Name: 所以，你想成為一個神經學家[Ep.20] 。 (So You Want to Be an NEUROLOGIST [Ep. 20])
Uploaded: 2021-01-11T20:40:57.000Z
Duration: 13 min 13 s

所以你想成為一名神經科醫生。

You like the idea of the brain, knowing all of its intricacies, and the idea of being

你喜歡大腦的想法，知道它所有複雜的東西，以及被的想法

Let's debunk the public perception myths, and give it to you straight.

讓我們來揭穿公眾的認知誤區，直接給你說說。

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 neurology, and help

在這個系列中，我們強調了醫學中的一個特定的專業，如神經病學，並有助於

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。

If you want to vote in upcoming polls to decide what future specialties we cover, make sure

如果您想在即將到來的民意調查中投票決定我們未來的專業內容，請確保

If you'd like to see what being a neurologist looks like, check out my second channel, Kevin

如果你想知道作為一個神經科醫生是什麼樣的，請看我的第二個頻道，凱文。

Jubbal, M.D., where we'll be covering a day in the life of a neurologist soon.

Jubbal，醫學博士，我們很快就會報道神經科醫生的一天生活。

Neurologists are the physicians that specialize in the non-surgical management of the variety

神經內科醫生是專門從事非手術治療各種疾病的醫生。

of central and peripheral nervous system disorders.

For surgical management, neurosurgery is the specialty you're looking for.

對於手術治療，神經外科是你要找的專業。

Neurologists manage everything from headaches and migraines to the most devastating and

神經內科醫生可以處理從頭痛和偏頭痛到最具破壞性和最嚴重的疾病。

incurable diseases like amyotrophic lateral sclerosis, or ALS, and Huntington's disease.

不治之症，如肌萎縮側索硬化症，或ALS和亨廷頓氏病。

Strokes, which are the fifth leading cause of death and first leading cause of disability

中風，是第五大死亡原因和第一大殘疾原因；

in the United States, are diagnosed and treated by neurologists.

在美國，由神經科醫生診斷和治療。

Many believe that neurologists primarily diagnose conditions, but cannot do much to treat any

很多人認為，神經科醫生主要是診斷病情，但對任何治療都無能為力。

While there are several conditions for which modern medicine has limited management options,

雖然現代醫學對幾種病症的處理方案有限。

research in neurology is rapid and our therapies are improving.

神經病學的研究進展迅速，我們的治療方法也在不斷改進。

For example, strokes used to be untreatable, leaving patients with lifelong disability.

比如，中風過去是無法治療的，讓患者終身殘疾。

However, in the past few decades, our understanding of strokes has improved drastically.

然而，在過去的幾十年裡，我們對筆畫的認識有了很大的提高。

As they say, "time is brain", and rapid interventions such as tPA and endovascular thrombectomy

俗話說 "時間就是大腦"，tPA、血管內血栓切除術等快速介入治療。

are now understood as critical in favorable outcomes.

現在，人們認識到這對有利的結果至關重要。

Parkinson's disease care has been revolutionized with deep brain stimulation.

帕金森病的護理已經通過腦深部刺激進行了革新。

Epilepsy care has improved through new anti-seizure medications, vagus nerve stimulation, and

通過新的抗癲癇藥物、迷走神經刺激術，癲癇護理得到了改善。

Brain tumors of all types now have a multitude of treatment options.

現在各種類型的腦腫瘤都有多種治療方法。

ALS is still a devastating illness, but clinical trials for novel therapies are showing tremendous

ALS仍然是一種毀滅性的疾病，但新型療法的臨床試驗正在顯示出巨大的。

When you think about the patients requiring neurological care, it makes sense that it's

當你想到需要神經系統護理的病人，這是有道理的。

A substantial portion of diseases in neurology are chronic and progressive, but neurologists

神經內科的疾病有相當一部分是慢性的、進展性的，但神經內科醫生的

help their patients live a life of dignity and enjoy the time they have left in a meaningful

幫助他們的病人過上有尊嚴的生活，並在有意義的情況下享受他們剩下的時間。

The bread and butter of neurology consists of stroke, seizures, headaches, and dementia,

神經科的麵包和黃油包括中風、癲癇、頭痛和痴呆。

but there's a great deal more to it, as we'll explore shortly with the wide variety of fellowship

但還有更多的內容，我們稍後將與各種團契一起探討。

There are a few ways to categorize neurology:

Inpatient neurologists work in the hospital setting, treating admitted patients with seizures,

住院神經科醫生在醫院環境中工作，治療入院的癲癇患者。

acute demyelinating disease, stroke, complications pre-op or post-op from neurosurgery, neuromuscular

急性脫髓鞘疾病、中風、神經外科手術術前或術後併發症、神經肌肉疾病

disorders, meningitis, encephalitis, and more.

The lifestyle of an inpatient neurologist is similar to that of a hospitalist - it's

住院神經科醫生的生活方式與醫院醫生的生活方式類似--它是

common to work 7 days on and then have 7 days off, or 2 weeks on followed by 2 weeks off.

常見的是工作7天，然後休息7天，或者工作2周，然後休息2周。

Outpatient neurologists work in the clinical setting, managing patient's chronic neurologic

神經科門診醫生在臨床上工作，管理病人的慢性神經系統疾病。

conditions including headache, peripheral nerve disorders, Parkinson's disease, dementia,

症，包括頭痛、周圍神經疾病、帕金森病、痴呆症。

epilepsy disorders, myasthenia, ALS, stroke prevention and rehabilitation, and more.

