diagnosed with Crohn's disease.

被診斷為克羅恩病。

Back then, I was always very curious about what each stage of the process would look

那時候，我一直很好奇，每個階段的流程會是怎樣的？

like, and I'm sure that many of you are as well.

喜歡，我相信你們很多人也是。

College, Medical School and then Residency.

大學，醫學院，然後是住院醫師。

Now that I am a doctor, I can share with you what I've learned over the years, and tell

現在我已經是一名醫生了，我可以把我這些年學到的東西和大家分享，告訴大家。

you which stages are the most difficult.

哪些階段是最困難的。

What's going on guys,

這是怎麼回事的傢伙。

Dr. Jubbal, MedSchoolInsiders.com.

朱波醫生，醫派內參網。

If you haven't already, be sure to check out our two previous comparison videos, one

如果你還沒有，一定要看看我們之前的兩個對比視頻，一個是

on College vs Medical School and one on Medical School vs Residency.

關於學院與醫學院，還有一個關於醫學院與住院醫師。

Those provide a great foundation and framework of the big picture differences of each stage

這些為每個階段的大局差異提供了很好的基礎和框架。

in training.

訓練中。

In this video, we're going to focus on the difficulty of each – the lifestyle, the

在這段視頻中，我們將重點介紹每一個難點--生活方式、。

day-to-day, the up's and the down's.

每天都是這樣，起起落落。

There is one single stretch in time, a few months in duration, that is by far the most

有一個單一的時間段，幾個月的時間，是迄今為止最。

challenging time during the entire process.

在整個過程中具有挑戰性。

But before we get to that, we first need to start with college.

但在這之前，我們首先要從大學開始。

College, the good old days.

大學，好日子。

At least, it seems that way now.

至少，現在看來是這樣。

And I'm sure that many medical students and doctors will say the same thing.

而我相信，很多醫學生和醫生也會這麼說。

But it's important to note that as humans we are prone to a recall bias.

但需要注意的是，作為人類，我們很容易出現回憶偏差。

Sure, it's easy for us to look back to college, compare it with the rigors of medical school

當然，我們很容易回顧大學生活，將其與醫學院的嚴格要求相比較。

and residency and laugh at how seemingly easy it all is.

和居住地，笑看這一切看似簡單。

I'm going to do my best to avoid that and in the process I'm sure I will get a ton of

我要盡力避免這種情況的發生，在這個過程中，我相信我會得到一大堆。

comments from med students and residents with a very differing opinion.

醫學生和居民的意見，意見非常不同。

First, allow me to state that my college experience was far from the average students.

首先，請允許我說明，我的大學經歷遠非一般學生可比。

Between my health and financial and family issues, my life imploded in a spectacularly

在我的健康、財務和家庭問題之間，我的生活在一個壯觀的內爆中

disastrous way.

災難性的方式。

Anti fragile was the name of the game.

反脆弱是遊戲的名字。

To this day, the beginning of my college career remains the most challenging time of my life.

時至今日，大學生涯的開始仍然是我人生中最具挑戰性的時刻。

I explained those details elsewhere on the Vlog Channel.

我在Vlog頻道的其他地方解釋了這些細節。

But over the course of four years in undergrad, I got a good understanding of what college

但在大學四年的時間裡，我對大學的內容有了很好的理解

for the typical pre-med entails.

為典型的醫學預科所需。

Being a pre-med in college is certainly challenging.

在大學裡做一個醫學預科生，無疑是一種挑戰。

Don't let anyone tell you otherwise.

不要讓任何人告訴你，否則。

The main obstacles you'll face are the following.

你將面臨的主要障礙有以下幾點。

First, the distractions.

首先，分心。

You're finally out of the house and completely free, entirely on your own.

你終於走出家門，完全自由了，完全靠自己。

It's far too easy to get sucked into the partying and fun of college, and too easily

太容易被吸進大學的聚會和樂趣，太容易被捲入

lose sight of the importance of self-discipline and your professional pursuits.

忽視了自律的重要性和你的職業追求。

A lot of pre-meds end up changing their mind about medical school in the process.

