in medical school. But until you live it, those don't quite give you the full experience.

在醫學院裡。但除非你親身經歷，否則這些並不能完全給你帶來完整的體驗。

These are the unwritten and unspoken rules of medical school.

這些是醫學院的不成文和不言而喻的規則。

Dr. Jubbal, MedSchoolInsiders.com. This is inspired by a video I did on my personal

Jubbal博士，MedSchoolInsiders.com。這是受我在個人網站上做的一個視頻的啟發。

channel, Kevin Jubbal, M.D., linked in the description. That video is a bit more raw

在描述中鏈接的凱文-朱巴爾醫學博士的頻道。那段視頻的內容比較原始

and raunchy and is largely a compilation of your responses to my post on Instagram. If

它主要是由你對我在Instagram上的帖子的迴應彙編而成。如果

you want something more unfiltered, be sure to check out that video after this one. Here,

如果你想要更多未經過濾的東西，請務必查看這段視頻之後的視頻。在這裡。

we'll discuss more extensively the unwritten rules that no one else will tell you.

我們將更廣泛地討論那些別人不會告訴你的不成文規定。

The first rule is a broad general rule, as your medical education and training is going

第一條規則是一個廣泛的一般規則，因為你的醫學教育和培訓是要

to be lengthy with plenty of reason to complain. You'll have professors whose competence you

要有足夠的理由來抱怨的長度。你會有一些教授，他們的能力你都知道。

question, attendings during your clinical rotations that seem impossible to please,

問題，在你的臨床輪換期間，似乎不可能取悅的主治醫生。

schedule changes that seem to always work against you, and other forms of bad luck.

時間表的變化似乎總是對你不利，還有其他形式的壞運氣。

But no one likes a Debbie Downer, so although there will always be reasons to get irritated

但是，沒有人喜歡黛比-唐納，所以儘管總是有理由被激怒

or whine about how things are inefficient, unfair, or a waste of time and resources,

或抱怨事情的效率低下，不公平，或浪費時間和資源。

don't become the person that's seemingly always pessimistic. Doing so just brings other people

不要成為似乎總是悲觀的人。這樣做只會給其他人帶來

down and makes the already irritating situation become worse than it already is.

並使本來就很惱火的情況變得比現在更糟糕。

Rather, if you're able to be the person that always finds the silver lining, that can turn

相反，如果你能夠成為一個總能找到一線生機的人，那就可以把

negative into positive, you'll not only win many friends and favors, but find yourself

將消極因素轉化為積極因素，你不僅會贏得許多朋友和好感，而且會發現自己

much more at peace with the roller coaster ride of medical school.

對醫學院的雲霄飛車之旅更加平靜。

In line with this, avoid getting defensive or egotistical when your knowledge gaps are

根據這一點，當你的知識差距被發現時，要避免採取防禦或自負的態度。

pointed out. If you're wrong or don't know something, don't try to explain why. Just

指出的。如果你錯了或不知道什麼，不要試圖解釋原因。只是

appreciate the person who is teaching you something and move on.

感謝那個教你東西的人，然後繼續前進。

The second rule is to know clinical rotation etiquette before you get to your clinical

第二條規則是在進入臨床之前瞭解臨床輪換的禮儀

rotations. And this expands beyond simply knowing that a small towel on the handle of

轉動。而這不僅僅是簡單地知道一個小毛巾的手柄上的

the call room means it's occupied. Actually, that's a good one to know to make sure you

呼叫室意味著它已經被佔用。事實上，這是一個很好的瞭解，以確保你

don't barge in and wake someone from their few minutes of precious slumber on a busy

不要在繁忙的日子裡闖入並把別人從幾分鐘的寶貴睡眠中吵醒。

call night. First, understand that a big part of your

晚上打電話。首先，瞭解你的很大一部分

overall grade in any rotation comes down to a subjective evaluation from your residents

任何輪換的總成績都取決於住院醫師的主觀評價。

and attendings. There are pros and cons to this, one of which is that being on your phone

和主治醫生。這樣做有好處也有壞處，其中之一是，在你的手機上

is often interpreted as you being distracted and texting, going on social media, or finding

往往被解釋為你分心發短信，上社交媒體，或尋找

dank memes. It is for this reason that I bought an iPad Mini. By using my iPad to look up

dank memes。正是因為這個原因，我買了一臺iPad Mini。通過使用我的iPad來查詢

information, I was more likely to be perceived as being studious and hard working when using

