You just got accepted to medical school.

你剛被醫學院錄取

The hardest part is now behind you.

最困難的部分現在已經過去了。

Or so you thought.

或者說，你是這麼想的。

Here's what to expect and what to do next to make the most of your next four years as a medical student.

以下是對未來四年醫學生生活的期待和下一步該做的事情，以充分利用未來四年的醫學生生活。

Dodgeball medical insiders dot com If you've ever wondered how to navigate the medical school process to position yourself for a strong residency position, you've come to the right place.

躲避球醫療內幕點點網如果你曾經想知道如何在醫學院的過程中為自己的住院醫師定位一個強有力的位置，你來到了正確的地方。

After receiving your acceptance and prior to your medical school orientation, you'll have several months of free time.

收到錄取通知書後，在醫學院迎新之前，你會有幾個月的自由時間。

The gunners amongst you may be tempted to get a head start on studying or otherwise prepare yourselves to get a leg up.

各位槍友中的槍友們可能會想在學習上先下手為強，或者以其他方式做好準備，以備不時之需。

I advise against this.

我建議不要這樣做。

There is little you can do leading up to your first day that will make a meaningful difference in your success.

在你的第一天之前，你可以做的事情很少，這將對你的成功產生有意義的影響。

Enjoy and cherish the break and slow pace of life while you still can, as you won't get another opportunity like this for quite some time.

趁著現在還能享受和珍惜這段休息時間和慢節奏的生活，因為在相當長的一段時間內，你不會再有這樣的機會。

Your first two years of medical school are your pre clinical years, where you're attending class and small group sessions to learn physiology, anatomy, path of physiology and the basics of the various organ systems.

醫學院的前兩年是你的臨床前幾年，你要參加課堂和小組課程，學習生理學、解剖學、生理學的路徑和各個器官系統的基礎知識。

Your first few months will be an adjustment period.

你的前幾個月將是一個調整期。

It does not matter how well you performed.

你表現得如何並不重要。

An undergrad medical school will be different during this time.

大學醫學院在這期間會有不同的表現。

Focus on getting your study fundamentals in order.

注重把學習基礎打好。

Succeeding and thriving in medical school can only happen once you have a foundation of strong study strategies and are dialed in with your efficiency and productivity habits.

只有當你有一個強大的學習策略的基礎，並與你的效率和生產力的習慣撥動，成功和茁壯成長在醫學院。

You'll need to be able to sustain a relatively high intensity for the next four years.

你需要在未來四年內能夠保持一個比較高的強度。

Many schools have pass fail grading during the preclinical years, which usually means you can just study for the boards and you'll end up passing your classes, too.

很多學校在臨床前幾年都有合格不合格的分級，通常情況下，這意味著你只需要學習板塊，最後你也會通過你的課程。

However, note that some pass fail schools still have internal rankings across all four years.

但要注意的是，有些及格不及格的學校，其內部排名還是貫穿四年的。

That they do keep track of.

他們確實在跟蹤。

This will be codified in your Dean's letter when you're submitting your residency application.

這將在你提交住院醫師申請時編入你的院長信中。

And if your school has an A o a chapter, which is a medical school honor society, figure out whether they factor in pre clinical grades or not.

而如果你的學校有一個A o a chapter，也就是醫學院的榮譽協會，要弄清楚他們是否把臨床前的成績考慮進去。

Getting into a away will definitely help your residency application.

進入客場絕對會對你的居留申請有所幫助。

If your school is graded either with letter grades or honors pass fail, there will generally be more pressure to bring your a game as you get acclimated.

如果你的學校是用字母成績或者榮譽合格不合格來評定的，一般來說，隨著你的適應，你的壓力會更大，你會帶著你的一場比賽。

Now is the time to begin seeking out exposure to the various specialties you are considering.

現在是時候開始尋求接觸你正在考慮的各種專業了。

The sooner you can narrow down and pinpoint which single specialty you want to pursue, the sooner you can focus your efforts on finding a mentor in that field, securing publications and getting involved with relevant extracurriculars.

越早縮小並確定自己想從事的單一專業，就能越早集中精力尋找該領域的導師，爭取發表文章，參與相關的課外活動。

It's okay not to know, and many students won't finalize their decision until their third year.

不知道也沒關係，很多學生要到大三才會最終決定。

But if you're able to figure this out sooner, you will be at an advantage.

但如果你能早點弄清楚這個問題，你就會處於優勢。

At most medical schools, you'll have a summer break between your 1st and 2nd years.

在大多數醫學院，你會在第一年和第二年之間有一個暑假。

This is likely the last summer vacation of your life, so enjoy it at the same time.

