Name: 你想成為一名介入性心內科醫生[第32集] (So You Want to Be an INTERVENTIONAL CARDIOLOGIST [Ep. 32])
Uploaded: 2022-07-13T17:41:30.000Z
Duration: 11 min 59 s

So you want to be an interventional cardiologist.

所以你想成為一名介入性心臟病專家。

You love doing procedures and have the ego of a surgeon, but don’t want to go through

你喜歡做手術，有外科醫生的自負，但不想通過

Let’s debunk the public perception myths of what it means to be an interventional cardiologist

讓我們來揭穿公眾對介入性心臟病醫生的看法的神話

This is the reality of interventional cardiology.

Welcome to our next installment in So You Want to Be.

歡迎來到《你想成為什麼樣的人》的下一篇文章。

In this series, we highlight a specific specialty within medicine, such as interventional cardiology,

在這個系列中，我們強調醫學中的一個特定專業，如介入心臟病學。

and help you decide if it’s a good fit for you.

You can find other specialties on our So You Want to Be playlist.

你可以在我們的 "你想成為 "播放列表中找到其他專業。

We decide what specialties to cover from our community polls.

我們從社區的民意調查中決定覆蓋哪些專業。

If you want to help decide what specialty we cover next, make sure you are subscribed.

如果你想幫助決定我們下一步報道什麼專業，請確保你已經訂閱。

If you’d like to see what being an interventional cardiologist looks like, check out my second

如果你想看看作為一名介入性心臟病醫生是什麼樣子的，請看我的第二篇文章

channel, Kevin Jubbal, M.D. and our series Day in the Life where we show you what a day

在這裡，我們將向您展示 "生活中的一天 "系列的內容，以及凱文-朱巴爾醫學博士。

actually looks like for doctors and surgeons of various specialties.

對於各專業的醫生和外科醫生來說，實際上是這樣的。

An interventional cardiologist is a cardiologist who has completed additional training in minimally

介入性心臟病專家是指完成額外培訓的心臟病專家，他們的培訓內容是微創技術。

Unlike surgeons, these procedures are typically performed in a cardiac cath lab instead of

與外科醫生不同的是，這些手術通常在心臟導管室進行，而不是像外科醫生那樣在心臟導管室進行。

an operating room, and involve live x-rays, contrast dye, and specialized equipment.

一個手術室，並涉及現場X射線、造影劑和專門設備。

Historically, the field of interventional cardiology has been limited to the treatment

從歷史上看，介入心臟病學的領域一直限於治療

of coronary artery disease with balloons and stents; however, it has since evolved to include

用球囊和支架治療冠狀動脈疾病；然而，它後來發展到包括

Although coronary artery stenting continues to be the bread and butter of interventional

雖然冠狀動脈支架手術仍然是介入治療的主要內容，但它也是一個重要的組成部分。

cardiology, their scope is now much broader.

There have been significant advances in the treatment of coronary blockages.

在治療冠狀動脈阻塞方面已經取得了重大進展。

Specialized tools now exist allowing interventional cardiologists to break up calcium deposits

現在有了專門的工具，允許介入心臟病專家打破鈣質沉積。

to improve outcomes and take high-resolution images from within arteries to optimize interventions.

以改善結果，並從動脈內拍攝高分辨率的影像，以優化干預措施。

There are even a variety of percutaneous mechanical heart pumps now that can temporarily keep

現在甚至有各種經皮的機械心臟泵，可以暫時保持

a patient alive if the heart is failing from a heart attack or shock.

如果病人因心臟病發作或休克而導致心臟衰竭，那麼他就能活著。

One of the more commonly used devices is the Impella left ventricular assist device.

更常用的設備之一是Impella左心室輔助裝置。

This device is inserted through the femoral artery into the left ventricle of the heart

該裝置通過股動脈插入心臟的左心室。

and uses a motor to pull blood into the ascending aorta.

並使用一個馬達將血液拉入升主動脈。

This allows the heart to rest while the device circulates blood to the vital organs of the

這使心臟得以休息，而設備則將血液循環到重要器官。

An intra aortic balloon pump is another less powerful device that sits in the aorta and

主動脈內球囊泵是另一種功率較小的設備，它位於主動脈內，並在主動脈內的位置。

Then there is ECMO, which is essentially an external temporary heart-lung machine used

然後是ECMO，它基本上是一個外部臨時心肺機，用於

Interventional cardiologists’ scope extends beyond coronary artery disease as well.

介入性心臟病專家的工作範圍也延伸到了冠狀動脈疾病之外。

There are a variety of innovative devices and therapies that allow interventional cardiologists

有各種各樣的創新設備和療法，使介入心臟病專家能夠

to treat a wide spectrum of issues involving the heart and vascular system.

以治療涉及心臟和血管系統的廣泛問題。

They can perform heart valve repairs and replacements, repair structural defects in the heart, and

他們可以進行心臟瓣膜的修復和替換，修復心臟的結構缺陷，以及

place a variety of other cardiac implantable devices.

放置各種其他的心臟植入裝置。

It should be noted that interventional cardiologists are not the same as cardiothoracic surgeons.

應該注意的是，介入性心臟病專家與心胸外科醫生並不相同。

Cardiothoracic surgeons are trained via surgical residencies and perform much more invasive

心胸外科醫生通過外科住院醫師培訓，進行更具侵入性的手術。

procedures than interventional cardiologists - most notably, open-heart surgeries.

與介入性心臟病專家相比，他們的手術--最顯著的是開胸手術。

That being said, as the field of interventional cardiology has evolved, there are now more

也就是說，隨著介入心臟病學領域的發展，現在有更多的

collaborative procedures than ever before.

