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  • In the last video, we covered the best lifestyle specialties as a doctor. Those were the specialties

    在上一個視頻中,我們介紹了作為醫生的最佳生活方式專業。這些專業是

  • in medicine you would choose if you wanted to work few, or at least predictable, hours

    如果你希望工作時間少,或至少是可預測的工作時間,你會選擇醫學領域的工作。

  • while still making good money. This is the oppositethe worst lifestyle specialties

    同時還能賺到好錢。這是一個相反的情況--最糟糕的生活方式專業

  • for the masochists. Dr. Jubbal, MedSchoolInsiders.com.

    給受虐狂的人。Jubbal博士,MedSchoolInsiders.com。

  • To answer which specialties have the worst lifestyle, we first have to ask what makes

    要回答哪些專業的生活方式最差,我們首先要問是什麼讓

  • for a good lifestyle? The general consensus is that it comes down to three primary factors:

    好的生活方式?普遍的共識是,它歸結為三個主要因素。

  • (1) the hours you work, meaning the predictability and total number per week, (2) the amount

    (1)你的工作時間,即每週的可預測性和總數,(2)金額

  • of money you make relative to the amount of work put in, and (3) the quality or substance

    你所賺的錢相對於你所付出的工作量,以及(3)品質或內容

  • of your work. This may include the patient population, types of cases you most commonly

    你的工作。這可能包括病人群體、你最常見的病例類型、以及你的工作。

  • deal with, or the amount of charting required. Don't overlook these factors, as dealing with

    處理,或需要製作圖表的數量。不要忽視這些因素,因為處理

  • challenging patients or difficult and depressing outcomes day after day can drain you.

    日復一日,具有挑戰性的病人或困難和壓抑的結果會耗盡你的精力。

  • So why would someone choose a specialty with a difficult lifestyle? The biggest factor

    那麼,為什麼有人會選擇一個生活方式困難的專業呢?最大的因素是

  • is simply falling in love with the field. If you love excitement, unpredictability,

    是簡單地愛上了這個領域。如果你喜歡刺激,不可預知性。

  • saving lives, and the operating room, you would love trauma surgery, and the challenging

    拯救生命,以及手術室,你會喜歡創傷手術,以及具有挑戰性的

  • lifestyle would be very worthwhile. Another theory I've heard thrown around is that those

    生活方式將是非常值得的。我聽到的另一個理論是,那些

  • who choose more challenging lifestyle specialties are workaholics at heart, and may prefer a

    選擇更具挑戰性的生活方式專業的人,內心都是工作狂,他們可能更喜歡工作。

  • challenging and demanding work-life balance. They'll even brag about how bad their schedule

    具有挑戰性和高要求的工作與生活平衡。他們甚至會吹噓自己的日程安排有多糟糕

  • is. Workaholism is a common coping mechanism, as it's easier to ignore one's inner demons

    是。工作狂是一種常見的應對機制,因為這樣更容易忽視自己內心的惡魔

  • when you're working and don't have time to think about them.

    當你在工作時,沒有時間去考慮它們。

  • The relative appeal of a specialty's lifestyle is also highly subjective. Most would say

    一個專業的生活方式的相對吸引力也是非常主觀的。大多數人會說

  • dermatologists have a better lifestyle than trauma surgeons, but some would disagree.

    皮膚科醫生的生活方式比創傷外科醫生好,但有些人不同意。

  • Neurosurgeons have some of the most challenging hours in the hospital, but they also have

    神經外科醫生在醫院裡有一些最具挑戰性的工作時間,但他們也有

  • the highest compensation, which is why we joke that they make the most money but have

    這就是為什麼我們開玩笑說,他們賺的錢最多,但卻有

  • no time to spend any of it. With that being said, know that this isn't a list of absolute

    沒有時間去花任何的錢。說到這裡,要知道這並不是一份絕對的清單

  • truths, but rather a subjective list of stereotypes for which there are many exceptions. Let's

    真理,而是一個主觀的陳規列表,其中有許多例外。讓我們

  • have fun with this list and not take things too seriously. And remember, there are always

    對這份名單要有興趣,不要把事情看得太嚴重。請記住,總是有

  • exceptions to any generalization. If you want a challenging lifestyle, you should

    任何概括都有例外。如果你想要一種具有挑戰性的生活方式,你應該

  • check out general surgery. The running joke amongst medical students is that you go into

    檢查一下普通外科。在醫科學生中流傳的笑話是,你進入了

  • general surgery if you're either a masochist or couldn't get into any more desirable surgical

    如果你是一個受虐狂,或者無法進入任何更理想的手術室,那麼你可以選擇普通外科。

  • specialty. This is obviously not the case and general surgery is a fantastic field with

    專業。這顯然不是事實,普通外科是一個神奇的領域,具有以下特點

  • lots to love, but the reason medical students joke about this is four-fold.