資訊時，我更有可能被認為是勤奮好學和努力工作的人。

my devices, as opposed to distracted on a phone. The irony here is that just about anything

我的設備，而不是在手機上分心。這裡具有諷刺意味的是，幾乎所有的

you can do on your phone you can do on your tablet, and vice versa. You could be studious

你可以在手機上做的事，也可以在平板電腦上做，反之亦然。你可以學習

on your phone and be distracted on your tablet, but again the optics of your behavior are

在你的手機上和在你的平板電腦上分心，但你的行為的光學效應又是

important for your clinical evaluation. Second, don't be a gunner. When you rotate

對你的臨床評估很重要。第二，不要做槍手。當你輪換的時候

at clinic or in the hospital, you'll usually be rotating with one or more other students.

在診所或醫院，你通常會與一個或多個其他學生輪換。

You should never, under any circumstance, throw them under the bus. Making others look

在任何情況下，你都不應該把他們扔到公車上。讓別人看起來

bad is not only a terrible thing to do that will weigh on your conscience, but your residents

做壞事不僅是一件可怕的事情，會使你的良心受到影響，而且你的居民也會受到影響。

and attendings can usually see right through it, and that's not a good look.

而主治醫生通常可以看穿它，這不是一個好現象。

Similarly, consider how your behavior makes others look. If you're in the operating room

同樣地，考慮你的行為會讓別人怎麼看。如果你在手術室裡

or on rounds and the attending asks the resident a question, don't pipe in with the answer.

或在查房時，主治醫生問住院醫生一個問題，不要插嘴回答。

Sure, it may be impressive that you know something the resident doesn't, but what's more salient

當然，你知道一些居民不知道的事情可能會令人印象深刻，但更突出的是

is that you couldn't contain yourself to blurt out the answer, thus making the resident look

是你無法控制自己衝口而出的答案，從而使該居民看起來

bad. No one wants to work with someone like that. If you are directly asked the question

不好。沒有人願意和這樣的人一起工作。如果你被直接問到這個問題

next, it's of course fine to answer. When you put energy into looking good, you

接下來，當然是回答得很好。當你把精力放在好看上時，你

come across as conceited and you paradoxically look bad. If instead you value others and

顯得很自負，而且你看起來很糟糕，這是矛盾的。相反，如果你重視他人和

try to make them look good, you become a likable personality who appreciates others, and that's

試圖讓他們看起來很好，你就會成為一個討人喜歡的人格，欣賞別人，這就是

the kind of teammate we all want. Another under appreciated skill is knowing

是我們都想要的那種隊友。另一個未被重視的技能是瞭解

when to ask a question. If it's something that's easy to look up, look it up yourself

什麼時候問問題。如果是很容易查到的東西，就自己去查。

and don't waste other peoples' time or energy answering a simple question. If it's not easy

而不要浪費別人的時間或精力來回答一個簡單的問題。如果它不容易

to look up and it's a genuine question, don't be afraid to ask it. However, know when to

抬頭看看，這是一個真正的問題，不要害怕問它。然而，要知道何時

ask questions. This comes down to social calibration. If things are hitting the fan in the operating

問問題。這要歸結為社會校準。如果事情在操作過程中出現了問題

room, try to be helpful and let the team handle the situation, and refrain from asking unnecessary

在房間裡，要儘量提供幫助，讓團隊處理情況，不要問不必要的問題。

questions in moments of acuity or stress. And finally, it's deeply frowned upon by everyone

在敏銳或緊張的時刻提問。最後，它被大家深深地皺起了眉頭

in the hospital and clinic when you fail to like this video and subscribe to Med School

在醫院和診所裡，當你不喜歡這個視頻並訂閱醫學院的時候

Insiders. The third rule is to appreciate and value

內部人士。第三條規則是欣賞和重視

the little time you have. It's normal to feel like there aren't enough hours in a day, and

你擁有的一點時間。感覺一天中沒有足夠的時間是很正常的，而且

it's normal to feel like you're expected to do an impossible amount of work or studying

感覺自己被要求做大量的工作或學習是正常的。

in too short of a time period. The value of facing this reality will serve

在太短的時間內。面對這一現實的價值將為

you well for the rest of your life. If you allow it to, it will teach you lifelong lessons

