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  • So you want to become a nurse practitioner. You want to work in healthcare, but being

    所以你想成為一名執業護士。你想在醫療保健領域工作,但作為

  • a doctor seems like overkill. Why not have many of the doctoring upsides while avoiding

    一個醫生似乎是矯枉過正。為什麼不在擁有許多醫生的優點的同時避免

  • many of the doctoring downsides. Here's how you can decide if becoming an NP is a

    許多做醫生的缺點。下面是你如何決定成為一名國家護士是否是一個

  • good career for you. Dr. Jubbal, MedSchoolInsiders.com.

    對你來說是個好職業。Jubbal博士,MedSchoolInsiders.com。

  • Welcome to our next installment in So You Want to Be. In this series, we highlight a

    歡迎來到《你想成為什麼樣的人》的下一期節目。在這個系列中,我們將重點介紹一個

  • specific specialty or profession within medicine, such as nurse practitioner, and help you decide

    醫學中的特定專業或職業,如執業護士,並幫助你決定

  • if it's a good fit for you. You can find the other videos on our So You Want to Be

    如果它很適合你。你可以在我們的 "你想成為 "欄目中找到其他視頻。

  • playlist. And make sure you're subscribed if you want to vote for future videos.

    播放列表。如果你想為未來的視頻投票,請確保你已經訂閱了。

  • Before we dive in, note that as with all my So You Want to Be videos, this video was created

    在我們開始之前,請注意,與我所有的 "你想成為什麼樣的人 "視頻一樣,這段視頻是由我創建的。

  • with input from experts in the field. After all, I'm an MD, not an NP, and I relied on

    有該領域專家的意見。畢竟,我是一名醫學博士,而不是一名國家護士,我依靠的是

  • practicing NP input for guidance and accuracy. What is Being a Nurse Practitioner?

    執業的NP輸入的指導和準確性。什麼是作為一名執業護士?

  • A nurse practitioner is an advanced practice registered nurse and a type of mid-level practitioner,

    執業護士是高級執業註冊護士,是中級執業醫師的一種類型。

  • similar to yet distinct from a physician assistant, which we covered in a previous episode.

    與醫生助理相似,但又有區別,我們在上一集講過。

  • NP's assess a patient's needs, order and interpret tests, diagnose conditions, and formulate

    護士長評估病人的需求,訂購和解釋測試,診斷病情,並制定方案。

  • and prescribe treatment plans. Their training covers disease prevention, patient education,

    並開出治療計劃。他們的培訓包括疾病預防、病人教育。

  • managing acute and chronic conditions, and coordination of care, but they are not trained

    管理急性和慢性疾病,以及協調護理,但他們沒有受過培訓。

  • to the same extent as MD's or DO's, and therefore may not be able to recognize and manage more

    醫學博士或醫學博士的程度相同,是以可能無法識別和管理更多的問題。

  • complex and nuanced conditions straight out from graduation. Do note, however, that after

    複雜和細微的條件,從畢業後直接出來。然而,請注意,在

  • working with supervising physicians for some number of years, they may be better equipped

    與主管醫生一起工作若干年後,他們可能會有更好的裝備。

  • to handle more complex levels of care. Similar to the physician assistant profession,

    以處理更復雜的護理水準。類似於醫生助理的職業。

  • the first nurse practitioner program was developed in the 1960's to address the shortage of primary

    第一個執業護士計劃是在1960年代制定的,目的是解決初級護士短缺的問題。

  • care physicians, particularly in rural areas, which were most heavily impacted. By the 1970's,

    護理醫生,特別是在農村地區,受到的影響最嚴重。到了1970年代。

  • there were approximately 15,000 NP's across the United States, and by the late 1990's,

    全美國大約有15,000家NP,到20世紀90年代末。

  • close to 70,000. There are currently over 250,000 nurse practitioners in the U.S.

    接近70,000人。目前在美國有超過25萬名執業護士。

  • The scope of practice for an NP varies, and in some states they must work under the supervision

    非執業醫師的執業範圍各不相同,在一些州他們必須在監督下工作。

  • of a physician, whereas in others they can practice independently. The scope of NP work

    而在其他國家,他們可以獨立執業。非執業醫師的工作範圍

  • has not been clearly defined, and is not only dependent on state legislature, but also on

    還沒有明確的定義,不僅取決於州立法機構,而且還取決於

  • what the supervising physician is comfortable with.