    有很多值得喜愛的地方,但醫學生之所以拿這個開玩笑,有四個方面的原因。

  • First, general surgeons work very challenging, unpredictable, and often long hours. Second,

    首先,普通外科醫生的工作非常具有挑戰性,不可預測,而且往往時間很長。第二。

  • they're often dealing with pathologies and body parts that some would consider less appealing

    他們經常處理的是一些人認為不太吸引人的病症和身體部位。

  • compared to other surgical specialties, like the intestines and its associated smells and

    與其他外科專業相比,如腸道及其相關的氣味和

  • fluids. Third, they make less money than other surgical specialists. And fourth, it's the

    流體。第三,他們賺的錢比其他外科專家少。第四,這也是

  • least competitive surgical specialty to match into for residency.

    競爭最不激烈的外科專業,可以匹配到住院醫生。

  • That last point is why I always find it interesting when Caribbean medical schools brag about

    最後一點就是為什麼當加勒比地區的醫學院吹噓自己的時候,我總是覺得很有趣

  • how many of their students matched into general surgery. You can watch my thoughts on Caribbean

    他們的學生中有多少人匹配到了普通外科。你可以觀看我對加勒比海的想法

  • medical schools on my Caribbean playlist. General surgery used to be more, well, general,

    我的加勒比海播放列表中的醫學院。普通外科過去更多的是,嗯,普通。

  • dealing with a wide variety of pathologies. In rural settings, this is still certainly

    處理各種各樣的病症。在農村環境中,這當然仍然是

  • the case, as there are few surgical specialists nearby. But as the field of medicine moves

    在這種情況下,由於附近沒有多少外科專家。但隨著醫學領域的發展

  • further towards greater specialization, general surgeons primarily deal with gastrointestinal

    在進一步走向專業化的過程中,普通外科醫生主要處理胃腸道疾病。

  • and endocrine pathologies. If you want to work on the heart, you'll need to specialize

    和內分泌病症。如果你想從事心臟方面的工作,你就需要專攻

  • as a cardiothoracic surgeon. To work on bones, orthopedic surgery. For complex soft tissue

    作為一名心胸外科醫生。要從事骨骼、骨科手術。對複雜的軟組織

  • reconstruction or aesthetics, plastic surgery, and so on.

    重建或美學,整形手術,等等。

  • But general surgery remains the default path for the medical student pursuing surgery,

    但普通外科仍然是追求外科的醫學生的默認途徑。

  • but who isn't quite sure what kind of surgery to pursue. After general surgery, you have

    但又不太確定要做哪種手術的人。普通外科手術後,你有

  • a wide variety of options for fellowship. For example, after general surgery residency

    有多種多樣的獎學金選擇。例如,在普通外科住院醫師培訓後

  • you could pursue specialized cardiothoracic or plastic surgery training, but note that

    你可以繼續接受專門的心胸外科或整形外科培訓,但要注意的是

  • this will require a few more years of training versus matching into a dedicated CT or plastics

    這將需要更多年的培訓,而不是匹配到一個專門的CT或塑膠。

  • residency immediately after medical school. With the general surgery tract, the main drawback

    醫學院畢業後立即住院治療。對於普通外科道,主要的缺點是

  • is the increased length of training. The main benefits are that you have more time to make

    是訓練時間的增加。主要的好處是,你有更多的時間來使

  • a decision prior to committing to a subspecialization, and it's also a far less competitive path.

    這是一條競爭性更小的道路,也是一個在致力於亞專業之前的決定。

  • In fact, many CT or plastic surgery applicants when applying to residency will apply to general

    事實上,許多CT或整形外科的申請者在申請住院醫師時都會申請普通外科。

  • surgery residency as a backup, just in case they don't match.

