science of the human body, anatomy, physiology, patient care, and the other factors related

人體科學、解剖學、生理學、病人護理和其他相關因素。

to that. But becoming a happy and thriving medical professional requires much more than

到這一點。但是，要成為一個快樂和蓬勃發展的醫療專業人員，需要的遠遠不止是

just a base of medical knowledge. Here's what they don't teach you in medical school.

只是一個醫學知識的基礎。下面是他們在醫學院裡沒有教給你的東西。

Dr. Jubbal, MedSchoolInsiders.com.

Jubbal博士，MedSchoolInsiders.com。

Financial literacy is vastly under-appreciated amongst medical students, residents, and even

財務知識在醫科學生、住院醫師，甚至是醫生中都被嚴重低估了。

attending physicians. The belief is that since they'll be making great money when they're

主治醫生。他們認為，既然他們在工作時能賺大錢，那麼他們就能賺大錢。

fully trained with their big boy and big girl doctor jobs, everything will work out. It's

充分訓練他們的大男孩和大女孩醫生的工作，一切都會好起來的。這就是

this mindset that results in a shocking number of high-income earning physicians living paycheck

這種心態導致數量驚人的高收入醫生靠工資生活。

to paycheck. They can never free up their time and they're forever a slave to their

到發工資。他們永遠無法釋放出自己的時間，他們永遠是自己的奴隸。

job, ignorant of the basics of personal finance and investing.

工作，對個人財務和投資的基本知識一無所知。

Part of the hesitancy is due to the intimidating amounts of debt that the majority of medical

猶豫不決的部分原因是，大多數醫療機構的債務數額令人生畏。

students take on. It's scary, and you're already busy with so many other things, can't you

學生承擔的。這很可怕，而且你已經在忙於其他那麼多事情了，難道你還不能

just worry about that later? Look, if you were able to learn how to manage ventilator

只是擔心以後的問題？聽著，如果你能夠學會如何管理呼吸機

settings in a critically ill patient or the nuances of ion transporters in the renal tubules,

危重病人的設置或腎小管中離子轉運器的細微差別。

you sure as hell can learn some basic financial literacy. And you'll probably be surprised

你肯定可以學到一些基本的金融知識。而且你可能會感到驚訝

how shockingly straightforward and easy it is once you get the basics down.

一旦你掌握了基本知識，它是多麼令人震驚地直接和容易。

The reason it's important to get started on this sooner than later is because of the **compounding

之所以要儘早開始做這件事，是因為**的複合效應。

effect**. As Albert Einstein once said, “Compound interest is the eighth wonder of the world.

效果**。正如阿爾伯特-愛因斯坦曾經說過的，"複利是世界的第八大奇蹟。

He who understands it, earns it. He who doesn't, pays it." The longer you are able to get the

瞭解它的人，賺取它。不懂的人，就付出代價"。你能夠得到的時間越長

compounding effect to work for you, the greater its seemingly magical effect.

複利效應對你的作用，其看似神奇的效果就越大。

I recommend starting with the [White Coat Investor book](https://geni.us/liMjA) for

我建議從[白大褂投資者書](https://geni.us/liMjA)開始學習。

a quick yet mostly comprehensive breakdown of finances as it relates to future physicians.

一個快速但主要是全面的財務細分，因為它涉及到未來的醫生。

If you'd like to go a little deeper, you can find some of my favorite financing and investing

如果你想更深入地瞭解，你可以找到一些我最喜歡的融資和投資方式

books in the video description or on the [essential books list on the Med School Insiders website](https://medschoolinsiders.com/tools/essential-books-for-students/).

視頻描述中的書籍或[Med School Insiders網站上的基本書籍列表](https://medschoolinsiders.com/tools/essential-books-for-students/)。

The flip side of financial literacy is to **understand the value of your time**. Some

理財知識的反面是要**瞭解你的時間價值**。一些

get too obsessed with saving every single penny they can, so much so that they sacrifice

太過執著於節省每一分錢，以至於犧牲了自己的利益。

the quality of their life in substantial ways.

他們的生活品質在很大程度上得到了改善。

Remember that as a medical student and residency physician, you'll be much busier than the

請記住，作為一名醫科學生和住院醫生，你將會比其他醫生更忙。

average person. It may make sense to skip upgrading your iPhone or splurging on fancy

普通人。跳過升級你的iPhone或花錢買花哨的東西可能是有意義的。

new shoes and instead use those funds to buy your time back through forms of convenience.

儘可能多地使用新鞋，而用這些資金通過便利的形式買回你的時間。

For example, when I was in residency, I paid a premium to live in a townhome near my hospital.