    監管醫生所能接受的。

  • In terms of specialization, it's not a matter of choosing a residency or a fellowship. The

    在專業化方面,這不是一個選擇住院醫生或獎學金的問題。的問題。

  • NP education model is more focused from the beginning, and you should therefore attend

    NP教育模式從一開始就比較集中,是以你應該參加

  • a program that caters to your intended area of specialization. These areas include primary

    一個適合你的專業領域的方案。這些領域包括初級

  • care, acute care, family, women's health, neonatal, emergency, pediatric acute, pediatric

    護理、急症護理、家庭、婦女健康、新生兒、急診、小兒急症、小兒

  • primary, and surgery. If an NP school has multiple programs, they may allow for flexibility

    初級,和外科。如果一個國家護士學校有多個項目,他們可能會允許有靈活性

  • in changing, as the first year is more general education. But this is an important caveat

    在改變,因為第一年是更多的普通教育。但這是一個重要的注意點

  • to noteyour future practice and specialization will largely depend on the NP program you

    需要注意的是--你未來的實踐和專業將在很大程度上取決於你的非執業醫師計劃。

  • attend. In comparison, the medical school you attend has comparatively little influence

    參加。相比之下,你就讀的醫學院的影響相對較小

  • on the specialty you may pursue as a physician. And similar to physician assistants, if you

    在你作為一個醫生可能從事的專業上。與醫生助理類似,如果你

  • go into the operating room, you'll be first assist as a nurse practitioner, not actually

    進入手術室,你將作為執業護士的第一助手,而不是真正的

  • doing the surgery, which is the role of the surgeon.

    做手術,這是外科醫生的職責。

  • Nurse Practitioner Myths There's a broad range of myths that confuse

    執業護士的迷思 有廣泛的迷思混淆了

  • pre-health students considering a career in healthcare. Let's set the record straight.

    考慮從事醫療保健工作的預科生。讓我們把話說清楚。

  • First, contrary to what some people think, becoming a nurse practitioner isn't simply

    首先,與一些人的想法相反,成為一名執業護士並不是簡單的

  • a matter of being an RN for long enough. It requires separate training.

    一個做了足夠長時間的護士的問題。它需要單獨的培訓。

  • Second, many lump physician assistants and nurse practitioners in a single bucket as

    第二,許多人把醫生助理和護士長混為一談。

  • "doctor lite", but they're under two different training models. Physician assistants go through

    "平裝醫生",但他們是在兩種不同的培訓模式下。內科醫生助理要經過

  • the medical model, while nurse practitioners build upon the nursing model. While they do

    醫學模式,而執業護士則建立在護理模式的基礎上。雖然他們是

  • have many similarities as mid-level providers, they are distinct entities.

    作為中級提供者有許多相似之處,它們是不同的實體。

  • Third, the DNP degree stands for doctor of nursing practice, but that doesn't make them

    第三,DNP學位代表的是護理實踐博士,但這並不意味著他們

  • physicians. As the term "doctor" generally indicates "physician" in the clinical setting,

    醫師。由於 "醫生 "一詞在臨床上一般表示 "內科醫生"。

  • many find it misleading for a DNP to introduce themself to patients as a doctor, and many

    許多人認為DNP將自己作為醫生介紹給病人是一種誤導。

  • states have legislation prohibiting this. This is an area of controversy. While nurse

    各州都有立法禁止這樣做。這是一個存在爭議的領域。雖然護士

  • practitioners are intelligent, capable, and contribute greatly to the healthcare system,

    從業人員是聰明的、有能力的,對醫療系統有很大貢獻。

  • they are not physicians and do not receive the same level of training. On one hand, most

    他們不是醫生,也沒有接受過同樣水準的培訓。一方面,大多數

  • physicians are against NP's calling themselves doctors, as it leads to patient confusion

    醫生們反對非執業醫師自稱醫生,因為這將導致病人的混淆。

  • and obfuscation of roles. On the other hand, some NP's argue they've worked hard for their

    和角色的模糊化。另一方面,一些NP認為,他們已經為自己的

  • degree and want the right to call themselves "doctor". My NP colleagues, who helped in

    學位,並希望有權稱自己為 "醫生"。我的非執業醫師同事們,他們在幫助

  • the creation of this video, believe that NP's should not call themselves doctors.