在你的餘生中，你會得到很好的回報。如果你允許，它將給你帶來終生的教訓。

in productivity, efficiency, and effectiveness that will make you better rounded and able

在生產力、效率和效益方面，這將使你更全面，更有能力

to handle more than you thought possible. I have entire videos and playlists on efficiency

來處理比你想象中更多的事情。我有關於效率的整個視頻和播放列表

and productivity, so I won't rehash them here, but they are linked below. What I will emphasize

和生產力，所以我不會在這裡重述，但它們在下面有鏈接。我將強調的是

is that while you're in the hospital or clinic, maximize any down time you have. There will

是，當你在醫院或診所時，最大限度地利用你的任何休息時間。這時會有

be moments when you are waiting on the patient to be rolled into the OR, or when you're waiting

當你在等待病人被送入手術室時，或者當你在等待

on seniors to begin rounding. Never let a moment in the hospital or clinic go wasted.

對老年人開始查房。永遠不要讓醫院或診所的一刻被浪費掉。

After all, you will not be able to relax and unwind while you're there, so seize the moment

畢竟，你在那裡時將無法放鬆和解脫，所以要抓住時機

in one of two ways: if you're feeling mentally sharp, power through some flashcards, practice

有兩種方式：如果你覺得精神上很敏銳，可以通過一些抽認卡進行練習。

problems, or quick bursts of studying. If you're feeling mentally fried, then focus

問題，或快速爆發的學習。如果你覺得精神上很疲憊，那麼就集中精力

on procedural memory, like practicing your suturing or knot tying.

在程序性記憶方面，如練習縫合或打繩結。

The fourth rule is actually two rules about finances.

第四條規則實際上是關於財務的兩條規則。

First, be mindful that everyone's financial position is different, and it's best practice

首先，要注意每個人的財務狀況是不同的，最佳做法是

to avoid talking specifics. Some of your medical school classmates will be taking out more

以避免談論具體細節。你的一些醫學院的同學將拿出更多的

loans, others will be taking out less. A surprising number won't take out any loans at all because

貸款，其他人則會減少貸款。令人驚訝的是，有很多人根本就不會貸款，因為

their parents are footing the bill. Those who have parental help may feel guilt or receive

他們的父母正在為他們買單。那些有父母幫助的人可能會感到內疚或收到

some resentment from those who have to take out loans. It doesn't matter what other medical

那些不得不貸款的人的一些怨恨。不管其他醫療

students' financial situations are. Simply concern yourself with your own finances. And

學生的財務狀況是。只需關注你自己的財務狀況。而且

if you're footing the bill, trust me when I say it's an incredibly empowering feeling

如果由你來買單，相信我，這是一種令人難以置信的力量的感覺。

to know you paid your own way through medical school and the feeling you get when you finally

知道你自己花錢讀完了醫學院，以及當你最後得到的感覺。

pay off your loans is priceless. Second, physicians are notorious at being

還清貸款是無價之寶。第二，醫生在以下方面是臭名昭著的

terrible with money. Don't contribute to the stereotype. Educate yourself on some simple

對金錢的態度很糟糕。不要助長這種定型觀念。讓自己瞭解一些簡單的

financial basics. I recommend the White Coat Investor book, linked below, for a quick and

金融基礎知識。我推薦下面鏈接的《白大褂投資者》一書，以獲得快速和準確的資訊。

easy read that will teach you 80% of what you need to know. Countless medical students

簡單的閱讀，會讓你學到80%你需要知道的東西。無數的醫學生

make poor financial decisions under the premise that since they're already in six figures

在認為他們已經有六位數收入的前提下，做出錯誤的財務決定

of debt, spending another few hundred dollars here or there is just a drop in the bucket.

的債務，在這裡或那裡再花幾百美元只是杯水車薪。

The truth is that it's not just a drop in the bucket. In fact, it's a snowball that

事實是，這不僅僅是水桶裡的一滴水。事實上，它是一個雪球，可以

rolls faster and grows larger the more you contribute to it due to interest and the compounding

由於利息和複利的作用，你對它的貢獻越大，它就滾動得越快、越大。

effect working against you. It's a common trap medical students fall into

效應對你不利。這是醫學生經常陷入的一個陷阱

– they want to crush their boards, ace their pre-clinical blocks, dominate their clinical

- 他們希望能壓倒他們的董事會，在臨床前階段取得好成績，在臨床中占主導地位。

rotations, and match into the best residency they can. I get it. I've been there.