癲癇病、肌萎縮症、ALS、中風預防和康復等。

As is usually the case in an outpatient practice, you can expect 9 to 5, Monday through Friday,

和通常的門診一樣，您可以期待週一到週五的9點到5點。

As an academic neurologist, you'll be working at an institution affiliated with a medical

作為一名學術神經科醫生，你將在一家醫療機構的附屬機構工作。

school or teaching hospital, which generally means a large tertiary center with comprehensive

學校或教學醫院，一般是指具有綜合性的大型三甲中心。

stroke, epilepsy, and ALS treatment centers.

In academic neurology, a fellowship is generally advised, and compared to other practice settings,

在神經內科學術上，一般建議做研究員，相比看其他實踐環境。

you'll be more narrowly focused on that fellowship subspecialization.

你會更狹隘地專注於該獎學金的分專業。

As with any academic setting, you'll also be teaching medical students and residents

與任何學術環境一樣，您也將教授醫學生和住院醫師。

in addition to doing research on the side.

Compensation in academia is usually about 30 percent less compared to community or private

與社區或私營企業相比，學術界的報酬通常要低30%左右。

Community neurologists usually have clinic in addition to a weekly call schedule.

社區神經科醫生除了每週的電話安排外，通常還有診所。

They normally see less acute patients either pertaining to general neurology or their fellowship,

他們通常會看一些不太急性的病人，要麼是與普通神經病學有關的，要麼是他們的獎學金。

which is most commonly headache, neurophysiology, neuromuscular, and movement.

其中最常見的是頭痛、神經生理、神經肌肉和運動。

Private practice neurologists focus on less acute neurology, including pathologies such

私人診所的神經科醫生專注於不太急性的神經病學，包括病理學，如：神經內科、神經外科和神經外科。

as headache, neuropathy, less severe Parkinson's disease, and well controlled seizure disorders

如頭痛、神經病變、較輕的帕金森病、控制良好的癲癇病等。

They also usually take call for stroke or general neurology at local hospitals.

他們通常也會在當地醫院接診中風或普通神經科的電話。

While the pay is higher, you're more likely to have more demanding call, needing to service

雖然工資較高，但你更可能有更多的要求的電話，需要服

After 4 years of medical school, neurology residency is another 4 years.

醫學院畢業4年後，神經內科住院醫師又是4年。

Your first year in residency, or PGY-1, is an internship in internal medicine.

您在住院醫師的第一年，或PGY-1，是內科的實習。

After all, a strong internal medicine foundation is prerequisite to be successful as a neurologist.

畢竟，要想成功成為一名神經內科醫生，紮實的內科基礎是前提。

During your second through fourth years of residency, you'll be focused exclusively on

在第二年到第四年的住院醫師培訓中，您將專注於

As a PGY-2, you'll be focusing primarily on inpatient coverage of stroke, general neurology,

作為PGY-2，你將主要關注腦卒中、普通神經內科的住院報道。

As a PGY-3, you'll begin having more outpatient clinic exposure, but still lean towards inpatient,

作為PGY-3，你會開始有更多的門診接觸，但還是傾向於住院病人。

while also begin working on fellowship applications.

同時也開始著手研究獎學金的申請。

As a PGY-4, you'll be more evenly split between inpatient and outpatient, and this

作為PGY-4，你會更均勻地分擔住院和門診的工作，這個

is also when most residents focus on research.

也是大多數居民集中研究的時候。

You can do either a categorical or advanced residency.

你可以做一個斷然的或高級的居留。

Categorical means you do all 4 years at a single program, whereas for advanced programs,

斷然是指你在一個項目上做滿4年，而對於高級項目。

you'll do your intern year as either a preliminary year or transitional year and then do neurology

你會做你的實習一年作為初步或過渡年，然後做神經病學。

在不同的項目中擔任住院醫師。

Medical students that apply to neurology are stereotypically the quirky nerds who have

報考神經內科的醫學生，在刻板印象中都是那些古靈精怪的書呆子。

a strong interest in reading, tend to talk a lot, and enjoy explaining to others what

對閱讀有濃厚的興趣，喜歡說很多話，喜歡向別人解釋什麼。

In terms of competitiveness, neurology is considered less competitive, ranking at 16

在競爭力方面，神經內科被認為競爭力較弱，排名16位

The average Step 1 score is 232, average Step 2CK is 245, and match rate is 97%.

Step 1平均分232，Step 2CK平均分245，匹配率97%。

After completing residency, you can subspecialize further with fellowship.

在完成住院醫師資格後，你可以通過獎學金進一步分科。

Vascular neurology is almost entirely inpatient in nature.

血管神經內科幾乎全部是住院病人。

This is the subspecialty for neurologists that love staying on top of research and have

這是神經科醫生的亞專業，他們喜歡保持在研究的最前沿，並有以下特點

a deep interest in vascular anatomy and acute care.

對血管解剖和急診有深厚的興趣。

This is a 1 year fellowship, although some programs are 2 years in duration when research

這是一個為期1年的獎學金，儘管有些項目在研究時是2年的時間。

If you love the high acuity of inpatient and love acute lesion localization, then this

如果你喜歡住院病人的高敏度，喜歡急性病變定位，那麼這個

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所以，你想成為一個神經學家[Ep.20] 。 (So You Want to Be an NEUROLOGIST [Ep. 20])

chronic

critical

physical

practice