例如，當我在做住院醫生時，我花錢住在醫院附近的一個聯排別墅。

Even though I was paying a couple hundred extra dollars per month, this was a worthwhile

儘管我每個月要多付幾百美元，但這是值得的。

expense for me, as I was able to cycle to and from the hospital, which not only saved

對我來說，這是一筆開支，因為我可以騎自行車往返醫院，這不僅節省了

time commuting but also helped me be regular about my cardio. There were other smaller

在通勤的時候，也幫助我有規律地進行有氧運動。還有其他較小的

perks too – I had a washer and dryer in unit, a garage to keep my car cleaner longer,

也有好處--我在組織、部門裡有洗衣機和烘乾機，有一個車庫，可以讓我的車更乾淨。

and even had one room as an office and another room as my bedroom which improved my sleep

甚至將一個房間作為辦公室，另一個房間作為我的臥室，這改善了我的睡眠。

quality. You may also find it worthwhile to spend the extra money to get your groceries

品質。你可能也會發現，花額外的錢來購買雜貨是值得的。

delivered or even pay for meal prep services.

送餐或甚至支付備餐服務。

The next point is what I call focusing on a bottom-up rather than a top-down approach

下一點就是我所說的專注於自下而上而不是自上而下的方法

to your life. Given the pressure of medical school and residency, it's natural for us

對你的生活。鑑於醫學院和住院醫師的壓力，我們自然會

to focus on the top level items, such as performance on your upcoming exams and boards, or impressing

專注於最高級別的項目，例如在即將到來的考試和委員會中的表現，或給人留下深刻印象。

your preceptors in rotations, or grinding on the next research project to improve your

在輪換中與你的教官交流，或在下一個研究項目上磨練，以提高你的能力。

application.

應用。

The field of medicine, despite its focus on health, does a terrible job in allowing medical

醫學領域儘管以健康為重點，但在讓醫學

students and residents actually focus on bottom level foundational factors, most importantly

學生和居民實際上關注的是底層的基礎因素，最重要的是

one's own health. We know that to be at your own peak performance, your health is the most

一個人的健康。我們知道，要想使自己的業績達到頂峰，你的健康是最重要的。

important foundational factor. Yet instead of actually instilling meaningful changes

重要的基礎性因素。然而，並沒有真正灌輸有意義的變化

systemically to promote this, we get useless lip service and mandatory wellness sessions

系統地促進這一點，我們得到的是無用的口頭服務和強制性的健康會議

that just waste time and tell us how important it is to sleep. No ****, Sherlock, and this

這只是浪費時間，告訴我們睡覺是多麼重要。沒有****，夏洛克，而這

1 hour mandatory session is eating into that precious time.

1個小時的強制課程正在吞噬這寶貴的時間。

Since the system is broken, you must take matters into your own hands. No matter how

既然系統已經壞了，你必須自己動手。無論如何

busy you get, remember that your health is the most important thing, and should not be

請記住，你的健康是最重要的事情，不應該被忽視。

compromised.

妥協了。

There are 3 ways that medical students and residents commonly cut corners on their health

醫學生和住院醫生通常在健康方面有3種偷工減料的方式

that result in significant long term detrimental effects. You may not notice the effects today

導致重大的長期有害影響。你今天可能沒有注意到這些影響

or next week, but after a few weeks, months, and even years, these harmful effects will

或下週，但在幾周、幾個月、甚至幾年後，這些有害影響將

compound with time. That's not a good thing. Sleep and exercise are the two most obvious

隨著時間的推移而複合。這不是一件好事。睡眠和運動是兩個最明顯的

ones, and you don't need me to repeat those, but these 3 are also commonly overlooked:

你不需要我重複這些，但這3個也是經常被忽視的。

First, relationships! When crunched for time, relationships are commonly one of the first

首先，關係!當時間緊張的時候，人際關係通常是第一個要處理的問題之一。

things to go. That's normal, and definitely something I did as well. But remember that

的事情去了。這很正常，而且肯定也是我所做的事情。但請記住

we need our social support systems. We need robust relationships with our family and friends

我們需要我們的社會支持系統。我們需要與我們的家人和朋友建立健全的關係

to feel happy and content. We need to be connected with people we enjoy to avoid being sucked

來感受快樂和滿足。我們需要與我們喜歡的人聯繫，以避免被吸食

into a downward negative spiral from isolation and working ourselves to the limit.

陷入孤立無援的負面漩渦，把自己的工作做到極限。

There are many ways to make this work with your busy schedule. Have phone calls while

有許多方法可以讓你在繁忙的日程安排下工作。有電話而

you're driving to and from the hospital. FaceTime a friend who lives in a different city while

你開車往返於醫院之間。與住在不同城市的朋友進行FaceTime通話，同時

you're eating dinner. Get social with your exercise and invite a friend to cycle, hike,

你在吃晚飯的時候。鍛鍊時要注意社交，邀請朋友一起騎車、爬山。

or climb with you.