    創作這段視頻的人認為,非執業醫師不應該自稱為醫生。

  • How to Become a Nurse Practitioner Nursing has a separate training and organization

    如何成為一名執業護士 護理工作有一個獨立的培訓和組織機構

  • structure compared to medicine. To become a physician, you attend medical school, residency,

    與醫學相比,其結構更復雜。要成為一名醫生,你要上醫學院、住院醫師。

  • and test for board certification in a given specialty. In nursing, there are multiple

    併為某一專業的委員會認證進行測試。在護理學中,有多個

  • types of advanced practice registered nurses. Nurse practitioners are what we're focusing

    高級實踐註冊護士的類型。執業護士是我們所關注的

  • on, but there's also a certified registered nurse anesthetist, or CRNA, who provides anesthesia

    但也有一名註冊麻醉師,即CRNA,提供麻醉。

  • services in the operating room and intubation in healthcare settings. Certified nurse midwives,

    手術室中的服務和醫療機構中的插管。註冊護士助產士。

  • or CNM's, specialize in women's reproductive health and childbirth, and provide prenatal

    CNM,專門研究婦女的生殖健康和分娩,並提供產前和產後護理。

  • and postpartum care and deliver babies. Clinical nurse specialists, or CNS's, focus on advanced

    護理和產後護理,併為嬰兒接生。臨床護理專家,或稱CNS,專注於高級護理。

  • clinical knowledge and evidence-based nursing in a specific area.

    在一個特定領域的臨床知識和循證護理。

  • There are two main pathways to become a nurse practitioner: traditional and direct entry.

    成為執業護士有兩個主要途徑:傳統和直接進入。

  • The traditional pathway involves first earning your BSN, ABN, or MSN to become an RN after

    傳統的途徑包括首先獲得你的BSN、ABN或MSN,然後成為一名護士。

  • taking your NCLEX exam. Most that take this pathway will work as an RN for a few years,

    參加你的NCLEX考試。採取這種途徑的大多數人將作為護士工作數年。

  • although this is not required. Next, they attend a master's or doctorate program to

    儘管這並不是必須的。接下來,他們參加一個碩士或博士課程,以便

  • become an NP. If you attend a full time master's program, it will generally take 2 years, but

    成為一名國家護士。如果你參加全日制碩士課程,一般需要2年時間,但

  • if you are undergoing a part-time DNP program, it can take up to 5.

    如果你正在接受非全日制的DNP課程,它可能需要長達5年的時間。

  • Choosing between a master's or doctorate program is not mission critical, as it doesn't change

    在碩士或博士課程之間做出選擇並不是什麼關鍵任務,因為這並不改變

  • your practice, pay, or licensing exams. More programs are moving toward the doctorate program,

    你的實踐,工資,或執照考試。更多的項目正在向博士項目邁進。

  • which, in comparison, is more focused on research and enables you to teach.

    相比之下,它更專注於研究,並使你能夠進行教學。

  • The second pathway, or direct entry nurse practitioner programs, are for those who earned

    第二種途徑,即直接進入護士執業計劃,是為那些獲得了

  • a bachelor's degree in something else. These are 3-5 year programs, where you will take

    其他方面的學士學位。這些是3-5年的課程,你將參加

  • both the NCLEX to earn your RN but also complete a master's or doctorate program to become

    既要通過NCLEX考試獲得註冊護士資格,又要完成碩士或博士課程,成為註冊護士。

  • an NP. Again, more programs are transitioning to the doctorate program, which is generally

    執業醫師。同樣,更多的項目正在向博士項目過渡,這通常是指

  • longer by approximately 1 year. At the end of either path you choose, you'll

    長約1年。在你選擇的任何一條道路結束時,你會

  • take your certification exam, which is the nurse practitioner board exam. It does vary

    參加你的認證考試,也就是護士執照考試。它確實有所不同

  • based on your area of specialization. And after that, you can apply for licensing in

    基於你的專業領域。而在這之後,你可以申請在

  • your state and find a job. In terms of cost, nurse practitioner tuition

    你的州並找到一份工作。在費用方面,護士執業者的學費

  • costs are lower than PA or medical school paths. In-state tuition averages to about

