議院，在我看來，這將是一個很大的步驟。

in the right direction.

在正確的方向上。

Everyone knows it's incredibly competitive to get into medical school, particularly one

大家都知道考上醫學院的競爭非常激烈，尤其是醫學院。

that is highly esteemed.

備受推崇的。

But I don't think it will always be to this extreme.

但我想不會一直到這個極端。

I mean, it will always be relatively competitive compared to other professions, as it's a great field.

我的意思是，相比於其他專業，它的競爭永遠都是比較激烈的，因為這是一個很好的領域。

Not only are you intellectually stimulated and helping patients, but you also have rock

不僅能激發智力，幫助患者，還能擁有搖滾

solid job security, a very high salary, prestige, and professional flexibility.

紮實的工作保障，極高的薪資、聲望和專業靈活性。

That being said, it's far from perfect, and the public perception of medicine will

也就是說，它遠非完美，公眾對醫學的認知會

eventually catch up to the reality.

最終趕上了現實。

Currently, society at large has rose tinted glasses about what it means to be a physician

目前，整個社會對醫生的意義都帶著玫瑰色的眼鏡。

– remnants of the golden age of medicine.

- 醫學黃金時代的遺蹟。

The reality is less ideal.

現實情況卻不太理想。

Physician burnout and suicide rates are at an all time high, as are student loans, and

醫生的職業倦怠和自殺率處於歷史高位，學生貸款也處於歷史高位。

physicians' interests are being encroached upon from multiple angles as we are notoriously

醫生的利益正受到多方面的侵犯，因為我們是眾所周知的。

bad at advocating for ourselves.

不善於為自己代言。

I'm not trying to dissuade people from becoming doctors, but I do think that out of all the

我並不是想勸大家不要當醫生，但我認為在所有的人中

students interested in becoming physicians, some portion of them would be happier doing

有興趣成為醫生的學生，他們中的一部分會更樂意做這個工作。

something else.

別的東西。

If you're unsure whether or not it's a good field for you, I've created a video

如果你不確定這是否是一個適合你的領域，我已經創建了一個視頻。

specifically to answer that question.

專門回答這個問題。

As a pre-med, its stressful and frustrating that getting into medical school is so competitive.

作為一個醫學預科生，它的壓力和挫折，進入醫學院的競爭是如此激烈。

I get it.

我明白了。

I was once in your shoes too.

我也曾經和你一樣。

But as a patient or even a physician, you want the medical school application process

但作為患者甚至是醫生，你希望醫學院的申請程序

to be competitive.

才能具有競爭力。

You want the best and brightest to become doctors.

你想讓最優秀最聰明的人成為醫生。

Look at the significant hurdle of getting into medical school as the first step in demonstrating

把考上醫學院這一重大關卡看成是展示自己的第一步。

your commitment to the field.

您對該領域的承諾。

Medical schools don't design the application process to be easy.

醫學院不會把申請過程設計得很簡單。

Medical school is tough, and they need to ensure those who are accepted can handle the

醫學院是艱難的，他們需要確保那些被錄取的人能夠處理好。

rigorous course work and endure the challenging clinical training.

嚴格的課程工作，並忍受具有挑戰性的臨床訓練。

It's in their best interest to identify the top candidates who will ultimately thrive

識別出最終能夠發展的頂尖候選人是對他們最有利的。

in medical school and become stellar physicians.

在醫學院，成為明星醫生。

Several years ago, having a high GPA and MCAT was enough to open doors.

幾年前，擁有高GPA和MCAT就足以打開大門。

Since then, things have changed.

從那時起，情況發生了變化。

While these objective measurements are good predictors of your USMLE Step 1 score, they're

雖然這些客觀的測量結果很好地預測了您的USMLE Step 1的分數，但它們是

not good predictors of whether or not you'll be a good physician.

並不能很好的預測你是否會成為一個好醫生。

Being a physician is a multifaceted profession, and personal strengths in addition to academic

作為醫生是一個多面手的職業，除了學術之外，個人的優勢也是

strengths are essential.

優勢是必不可少的。

Are you a leader?

你是上司嗎？

Have you demonstrated compassion?

你有沒有表現出同情心？

Are you resilient?

你有彈性嗎？

A team player?

一個團隊成員？

Medical schools look to these questions to evaluate you as a candidate.

醫學院會根據這些問題來評估你作為候選人。

Most pre-meds focus on a checklist mentality – I need to do some volunteering, some clinical

大多數醫學預科醫生注重的是清單心態--我需要做一些志願服務，做一些臨床工作

exposure, a little bit of research, check, check, check.

