You like the idea of working with top athletes and helping them heal from their injuries.

你喜歡和頂級運動員一起工作，幫助他們療傷的想法。

Let's debunk the public perception myths of what it means to be a sports medicine doctor,

讓我們來揭開公眾對運動醫學醫生的認識誤區。

and give it to you straight.

並直接給你。

This is the reality of sports medicine.

這就是運動醫學的現實。

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 sports medicine,

在這個系列中，我們重點介紹醫學內的一個特定專業，例如運動醫學。

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。

You guys voted for it, so here it is.

你們投了票，所以就在這裡。

Make sure you're subscribed if you want to vote for future episodes.

如果你想為未來的劇集投票，請確保你已經訂閱。

What is Sports Medicine?

什麼是運動醫學？

Sports medicine doctors are the non-surgical musculoskeletal specialists, taking care of

運動醫學醫生是非手術性的肌肉骨骼專家，負責處理

MSK injuries for athletes and active patients.

運動員和活動患者的MSK損傷。

Think of them as doing everything an orthopedic surgeon does without any surgery, but with

把它們看成是做了骨科醫生所做的一切，而沒有任何手術，但有了

procedural skills.

程序性技能；

While orthopedic surgeons who undergo an ortho sports medicine fellowship are the experts

而接受運動醫學研究的骨科醫生則是專家。

on surgical management of MSK injuries, they are less able to address other realms of the

在MSK損傷的外科處理上，他們不太能解決其他領域的問題。

patient's needs.

患者的需求。

Since most sports medicine doctors have a primary care background, most commonly family

由於大多數運動醫學醫生都有初級保健背景，最常見的是家庭醫生。

medicine, they're also well suited in addressing the full spectrum of patient and athlete needs.

醫學，它們也非常適合滿足患者和運動員的全方位需求。

They serve as a single hub and point person in the patient's management, including and

他們是患者管理的單一樞紐和聯絡人，包括和。

extending beyond their MSK injuries.

延伸到他們的MSK傷害之後。

Sports medicine physicians provide the full spectrum of care for anyone that wants to

運動醫學科醫生為任何想要獲得健康的人提供全方位的護理。

be active, whether an athlete or couch to 5k jogger.

積極參與，無論是運動員還是5公里慢跑者。

For example, they'll work up a young type 1 diabetic patient who is interested in playing

例如，他們會培養一個年輕的1型糖尿病患者，他有興趣玩

sports, or determine when an adolescent can return to contact sports after a bout of mononucleosis,

運動，或確定青少年在患單核細胞增多症後何時可以恢復接觸性運動。

as to minimize splenic rupture risk.

以減少脾破裂的風險。

The age range of patients is wide, from school age to the elderly.

患者的年齡範圍很廣，從學齡兒童到老年人都有。

Younger patients often break bones and experience concussions, while older patients often develop

年輕的患者經常會骨折，出現腦震盪，而老年患者則經常會出現

arthritis and other degenerative conditions which you'll help manage.

關節炎和其他退行性疾病，你會幫助管理。

Compared to other specialties, in clinic there's less continuity, and a larger turnover of

與其他專科相比，在臨床上，連續性較差，流動率較大的。

new patients.

新病人。

Sports medicine doctors see a high number of new patients who have acute MSK injuries

運動醫學醫生接診的新患者中，急性MSK損傷的患者較多。

rather than chronic repeat customers.

而不是長期的老客戶。

As their sports medicine physician, your job is to diagnose, treat, and have them back

作為他們的運動醫學醫生，你的工作是診斷，治療，並讓他們恢復健康。

to normal or self-managing long term.

到正常或自我管理的長期。

The main exception to this rule is arthritis.

這個規則的主要例外是關節炎。

While not surgical, sports medicine physicians still perform plenty of procedures, including

雖然不是外科手術，但運動醫學醫生仍然會進行大量的手術，包括

diagnostic ultrasound and ultrasound guided injections for joints, tendons, nerves etc.

關節、肌腱、神經等的超聲診斷和超聲引導注射。

There are a few ways to categorize sports medicine.

