recommend the profession to their children. Doctors are becoming increasingly disillusioned

向他們的孩子推薦這個職業。醫生們越來越失去信心

with medicine and burnout rates are at epidemic levels. Here's how you can know whether

用藥和職業倦怠率處於流行水準。以下是您如何知道您是否

you'll be happy or miserable as a future doctor.

作為未來的醫生，你會快樂或痛苦。

Dr. Jubbal, MedSchoolInsiders.com.

朱波醫生，醫派內參網。

There are two types of people in this world: those that love the rush and reward from facing

這個世界上有兩種人：一種是喜歡面對急功近利的人，另一種是喜歡面對回報的人。

and overcoming a challenge, and those who are easily discouraged, stressed, or bitter

和克服挑戰的人，以及那些容易氣餒、緊張或苦惱的人。

of the obstacles that stand in their way.

擋在他們面前的障礙。

The path to becoming a physician is arduous. It's a marathon, not a sprint, and one riddled

成為醫生的道路是艱辛的。這是一場馬拉松，而不是短跑，而且充滿了... ...

with obstacles and challenges along the way. If you find yourself energized or eager to

與障礙和挑戰沿途。如果你發現自己精力充沛，或急於

overcome obstacles, you'll be much happier as a physician.

克服障礙，你會更快樂地成為一名醫生。

There are multiple flavors of challenges along the way. Most obviously, the academic rigors

一路走來，有多種口味的挑戰。最明顯的是，學術上的嚴謹

are immense, starting as a pre-med with cutthroat competition, then to medical school with tremendous

是巨大的，從醫學預科開始，競爭激烈，然後到醫學院，巨大的。

volumes of information, and finally residency with long hours and increased responsibility.

信息量大，最後住院，時間長，責任大。

At each stage, there are additional challenges such as the MCAT, USMLE, clinical rotations,

在每一個階段，都會有MCAT、USMLE、臨床輪轉等額外的挑戰。

away rotations, difficult colleagues, gunners, and more.

客場輪換、困難同事、炮手等。

It's common for aspiring physicians to focus on the light at the end of the tunnel — what

對於有抱負的醫生來說，通常會把注意力放在隧道盡頭的光亮上--什麼？

will it be like to be an attending physician? Don't forget that during the prime of your

當主治醫生會是什麼樣子？不要忘了，在你的黃金時期。

life, for all of your twenties and until your early to mid thirties, you'll be training

在你二十幾歲到三十幾歲之前，你的一生都在接受訓練。

while your non-physician friends are enjoying a relatively more relaxed and free life.

而你的非醫生朋友卻享受著相對更輕鬆自由的生活。

But even as an attending physician, you better enjoy a good challenge. Medicine is a mental

但即使是主治醫生，你最好也要享受好的挑戰。醫學是一種精神

puzzle, providing intellectual stimulation and it's best suited to those with an inquisitive

拼圖，提供智力刺激，它最適合那些有好奇心的人。

mind. If you want to help patients with less intellectual stimulation, another healthcare

思想。如果你想幫助智力刺激較少的患者，另一個保健品

profession may suit you better. Even in the operating room, as a surgeon, you'll be

職業可能更適合你。即使是在手術室裡，作為一名外科醫生，你也將會是

constantly working with the technical challenge of fine motor control, particularly if you

不斷地進行精細運動控制的技術挑戰，特別是如果你

go into something highly meticulous like plastic surgery.

去做一些高度細緻的事情，比如整形手術。

If you're able to find pleasure and the silver lining to the expected and unexpected

如果你能在預期和意外中找到快樂和一線生機。

challenges that arise in your life, you'll be much happier as a doctor.

在你的生活中出現的挑戰，你會更快樂地成為一名醫生。

For similar reasons, being process-oriented rather than outcome-oriented will serve you

基於類似的原因，以過程為導向而不是以結果為導向將對你有幫助。

well as a future physician. This manifests in two main ways.

以及未來的醫生。這主要表現在兩個方面。

Have you ever realized that when you're constantly focused on how long it takes until

你有沒有意識到，當你不斷地專注於它需要多長時間，直到... ...

you reach your destination, the trip seems much longer? And when you forget about time,

當你到達目的地時，旅途似乎更長了？而當你忘記了時間。

it seems to fly by. Because medical training is a marathon, focusing on the outcome of

似乎飛快地過去了。因為醫學訓練是一場馬拉松，注重結果的。

being a physician, rather than the process, will only make the actual training seem that

作為一名醫生，而不是過程，只會使實際的培訓看起來是

much longer.