曝光，一點點的研究，檢查，檢查，檢查。

Medical school admissions committees can see right through this on your application and

醫學院招生委員會可以從你的申請中看出這一點，並且

during the interview.

在面試中。

Even with a top GPA and MCAT score, your chances are slim if you fail to demonstrate your personality.

即使擁有頂尖的GPA和MCAT成績，如果不能展現自己的個性，你的機會也是渺茫的。

Instead of a checklist mentality, I'm a strong advocate of a narrative based application.

與其說是檢查單的心態，不如說是我大力提倡的基於敘事的應用。

Have you noticed that the average GPA and MCAT at some top medical schools aren't

你有沒有注意到，一些頂尖醫學院的平均GPA和MCAT並不是

as high as you'd expect?

有你想象的那麼高嗎？

Why isn't every matriculant getting at least a 90th percentile MCAT score?

為什麼不是每個預科生都能拿到至少90分以上的MCAT成績？

There are plenty of applicants with strong numbers that lose spots to those with weaker

有很多人數眾多的申請者會因為人數較少而失去名額

numbers.

數字。

And it's because of the power of a strong narrative.

而這正是因為強大的敘事能力。

What is your story to landing on the medical profession?

你有什麼故事來登陸醫學專業？

Why should our medical school pick you as an applicant?

為什麼我們的醫學院要選擇你作為申請人？

Do you add value and diversity to the class – a unique background, interests, or skills?

你是否為班級增加了價值和多樣性--獨特的背景、興趣或技能？

Are you resilient and able to handle the arduous training in medical school and beyond?

你是否有韌性，能夠承受醫學院及以後的艱苦訓練？

These are some of the questions you should be asking yourself while completing your application.

這些都是你在完成申請時應該問自己的一些問題。

And whatever you do, don't make your personal statement just a rehashed version of your

無論你做什麼，都不要讓你的個人陳述只是你的

CV.

履歷：

This is by far the most common mistake we see applicants make and it significantly reduces

這是迄今為止我們看到的申請人最常犯的錯誤，它大大降低了

the strength of your application.

你的應用實力。

“I wanted to become a doctor because of A, then I did clinical experience B and learned

"我想當醫生是因為A，然後我做了臨床經驗B，學會了

important lesson C. Then my research in X taught me Y and now I'm going to focus on

重要的經驗C.然後我在X的研究讓我知道了Y，現在我要重點研究的是

becoming Z, etc.”

成為Z等"。

This is the checklist mentality in practice and most students don't even realize their

這就是實踐中的清單心理，大多數學生甚至沒有意識到自己的

essay comes off this way until we've shown them.

作文就這樣脫口而出，直到我們給他們看了。

This is one of the many things we focus on at Med School Insiders.

這也是我們在醫學院內部人士關注的眾多事情之一。

We understand the importance of a narrative based application over a checklist mentality

我們瞭解基於敘述的應用比檢查表心態的重要性。

because our team of physician advisors has served on medical school and residency admissions

因為我們的醫生顧問團隊曾在醫學院和住院醫師錄取中任職

committees.

委員會：

They know firsthand how to make an applicant stand out and how to get them accepted.

他們親身體會到如何讓申請人脫穎而出，如何讓他們被錄取。

You can learn more about our pioneering approach and why we have the highest satisfaction rates

您可以瞭解更多關於我們開創性的方法，以及為什麼我們的滿意度最高。

in the industry at MedSchoolInsiders.com/our-method/.

業內人士在MedSchoolInsiders.com/our-method/。

The first 30 customers to sign up for our services will receive $30 off their purchase

前30名註冊本公司服務的客戶將獲得30元的優惠。

using the coupon code COMPETITIVE2019.

使用優惠券代碼COMPETITIVE2019。

Link in the description below.

鏈接在下面的描述中。

If you're applying to medical school this year, I wish you the best of luck.

如果你今年要報考醫學院，我祝你好運。

If you have any video topic requests, let me know down in the comments below.

如果你有任何視頻主題要求，請在下面的評論中告訴我。

My priority is always providing you guys with value and helping make the journey to becoming

我的首要任務始終是為你們提供價值，幫助你們完成成為 "中國人 "的旅程。

a doctor a little more manageable and a little more fun.

一個醫生更容易管理，更有趣一點。

Make sure you're subscribed with the notification bell enabled, and I will see you guys in that

確保你的訂閱與通知鈴啟用， 我會看到你們在那。

next one.

下一個。