協作程序比以往任何時候都多。

This brings me to an important method of differentiating an interventional cardiologist’s practice:

這使我想到了區分介入心臟病專家業務的一個重要方法。

academic versus hospital-employed versus private practice.

學術界與醫院僱員與私人診所。

Interventional cardiologists working in hospital-employed positions can expect to spend more dedicated

在醫院工作的介入心臟病學家可以預期花更多的時間專門從事

time in the cath lab doing procedures and less time doing general cardiology.

在導管室做手術的時間，而做普通心臟科的時間較少。

In academia, interventional cardiologists will further split their time between research,

在學術界，介入心臟病專家將進一步分擔他們的研究時間。

teaching, and other academic responsibilities.

Large academic centers also tend to have a high volume of specialized and complicated

大型學術中心也往往有大量的專業和複雜的

patients such that there is a constant need for the expertise and specialization of an

病人，是以不斷地需要一個專業的和專業化的專家。

In private practice, the majority of an interventional cardiologist’s time will be spent doing

在私人診所，介入心臟病專家的大部分時間將用於做

both procedures and general cardiology as volume and production is what drives private

由於數量和產量是推動私營企業發展的動力，是以在手術和普通心臟病學方面都有很大的發展空間。

There are often more general cardiology duties involved in private practice compared to academic

與學術界相比，私人診所通常涉及更多的普通心臟病學職責。

This means in addition to procedures, there are often inpatient rounds, office patients,

這意味著除了手術之外，還經常有住院病人查房、辦公室病人。

That being said, the balance between procedure time and general cardiology can vary significantly

也就是說，手術時間和普通心臟病學之間的平衡可以有很大的不同

Interventional cardiologists working in private practice tend to have higher average compensation

在私人診所工作的介入性心臟病專家的平均報酬往往較高

than their colleagues in academic or hospital-based settings.

與他們在學術或醫院環境中的同事相比，他們在醫院中的表現更好。

There is also more of a demand for interventional cardiologists in rural areas as opposed to

相比之下，農村地區對介入性心臟病醫生的需求也更大。

major metropolitan ones, so the compensation tends to be higher the more rural you get.

大都市的，所以越是在農村，報酬往往越高。

That being said, as the infrastructure of healthcare continues to change, so do the

話雖如此，隨著醫療保健的基礎設施不斷地變化，也在不斷地變化。

Let’s clear up some of the misconceptions about interventional cardiology.

讓我們澄清一些關於介入心臟病學的誤解。

A common stereotype about interventional cardiologists is that they are all workaholics with very

關於介入性心臟病專家的一個常見的刻板印象是，他們都是工作狂，有很強的責任心。

Although it should not be considered a “lifestyle” specialty, not all interventional cardiologists

雖然它不應該被認為是一個 "生活方式 "的專業，但並不是所有的介入心臟病專家都能做到這一點。

work terrible hours or are constantly on-call.

There are many different types of jobs out there where you can have a decent quality

有許多不同類型的工作，在那裡你可以有一個體面的品質。

of life depending on what you prioritize.

The on-call obligations are also highly variable across different hospitals with some being

不同醫院的待命義務也有很大差異，有些醫院是

Another common misconception is that all interventional cardiologists are cocky and have big egos.

另一個常見的誤解是，所有的介入心臟病專家都很自大，有很大的自負。

Although they may not be in their best mood when you wake them up at 3 AM to come in and

雖然當你在凌晨3點把他們叫起來，讓他們進來的時候，他們的心情可能不是很好。

do a procedure, a lot of interventional cardiologists are much more thoughtful and approachable

在做手術時，很多介入性心臟病專家會考慮得更周到，更容易接近。

To become an interventional cardiologist, you must first complete 4 years of medical

要成為一名介入性心臟病醫生，你必須首先完成4年的醫學教育。

school, followed by 3 years of internal medicine residency, 3 years of general cardiology fellowship,

學校，然後是3年的內科住院醫生，3年的普通心臟病學研究員。

and 1 year of interventional cardiology fellowship.

Some residents may also choose to do an optional chief resident year after internal medicine

一些住院醫師也可以選擇在內科之後做一個可選的總住院醫師年。

residency to increase their competitiveness for cardiology fellowship.

駐院醫生，以提高他們在心臟病學研究方面的競爭力。

Speaking of competitiveness, cardiology is consistently ranked as the most difficult

說到競爭力，心臟病學一直被列為最困難的學科。

internal medicine fellowship to get into.

High board scores, extensive research, and impressing your seniors and faculty in residency

聯考分數，廣泛的研究，以及在住院期間給你的學長和老師留下深刻的印象

are imperative for those wishing to pursue this career.

對那些希望從事這一職業的人來說，這一點是必不可少的。

As for the type of medical students who typically go for interventional cardiology, they tend

至於通常去做介入心臟病學的醫學生的類型，他們傾向於

to be those that are very studious and ambitious; the ones that are regularly accused of being

是那些非常好學和有抱負的人；是那些經常被指控為

槍手、成績優異的人和工作狂。

They also yearn for immediate satisfaction, are excited by cutting-edge technologies,

他們也渴望立即得到滿足，對前沿技術感到興奮。

and love working with their hands, although perhaps not as much as surgeon personalities.

並喜歡用自己的雙手工作，雖然可能沒有外科醫生的性格那麼好。

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你想成為一名介入性心內科醫生[第32集] (So You Want to Be an INTERVENTIONAL CARDIOLOGIST [Ep. 32])

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