Name: 醫學院與住院醫師比較 (Medical School vs Residency Comparison)
Uploaded: 2020-09-17T19:11:11.000Z
Duration: 8 min 10 s

基礎被動語態

This video is sponsored by the all new Med School Insiders website.

本視頻由全新醫派內參網站贊助。

Visit MedSchoolInsiders.com to learn more.

訪問MedSchoolInsiders.com瞭解更多。

You thought you were done after Medical School, residency lasts anywhere from three to seven

你以為讀完醫學院就完事了嗎 住院醫師的工作時間從三到七不等。

years in the US and is the final stage between you and practicing medicine clinically as

年，也是您與臨床行醫之間的最後階段，作為一個。

Let's go over medical school and residency and see how they compare.

讓我們來回顧一下醫學院和住院醫師，看看他們的比較。

What's going on guys, Dr. Jubbal, MedSchoolInsiders.com.

這是怎麼回事夥計們，朱波醫生，醫學流派內幕網。

Check out our new vlog channel for a behind the scenes look at the life of a doctor.

看看我們的新vlog頻道，看看醫生的幕後生活。

The first key aspect to understand is that in medical school, you are in school.

首先要明白的關鍵方面是，在醫學院，你是在學校。

You're a student, and you pay tuition to earn your MD.

你是個學生，你交學費是為了獲得醫學博士學位。

Congrats, you're now a doctor, but you still need to hone your craft before you're fully

恭喜你，你現在是個醫生了，但你還需要磨練你的手藝，才能完全勝任

licensed, board-certified and can practice on your own without supervision.

有執照，有委員會認證，可以在沒有監督的情況下自行執業。

During the first two years of medical school, you primarily learn in the classroom through

在醫學院的前兩年，你主要在課堂上通過以下方式學習

didactics and smaller group, in the last two years, you are on your clinical rotations

在過去的兩年裡，你在臨床上輪轉

where you learn how to apply principles to patient care, tune your ability to work in

在這裡，您可以學習如何將原則應用於病人護理，調整您的工作能力。

In residency, you're no longer a student.

在住院期間，你不再是學生了。

You're now the doctor with real responsibility.

你現在是真正負責任的醫生了。

You take care of your patients and are ultimately the one responsible for their care.

你要照顧好你的病人，最終是對他們的護理負責。

All residents require an attending physician to overlook and ensure patient safety.

所有住院醫師都要求主治醫師俯瞰，確保患者安全。

As the years progress however, you are expected to be more independent and rely less and less

然而，隨著歲月的推移，你將會越來越獨立，越來越少地依賴。

By the end of residency, you should be ready to take care of patients on your own out in

在實習結束時，你應該準備好在外面獨立照顧病人。

As for the length, Medical school is generally four years.

至於時間，醫學院一般是四年。

Many students do however opt to take an additional year to conduct research or earn another degree

然而，許多學生選擇多花一年時間進行研究或獲得其他學位。

Residency is highly variable in length and it actually just depends on your specialty.

住院醫師的時間長短變化很大，其實只是取決於你的專業。

Generally, surgical specialties are longer.

一般來說，外科專業的時間比較長。

For example, the longest is Neurosurgery at 7 years, although certain programs are eight

例如，最長的是神經外科，為7年，雖然某些項目是8年。

years because of a mandatory research year.

I matched into plastic surgery which is the second longest at six years although a few

我匹配到整形外科，這是第二長的六年，雖然有幾個。

programs also require a mandatory research year extending that to seven.

項目還要求將一個強制性的研究年延長到7年。

Internal medicine and pediatrics are on the shorter end, each at three years.

內科和兒科的年限較短，各為三年。

While almost all residences fall within the three to seven years, certain sub specialties

雖然幾乎所有的住宅都在三至七年內，但某些分專業的住宅，其居住年限卻在三至七年內。

do require additional training in fellowship, which is essentially part two of residency.

確實需要額外的培訓，在獎學金，這基本上是住院醫師的第二部分。

Next, let's talk about grading and evaluation.

接下來，我們來談談分級與評價。

While many medical schools are transitioning to a pass/fail grading system for the first

雖然許多醫學院校都在向合格/不合格的評分系統過渡，但第一次

two years, it is ultimately still insanely competitive to get into certain specialties.

兩年，最終還是瘋狂的競爭，進入某些專業。

For example, plastic surgery has the highest average Step1 score, which hovers around the

例如，整形外科的平均Step1分值最高，約在

Getting the 90th percentile on Step 1 makes you only an average plastic surgery applicant.

第一步拿到第90名，就只能算是一個普通的整形申請者。

And the second two years are your clerkship years, which are generally graded on a honors

而後兩年是你的實習期，一般都是以優等生的成績來評定的。

Pass/fail system or some variation of the sort.

合格/不合格制度或類似的一些變種。

If you want to go into something competitive like plastic surgery, dermatology or orthopedic

如果你想進入一些有競爭力的領域，比如整形外科、皮膚科或骨科。

surgery, you'll need to work your butt off to earn an honors grade.