或與你一起攀登。

The second commonly overlooked category is mental health. It's ironic how much we emphasize

第二個經常被忽視的類別是心理健康。具有諷刺意味的是，我們多麼強調

the importance of mental health for our patients, yet stigmatize it amongst our own.

我們知道心理健康對病人的重要性，但在我們自己的病人中卻將其汙名化。

Medical school and residency are not easy, and it's not only ok, but the right thing

醫學院和住院醫師並不容易，這不僅是可以的，而且是正確的事情。

to do to seek out therapy when you need it. It's okay not to be okay. By getting your

當你需要的時候，要做的是尋求治療。不好也沒關係。通過讓你的

mental health sorted, you'll not only be happier, but much more effective in coping with the

在心理健康方面，你不僅會更快樂，而且能更有效地應對各種問題。

massive workload and stressors of the hospital and patient care.

醫院和病人護理的巨大工作量和壓力。

The third and final one is diet. I get it - you're busy and don't have time to cook.

第三也是最後一個是飲食。我明白 - 你很忙，沒有時間做飯。

There are still ways to eat healthy. If you eat crap, it's natural to feel like crap.

仍然有辦法吃得健康。如果你吃的是垃圾，自然會有垃圾的感覺。

Burgers and deep fried chicken aren't your only options when you eat out or grab fast

漢堡和炸雞並不是你在外面吃飯或吃快餐時的唯一選擇。

food. I'm always surprised how people write off a certain restaurant as healthy or unhealthy

食物。我總是驚訝於人們如何將某家餐廳寫成健康或不健康的。

without acknowledging that there is a wide range of options. I can eat relatively healthy

而不承認有廣泛的選擇。我可以吃得相對健康

or unhealthy at Chipotle, based on what I order. Some of you will squirm at the idea

或不健康的Chipotle，根據我點的東西。你們中的一些人對這個想法會感到不安

of this, but by simply creating rules for myself, such as "I don't eat cheese" or "I

這一點，而是通過簡單地為自己制定規則，如 "我不吃奶酪 "或 "我

don't eat deep fried foods", I was able to eat quite clean for years without temptation.

不吃油炸食品"，我能夠在沒有誘惑的情況下吃得很乾淨，有好幾年了。

It's actually much harder to weigh the options and decide each time whether or not you'll

實際上，要權衡各種選擇，並決定是否每次都要做，這要難得多。

allow yourself to indulge. Ultimately, you end up indulging and feeling guilty more often

允許自己放縱。最終，你最終會放縱自己，並更經常地感到內疚。

than anticipated.

比預期的要好。

There's a wide gap between the reality and society's expectation of what it means to

在現實和社會對 "我是誰 "的期望之間存在著巨大的差距。

be a doctor. Many will think your life is easy or that you make lots of money. Very

成為一名醫生。許多人會認為你的生活很輕鬆，或者你能賺很多錢。非常

few will appreciate the fact that while most people began working and saving at 22, you'll

很少有人會欣賞這樣一個事實：雖然大多數人在22歲時就開始工作和儲蓄，但你會

be graduating with additional debt and only enjoy your high earning potential in your

在畢業時還會有額外的債務，並且只能享受你的高收入潛力。

late 20's to mid 30's, depending on your specialty. Not only that, but you're grinding in the

20歲左右到30歲左右，取決於你的專業。不僅如此，你還在磨合中

truest sense of the word for years, and that takes a toll on you.

幾年來，在最真實的意義上，這對你來說是一種損失。

Because of the societal mismatch, you'll be on the receiving end of a great deal of nonsense.

由於社會的不匹配，你將接受大量的胡言亂語。

In recent years, that nonsense has been most prominent in the form of creeping scope of

近年來，這種無稽之談最突出的表現是，以蠕動範圍的形式

practice. You'll face others who want to belittle and downplay your level of training, only

練習。你會面對其他人想要貶低和淡化你的訓練水準，只是

to elevate their own qualifications, despite them spending a small fraction of the hours

來提高他們自己的資格，儘管他們花的時間只是一小部分。

you spent in learning patient care. It's on us collectively, as medical students, residents,

你在學習病人護理方面的花費。這是我們集體的責任，作為醫學生、住院醫生。

and physicians to advocate for our patients and their safety. I recommend the Physicians

和醫生來為我們的病人和他們的安全辯護。我推薦醫生們

for Patient Protection, or PPP, to learn more about these issues and get involved. The direction

請點擊 "患者保護"，瞭解更多關於這些問題並參與其中。方向

things have been heading is insanely dangerous for patients and bad for physicians, and unfortunately

事情的發展對病人來說是非常危險的，對醫生來說也是不利的，而且不幸的是

it isn't something discussed enough in medical school.