這很可能是你人生中最後一個暑假，所以要同時享受這個假期。

Use this as an opportunity to do something useful.

以此為契機，做一些有用的事情。

Most students up to pursue research in a field of interest.

大多數學生起來從事感興趣的領域的研究。

And with roughly 10 weeks dedicated to full time research, you should be able to secure a publication or at least an abstract and presentation.

而如果有大概10周的時間專門用於全職研究，你應該可以確保發表文章或至少有一個摘要和演講。

It generally takes a few months to secure one of these positions, so start looking no later than March, but ideally, a little bit sooner in your second year of medical school, the intensity will be dialed up compared to your first year.

一般需要幾個月的時間才能爭取到一個這樣的職位，所以最晚不超過3月份就開始找，但最好是在醫學院第二年的時候就開始找，強度會比第一年調高一些。

The main reason for this is us, Emily Step one, the most heavily weighted and dreaded exam of a medical students life at most medical schools.

主要原因是我們，艾米麗第一步，是大多數醫學院校醫學生生活中分量最重、最可怕的考試。

You'll take us Emily, Step one at the end of your second year, right before starting third year.

你會帶著我們艾米麗，在你第二年結束的時候，在第三年開始之前的第一步。

However, there are a few schools that have students take Step one during their third year.

不過，也有少數學校讓學生在初三的時候進行第一步的學習。

However, in 2022 step one will be passed fail, and as a result, there will be far less stress and anxiety surrounding it.

然而，在2022年，第一步將通過失敗，是以，圍繞它的壓力和焦慮將大大減少。

While that will give you welcome breathing room as a second year medical student, it's kicking the can down the road, and you'll likely experience greater pressure to perform well on us.

雖然這會給你作為一個二年級的醫學生帶來可喜的喘息空間，但這是在踢皮球，你很可能會遇到更大的壓力，在我們身上表現良好。

Emily Step two CK.

艾米麗第二步CK。

It's still best practice to apply yourself and perform reasonably well on Step one.

最好的做法還是應用自己的能力，在步驟一上有合理的表現。

After all, many of the concepts tested here will be further built upon and assessed in future tests such as yourself exams and Step two CK.

畢竟，這裡測試的許多概念將在未來的測試中進一步建立和評估，如你自己的考試和第二步CK。

However, since Step one won't be graded now, is an opportunity to reallocate some extra time and energy to other factors that will move the needle on your application namely, research.

然而，由於第一步現在不會被評分，是一個機會，重新分配一些額外的時間和精力到其他因素，將移動針在你的申請，即研究。

Your 3rd and 4th years of medical school are your clinical years where you're spending most of your time learning in the hospital, clinic and operating room.

醫學院的第3年和第4年是你的臨床年，你的大部分時間都是在醫院、診所和手術室學習。

Third year for most students is a rough but welcome transition.

對大多數學生來說，初三是一個艱難而又可喜的過渡。

You're finally in the hospital and our one large step closer to becoming a doctor.

你終於進了醫院，我們離成為醫生又近了一大步。

You'll be rotating in various required specialties such as internal medicine, surgery, paediatrics, obstetrics and gynecology, neurology, psychiatry and more.

你將在內科、外科、兒科、婦產科、神經內科、精神科等各個必修專業進行輪轉。

If you've narrowed down your intended specialty by the end of your second year, you can use that to your advantage to strategically schedule out your third year rotations.

如果你在第二年結束時已經縮小了你的預期專業範圍，你可以利用這一點來戰略性地安排第三年的輪轉。

At the very least, you hopefully have a vague idea of things you're drawn to like patient population, such as adult versus pediatrics or how procedural you want to be, such as surgical or nonsurgical.

最起碼，你希望對你所喜歡的東西有一個模糊的概念，比如病人群體，比如成人與兒科，或者你想成為怎樣的程序，比如手術或非手術。

You usually don't want to do your target specialty first since your first few months of third year or a transition period, and you won't be as likely to impress your precept.

一般情況下，你不想先做目標專業，因為你第三年的前幾個月還是一個過渡期，你就不容易打動你的預科。

Urz.

Urz.

Don't save it for the end, either.

也不要留到最後。

As this may interfere with your away rotation scheduling or compromise, your Step two CK Studying third year is considered the longest and most intense year in medical school.

由於這可能會影響你的外出輪轉安排或妥協，你的第二步CK學習第三年被認為是醫學院中最長和最緊張的一年。

Not only are you studying for written tests in the form of self exams for every rotation, but you'll also be assessed by your various attendings.

不僅每一次輪轉都要以自考的形式進行筆試學習，而且還要接受各種隨行人員的考核。

On a subjective level, your overall grade in a given rotation is a reflection of your combined performance on your shelf exam and your clinical evaluations.

