reasonable hours.

合理的時間。

But that isn't the case for every doctor specialty.

但並不是每個醫生專業都是這樣的。

These are the specialties to consider if you're looking for lifestyle – high pay and low

如果你正在尋找生活方式--高薪低能，可以考慮這些專業。

hours.

小時。

Dr. Jubbal, MedSchoolInsiders.com.

朱波醫生，醫派內參網。

The ROAD specialties, standing for radiology, ophthalmology, anesthesiology, and dermatology

ROAD專業，代表放射科、眼科、麻醉科和皮膚科。

have historically been the best for those optimizing for lifestyle.

歷來是優化生活方式者的最佳選擇。

While that still mostly holds true, there's much more to the story.

雖然這句話大部分還是成立的，但故事還有很多。

Look, we're all human, and there's no shame in you wanting to pursue a specialty that

聽著，我們都是人，你想追求的專業並不可恥

compensates you well without demanding you work crazy hours.

在不要求你瘋狂工作的情況下，給你很好的補償。

The strange this is that many people will virtue signal and claim that they don't care

奇怪的是，很多人都會美德信號，並聲稱他們不在乎

about money or any of those supposed lesser desires that only other, amoral humans succumb

關於金錢或其他那些所謂的低級慾望 只有其他不道德的人類才會屈服於此

to.

到：

That's nonsense, and you shouldn't fall victim to such virtue signaling games with holier-than-thou

這是胡說八道，你不應該成為這種美德信號遊戲的犧牲品 與聖潔的你。

thinking.

思考。

Despite what many people say, it's no coincidence that the most competitive and sought after

儘管很多人都說，競爭最激烈、最搶手的並非偶然。

specialties in medicine also rank highly in pay, work/life balance, prestige, or some

醫學專業在薪酬、工作/生活平衡、聲望或某些方面也排名靠前。

combination of them.

它們的組合。

When doctors refer to a specialty's lifestyle, they're referring to two things: (1) how much

當醫生提到一個專業的生活方式時，他們指的是兩件事。(1) 多少

money you'll make and (2) how hard you have to work, including total hours, irregular

你將會賺到的錢，以及(2)你有多辛苦，包括總時數、不定期的工作。

hours, or overall how taxing the job is.

小時，或總體上工作有多累。

In 2011, Dr. Leigh and colleagues sampled over 6000 doctors to shed light on annual

2011年，Leigh博士及其同事對6000多名醫生進行了抽樣調查，以瞭解他們每年的工作情況。

work hours across 41 specialties.

41個專業的工作時間。

The specialties with the highest average annual hours were vascular surgery, critical care,

年平均工時最高的專科是血管外科、重症監護。

neonatal and perinatal medicine, thoracic surgery, and other surgical subspecialties.

新生兒和圍產醫學、胸外科和其他外科亞專業；

Specialties that on average worked the fewest hours included emergency medicine, PM&R, dermatology,

平均工作時間最少的專科包括急診科、婦產科和康復科、皮膚科。

occupational medicine, and pediatric emergency medicine.

職業醫學和小兒急救醫學；

In terms of compensation, the top three specialties are some order of neurosurgery, orthopedic

從報酬上看，排名前三的專科依次是神經外科、骨科的一些。

surgery, and plastic surgery, with otolaryngology, cardiology, and gastroenterology trailing

外科、整形外科，耳鼻咽喉科、心臟科、消化科緊隨其後。

close behind.

緊隨其後。

Looking at the list of specialties to choose from, you'll notice that surgical specialties

從可選擇的專業列表來看，你會發現，外科專業

on average compensate more than non-surgical specialties, but surgeons also work longer

平均補償高於非外科專業，但外科醫生的工作時間也更長。

hours.

小時。

The average physician in the United States works approximately 60 hours per week – that's

美國的醫生平均每週工作約60小時--也就是

after they complete residency training and are out in the real world.

在他們完成住院醫師培訓並進入現實世界後。

You bet that surgeons skew that above 60 hours per week, and non-surgical physicians are

你敢打賭，外科醫生每週60小時以上就會傾斜，而非外科醫生則是。

the ones more likely to work fewer than 60 hours per week.

更有可能每週工作不到60小時的人；

There are exceptions but these are the trends.

雖然有例外，但這些都是趨勢。

But not all surgery is created equal.