手術，你需要努力你的屁股，以獲得榮譽成績。

Clinical grades are usually on a curve so that only a small percentage of the class

臨床成績通常是在一條曲線上，所以只有一小部分的班級同學

Meaning, you have to outshine your colleagues.

In this regard, Medical School is much more stressful than residency.

在這方面，醫學院的壓力要比住院醫師大得多。

In residency, the pressure to outperform your peers is an order of magnitude lower.

在住院部，超越同行的壓力要低一個數量級。

You'll take a yearly in-service exam specific for your specialty and you'll be evaluated

你每年都要參加一次針對你的專業的在職考試，你會被評估為

但總的來說，它的風險要小得多。

Now, let's talk about the cost and finances.

現在，我們來談談成本和財務問題。

The most recent figures place the average medical school graduate debt at approximately

最新的數據顯示，醫學院畢業生的平均債務約為1.5億。

That's right, nearly two hundred thousand dollars in debt to be a doctor.

沒錯，為了當醫生，負債近二十萬。

This includes both college and medical school loans.

其中包括大學貸款和醫學院貸款。

So I have good news and bad news about residency.

所以我有一個關於住院的好消息和壞消息。

The good news is that hey, you'll be making money so you can start paying off your loans.

好消息是，嘿嘿，你會賺錢的，這樣你就可以開始還貸了。

The bad news is that you'll probably be making minimum payments and accruing significant

壞消息是，你可能要支付最低限度的款項，並累積大量的。

interest since residency salaries are usually around fifty to sixty thousand dollars per

興趣，因為住院醫師的工資通常在五到六萬美元左右。

Now, I want to introduce my friend and special guest Dr. David Hindin.

現在，我想介紹我的朋友和特別嘉賓大衛-欣丁博士。

He is in his last year of general surgery residency and also has an excellent YouTube

他正處於普通外科住院醫師的最後一年，也有一個很好的YouTube。

As someone who has been in residency for several years, he knows a thing or two about the differences

作為一個做了幾年住院醫師的人，他知道一兩件事情的不同之處。

嘿，夥計們，大衛-興丁博士在這裡。

Next, let's talk about your work-life balance.

接下來，我們來談談你的工作與生活的平衡。

One of the biggest differences is how your schedule and time are structured.

其中最大的區別在於你的日程和時間是如何安排的。

In med school you've classes many of which you can skip and watch online or get notes

在醫學院裡，你有很多課，你可以跳過，在網上看，或者做筆記。

from a friend and later you've rotations where let's be honest, if you need to leave early

從一個朋友，後來你已經輪流讓我們說實話，如果你需要提前離開。

or take the day off for personal reasons, it's almost always allowed.

或因個人原因請假一天，幾乎都是允許的。

But once you reach residency, your free time is no longer totally under your control.

但是，一旦到了住院部，你的自由時間就不再完全由你控制了。

You receive a schedule of when you're expected to be at the hospital, whether this is for

您會收到一份您預計在醫院的時間安排表，無論您是出於什麼原因，您都會收到。

a daytime shift or 24 hours shift and that is where you must absolutely be.

日班或24小時班，那是你絕對要去的地方。

You aren't just required by your residency contract, you have patients whose lives and

你不僅僅是住院醫師合同的要求，你還有病人的生命和生活。

You'll start to discover that your time at the hospital doesn't always end exactly on

你會開始發現，你在醫院的時間並不總是完全結束於

If I'm operating on an emergency trauma patient and my shift is over, I don't leave the operating

如果我在給一個急診創傷病人做手術 而我的班已經結束了 我不會離開手術室的

room, I stayed to finish the surgery and wait until care has been transitioned.

室，我留下來完成手術，等待護理工作的過渡。

And then come the differences in classroom testing; in med school I remember having constant

然後是課堂測試的差異，在醫學院，我記得有不斷的。

tests but in residency, evaluations are much more informal.

測試，但在住院治療中，評價要非正式得多。

An intern might finish a surgery and the attending might say "great job, but next time make sure

實習生做完手術，主治醫生可能會說："做得很好，但下次一定要確保。

not to pick up the needle with the forceps".

All of these are ways to ultimately help a resident improve their skills and clinical

這些都是最終幫助住院醫師提高技能和臨床的方法。

And finally, there are standardized tests.

So, in med school, you'll take Step 1, Step 2CK and Step 2CS.

所以，在醫學院裡，你會參加步驟1，步驟2CK和步驟2CS。

In residency, you'll just take Step 3 then a yearly exam known as the in-service and

在住院部，你只需要參加第三步，然後每年一次的考試，稱為在職考試和

finally, a formal licensing exam at the end of your training known as the board's exam.

最後，在你的培訓結束後，正式的執照考試，稱為董事會的考試。

At the end of the day, the most Important difference is that being a resident is the

最後，最重要的區別是，作為一個居民是

first time in your life that you are taking care of patients as their own doctor.

第一次在你的生活中，你照顧病人作為自己的醫生。

字幕列表影片播放

醫學院與住院醫師比較 (Medical School vs Residency Comparison)

ultimately

practice

description

average