在主觀層面上，你在某次輪轉中的總成績是你在架上考試和臨床評估中的綜合表現的反映。

Your clinical rotations will be graded usually some form of honors pass, fail or honors.

你的臨床輪轉通常會被評為一些形式的榮譽合格，失敗或榮譽。

High pass pass fail.

聯考合格不合格。

Your performance on these third year rotations will be far more important and far more waited on your residency application.

你在這些第三年輪轉中的表現，將在你的住院醫師申請中佔據更重要的地位和更多的等待。

Compared to your pre clinical grades towards the end of your third year, you should have figured out which specialty you're applying to.

對比你在第三年末的臨床前成績，你應該已經知道自己要報考哪個專業了。

At this time, you'll begin applying through the visiting student application service or visas to secure sub internship positions at various programs across the country in your desired specialty.

此時，你將開始通過訪問學生申請服務或簽證申請，以獲得你所需專業的全國各個項目的分實習崗位。

The end of third year is also the time most students take us Emily Step two ck, although others off to take this later during their fourth year in your fourth year of medical school, you know how to handle your clinical rotations, but you'll now need to work extra hard at your away rotations to impress.

第三年年底也是大多數學生採取我們艾米麗步驟二ck，雖然其他人關閉採取這以後在他們的第四年在你的第四年的醫學院，你知道如何處理你的臨床輪換，但你現在需要額外的努力，在你的客場輪換留下深刻印象。

Knocking it out of the park will help you secure a strong letter of recommendation, make a positive impression to hopefully receive an interview invitation and ultimately rank well at some away rotations.

敲開它將幫助你獲得一封強有力的推薦信，給人留下一個積極的印象，以希望收到面試邀請，並最終在一些客場輪換中獲得好的排名。

Programs won't invite you for a formal interview, but will instead have an interview at the end of the rotation, thus saving you a trip during your residency application cycle.

項目不會邀請你參加正式的面試，而是會在輪轉結束後進行面試，從而在住院醫師申請週期內省去一趟。

In most specialties, letters of recommendation are ranked by program directors as one of the most important factors in assessing your residency candidacy.

在大多數專科中，推薦信被項目主任列為評估您的住院醫師候選人資格的最重要因素之一。

You should receive several letters as 1/4 year, including from mentors at your home program as well as attendings in your away rotations.

在1/4年的時候，你應該會收到幾封信，包括來自你的母校項目的導師以及你的客場輪換的參加者。

However, letters are something you should be mindful of throughout your medical school career.

然而，信件是你在整個醫學院生涯中應該注意的事情。

Work hard and impress your P I from your summer research between 1st and 2nd year.

在初一到初二的暑假調研中，努力工作，給你的P I留下深刻印象。

Impress your attendings during your third year clerkships, particularly for rotations in your intended specialty and, of course, knock it out of the park in your sub internships as 1/4 year, not all away rotations and sub internships are created equal.

在第三年的實習中給你的隨訪者留下深刻印象，尤其是在你的意向專業的輪轉中，當然，在你的副實習中也要把它敲出來，因為1/4年，不是所有的客場輪轉和副實習都是一樣的。

Depending on your specialty.

根據你的專業。

This can be the most trying and intense time of medical school.

這可能是醫學院最辛苦、最緊張的時候。

Or it can be comparatively chill.

也可以比較冷清。

My colleagues in internal medicine and emergency medicine described straightforward rotations that were sometimes even easier than some third year clerkships.

我的內科和急診科的同事介紹說，直接輪轉，有時甚至比一些三年級的實習生還容易。

But those in surgery were often tested by the institution to see how hard they could work, and if 100 hour work weeks would shake them as 1/4 year.

但做手術的人經常被機構測試，看他們能有多努力，100小時的工作周能不能撼動他們1/4年。

You'll still have a few electives and mandatory rotations at your home program, but you'll overall have much more flexibility and even dedicated research months, which are much more relaxed.

你在國內的項目中還是會有一些選修課和必修的輪轉，但總體上你會有更多的靈活性，甚至還有專門的研究月，這就更輕鬆了。

Your residency application will be submitted in September, and you'll want to take a few months during summer to prepare your personal statement and other parts of your application.

你的住院醫師申請將在9月提交，你要在暑期花幾個月的時間來準備你的個人陳述和其他部分的申請。

Between October to February, you'll attend interviews at residency programs across the country.

在10月至2月期間，你將參加全國各地的住院醫師項目的面試。

At the end of February, you'll submit your rank list, and a month later in March, your fate will be sealed on match day.

2月底，你會提交你的等級名單，一個月後的3月，你的命運將在比賽日被封印。

There are a few other considerations to keep in mind.