很多醫學預科生最後在這個過程中改變了對醫學院的看法。

At my school, it was estimated that over 2,000 students entered their freshman year as pre-med,

在我校，估計有2000多名學生以預科生的身份進入大一。

and by the time graduation rolled around, only 200 had applied.

而到了畢業的時候，只有200人申請。

Second, the competition for a pre-med is fierce.

其次，醫學預科的競爭非常激烈。

It's more the culture than the actual quality of the competition.

這更多的是文化而不是實際品質的競爭。

Think about it, less than 40% of pre-meds get accepted to medical school, and the average

想一想，只有不到40%的醫學預科生能被醫學院錄取，而一般的

MCAT and GPA of matriculants is higher than the average MCAT and GPA of applicants.

預科生的MCAT和GPA高於申請人的平均MCAT和GPA。

In other words, in medical school your classmates are going to be higher scoring than your pre-med

換句話說，在醫學院裡，你的同學要比你的預科生分數高。

counterparts, on average.

對應的，平均。

Still, the pre-med competition is more fierce, and that's because of the cut-throat culture.

不過，醫學預科的競爭還是比較激烈的，這是因為切磋文化的緣故。

Okay, so this was my experience, but I'm sure that you have likely witnessed worse.

好吧，這是我的經驗， 但我敢肯定，你有可能目睹更糟糕的。

I had a run in with an overzealous pre-med student in chemistry lab that gave me the

我曾在化學實驗室和一個熱心腸的醫學預科生髮生過沖突，給我帶來了

wrong answer to a question I had on an assignment.

我在一次作業中答錯了一個問題。

He later made it clear that he knew it was the wrong answer and that I had been tricked.

後來他明確表示，他知道這是錯誤的答案，我被騙了。

I was taken aback and shocked someone would intentionally sabotage a colleague like that

我很吃驚，也很震驚，有人會這樣故意破壞同事的利益。

– it is just something I never would have considered, something that would never be

- 這只是我從來沒有想過的事情，永遠不會被

on my radar.

在我的雷達上。

But unfortunately, stunts like these aren't uncommon amongst the gunners of pre-meds.

但不幸的是，這樣的特技在前期的槍手中並不少見。

So, to all the college pre-meds, I advise you to be cautious of those who may want you

所以，對於所有的大學預科生，我建議你們要慎重對待那些可能要你們

to do poorly.

要做得很差。

This cut throat culture is obviously highly variable from school to school but I've

這種割據文化顯然在不同的學校有很大的差異，但我已經。

heard much worse stories than my own.

聽到的故事比我自己的更糟糕。

Remember, never ever stoop down to that level, it will backfire on you.

記住，千萬不要低頭到這種程度，會反噬你。

Karma is a B!

緣分是個B!

But more importantly, you'll grow to despise and lose respect for yourself in the process.

但更重要的是，你會在這個過程中逐漸鄙視並失去對自己的尊重。

Now, going back to my example, guess who ended up at a top med school with the highest available

現在，回到我的例子，猜猜看誰最終在一所頂尖的醫學院，以最高的可用的。

scholarship, and who ended up not getting accepted to any medical school?

獎學金，誰最終沒有被任何醫學院錄取？

Third, the increased flexibility and free time of college is actually challenging in

第三，大學的靈活性和自由時間的增加，其實是挑戰，在

a peculiar way.

一種特殊的方式。

It's like the paradox of choice, where having more options isn't always a better thing.

這就像選擇的悖論，有更多的選擇不一定是更好的事情。

You see in med school and residency you have less time so the thought of performing multiple

你看在醫學院和住院醫師的時候，你的時間更少了，所以想到要進行多次的

extracurriculars isn't even considered.

課外活動根本不考慮。

In college, you're expected to have clinical experience, volunteer experience, research

在大學裡，你要有臨床經驗、志願者經驗、科研經驗。

experience, some qualities that make you unique and memorable, all while scoring a perfect

經驗，一些讓你獨一無二、令人難忘的品質，同時獲得一個完美的成績。

GPA and a top MCAT score.