    費用比PA或醫學院的途徑低。州內的學費平均約為

  • $18,000 to complete a NP program, while out-of-state is around $32,000. Online programs are in

    18,000美元完成NP課程,而州外的課程大約為32,000美元。在線課程是在

  • the middle, totaling around $22,500 for completion, while private universities are more expensive,

    中間,完成學業的總費用約為22,500美元,而私立大學的費用更高。

  • around $45,000. Average compensation is around $110,000 per

    約45,000美元。平均報酬約為110,000美元/年

  • year, but there is variation depending on the certification. Women's health are at the

    年,但根據認證的不同,也有差異。婦女健康是在

  • bottom, around $98,000, whereas acute care NP's and psychiatric mental health NP's are

    底部,大約98,000美元,而急症護理NP和精神病心理健康NP則是

  • at the top, around $114,000. What You'll Love About Being an NP

    頂端是114,000美元左右。你會喜歡成為一名國家護士的原因

  • There's a lot to love about being a nurse practitioner. There's a favorable work/life

    作為一名執業護士,有很多值得喜愛的地方。有一個有利的工作/生活

  • balance, usually without call. You'll also have varying levels of autonomy, where you

    平衡,通常不需要打電話。你也會有不同程度的自主權,在這裡你可以

  • can be a provider making decisions, yet the training is not nearly as hardcore or as lengthy

    可以成為一個做出決定的提供者,但培訓幾乎沒有那麼硬核或那麼長。

  • compared to that of a physician. NP training is shorter than becoming a physician,

    與醫生相比。非執業醫師的培訓時間比成為醫生要短。

  • lasting generally 2 to 4 years compared to 4 years of medical school plus 3 to 7 years

    一般持續2至4年,而醫學院為4年,加上3至7年。

  • of residency. The cost is much lower too, so you'll likely graduate with substantially

    的居住地。費用也低得多,所以你畢業時可能會有大量的錢。

  • less debt than if you went the MD or DO route. As an NP, you also won't have to take work

    比起你走醫學博士或醫學博士的路線,你的債務更少。作為一名國家護士,你也不必參加工作。

  • home with you or deal with things like overnight callthese are all factors that come with

    與你一起回家或處理像通宵電話這樣的事情 - 這些都是伴隨著的因素。

  • the added responsibility of being a physician. And because you're not the person on the

    作為一名醫生的額外責任。而且因為你不是那個在

  • line, there's less stress about malpractice or things going sideways, unless you're

    在這條線上,關於不當行為或事情發生的壓力較小,除非你是

  • practicing independently. If you're ever unsure about something, there's often a supervising

    獨立練習。如果你有什麼不確定的地方,通常會有一個監督者來幫助你。

  • physician to run things by. Most RN's don't get the opportunity to build

    醫師來處理事情。大多數護士沒有機會建立

  • longitudinal relationships, but as an NP, particularly in a primary care role, this

    縱向關係,但作為一個非營利組織,特別是在初級保健的角色,這

  • is the norm, and many find it highly gratifying. Hours are usually regular and predictable,

    這是一種常態,許多人發現它非常令人滿意。工作時間通常是固定的和可預測的。

  • depending on your practice setting. While it depends on the specialty, you can expect

    取決於你的執業環境。雖然這取決於專業,但你可以期望

  • to work around 40 hours per week. What You Won't Love About Being an NP

    每週工作40小時左右。作為一名護士,你不會喜歡的事情

  • While being a nurse practitioner has its perks, it's certainly not for everyone.

    雖然當護士有其好處,但肯定不是每個人都適合。

  • If you're interested in primary care, the NP route is great, but if you want to keep

    如果你對初級保健感興趣,國家護士路線是很好的,但如果你想保持

  • your options more open and possibly consider something surgical, there tends to be more

    你的選擇更加開放,並可能考慮一些手術,往往會有更多的

  • opportunities going the PA route. While the training is much shorter, you will

    走PA路線的機會。雖然培訓時間短得多,但你將

  • also be making 1/2 to 1/3 of the average physician's salary. If you care about prestige and respect,

    也會賺取普通醫生工資的1/2到1/3。如果你關心的是聲望和尊重。

  • which are not great reasons to base your future career off of, then the MD or DO route may

    這些都不是你未來職業發展的很好的理由,那麼醫學博士或醫學博士路線可能是

  • satisfy that to a greater degree. On the other hand, if you're able to put your ego aside