這在醫學院裡討論得並不充分。

Don't worry, you'll receive nonsense in many other forms too. Many female medical students

別擔心，你也會收到許多其他形式的廢話。許多女醫學生

and physicians are still called nurse by their patients because of antiquated societal narratives.

和醫生仍然被他們的病人稱為護士，因為陳舊的社會敘述。

You'll hear more than one healthcare co-worker lament to you about their 12 hour shift, which

你會聽到不止一個醫療保健同事向你感嘆他們的12小時輪班，這

they have 3 of each week, while you question your decision to become a doctor, realizing

他們每週有3次，而你卻懷疑自己成為一名醫生的決定，意識到

you average five 15-hour shifts every week on several rotations.

你平均每週有5個15小時的輪班，有幾次輪換。

Despite the noise, remind yourself why you became a physician. Remember the passion that

儘管有噪音，但要提醒自己為什麼成為一名醫生。記住那份激情

brought you into the field, the joy and connection you feel in providing care to your patients,

把你帶入這個領域，你在為病人提供護理時感到的快樂和聯繫。

and the vision of what your life will look like when you're an attending physician. You

以及當你成為主治醫生時，你的生活會是什麼樣子的願景。你

have two options – become the jaded attending that regrets their decision to enter medicine,

有兩個選擇--成為厭倦了的主治醫生，後悔自己入醫的決定。

or become the attending that is realistic in understanding no field is perfect, and

或成為一個現實的出席者，瞭解沒有一個領域是完美的，並且

that medicine has lots to love.

醫學有很多值得愛的地方。

Amidst the madness, don't lose your sense of self. As you progress in training, you'll

在瘋狂中，不要失去你的自我意識。隨著你在訓練中的進步，你會

notice a greater and greater proportion of your colleagues growing cynical. As a wide-eyed

注意到你的同事中有越來越多的人變得憤世嫉俗。作為一個睜大眼睛的

premed, you're surrounded by other hopeful premeds looking forward to what lays ahead.

你被其他充滿希望的預科生所包圍，期待著未來的發展。

Over the four years of medical school, you'll notice a larger and larger proportion of your

在醫學院的四年裡，你會注意到你的身體裡有越來越大的比例

classmates growing tired or resentful. And by residency, you'll be the odd one out, as

同學們越來越疲憊或反感。而到了居住地，你就會成為異類，因為

the majority are cynical, particularly those in their final years of training.

大多數人是憤世嫉俗的，特別是那些在培訓的最後幾年。

It's natural for your identity to focus more and more on your role as a doctor. After all,

你的身份越來越多地集中在你作為醫生的角色上，這很自然。畢竟。

the overwhelming majority of your waking hours are spent in the classroom, clinic, hospital,

你絕大部分清醒的時間是在教室、診所和醫院度過的。

operating room, or studying. Don't fall for this trap.

手術室，或學習。不要落入這個陷阱。

Remember you are much more than a medical student or a physician. Don't lose touch with

記住你不僅僅是一個醫學生或醫生。不要失去與他人的聯繫

those elements in your life that make you feel alive and joyful. For me it's racing

你生活中那些讓你感到活著和快樂的因素。對我來說，它是賽車

my car, cycling, and my newest obsession of tea, which you can learn all about on my Instagram

我的車，騎自行車，以及我最新的痴迷--茶，你可以在我的Instagram上了解所有的情況。

and TikTok. For others it's travel, cooking, rock climbing, comedy, or playing an instrument.

和TikTok。對其他人來說，則是旅遊、烹飪、攀巖、喜劇，或演奏樂器。

You don't find time to do these things. You have to make time. Without doing so, you'll

你找不到時間來做這些事情。你必須擠出時間。不這樣做，你會

find your identity sucked into the abyss, only to be spat out the other end as a shell

發現自己的身份被吸進了深淵，只能在另一端被吐出，成為一個空殼。

of who you once were.

的你曾經是誰。

If you enjoyed the content here, you'll love my weekly newsletter. In it, I share my insights,

如果你喜歡這裡的內容，你會喜歡我的每週通訊。在其中，我分享我的見解。

tips, and strategies that will make the process of becoming a doctor that much more manageable.

技巧和策略將使成為醫生的過程更加容易管理。

You can sign up at medschoolinsiders.com/newsletter.

你可以在medschoolinsiders.com/newsletter上註冊。

Be sure to check out my video on how to enjoy medical school, or the anatomy of a perfect

請務必查看我關於如何享受醫學院的視頻，或一個完美的解剖學。

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

每日時間表。非常感謝，我們會在那裡見到你們。