GPA和MCAT最高分。

It's challenging, it's confusing, as there are infinite permutations as to the various

這是一個挑戰，它是混亂的，因為有無限的排列組合，各種

paths you can take.

你可以走的路。

If you are a pre-med and you need help figuring out how to situate yourself to be as competitive

如果你是一個醫學預科生，你需要幫助弄清楚如何定位自己的競爭力。

as possible, check out our advising services on MedSchoolInsiders.com.

儘可能在MedSchoolInsiders.com上查看我們的諮詢服務。

For those on a budget, our Pre-Med Roadmap to Medical School Acceptance Course is a tremendously

對於那些預算有限的人來說，我們的醫學院預科課程是一個非常好的選擇。

comprehensive resource.

全面的資源。

Now, on to Medical School.

現在，在醫學院。

Medical school will be a challenging adjustment for completely different reasons than college.

醫學院將是一個具有挑戰性的調整，原因與大學完全不同。

First off, the increased flexibility you had in college is totally gone.

首先，你在大學裡增加的靈活性完全沒有了。

Don't expect to pick up too many extracurriculars.

別指望能撿到太多的課外活動。

Your expectations as a medical student are to study, become a competent future physician,

作為一名醫學生，你的期望是學習，成為一名合格的未來醫生。

and to perform some level of research, particularly if you're applying to a competitive specialty

並進行一定程度的研究，特別是如果你要報考競爭激烈的專業的話

for residency.

為居住。

Other than those three things, follow whatever interests you.

除了這三件事，你感興趣的就跟著做吧。

For me, that was doing some design work for my med school's literary and arts magazine,

對我來說，那是為我醫學院的文藝雜誌做一些設計工作。

lifting weights, cycling, and enjoying the San Diego beach.

舉重，騎自行車，享受聖地亞哥海灘。

The main challenge here is the lack of time.

這裡的主要挑戰是時間不足。

You will perpetually feel behind in your studies.

你會永遠覺得自己的學習落後。

There will always be something to do, and it may be challenging to make time for yourself

總會有一些事情要做，要為自己騰出時間可能是個挑戰。

to unwind or relax when you have deadlines looming over you.

當你有截止日期的時候，可以放鬆一下。

Second and arguably the biggest adjustment will be the pace of learning.

其次，也可以說是最大的調整，將是學習的節奏。

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

俗話說，在醫學院學習就像喝消防栓裡的水。

The material isn't necessarily conceptually difficult, but rather it's staggering in

材料不一定是概念上的難點，而是錯綜複雜，在

volume.

量。

The biggest epiphany I had in med school was understanding how far my learning methods

我在醫學院最大的感悟是明白了自己的學習方法有多遠。

could be optimized.

可以優化。

After a couple months, I was a studying machine.

幾個月後，我就成了一臺學習機器。

I had active learning, flashcards, mnemonics – the whole system in place.

我有主動學習、閃卡、記憶法--整個系統都有。

The funny thing is, if I knew how to study like this in college, undergrad would have

有趣的是，如果我在大學裡就知道這樣學習，大學就會有

been such a breeze!

一直是這樣的微風！

I go over these study strategies I wish I had, in my first ever YouTube video, Pre-med

我在我的第一部YouTube視頻《醫學預科》中，介紹了這些我希望自己有的學習策略。

Study Strategies -What I Wish I Knew In College.

The transition from classroom to the wards can be very challenging for some.

從教室到病房的過渡對一些人來說是非常具有挑戰性的。

Since grade school, you've been studying from books and preparing for tests.

從小學開始，你就開始從書本上學習，準備考試。

In the second half of med school, gone are the days of the comfort of the classroom.

在醫學院的後半段，安逸的教室的日子一去不復返了。

Instead, you'll be working in the hospital for the first time, with the bulk of your

相反，你將第一次在醫院工作，你的大部分時間都在醫院工作。

grade coming from evaluations from your attending and resident physicians.

您的主治醫師和住院醫師對您的評價也會給您打分。

Most med students love the transition to the wards, as this is what you came to medical

大多數醫學生都喜歡到病房過渡，因為這是你來醫學的目的

school for - to take care of patients.