    在更大程度上滿足這一點。另一方面,如果你能夠把你的自我放在一邊

  • and understand your role on the team, including your responsibilities and scope of practice,

    並瞭解你在團隊中的角色,包括你的責任和執業範圍。

  • this likely won't be an issue. If you want to have extensive knowledge of

    這很可能不會是一個問題。如果你想擁有廣泛的知識

  • the human body and how to manage various ailments, the NP route will give you the foundations,

    如果你想了解人體和如何處理各種疾病,國家執業醫師課程將為你打下基礎。

  • but it won't offer you the same level of training as going the physician route. You'll be able

    但它不會為你提供與醫生路線相同的培訓水準。你將能夠

  • to handle the majority of bread and butter primary care, but when things get more complicated,

    處理大多數的麵包和黃油初級保健,但當事情變得更加複雜時。

  • you may want to seek physician guidance. Between PA, NP, and physician, NP's usually

    你可能想尋求醫生的指導。在PA、NP和醫生之間,NP的工作通常是

  • receive the fewest clinical hours, somewhere between 500 and 1,500 depending on the program.

    接受最少的臨床時間,大約在500至1500小時之間,取決於該項目。

  • In comparison, PA's are required to have 2,000 clinical hours and physicians between 16,000

    相比之下,助理醫師被要求有2000個臨床小時,醫生則在16000個小時之間。

  • and 20,000 at minimum. There's a tremendous deal of controversy over

    和至少20,000人。有巨大的爭議,因為

  • the scope of practice for NP's. The American Association of Nurse Practitioners has been

    NP的執業範圍。美國執業護士協會一直在

  • lobbying hard for increased scope of practice, meaning allowing nurse practitioners to provide

    竭力遊說擴大執業範圍,即允許執業護士提供服務。

  • more care independently of physicians. After all, with greater scope comes greater autonomy

    獨立於醫生的更多護理。畢竟,更大的範圍帶來更大的自主權

  • and compensationbut so does liability, as some are learning the hard way in malpractice

    和賠償--但責任也是如此,正如一些人在不當行為中艱難地學到的那樣。

  • cases. YSK that if you are treated by a CRNA and

    案件。YSK認為,如果你是由CRNA治療,並且

  • they make a mistake, they will not be held legally liable

    他們犯了一個錯誤,他們將不會被追究法律責任

  • In a court ruling filed on June 16, 2020, an appellate court decided that "nurses are

    在2020年6月16日提交的一份法院裁決中,一個上訴法院決定,"護士是

  • not supposed to be experts in the technique of diagnosis or the mechanics of treatment"

    不應該是診斷技術或治療機制方面的專家"

  • even if they work as nurse practitioners or CRNAs. This ruling occurred after a CRNA made

    即使他們作為執業護士或CRNA工作。這項裁決發生在一個CRNA提出

  • a completely avoidable mistake that led to the death of a 3-year-old child. Even after

    一個完全可以避免的錯誤導致了一個3歲孩子的死亡。即使在

  • the death of the child, the CRNA was not punished and is still working in a hospital today.

    在孩子死亡後,這位註冊護士沒有受到懲罰,至今仍在一家醫院工作。

  • Opponents to increased scope push back about the implications on patient safety. After

    反對擴大範圍的人反駁了對病人安全的影響。在

  • residency, a physician has accrued approximately 20,000 or more hours of clinical experience

    在住院期間,醫生已經積累了大約20,000個或更多小時的臨床經驗。

  • in their particular specialty. In comparison, a DNP only needs a fraction of that, between

    在他們的特定專業中。相比之下,DNP只需要其中的一小部分。

  • 500 to 1,500 hours of patient contact hours to graduate, which aren't necessarily focused

    500至1,500小時的病人接觸時間才能畢業,這不一定是重點。

  • in their ultimate specialization. My NP colleagues tell me that those pushing for increased scope

    在他們最終的專業領域。我的NP同事告訴我,那些推動擴大範圍的人

  • of practice are a vocal minority, but that most NP's don't share this mentality.

    執業醫師是少數人,但大多數非執業醫師並沒有這種心態。

  • Don't get caught up in the online hypethis isn't about physicians versus nurse practitioners.