    駐場手術作為備份,以防他們不匹配。

  • If you're enjoying the video so far, let me know by hitting the thumbs up. And if you

    如果你喜歡到目前為止的視頻,請點擊大拇指讓我知道。而如果你

  • think I've gone off my rocker, hit that thumbs down button.

    如果你認為我不正常,請按下大拇指的按鈕。

  • Next up is primary care. That's right, primary care has one of the worst lifestyles, and

    接下來是初級保健。這是正確的,初級保健的生活方式是最差的之一,而

  • you're probably scratching your head in disbelief. Allow me to explain.

    你可能會不相信地撓撓頭。請允許我解釋一下。

  • You can become a primary care physician through various avenues, such as family medicine or

    你可以通過各種途徑成為一名初級保健醫生,如家庭醫學或

  • internal medicine amongst others. Most wouldn't consider primary care doctors to have a challenging

    其中包括內科醫生。大多數人不會認為初級保健醫生具有挑戰性。

  • lifestyle since you'll generally be working regular office hours, roughly 40 hours per

    生活方式,因為你通常會在正常的辦公時間內工作,大約每40小時。

  • week. But that's only one component of a specialty's lifestyle. There are three other components

    周。但這只是一個專業的生活方式的一個組成部分。還有其他三個組成部分

  • that translate to primary care having a poor lifestyle.

    這轉化為初級保健有一個糟糕的生活方式。

  • First, as a primary care physician, you'll have lower compensation than most any other

    首先,作為一名初級保健醫生,你的報酬會比其他大多數人低。

  • specialist, averaging roughly $240,000 per year. That's not bad, but the average specialist

    專家,平均每年約為24萬美元。這並不壞,但平均而言,專家

  • makes on average $350,000 per year in comparison. If $240,000 sounds like more than you'd ever

    與之相比,平均每年賺取35萬美元。如果240,000美元聽起來超過了你的想象

  • need, come back to me in 10 years when you have student loans to pay off, a mortgage,

    需要,10年後,當你有學生貸款要還,有抵押貸款的時候再來找我。

  • family, car payments, and retirement to save for.

    家庭、汽車付款和退休需要儲蓄。

  • Second, the amount of charting and paperwork in primary care is abnormally high, in some

    第二,初級保健中的製圖和文書工作的數量異常之多,在一些

  • surveys averaging over 18 hours per week. In comparison, ophthalmology and anesthesiology

    調查,平均每週超過18小時。相比之下,眼科學和麻醉學

  • are close to half that. And third, scope creep issues primarily effect

    是接近一半。第三,範圍蠕變問題主要影響

  • primary care physicians, although anesthesiologists have also been subject to difficulties.

    雖說麻醉師也遇到了困難,但初級保健醫生也是如此。

  • My mentor in medical school, who was an internal medicine primary care physician, advised me

    我在醫學院的導師,是一位內科初級保健醫生,他建議我

  • and his other students that while medicine is a fantastic profession, he finds the changes

    他和他的其他學生說,雖然醫學是一個神奇的職業,但他發現變化是非常大的。

  • in primary care quite disconcerting. He pointed to these three issues of reductions in reimbursement,

    在初級保健方面,他的看法相當令人不安。他指出了這三個減少報帳的問題。

  • increases in charting, and midlevel scope creep as primary concerns.

    繪圖的增加和中層的範圍蠕動是主要的關切。

  • OB/GYN is an often misunderstood field, and most in medicine would warn you about its

    婦產科是一個經常被誤解的領域,大多數醫學界人士都會提醒你注意其

  • terrible lifestyle implications. Some obstetricians and gynecologists have extremely challenging

    可怕的生活方式影響。一些產科醫生和婦科醫生有極具挑戰性的

  • lifestyles, and it doesn't help that their residencies have a reputation of being more

    生活方式,而且他們的居住地有更多的聲譽,這也沒有幫助。

  • malignant than average. It's often a dreaded rotation by many third year medical students.