輪換，並匹配到最好的住院醫生。我明白。我去過那裡。

At one point or another, the students that take this approach become miserable, burn

在某一時刻，採取這種方法的學生會變得很痛苦，燒燬

out, and find medical school far more painful than it needs to be. Tying in rule three,

出，並發現醫學院比它需要的要痛苦得多。綁在第三條規則上。

it's not about brute forcing work at the expense of everything else. Success in medical school

這不是以犧牲其他一切為代價的蠻橫強迫工作。在醫學院的成功

comes down to optimizing your time and energy, and that includes high density fun and relaxation,

歸結為優化你的時間和精力，這包括高密度的樂趣和放鬆。

like spending time with friends or your partner, and of course the three pillars of exercise,

比如與朋友或伴侶共度時光，當然還有運動的三大支柱。

nutrition, and sleep. Some say not to enter a relationship while

營養，和睡眠。有些人說不要進入關係，而

in medical school, but the reality is that some relationships can immensely help with

在醫學院裡，但現實是，一些關係可以極大地幫助解決

your resilience and perspective of medical school, and others will be an energy drain

你的復原力和對醫學院的看法，而其他人將是能量的消耗者

and hold you back. I was fortunate in medical school that I dated a fellow medical student

並阻礙你。我在醫學院時很幸運，我和一個醫科學生約會過。

who definitely made my life better. But I know others who found that their relationships

他肯定使我的生活變得更好。但我知道其他人發現他們的關係

caused their class performance and mental state to suffer.

導致他們的課堂表現和精神狀態受到影響。

Speaking of relationships, there's a common saying to not have a bowel movement where

說到人際關係，有句俗話說的好，不大便的地方不大便。

you eat. This is said to indicate you shouldn't date someone where you work or in a small

你吃飯。據說這表明你不應該在你工作的地方或在一個小的地方與人約會。

class. The counterpoint to this is that you'll meet some amazing people you may want to enter

類。與此相對應的是，你會遇到一些了不起的人，你可能想進入

a relationship with. The key is to act with integrity so that if you part ways, you can

的關係。關鍵是要誠信行事，這樣，如果你們分道揚鑣，你們可以

do so on good terms. Medical school classes are also much smaller

在良好的條件下這樣做。醫學院的班級也小得多

than any typical college, and for that reason you'll hear about everyone's business. Gossip

比任何典型的大學，為此，你會聽到每個人的事情。閒聊

is a plenty, and it feels more like high school in this way. Don't give into the temptation.

是很多的，而且這樣的感覺更像高中。不要屈服於誘惑。

Stay out of the gossip and drama and stay in your lane. You'll thank me later when things

遠離流言蜚語和戲劇，保持在自己的軌道上。當事情發生後，你會感謝我的。

implode and become a distraction from the little time you already have.

內爆，成為你已經擁有的一點時間的分心。

If you view your fellow classmates through a long term lens, meaning that you want to

如果你用長遠的眼光來看待你的同學，也就是說，你想

be on good terms with everyone, and for a long period of time, you'll find yourself

與每個人的關係都很好，在很長一段時間內，你會發現自己

avoiding many faux pas, like asking others what score they got on a quiz or test. Doing

避免許多錯誤的做法，如問別人在測驗或測試中得到了什麼分數。做事

so has very little upside for you but substantial downside– after all, you already know the

這樣做對你來說沒有什麼好處，但有很大的壞處，畢竟你已經知道了。

class average and max scores, but there is a high probability to make someone else uncomfortable.

班級平均分和最高分，但有很大概率讓別人不舒服。

When you view medical school and your classmates through this perspective, it's natural to

當你從這個角度來看待醫學院和你的同學時，很自然地會

look out for one another and want the best for each other. After all, you're all in it

互相照顧，希望對方得到最好的待遇。畢竟，你們都在其中

together, and challenging times can be great sources of strength and bringing us closer,

在一起，具有挑戰性的時期可以成為力量的巨大來源，使我們更加緊密。

but only if you let it. If you enjoyed this video, check out the other

但前提是你要讓它發生。如果你喜歡這個視頻，請查看其他的

unspoken rules on my Kevin Jubbal, M.D. channel or this other video. Much love, and I'll see

在我的Kevin Jubbal, M.D.頻道或這個其他視頻上的潛規則。非常愛你，我會看到

you guys there.

你們在那裡。