更長的時間。

Similarly, being too outcome-oriented is detrimental in patient care situations. Despite the marvels

同樣，在病人護理情況下，過於注重結果也是不利的。儘管奇蹟

of modern medicine, there are often times when we cannot save a patient or the outcome

在現代醫學的發展過程中，我們經常會遇到無法救治病人的情況，或者是無法救治病人的結果。

is far from what anyone wants. In certain specialties, such as neurosurgery or oncology,

是遠非任何人所願。在某些專科，如神經外科或腫瘤科。

being outcome-oriented can be disastrous, as average outcomes in these fields tend to

以結果為導向可能是災難性的，因為這些領域的平均結果往往是

be poor. There will be many times when you follow every best practice by the book, but

是差的。會有很多時候，你會按照書上的每一個最佳實踐，但。

still, the results are not what you or the patient wanted. This doesn't necessarily

但結果仍不是你或病人想要的。這不一定是

mean you did anything wrong or that you should do it differently next time — sometimes

意味著你做錯了什麼，或者你下次應該做不同的事情--有時......。

there are simply factors outside of your control.

只是有一些你無法控制的因素。

By learning to love the process, the details and mishaps in the day to day become less

學會熱愛過程，日常中的細節和意外就會變得不那麼

relevant. You'll cherish the opportunities to learn, how challenges and setbacks stimulate

相關的。你會珍惜學習的機會，珍惜挑戰和挫折是如何激發

growth, and will begin to appreciate the small victories.

成長，並將開始欣賞小的勝利。

Most people hear of the large salaries that most physicians pull in and come to the erroneous

大多數人聽到大多數醫生拉來的高薪，就會產生錯誤的

conclusion that physicians are tremendously wealthy. Truth is, being a doctor is not nearly

的結論，醫生是巨大的財富。事實是，做醫生並不是近乎於

as lucrative as most people think.

像大多數人想象的那樣有利可圖。

In my years of training, I've spoken with dozens of attending physicians about what

在我多年的培訓中，我和幾十位主治醫生交流過，關於什麼是

it means to be an attending, how their expectations compared to reality, and what surprised them

作為一名主治醫師的意義，他們的期望與現實的對比，以及讓他們感到驚訝的地方。

most about life as a fully trained doctor. One of the more common themes I see is attending

作為一個完全訓練有素的醫生，最重要的是生活。我看到的一個比較普遍的主題是參加

physicians with stress, negative associations, or misalignment of expectations with regards

壓力、負面聯想或期望值不一致的醫生，在這方面

to finances.

對財務。

One plastic surgeon told me that growing up, he came from a financially disadvantaged background.

有位整形醫生告訴我，他從小就出身於經濟上的弱勢。

Therefore, making money and having financial security was important to him. He went on

是以，賺錢和有經濟保障對他來說很重要。他接著說

to become a plastic surgeon and thought he'd make the big bucks and live a lavish life.

成為一名整形醫生，以為自己能賺大錢，過上奢侈的生活。

After 4 years of college, another 4 years of medical school, followed by 6 years of

4年大學畢業後，再讀4年醫學院，然後再讀6年。

plastic surgery residency, and then 2 years of fellowship to specialize in aesthetics

整形外科住院醫師，然後再接受2年的獎學金，專攻美容學。

and microsurgery, he was in his mid 30s. He had no savings, student loans had ballooned

和顯微外科手術，他在30多歲的時候。他沒有積蓄，學生貸款已經膨脹了

with interest, and now he was building a family with his wife and his second child on the

興趣，現在他正與妻子和第二個孩子一起建立一個家庭，並將其帶在身邊。

way. Upon finishing his training, he was making $400,000 per year, but after taxes, student

的方式。完成培訓後，他的年薪是40萬，但稅後，學生的

loan payments, saving for retirement, the mortgage for his new home, and the added expenses

貸款、退休儲蓄、新房按揭，以及額外的開支。

of starting and supporting a family of four, he still felt the financial strain he worked

在組建和支撐一個四口之家的過程中，他仍然感受到了自己工作的經濟壓力。

so hard to avoid.

所以很難避免。

If you're a broke student watching this, just like I was not too long ago, you may

如果你是一個破產的學生，看這個，就像我不久前一樣，你可能會

scoff at this and think “how can someone making 400k not feel super wealthy!?” Wealth

對此嗤之以鼻，認為 "賺40萬的人怎麼可能不覺得自己超級有錢！？"財富

doesn't come from a high income, but rather from having assets. That means money saved

並不是來自於高收入，而是來自於有資產。這意味著儲蓄的錢

or investments, not how much you pull in each year. Training to be a physician means that

或投資，而不是你每年拉來多少錢。訓練成為一名醫生意味著

while wealth accumulation is accelerated after you finish training, the opportunity cost

雖然完成培訓後財富積累會加速，但機會成本

is massive and takes several years to make up for. Did this plastic surgeon eventually

是巨大的，需要幾年時間來彌補。難道這位整形醫生最終

end up in a great financial position? Yes, after diligently saving, living below his

最後經濟狀況大好？是的，在勤儉節約，生活水準低於他的

means, and paying off debt for several years, but now he's in his late 40's.