    惡性程度高於平均水平。這往往是許多三年級醫學生所害怕的輪換。

  • But as an attending, your lifestyle will be highly variable depending on your practice

    但作為一名主治醫生,你的生活方式將因你的工作而有很大的變化

  • type. It used to be the case that obstetrics was extremely challenging since babies don't

    類型。過去的情況是,產科是極具挑戰性的,因為嬰兒不

  • care about your sleep schedule, and you would have to rush to labor and delivery on a moment's

    關心你的睡眠時間,你將不得不在一瞬間趕到產房。

  • notice. But in recent years, OB has moved more towards the shift work model – a welcome

    通知。但在最近幾年,OB已經更多地轉向輪班工作模式--這是一個受歡迎的做法。

  • change in most people's eyes. Gynecologists, on the other hand, could have

    在大多數人的眼裡,變化。另一方面,婦科醫生可以有

  • a great lifestyle if they wanted to focus on primarily a clinic-based practice. Certain

    如果他們想主要專注於以診所為基礎的實踐,是一種很好的生活方式。某些

  • gynecologic fellowships also offer a more procedural or surgical focus with relatively

    婦科獎學金也提供了更多的程序或手術重點,相對來說,這是個很好的機會。

  • few emergencies. You can learn more about the field in our So You Want to Be an OB/GYN

    少數急診。你可以在我們的《你想成為一名婦產科醫生》中瞭解更多關於這個領域的資訊。

  • video. It's no surprise that surgical specialties

    視頻。外科專業毫不奇怪

  • have challenging lifestyles, but not all surgical specialties are created equal.

    有挑戰性的生活方式,但不是所有的外科專業都是平等的。

  • Trauma surgery gets a bad rap since traumas are unpredictable and can come in at any moment,

    由於創傷是不可預測的,隨時都有可能發生,所以創傷手術被說得很糟糕。

  • seemingly at the most inopportune hours of the night. Many trauma surgeons have shift

    似乎是在夜間最不合適的時間。許多創傷外科醫生都有輪班

  • work schedules, particularly at larger and more established institutions. It's not like

    工作時間表,特別是在較大和較成熟的機構。這並不像

  • you're relaxing on your day off and you suddenly get called in. You're either on or off service,

    你在休息日放鬆,突然被叫去。你不是在服役,就是不在服役。

  • but still the hours can be long and challenging. But others at smaller groups may have to manage

    但工作時間仍然可能很長,很有挑戰性。但在較小的團體中,其他人可能要管理

  • their own patients in house and aren't able to rely on more predictable shift work schedules.

    他們自己的病人在家裡,不能夠依靠更可預測的輪班工作時間表。

  • Vascular surgery also comes with a particularly challenging lifestyle. You're specialized

    血管外科也伴隨著一種特別具有挑戰性的生活方式。你的專業

  • enough that you're covering a large catchment area, meaning there will be emergencies happening

    足夠大的覆蓋範圍,意味著會有緊急事件發生

  • just about every night that require intervention. And unlike other specialties where you act

    幾乎每天晚上都需要干預。與其他專業不同的是,你的行為

  • as a consulting service and hand the patient off for management to the primary team, as

    作為一項諮詢服務,將病人移交給主要團隊進行管理,因為

  • a vascular surgeon you will be rounding and managing your own patients.

    作為一名血管外科醫生,你將負責巡視和管理自己的病人。

  • Neurosurgery is similar to vascular surgery in that regard, with the added complexity

    在這方面,神經外科與血管外科相似,但增加了複雜性。

  • and burden of dealing with very sick patients with often poor outcomes. When you think about

    和處理病重的病人的負擔,而且結果往往不好。當你考慮到

  • the types of patients that require brain surgery, you realize how many outcomes aren't as rosy

    當你看到需要進行腦部手術的病人類型時,你會意識到有多少結果並不那麼美好

  • compared to some other surgical subspecialties. That was a surprisingly large factor that

    與其他一些外科亞專業相比。這是一個令人驚訝的大因素,即

  • actually pushed me away from the field. Neurosurgeons are widely known for working the craziest

    實際上是把我推離了這個領域。眾所周知,神經外科醫生的工作是最瘋狂的。

  • hours in the hospital, but they're also the highest paid specialists. If you want

    在醫院的工作時間,但他們也是收入最高的專家。如果你想

  • to know more about neurosurgery, we made a So You Want to Be episode on it.