學校 -- -- 照顧病人；

But rather than just learning information from a textbook, you now need to spend long

但是，現在你不只是從課本上學習資訊，而是需要花很長時間

and often unpredictable hours in the hospital and self study on your own to prepare for

和經常不可預測的時間在醫院裡，並自學，為自己的

your shelf exams.

你的架上考試。

This again requires tremendous adaptability and self-discipline.

這又需要巨大的適應性和自律性。

Now, the last part of your medical training is residency that is unless you do fellowship

現在，你的醫學培訓的最後一部分是住院醫師 除非你做獎學金的工作

which is almost like a residency part two.

這幾乎就像一個居住的第二部分。

Residency is challenging for an entirely different set of reasons.

住院是具有挑戰性的，原因完全不同。

The main challenges in residency come down to the increased responsibility.

住院期間的主要挑戰歸結為責任的增加。

As a medical student, you had the resident above you who was actually responsible for

作為一名醫學生，你上面的住院醫師實際負責的是

the patient.

患者。

If you made a mistake or didn't know the answer, it wasn't that big of a deal.

如果你犯了錯誤或者不知道答案，那也不是什麼大不了的事。

In residency, you are the primary doctor caring for the patient.

在住院期間，你是照顧病人的主治醫生。

And sometimes that's scary.

有時候這很可怕。

I remember several nights where I was in call in the emergency department taking care of

我記得有好幾個晚上我都在急診科待命 照顧著一個又一個的病人

some nasty lacs or lacerations or hand fractures.

一些討厭的撕裂或撕裂或手部骨折。

Full thickness, oblique angle, facial lacs, gruesome hand injuries, you name it.

全厚，斜角，面部撕裂，可怕的手傷，你說的都有。

And I was an intern.

而我是一個實習生。

Luckily, your seniors are there for you.

幸運的是，你的前輩在那裡等著你。

I shot them a text, some photos, and explained how I was planning on treating the patient

我給他們拍了一段文字，一些照片，並說明了我打算如何治療病人的情況。

– initial management, suture type, number of layers, closure technique, etcetera.

- 初期管理、縫合類型、層數、閉合技術等。

They would either agree with me or use it as a teaching opportunity and redirect me.

他們要麼會同意我的觀點，要麼會把它作為一個教學機會，重新引導我。

And if I was ever in over my head, they would come to the ED to help me out.

如果我有什麼不順心的事，他們會來急診室幫我解決。

Overall, the increased responsibility isn't all so bad.

總的來說，責任的增加也不全是壞事。

It's actually quite rewarding, since for the first time, you are the primary physician

這其實是很有意義的，因為第一次，你是主治醫生。

for a patient and the impact you can make is quite fulfilling.

對於一個病人來說，你能產生的影響是相當有成就感的。

But this increased responsibility sneaks up on you in multiple ways.

但這種責任的增加會以多種方式悄悄地降臨到你身上。

In residency, if you don't keep on top of your studying and medical knowledge, you will

在住院醫師期間，如果你不抓緊學習和醫學知識，你就會

be doing a significant disservice to your patients.

對你的病人來說是一個重大的傷害。

Your increased responsibility also translates to many more nights on call, which means even

您的責任增加了，也意味著您會有更多的夜晚待命，這就意味著您會有更多的時間來處理您的工作。

more sleep deprivation than when you were a medical student!

比當你還是醫學生的時候，更多的睡眠不足!

Increased responsibility also often being the last to leave.

增加的責任也往往是最後一個離開。

Real patients and the attendings are fully counting on you.

真正的患者和就診者完全指望你。

As a medical student, you're primarily there in the hospital to learn.

作為一名醫學生，你在醫院主要是為了學習。

But as a resident, you're there to work and to take care of patients, with learning

但作為住院醫師，你是要工作的，是要照顧病人的，是要學習的。

being a secondary objective.

是一個次要目標。

Now that we've gone over all three parts of training to become a doctor in the US, which

現在我們已經把在美國當醫生的三個部分的培訓內容都講完了，其中

one do you think is the hardest?