手段，還了幾年的債，但現在他已經40多歲了。

Most physicians lead an upper middle class lifestyle, which is not nearly as lavish as

大多數醫生都過著中上層階級的生活，這種生活方式並不像那些奢侈的。

you may think. The type of money doctors make doesn't lead to extravagant homes and cars,

你可能認為。醫生賺的錢不會導致奢侈的房子和汽車。

but rather comfort and security. You'll make enough to save for retirement, to have

而是舒適和安全。你會賺到足夠的錢為退休後的生活做準備，擁有

a comfortable home, and to hopefully not have to stress about money. But apart from the

一個舒適的家，希望不用為錢而緊張。但除了

few outliers, you won't be balling out with a new Pagani every year.

少數離群值，你不會每年都用新的帕加尼出球。

Perhaps the most overused cliché amongst pre-meds during their medical school interviews

也許是醫學預科生在醫學院面試時最常用的陳詞濫調。

is stating that they want to become a doctor to help others. While stating this as a primary

是說自己想成為一名醫生來幫助別人。雖然說這是一個主要的

reason to become a doctor would likely prove detrimental to your medical school application,

成為醫生的原因很可能會證明對你的醫學院申請不利。

there is some truth there.

有一些真相。

I despise the self-righteousness and moral high ground that is assumed or taken when

我鄙視在以下情況下自以為是和佔據道德制高點的行為

people speak about how much pleasure they derive from helping others. Let's put that

人們談論他們從幫助他人中獲得了多少樂趣。讓我們把它

nonsense aside. This isn't about whether or not you're a good person, or how lucky

廢話不說了。這不是關於你是否是個好人，或者你有多幸運。

we are to have you grace us with your presence.

我們要有你的恩典與你的存在。

If we remove all this morality and judgement from helping others, and even focus on purely

如果我們把這些道德和評判從幫助他人中去除，甚至把注意力放在純粹的

selfish motives, it becomes apparent that the pursuit and desire to bring joy and be

自私的動機，顯然，追求和渴望帶來快樂和被。

of service to others actually makes you feel better.

為他人服務其實會讓你感覺更好。

The pleasure and joy one derives from helping another is almost universal, but there are

一個人從幫助他人中獲得的快樂和喜悅幾乎是普遍的，但也有

people who are not able to tap into this satisfaction in the healthcare setting due to other factors.

由於其他因素無法在保健環境中獲得這種滿足感的人。

For example, a strongly cynical outlook, being easily annoyed, or not being a team player

例如，強烈的憤世嫉俗的觀點，容易煩躁，或不具備團隊精神。

are just a few factors that can obstruct you from finding joy here. To thrive as a physician,

是一些可能阻礙你在這裡找到快樂的因素。作為一名醫生，要想茁壯成長。

finding the pleasure in being of service to patients is essential.

找到為病人服務的樂趣是至關重要的。

The year is 2020, and the candy ass climate is reaching new heights. Outrage porn is in,

今年是2020年，糖果屁股的氣候達到了新的高度。暴走色情片在。

and having an ounce of resilience or not adopting a victim-mentality makes you the outlier.

而有一絲彈性或不採用受害者心態，使你成為異類。

With most things in life, the truth is somewhere in the middle and nuance is key. On one end

生活中的大多數事情，真相都在中間，細微差別是關鍵。一邊是

of the spectrum, burnout is a systemic issue, not an individual one. Medical students and

倦怠是一個系統性的問題，而不是個人的問題。醫學生和

residents don't need more mandatory wellness lectures. Those actually just make the problem

居民不需要更多的強制性健康講座。那些其實只是讓問題

worse. What we need is a systemic overhaul of medicine and medical training whereby trainees

更糟糕的是，我們需要的是對醫學和醫學培訓進行系統的改革。我們需要的是對醫學和醫學培訓進行系統性的改革，讓受訓者

aren't abused or used as cheap labor.

不被濫用或作為廉價勞動力使用。

On the other end of the spectrum, personal responsibility and resilience is necessary

在另一端，個人的責任和應變能力是必要的。

to not only survive, but thrive as a future doctor. Recently on Reddit, I came across

以期不僅能生存下去，還能作為未來的醫生茁壯成長。最近在Reddit上，我看到了

a medical student who was shaken up from an attending commenting that his tie didn't

一個醫學生因為主治醫生說他的領帶不合適而感到震驚。

match his shirt. If you're that easily offended, good luck to you in life, let alone in medicine.