    為了瞭解更多關於神經外科的資訊,我們製作了一集《你想成為這樣的人》。

  • There are certainly exceptions to all these trends. The ceiling for any given specialty

    所有這些趨勢當然也有例外。任何特定專業的上限

  • is limitless, meaning you could always work more hours. Many of my friends and colleagues

    是無限的,這意味著你總是可以工作更多的時間。我的許多朋友和同事

  • from medical school are now attending physicians, even in supposedly great lifestyle specialties,

    從醫學院畢業的人現在都是主治醫生,甚至在所謂的偉大的生活方式的專業領域。

  • but because they're young, hungry, and want to set up a strong foundation for their future

    但因為他們年輕、飢餓,並希望為他們的未來打下堅實的基礎。

  • professional and financial lives, they're willing to grind extra hard for a year or

    在職業和經濟生活方面,他們願意在一年或一年內加倍努力工作。

  • two before dialing their hours back. Your practice type will also influence your

    在將他們的工作時間調回之前,有兩個。你的業務類型也會影響你的

  • lifestyle. In the early years, those who enter private practice will be working much harder

    生活方式。在最初幾年,那些進入私人診所的人將會更加努力工作

  • than those who are employed by a larger community or academic group. After all, they need to

    比起那些受僱於更大的社區或學術團體的人。畢竟,他們需要

  • slowly generate a patient census, be hard working to get referrals from other physicians,

    慢慢地產生一個病人普查,要努力工作,從其他醫生那裡獲得轉診。

  • and worry about all the aspects that go into running a successful business.

    併為經營一個成功的企業所涉及的所有方面擔心。

  • While private practice may be more common in something like plastic surgery, being employed

    雖然私人執業可能在像整形外科這樣的事情上更常見,但被僱用

  • is the norm, and straight out of residency you will be working more reasonable hours

    是正常的,而且剛從居住地出來,你的工作時間將更加合理。

  • this way. Shift work is another arrangement that is more common in something like emergency

    這種方式。輪班工作是另一種安排,在類似緊急情況下比較常見。

  • medicine. With shift work, it's easier to dial your hours down or up, depending on your

    藥品。通過輪班工作,可以更容易地減少或增加你的工作時間,這取決於你的情況。

  • desired work-life balance. With surgery, shift work is less common, and you'll often have

    理想的工作和生活平衡。在外科,輪班工作不太常見,而且你經常會有

  • to stay late if there are intraoperative complications. It's very rare for surgeons to work fewer

    如果出現術中併發症,就會留到很晚。外科醫生工作時間少是非常罕見的。

  • than 60 hours until later on in their career. Although within surgery, there are some that

    直到他們職業生涯的後期,才會有超過60小時的工作。雖然在外科內部,有一些

  • are more conducive to clinic, allowing for reduced weekly commitments, like urology.

    更有利於臨床,允許減少每週的承諾,如泌尿外科。

  • If you want to learn more, we covered this in So You Want to Be a Urologist.

    如果你想了解更多,我們在《你想成為一名泌尿科醫生》中談到了這個問題。

  • Lifestyle should not be your primary consideration when choosing a specialty, but it is important.

    在選擇專業時,生活方式不應成為你的首要考慮因素,但它是重要的。

  • In fact, I would say most in their early to mid twenties underestimate its importance.

    事實上,我想說大多數二十歲出頭到二十歲左右的人都低估了它的重要性。

  • Let me know with a comment below which specialty I missed. Or perhaps you're outraged and so

    請在下面的評論中告訴我,我錯過了哪些專業。或者,也許你很憤怒,所以

  • offended that I listed your specialty in this video. Regardless, I'd love to hear from you

    得罪了,我在這個視頻中列出了你的專業。不管怎麼說,我很想聽到你的聲音

  • with a comment down below. If you enjoyed this video, check out the best lifestyle specialties,

    與下面的評論。如果你喜歡這個視頻,請查看最好的生活方式特產。

  • or the highest paid doctor specialties. Much love, and I'll see you guys there.

    或收入最高的醫生專業。非常感謝,我們會在那裡見到你們。

In the last video, we covered the best lifestyle specialties as a doctor. Those were the specialties

在上一個視頻中,我們介紹了作為醫生的最佳生活方式專業。這些專業是

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B1 中級 中文 外科 醫生 專業 工作 生活 保健

最差的醫生生活方式專業 (WORST Doctor Lifestyle Specialties)

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    Summer 發佈於 2021 年 07 月 17 日
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