你覺得哪個最難？

In my opinion, it's the sub-internships during the beginning of your fourth year of med school.

在我看來，就是在醫科大學四年級開始的分實習。

It should be noted, however, that I went into plastics and your sub-internship, also known

不過，需要說明的是，我進了塑膠行業，而你的次實習，也就是所謂的

as your audition rotation, will significantly vary based on your specialty.

作為你的試鏡輪換，會根據你的專業有很大的不同。

Now, sub-i's are essentially month-long interviews.

現在，分i的基本上都是一個月的面試。

You travel around the country and do a rotation of two to four weeks at a program that you

你在全國各地旅行，並在你的項目中做兩到四周的輪換。

are considering for residency.

正在考慮居住。

In my case, I vividly recall the toughest week of medical school.

就我而言，我清楚地記得醫學院最艱苦的一週。

I was at a top plastic surgery residency program for my first sub-internship and we were on

我在一個頂尖的整形外科住院醫師項目進行第一次次實習，我們在

triple call.

三次通話。

That means, when patients came in for hand injuries, face injuries, plastic surgery related

也就是說，當患者因手部受傷、臉部受傷、整容相關的問題來就診時

emergencies, we had the pager and we had to be in the hospital to address it.

緊急情況下，我們有傳呼機，我們必須在醫院解決。

It's pretty safe to assume that when you're on triple call, you won't be sleeping.

可以肯定的是，當你在三通一達的時候，你是不會睡覺的。

We were on triple call for the entire week, and as the sub-intern, it was my duty to impress

我們整整一週都是三班倒，作為副班長，我的職責就是給人留下深刻的印象。

everyone with my work ethic and determination.

我的工作態度和決心讓每個人。

For better or worse - mostly for worst - that's just the surgery culture.

不管是好是壞--主要是壞，這就是手術文化。

I spent three days in a row, working between 18 and 19 hours each day.

我一連三天，每天工作18到19個小時。

When I went home, I had to prepare for the next day's cases, because it's a huge

回家後，我得準備第二天的案子，因為這是一個巨大的。

no-no to walk into a case unprepared, especially on your sub-i.

不可以在沒有準備的情況下走進一個案子，尤其是在你的子弟身上。

And good luck preparing ahead of time, as the hour schedule is constantly changing.

而且運氣好，提前準備，因為時間安排是不斷變化的。

To say it was a rough week would be an understatement.

如果說這是一個艱難的一週，那是輕描淡寫的。

Again, not all sub-i's are like that.

同樣，不是所有的子i都是這樣的。

One of my friends went into internal medicine, and his sub-internship experience was much

我的一個朋友進了內科，他的副實習經歷是多

more relaxed.

更加輕鬆。

And if you're going into something like psychiatry, it'll be even more relaxed than

如果你要進入類似精神病學的領域，那就會比現在更輕鬆

that.

那。

So, what stage of training are you currently in, and in your opinion, what's the hardest

那麼，你目前處於什麼階段的訓練，在你看來，最難的是什麼？

part of training to become a doctor?

成為醫生培訓的一部分？

Leave a comment down below.

請在下面留言。

For those of you who enjoyed the brief stories that I shared here, check out the Vlog Channel

喜歡我在這裡分享的簡短故事的朋友，可以去Vlog頻道看看。

where I go more into my own experiences and the lessons that I've learned over the years.

在這裡，我更多的是探討自己的經驗和多年來的教訓。

And check out Instagram where I'm regularly posting exclusive content that you won't see

並查看Instagram，在那裡我定期發佈獨家內容，你不會看到。

anywhere else.

其他任何地方。

Think of it as "behind the scenes."

就當是 "幕後黑手 "吧。

Thank you everyone for watching.

謝謝大家的觀看。

If you liked the video make sure you press that like button.

如果你喜歡這段視頻，一定要按那個喜歡的按鈕。

Hit subscribe if you have not already, and I will see you guys in that next one.

如果你還沒有點擊訂閱，我會在下一個看到你們。