運動醫學有幾種分類方法。

Team vs Clinical A team physician is the sports medicine doctor

團隊與臨床 團隊醫生就是運動醫學醫生

who is the provider for the athletes on a sports team.

誰是運動隊中運動員的供養人；

For example, you could be the team doctor for a high school basketball team, watching

例如，你可以是一個高中籃球隊的隊醫，觀察

from the sidelines and taking care of any injuries that happen in the game.

從旁照顧比賽中發生的任何傷病。

Outside of game time, you'll be helping manage their acute and chronic injuries.

在比賽時間之外，你將幫助他們處理急性和慢性損傷。

This isn't viable as a standalone business practice, and you'll also be seeing patients

作為一個獨立的商業實踐，這是不可行的，你也會看到病人

in clinic.

在診所。

In clinic, you'll work either for yourself in a private practice or a larger health entity

在診所，你將在私人診所或更大的衛生實體為自己工作。

– regardless, patients will be sent your way through referrals, or you'll create

- 無論怎樣，病人都會通過轉診來找你，或者你會創造出

a patient population where you're taking care of athlete-related problems, most of

照顧運動員相關問題的病人，大部分的病人

which are musculoskeletal in nature.

屬於肌肉骨骼性質的；

Work In vs Out of an Orthopedic Practice If you want to do strictly sports medicine

在骨科診所裡工作與在外面工作 如果你想做嚴格意義上的運動醫學，那麼你可以在骨科診所裡工作。

without much primary care, you can work within an orthopedic practice, seeing the non-operative

沒有太多的初級保健，你可以在骨科診所工作，看到非手術的

patients.

病人。

You'll be employed by the orthopedics group or department, working alongside the surgeons,

你將被骨科組或部門聘用，與外科醫生一起工作。

and handling all the cases that don't require surgical management or acting as the gatekeeper

並處理所有不需要手術管理的病例，或擔任把關人。

who sees all new patients to determine whether their issue is operative or non-operative.

接診所有新病人，以確定他們的問題是手術還是非手術。

You'll be an essential part of the team, helping boost everyone's productivity.

你將成為團隊中不可或缺的一員，幫助提高大家的工作效率。

How to Become a Sports Medicine Doctor After four years of medical school, there

如何成為一名運動醫學博士 經過四年的醫學院學習，有

are a few different routes to become a sports medicine physician.

成為運動醫學醫生有幾種不同的途徑。

The overwhelming majority of sports medicine physicians first complete a family medicine

絕大多數運動醫學醫生首先要完成家庭醫學。

residency, but you can also go through emergency medicine, pediatrics, internal medicine, or

住院實習，但你也可以通過急診醫學，兒科，內科，或。

PM&R.

PM&R：

The specialty you come from is important, as your practice will likely be a blend of

你來自的專業是很重要的，因為你的實踐很可能是混合的。

sports medicine and your primary specialty.

運動醫學和你的主要專業。

Fellowship is generally 1 year, although some are 2 year programs which are more research

Fellowship一般為1年，不過也有一些是2年的項目，研究性較強。

or leadership focused.

或上司重點。

In fellowship, sideline coverage of team games is required, as is training room time, meaning

在同學會中，球隊比賽的邊線報道是必須的，訓練室的時間也是必須的，這意味著

clinic for the team.

診所的團隊。

This can be done on site for the affiliated college or nearby sports teams.

可以為附屬學院或附近的運動隊現場進行。

Some fellowships will provide opportunities to be the team doctor for higher level athletes

有些研究金會提供機會擔任更高水平運動員的隊醫。

including division 1 college, olympic, or professional sports, while others will have

包括第一級大學、奧林匹克或職業運動，而其他的將有。

limited exposure to higher level athletes.

與高水平運動員的接觸有限；

Almost all fellowships work with some kind of college athletics.