但並不是所有的手術都是一樣的。

Within surgery, you should consider the types of emergencies you'll have to deal with.

在手術範圍內，你應該考慮到你將不得不處理的緊急情況的類型。

As a trauma surgeon, you'll be dealing with a wide variety of urgent cases demanding your

作為一名創傷外科醫生，您將會處理各種緊急病例，需要您的能力和經驗。

immediate attention, from gunshot wounds to motor vehicle accidents and everything between.

從槍傷到機動車事故，以及兩者之間的所有事情，都需要立即處理。

As such, your call days are going to be unpredictable and busy with lots of high acuity work.

是以，你的通話日將是不可預知的，忙碌的高精尖工作很多。

Many who go into the field enjoy the excitement, but it's often something that will wear on

許多進入這個領域的人都很享受這種刺激，但它往往會讓人感到疲憊。

you, particularly as you get older.

你，特別是隨著年齡的增長。

It's far less fun to wake up and run to the hospital at 2AM when you're 40 compared to

與40歲的時候相比，凌晨2點醒來跑到醫院的樂趣要少得多。

25.

25.

On the other end of the spectrum, plastic surgery is far less likely to have emergencies.

在另一端，整形外科發生突發事件的可能性要小得多。

Don't get me wrong, there still are emergencies.

別誤會，還是有緊急情況的。

For example, if you do microsurgery whereby you move tissues around the body and connect

例如，如果你做的是顯微外科手術，據此你移動身體周圍的組織，並將其連接起來。

the blood vessels with microscopes, then you may come across a congested flap, meaning

用顯微鏡觀察血管，那麼你可能會遇到一個充血的皮瓣，這意味著

the blood supply is amiss.

血液供應有問題。

If you don't promptly resolve the issue, the tissue will die.

如果你不及時解決這個問題，組織就會死亡。

Or if you're taking trauma call for face or hand, that will often require timely intervention,

或者如果你是接外傷電話的臉部或手部，那往往需要及時干預。

although many times it can wait until the morning.

雖然很多時候可以等到早上。

Overall, you'll be called in far less than the average trauma surgeon.

總的來說，你接到的電話比一般的創傷外科醫生要少得多。

At the same time, understand there's variation within each of these specialties.

同時，要明白這些專業內部都有差異。

If you're doing a strictly aesthetics based plastic surgery practice, you'll be making

如果你做的是嚴格意義上的美學整形手術，你會使

more money and taking less call compared to your reconstructive plastic surgery colleagues.

與你的整形外科同事相比，錢多，接的電話少。

Similarly, an orthopedic surgeon who specializes in trauma will have busier call than one focusing

同樣，專門從事創傷的骨科醫生的電話也會比專注於創傷的醫生更忙。

on sports medicine.

關於運動醫學；

I've covered each of these specialties in their own dedicated video in my So You Want

我已經在我的《你想要的》中，在他們自己的專門視頻中介紹了這些專業的每一項。

to Be series.

待系列。

Link in the description.

說明中的鏈接。

If you've explored the world of physician bloggers, you'll see a common pattern – they're

如果你探索過醫生博客的世界，你會看到一個共同的模式--他們是

mostly in either anesthesiology or emergency medicine.

多為麻醉科或急診科。

That's for good reason, as these are two fantastic lifestyle specialties.

這是有充分理由的，因為這是兩種奇妙的生活方式特產。

With emergency medicine, you do shift work.

在急診科，你要做輪班工作。

You know when you're going in and out of the hospital, and exactly how long you're working.

你知道你什麼時候進出醫院，以及你到底要工作多久。

You don't take work home with you either which is nice.

你也不會把工作帶回家，這很好。

Because shifts are fixed in length and scheduled out in advance, you don't have to worry about

由於輪班的時間是固定的，而且是事先安排好的，所以您不必擔心。

being called into the hospital at odd hours or having long cases one day that keep you

被叫到醫院在奇怪的時間或有一天有很長的案件，讓你

in the hospital much later than planned.

比計劃的時間晚了很多

Anesthesiology also offers much more flexibility in scheduling compared to something like surgery.

與外科手術等相比，麻醉科在排班上也更加靈活。

If a surgery is going longer than expected due to complications or any other reason,

如果由於併發症或其他原因，手術時間比預期長。

the surgeon must stick it out and complete the case.

外科醫生必須堅持下去，完成病例。

Anesthesiologists, on the other hand, can swap in and out as needed.