和他的襯衫相配。如果你這麼容易得罪人，那祝你一生好運，更別提行醫了。

Pick up Meditations by Marcus Aurelius or watch my video on stoicism for students so

拿起馬庫斯-奧勒留的《沉思錄》或觀看我為學生們準備的關於堅忍不拔的視頻，所以

you can face the inevitable challenges empowered, not as a victim. Take responsibility for every

你可以有能力面對不可避免的挑戰，而不是作為一個受害者。為每一個人負責

challenge life throws your way. Responsibility doesn't equate to fault, but responsibility

挑戰生活拋給你的方式。責任並不等同於過錯，但責任

allows you to take action and do something about the challenges you face, rather than

讓你能夠採取行動，對你所面臨的挑戰做些什麼，而不是讓你去做什麼。

just cowering in a corner complaining about them.

只是畏縮在角落裡抱怨他們。

Is it my fault that family genetics predisposed me to developing Crohn's colitis? Is it

家庭遺傳容易導致我患上克羅恩結腸炎，是我的錯嗎？是我的錯嗎？

my fault that a driver ran a red light and t-boned our car? Obviously not in both instances,

司機闖紅燈撞壞我們的車是我的錯嗎？顯然不是在這兩種情況下。

but both became my responsibility, and by taking responsibility, I was able to do something

但兩者都成了我的責任，通過承擔責任，我能夠做一些事情。

about it.

關於它。

If you meet these 5 criteria, congratulations! Chances are you'll be quite happy as a future

如果你符合這5個條件，恭喜你!作為未來的你，有可能會相當幸福。

doctor. Unfortunately, becoming a doctor in the United States is insanely competitive.

醫生。不幸的是，在美國成為一名醫生的競爭是瘋狂的。

The overwhelming majority of pre-meds in college give up and change their life path before

絕大多數的大學預科生在大學期間放棄並改變了自己的人生道路，在

they even get to the point of applying to medical school. And if you are one of the

他們甚至到了申請醫學院的地步。如果你是其中之一

few that do end up applying, you should know that 60% of applicants fail to get a single

寥寥無幾的申請者，你應該知道，60%的申請者都沒有得到一個名額。

medical school acceptance.

醫學院的錄取。

I know that applying to medical school is confusing and daunting. I was the only person

我知道，申請醫學院是很迷茫和令人生畏的。我是唯一一個

in my family to become a physician, let alone work in healthcare. And I also know how much

在我的家族中，成為一名醫生，更不用說在醫療保健領域工作了。而且我也知道

the process to becoming a doctor can crush you if you don't approach it properly. I

成為醫生的過程可以粉碎你 如果你不正確對待它。I

created Med School Insiders with the mission to empower a generation of happier, healthier,

創建Med School Insiders的使命是讓一代人更快樂、更健康。

and more effective future doctors. We've developed a course specifically designed for

和更有效的未來醫生。我們已經開發了一個課程，專門為

pre-meds to reduce confusion and increase their effectiveness, called the Pre-med Roadmap

醫學前期，以減少混亂，提高療效，稱為醫學前期路線圖。

to Medical School Acceptance. And if you want to work 1-on-1 with an actual physician who

到醫學院的錄取。如果你想與真正的醫生進行1對1的工作，他

is eager to mentor you to becoming the best doctor you can be, we've got a team of over

是渴望指導你成為最好的醫生，我們有一個團隊超過

60 doctors on standby, ready to assist. It's what we love doing and it's why our customers

60名醫生隨時待命，隨時提供協助。這就是我們喜歡做的事情，也是我們的客戶為什麼要

love us. Our results and customer reviews speak for themselves. Visit MedSchoolInsiders.com

愛我們。我們的成果和客戶評價不言而喻。訪問MedSchoolInsiders.com

to learn more.

以瞭解更多。

Out of the 5 factors, how many do you personally resonate with? Let us know with a comment

在這5個因素中，你個人有多少共鳴？請在評論中告訴我們

down below. If you liked this video, please give us a thumbs up to keep the YouTube gods

下。如果你喜歡這段視頻，請給我們豎起大拇指，讓YouTube的上帝

happy. Make sure you're subscribed with the notification bell enabled so you don't

快樂。確保你訂閱的通知鈴聲啟用，所以你不

miss future content like this. Much love to you all, and I will see you guys in that next

錯過以後這樣的內容。很愛你們，我們會在那下一個節目中見到你們。

one.

一。