    不要被網上的炒作所迷惑--這不是醫生與護士的問題。

  • The healthcare team needs to work together to serve the patient. When both groups of

    醫療保健團隊需要一起工作,為病人服務。當兩組的

  • professionals work together and as intended within their scopes of practice, everyone,

    專業人員在他們的業務範圍內共同工作,並按計劃進行,每個人都是如此。

  • including the patient, wins. In recent years, given the growth of diploma mills and online-only

    包括病人在內,都是贏家。近年來,鑑於文憑製造廠和只在網上出售的文憑的增長

  • programs in conjunction with increasing scope of practice, there are growing concerns regarding

    伴隨著執業範圍的擴大,人們越來越關注以下問題

  • patient safety. If you'd like to learn more about this issue, I recommend checking out

    病人的安全。如果你想了解更多關於這個問題的資訊,我建議你查看

  • the Physicians for Patient Protection, an organization with great articles and presentations

    醫生保護病人組織,該組織有很好的文章和演講。

  • about this subject, which go much deeper than I can cover in this video.

    關於這個問題,它比我在這段視頻中所能涉及的要深得多。

  • Should You Become an NP? How can you decide if becoming a nurse practitioner

    你應該成為一名初級保健醫生嗎?你如何決定是否成為一名執業護士?

  • is a good fit for you? If you enjoy being a team player, educating

    是否適合你?如果你喜歡成為一個團隊成員,教育

  • patients, and making decisions regarding patient care, the NP route may be a good fit. Those

    如果你是一個有經驗的醫生,並能對病人的護理作出決定,那麼國家執業醫師的路線可能是一個很好的選擇。那些

  • who may not like the patience or cost required for medical school will likely appreciate

    可能不喜歡醫學院所需的耐心或費用的人可能會欣賞

  • the shorter and less costly option of going the NP route.

    縮短時間和減少成本的選擇是走國家公園路線。

  • If you are currently on the nursing tract and want to go to the next level, consider

    如果你目前在護理道上,並想更上一層樓,可以考慮

  • becoming an NP. If you prefer the medical model, then you may want to consider the PA

    成為一名國家執業醫師。如果你喜歡醫療模式,那麼你可能要考慮PA

  • route instead. If you want more control, autonomy, and depth,

    路線代替。如果你想要更多的控制權、自主權和深度。

  • knowing all the ins and outs of various diseases, including the obscure ones, and be at the

    瞭解各種疾病的所有來龍去脈,包括不知名的疾病,並在

  • pinnacle of patient care and research, go to medical school and become a physician.

    在病人護理和研究的巔峰,去醫學院學習併成為一名醫生。

  • These are all tradeoffs and there's no right or wrong here. No specific path is better

    這些都是權衡的結果,在這裡沒有對錯之分。沒有特定的道路是更好的

  • or worse than another path. You have to figure out what type of life you want. Look at the

    或比另一條路更糟。你必須弄清楚你想要什麼類型的生活。看一下

  • future paths of each, and see which is better suited to your personality, values, and long

    的未來道路,看看哪種方式更適合你的個性、價值觀和長遠發展。

  • term desires. Big shout out to Nurse Liz, family nurse practitioner,

    期的願望。向家庭護士Liz大喊一聲,她是家庭護士從業者。

  • for helping me in the creation of this video. Go show her some love and check out her YouTube

    在這段視頻的創作過程中,我得到了她的幫助。去向她表示愛意,並查看她的YouTube

  • channel, link in the description. If you enjoyed this video, check out my video

    頻道,鏈接在描述中。如果你喜歡這個視頻,請查看我的視頻

  • on So You Want to Be a PA, or my video comparing the competitiveness of PA school to NP school

    關於《你想成為一名助理醫師》,或我的視頻,比較了助理醫師學校和非執業醫師學校的競爭力

  • to medical school. Much love, and I'll see you guys there.

    到醫學院學習。非常感謝,我們會在那裡見到你們。

So you want to become a nurse practitioner. You want to work in healthcare, but being

所以你想成為一名執業護士。你想在醫療保健領域工作,但作為

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B1 中級 中文 護士 醫生 醫師 護理 博士 醫學

你想成為一名護士[第25集] (So You Want to Be a NURSE PRACTITIONER [Ep. 25])

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    Summer 發佈於 2021 年 05 月 22 日
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