麻醉師則可以根據需要換來換去。

On average, you'll have more predictable hours, and it's not uncommon to see anesthesiologists

平均來說，你會有更多的可預測的時間，而且看到麻醉師的情況並不少見。

reading on their computer or doing something else on the side during slower periods in

閒暇時在電腦上看書或做其他事情。

a long case.

長的案子。

Radiology is unique in that you aren't in charge of patient care directly.

放射科的獨特之處在於，你並不直接負責病人的護理。

Instead, you're primarily reading images, a step or two removed from patient care.

而不是以閱讀影像為主，與病人護理相差一兩步。

As a result, you're somewhat of a replaceable cog in a wheel, which can be a good or bad

是以，你在某種程度上是車輪上的一個可替換的齒輪，這可能是一個好的或壞的。

thing depending on how you look at it.

的事情，就看你怎麼看了。

One key advantage is that you have more control over your schedule and are less susceptible

一個關鍵的優勢是，你對你的日程安排有更多的控制權，並且不容易受到以下影響

to the unpredictabilities of patient care.

到患者護理的不可預知性。

Beyond your specialty choice, there are other considerations that will influence your attending

除了你的專業選擇，還有其他的考慮因素會影響到你的就診情況

lifestyle.

生活方式。

First, are you a cash-only practice or more traditional in accepting insurance?

首先，你是隻收現金的做法還是比較傳統的接受保險？

You can be a cash-based practice across many specialties, although some specialties are

你可以在很多專業領域進行現金業務，雖然有些專業是

more conducive than others.

比別人更有利。

For example, it's not feasible to be a cash-based emergency medicine physician, but you do see

比如說，做一個以現金為基礎的急診科醫生是不可行的，但你確實看到了

primary care doctors who are cash-only.

只收現金的初級保健醫生；

The two that have the best cash-based options would be dermatology and plastic surgery,

最有現金選擇的兩個應該是皮膚科和整形外科。

as both serve patient populations interested in elective aesthetic and cosmetic procedures

因為兩者都服務於對選擇性美容和整形手術感興趣的患者群體。

which are often not covered by insurance anyway.

往往不在保險範圍內。

This is a distinct advantage to both specialties, as they are more resistant to policy changes

這是兩個專業的明顯優勢，因為它們對政策變化的抵抗力較強

regarding reimbursement.

關於報帳的問題。

After all, they can always fall back on a cash-only practice if things went south.

畢竟，如果出了問題，他們可以隨時回到只用現金的做法。

Second, your practice setting will have a huge influence on your lifestyle.

其次，你的練習環境會對你的生活方式產生巨大影響。

If you're in a smaller private practice, you're juggling both being a physician with running

如果你是一個較小的私人診所，你既要做醫生，又要經營。

a business.

一家企業。

That means clinical responsibilities and administrative ones, and you'll be working longer hours than

這意味著臨床責任和行政責任，你的工作時間會比現在更長。

your colleagues who work at Kaiser or a larger community based practice.

您在Kaiser或更大的社區實踐中工作的同事。

In private practice, you work harder and can make more.

在私人診所，你會更加努力，可以賺更多。

If you go the traditional community route, you have much less to worry about, more regular

如果走傳統的社區路線，你的煩惱就少了很多，更多的是常規的

hours, and while you won't make as much, you'll still make a very comfortable living.

小時，雖然你賺的錢不會那麼多，但你的生活還是會非常舒適。

Overall, lifestyle is an important consideration, but shouldn't be your primary consideration.

總的來說，生活方式是一個重要的考慮因素，但不應該是你的主要考慮因素。

If you're the kind of person that loves orthopedic surgery, you may not enjoy life as a psychiatrist,

如果你是那種喜歡骨科手術的人，你可能不會享受作為精神科醫生的生活。

even though psychiatrists work far fewer hours on average.

儘管精神科醫生的平均工作時間要少得多。

If you need help deciding on a specialty, check out my video that breaks it down into

如果你需要幫助決定一個專業，請看我的視頻，它分為

a step by step process.

一步步的過程。

And if you'd like to learn more about any specialty in greater depth, check out my So

如果你想更深入地瞭解任何專業，請查看我的《So》。

You Want to Be series.

你想成為系列。

Much love, and I'll see you guys there.

很愛你們，我們在那裡見。