還有一些其他注意事項需要注意。

If you want to set yourself up for a smooth and successful medical school career, first, do not get in trouble or have any professional marks against you.

如果你想讓自己的醫學院生涯順利成功，首先，不要惹麻煩，不要有任何對你不利的專業分數。

This will be reported on your residency application and will hinder your chances of matching at a top program.

這將在你的住院醫師申請中被報告，並將阻礙你在頂級項目中的匹配機會。

We have helped a number of students overcome such marks and match into very strong programs, but it required a great deal of effort, finessing, storytelling and networking.

我們已經幫助不少學生克服了這樣的分數，匹配到了非常強的項目，但這需要大量的努力，精細化，講故事和網絡。

Second, be careful with extracurriculars.

其次，要謹慎對待課外活動。

There's a steep opportunity cost to your time in medical school, and time spent on one activity takes away time from something else that could be higher yield.

你在醫學院的時間有一個陡峭的機會成本，花在一個活動上的時間會佔用其他可能更高收益的東西的時間。

Being a secretary or treasurer of some student group isn't going to mean anything on your residency application.

作為某個學生團體的祕書或財務主管，在你的居留申請上並不意味著什麼。

On the other hand, if you're able to start a meaningful advocacy initiative or organization, certain specialties may look favorably upon this.

另一方面，如果你能夠發起一個有意義的宣傳倡議或組織，某些專業可能會對此青睞有加。

Additionally, certain specialties will see certain activities or side hustles as a liability.

此外，某些專業會將某些活動或副業視為負債。

This is most prominent in surgical specialties, which are more old school and thinking and don't want you to be distracted.

這一點在外科專業最突出，因為外科專業比較老套，思維比較老套，不希望你分心。

After all, surgical residency is extremely demanding, and they are concerned any draws outside of surgery will compromise your ability to be a top performing surgeon.

畢竟，外科住院醫師的要求非常高，他們擔心手術之外的任何抽籤都會影響你成為一名錶現優異的外科醫生。

Other specialties may be more or less understanding, but I still recommend avoiding talking up or highlighting any activities that could possibly draw negative attention.

其他專業可能會或多或少地理解，但我還是建議避免談論或強調任何可能引起負面關注的活動。

While it may be awesome that you have 50,000 followers on Instagram, there will be some faculty who look down on this.

雖然你在Instagram上有5萬個粉絲可能很厲害，但也會有一些教員看不起這個。

It's one of those things from a risk assessment perspective that's more likely to hurt than help.

從風險評估的角度來看，這是一個傷筋動骨而不是幫倒忙的事情。

Third research as it relates to your residency application is a game, and you can play the game to win.

第三研究因為與你的住院醫師申請有關，所以是一個遊戲，你可以玩遊戲贏。

Even if you are uncertain about your specialty, get involved with the research early, learned to play the game and pump out papers and abstracts.

即使你對自己的專業不確定，也要儘早參與研究，學會了打遊戲，抽出論文和摘要。

It will help you regardless of which specialty you apply into.

無論你報考哪個專業，它都會對你有所幫助。

I'm working on creating a research course that will teach you how I secured 65 publications, abstracts and presentations and what systems you can use to also crank out research with these.

我正在努力創建一個研究課程，將教你如何確保65篇出版品、摘要和演示文稿，以及你可以用什麼系統也用這些來做研究。

If you're interested, sign up for my weekly newsletter Link in the description and last I found credit card turning immensely valuable when I was applying to residency.

如果你有興趣，可以在描述中註冊我的週報鏈接，最後我在申請居住時發現信用卡變成了巨大的價值。

I'm glad one of my classmates turned me onto it because it allowed me to save several thousands of dollars on flights and hotels when interviewing at 20 different programs all across the nation.

我很高興我的一個同學把我轉到了它，因為它讓我在全國20個不同的項目面試時，節省了幾千美元的機票和酒店費用。

It's something that takes time.

這是需要時間的事情。

I started two years prior to my first residency interview, and that gave me enough runway to accumulate hundreds of thousands of points, even after medical school and residency.

我是在第一次住院醫師面試前兩年開始的，這讓我有了足夠的跑道，即使在醫學院和住院醫師之後，也積累了幾十萬分。

It's a hobby I'm still involved in because it continues to provide immense value.

這是我仍然參與的愛好，因為它繼續提供巨大的價值。

If you want to learn more about credit card turning, check out my credit card turning playlist on my personal channel, or check out my video outlining the four years of medical school much love and I'll see you guys there.

如果你想了解更多關於信用卡轉正的知識，可以在我的個人頻道查看我的信用卡轉正播放列表，或者查看我概述醫學院四年的視頻多愛，我們那裡見。