幾乎所有的獎學金都是與某種大學體育合作的。

You'll also be spending the majority of your time rotating in primary care sports

你也會花大部分時間輪流在初級保健運動中。

medicine clinic, but also rotating with orthopedic surgery sports clinic to understand their

醫學門診，同時也與骨科運動門診進行輪轉，瞭解他們的病情。

patients' recovery process and complications to be mindful of.

患者的康復過程和要注意的併發症。

Note that as a medical student, you probably won't get exposure to the specialty unless

需要注意的是，作為醫學生，你可能不會接觸到這個專業，除非是

you actively seek it out.

你積極尋找它。

It's not a core rotation, although you may be able to secure elective time on primary

這不是一個核心輪轉，雖然你可能會確保選修時間在主要的

care sports medicine, not to be confused with surgical sports medicine with the orthopods.

護理運動醫學，不要與外科運動醫學與正骨科混淆。

As a premed, see if you can shadow a sports medicine physician, and as a medical student

作為一個醫學預科生，看看能不能跟著運動醫學的醫生，作為一個醫學生

see if there are any preceptor opportunities with a sports med doc.

看看是否有任何實習機會 與運動醫學博士。

Explore the specialty and shadow physicians doing sideline coverage of games.

探究專業，影子醫生做比賽的邊線報道。

What You'll Love About Sports Medicine There's a lot to love about sports medicine.

你會愛上運動醫學的東西 運動醫學有很多值得愛的地方。

Because being mobile and physically active is central to people enjoying their lives,

因為好動、身體力行是人們享受生活的核心。

your job is incredibly rewarding – you'll take patients who are injured and help them

你的工作是令人難以置信的回報 - 你會帶著受傷的病人，並幫助他們。

get back to living a fulfilling and active life.

重新過上充實而積極的生活。

You're generally seeing patients that have favorable outcomes, and experience “wins”

你看的病人一般都有好的結果，經歷 "勝利"

every day.

每天都有。

It's quite satisfying to have a patient with knee pain secondary to arthritis limp

膝關節疼痛繼發關節炎的患者一瘸一拐，這是很讓人滿意的事

into clinic and then watch them walk out pain free after you perform an injection.

進入診所，然後看著他們走出去無痛後你執行注射。

And speaking of favorable outcomes, another underappreciated aspect is that the vast majority

而說到有利的結果，另一個被低估的方面是，絕大部分的

of patients are generally healthier and highly motivated to get better.

的患者一般都比較健康，並且有很高的積極性去改善。

In some other specialties, you may experience frustration with a non-adherent patient whose

在其他一些專科中，您可能會對一個不粘連的病人感到沮喪，他的

condition could improve, but has more difficulty following the treatment plan.

病情可以改善，但較難按照治療方案進行治療。

If you're a big sports fan, you'll love that you get paid to attend sports games and

如果你是一個大的體育迷，你會喜歡你得到報酬，參加體育比賽和。

tend to the athletes.

傾向於運動員。

And if you're lucky, you can even work with high level athletes who are at the top of

如果你幸運的話，你甚至可以和那些處於巔峰的高水平運動員合作。

their game and are the epitome of peak human performance.

他們的遊戲，是人類巔峰表現的縮影。

It's fun and inspiring to be a part of that.

能成為其中的一員，很有意思，也很鼓舞人心。

If you're the type of person that enjoys working with your hands but doesn't want

如果你是那種喜歡用手工作，但又不想用手去做的人，那麼你就可以用你的手去做。

to go all in with surgery, then sports medicine provides a procedural mix that makes for a

如果要全身心地投入到手術中，那麼運動醫學提供了一個程序性的組合，使之成為一個新的選擇。

great middle ground.

巨大的中間地帶。

And unlike surgery, family medicine has a fantastic lifestyle, with regular 9 to 5 hours

而與外科不同，家庭醫學有著奇妙的生活方式，朝九晚五的生活規律

and minimal overnight call for most.

和最小的過夜電話，對大多數。

For those who have broad interests, you'll get to do 2 specialties in one.

對於那些興趣廣泛的人來說，你可以在一個專業中做2個專業。

As a primary care sports medicine physician, you'll always have the option to fall back

作為一名運動醫學的主治醫生，你總是可以選擇退縮。

on your primary specialty, whether that be family medicine, emergency medicine, peds,

在你的主要專業，無論是家庭醫學，急診醫學，兒科。

internal medicine, or PM&R.

內科，或PM&R。

Depending on your interests, lifestyle, and practice preferences, you can adjust the balance

根據你的興趣、生活方式和實踐偏好，你可以調整平衡點

to be more heavily sports medicine or more heavily your primary care specialty.

要更重運動醫學或更重你的主治專業。

And finally, it's an accessible specialty to most medical students as it doesn't require

最後，這是一個大多數醫學生都能接受的專業，因為它不需要。

supremely competitive board scores to get into one of the feeder primary care specialties.

極具競爭力的板塊分數，進入其中一個支線基層醫療專業。

Additionally, fellowships are readily available to those interested in the specialty.

此外，對該專業感興趣的人還可以隨時獲得獎學金。

What You Won't Love About Sports Medicine While sports medicine is an awesome specialty,

你不會愛上運動醫學的東西 雖然運動醫學是一個很棒的專業。

it's not for everyone.

它不適合每個人。

Many hopeful students are drawn to the specialty, imagining an exciting career working with

許多有希望的學生都被這個專業所吸引，想象著一個令人興奮的職業，在與

top professional athletes.

頂級職業運動員。

The reality is that getting a job with a professional sports team is very rare and requires a lot

現實情況是，能在職業運動隊找到一份工作是非常難得的，需要很多。

of work to secure.

的工作，以確保。

And while most people assume that team docs are paid handsomely, the truth is that most

雖然大多數人都認為團隊醫生的工資很高，但事實是，大多數的

are either on a volunteer basis, or the compensation is far lower than what you'd be making in

要麼是自願的，要麼是報酬遠遠低於你在美國的收入。

clinic.

診所；

It makes sense – sports docs are willing to take a pay cut for the opportunity and

這是有道理的--體育醫生願意為了機會而降薪，而且。

prestige to work with such elite athletes.

與這樣的精英運動員合作的威望。

Sometimes, healthcare systems will even pay the teams for advertising and provide free

有時，醫療系統甚至會支付團隊的廣告費，並提供免費的。

healthcare for the athletes.

運動員的保健；

While the lifestyle is generally favorable, if you want to do sideline coverage with high

雖然生活方式普遍有利，但如果你想做邊線報道，高。

level teams, your hours will be far less predictable, and you'll often be on the road depending

級別的團隊，你的工作時間將遠遠無法預測，你將經常在路上取決於

on where games are located.

在遊戲所在的地方。

The line between being “on” and being “off” is blurred, and it becomes harder

"上 "與 "下 "的界限模糊了，變得更難了

to lead a normal 9 to 5 life or even take vacation.

過著正常的朝九晚五的生活，甚至放假。

Compensation for sports medicine is also on the lower end compared to other specialties,

與其他專業相比，運動醫學的報酬也是偏低的。

with an average of $235,000 per year.

以平均每年23.5萬美元。

And if you're working with teams, you'll likely be taking an additional pay cut or

如果你是和團隊一起工作，你很可能會被額外減薪或

volunteering additional hours outside of clinic.

在門診以外的時間做額外的志願服務；

As a younger specialty, it can be frustrating that sports medicine doesn't have a robust

作為一個年輕的專業，運動醫學沒有一個強大的運動醫學，這可能是令人沮喪的。

body of scientific evidence to guide management.

指導管理的科學證據體系；

For something like cardiology, there's a double blinded randomized controlled trial

像心內科這樣的東西，有一個雙盲隨機對照的試驗

for just about everything, but for sports medicine, the body of evidence is far less

但對於運動醫學來說，證據的數量要少得多。

developed.

發達。

Last, for those who know that they only want to do sports medicine in their future career

最後，對於那些知道自己未來的職業只想做運動醫學的人來說。

it can feel frustrating to do 3 years of a primary specialty that you may not use much

在一個你可能不常用的主要專業上做3年，可能會覺得很挫折

before getting to do a 1 year fellowship in the specialized area of medicine you want

在你想要的醫學專業領域做1年的研究金之前。

to practice.

來練習。

Should You Become a Sports Medicine Doctor?

你應該成為一名運動醫學醫生嗎？

How can you decide if sports medicine is the right field for you?

如何決定運動醫學是否適合自己的領域？

The stereotype is that if you're active, enjoyed playing sports, but aren't a huge

刻板印象是，如果你很活躍，喜歡運動，但不是一個巨大的。

jock, primary care sports medicine may be for you.

喬克，初級保健運動醫學可能適合你。

Think of sports medicine as attracting the ortho bros who don't identify with bro culture.

認為運動醫學吸引了那些不認同兄弟文化的正科兄弟。

But in all seriousness, anyone can find joy in sports medicine.

但說真的，任何人都能在運動醫學中找到樂趣。

If you enjoy musculoskeletal medicine but don't enjoy the operating room, primary

如果你喜歡肌肉骨骼醫學，但不喜歡手術室，那麼，初級

care sports medicine may be a good fit.

護理運動醫學可能是一個很好的選擇。

If you enjoy working with your hands with clinic based procedures and value lifestyle,

如果你喜歡用手操作診所的程序，並重視生活方式。

sports medicine has a fantastic balance.

運動醫學有一個奇妙的平衡。

Sports medicine is also unique in that the physical exam truly remains the cornerstone

運動醫學也有其獨特之處，體格檢查真正成為基石

of diagnostic approach.

的診斷方法。

Whereas some other specialties are moving more towards imaging and lab tests, sports

而其他一些專科則更多的向影像學和實驗室檢查發展，體育科

medicine has a heavy emphasis on the physical exam.

醫學很重視體檢。

If you're the student that took pleasure in learning the nuances and intricacies of

如果你是學生，樂於學習的細微差別和錯綜複雜的。

the anterior drawer test versus Lachman's test, look no further.

前抽屜試驗與Lachman試驗的比較，不要再看了。

In short, if you love sports, MSK, and working with athletes but don't want to dedicate

簡而言之，如果你熱愛運動，MSK，和運動員一起工作，但又不想獻身於運動。

your life to the operating room, primary care sports medicine may be for you.

你的生活到手術室，初級保健運動醫學可能是為你。

Big shout out to Dr. Jean-Pierre Valette, current attending sports medicine physician

向現任運動醫學主治醫師Jean-Pierre Valette博士致敬。

and my good friend from medical school.

還有我醫學院的好朋友

You can find 2 papers in the description, one on the financial implications of being

你可以在描述中找到2篇論文，一篇是關於做人的財務影響。

a team doctor, and one on factors associated with sports medicine fellowship selection.

一個團隊醫生，一個是運動醫學研究員選擇的相關因素。

For anyone who wants to take their medical school or residency application to the next

對於任何想將自己的醫學院或住院醫師申請提升到下一個階段的人來說，都是如此。

level, Med School Insiders has your back.

級別，醫學院內部人士為你保駕護航。

Thousands of students have used our services and courses, and we have over a 95% success

數以千計的學生使用過我們的服務和課程，我們的成功率超過95%。

rate for our comprehensive packages.

我們的綜合套餐的價格。

But don't just take our word for it.

但不要只相信我們的話。

Our customers have left hundreds of glowing reviews, and we have an industry leading 99%

我們的客戶留下了數以百計的好評，我們的行業領先的99%。

satisfaction rating.

滿意度評價。

Visit MedSchoolInsiders.com to learn more.

訪問MedSchoolInsiders.com瞭解更多。

Thank you all so much for watching!

非常感謝大家的觀看!

If you enjoyed this episode, you'll also enjoy our orthopedic surgery video, which

如果你喜歡這一集，你也會喜歡我們的骨科手術視頻，這是你的選擇。

covers surgical sports medicine.

涵蓋外科運動醫學。

Much love, and I'll see you guys in that next one.

很愛你們，我們下一場見。