Name: 5個風險最大的醫生專業 (5 RISKIEST Doctor Specialties)
Uploaded: 2022-07-13T17:50:55.000Z
Duration: 12 min 24 s

Part of the appeal of becoming a doctor is job security - at least, that’s what everyone

成為醫生的部分吸引力在於工作安全--至少，每個人都是這麼認為的。

“There will always be more patients that need doctors than there are doctors,” they

"需要醫生的病人永遠多於醫生，"他們說。

Well, this might not be the case anymore for some specialties.

那麼，對於某些專業來說，情況可能不再是這樣了。

The AAMC estimates that by the year 2034, we will experience a shortage of between 38,000

美國醫學會估計，到2034年，我們將經歷38,000人的短缺。

and 124,000 physicians; however, these shortages are not uniform across all specialties.

和12.4萬名醫生；然而，這些短缺在所有專業中並不一致。

Although fields such as primary care will likely continue to be in high demand for the

儘管像初級保健這樣的領域可能會繼續有很高的需求。

foreseeable future, the future is not so certain for others.

在可預見的未來，其他人的未來就不那麼確定了。

With issues like oversaturation, mid-level encroachment, and advancements in artificial

隨著過度飽和、中層侵佔和人工智能的進步等問題的出現，我們的工作變得越來越重要。

intelligence, the livelihoods of some specialties are not as secure as you might think.

情報，一些專業的生計並不像你想象的那樣安全。

Here are the doctor specialties that are most at risk.

Due to concerns regarding future physician shortages, there have been large expansions

由於對未來醫生短缺的擔憂，出現了大規模的擴張。

in the number of first-year medical school positions over the last couple of decades.

在過去的幾十年裡，醫學院第一年的職位數量增加。

Since 2002, there has been an increase in allopathic medical school first-year enrollment

自2002年以來，全科醫學院第一年的招生人數一直在增加

from approximately 16,000 positions to over 22,000 positions - an increase of nearly 30%.

從大約16,000個職位到22,000多個職位--增加了近30%。

New osteopathic colleges and expansion of existing schools have also increased the number

新的骨科學院和現有學校的擴建也增加了數量。

of first-year DO students from approximately 5,000 in 2002 to now over 8,000.

第一年的DO學生從2002年的大約5000人增加到現在的8000多人。

These increases in medical school capacity have been accompanied by expansions in many

伴隨著醫學院容量的增加，許多學校也在不斷擴大。

residency programs as well, albeit to a much lesser extent.

駐地計劃也是如此，儘管程度要小得多。

Although this is good news for addressing physician shortages in some fields, it is

儘管這對解決某些領域的醫生短缺問題是個好消息，但它是

There are now some specialties that are training too many physicians and, as a result, it’s

現在有一些專業培養了太多的醫生，是以，它是

becoming increasingly difficult for physicians in these specialties to find a job.

這些專業的醫生越來越難找到工作。

In radiation oncology, for instance, the number of positions offered annually in the match

例如，在放射腫瘤學方面，每年提供的匹配職位的數量

Additionally, advancements in technology and our understanding of cancer biology have allowed

此外，技術的進步和我們對癌症生物學的理解，使我們能夠

radiation oncologists to offer more effective therapies in fewer treatments than before.

放射性腫瘤學家可以在比以前更少的治療中提供更有效的療法。

As a result, the number of radiation oncologists entering the field is now higher than the

是以，現在進入該領域的放射腫瘤學家的數量高於其他國家。

demand and many new grads are reporting difficulties finding jobs after residency.

需求，而且許多新畢業的學生報告說，在住院治療後很難找到工作。

One radiation oncologist reported applying to over 50 jobs across the country and was

一位放射腫瘤學家報告說，他在全國範圍內申請了50多份工作，並被

only able to get interviews at three - all in undesirable locations.

只在三個地方得到了面試機會--都在不理想的地方。

It will only get harder for new grads to find desirable jobs out of residency too as they

新畢業的學生也會越來越難找到理想的工作，因為他們

will not only have to compete against their peers but also more experienced radiation

他們不僅要與同齡人競爭，還要與更有經驗的輻射者競爭。

If the discrepancy between supply and demand continues, radiation oncologists will experience

如果供應和需求之間的差異繼續存在，放射腫瘤學家將經歷

further tightening of jobs and downward pressure on pay.

工作崗位進一步收緊，薪酬面臨下調壓力。

Plastic surgery is another specialty that is at risk of oversaturation - specifically

整形外科是另一個面臨過度飽和風險的專業--特別是

Although the demand for cosmetic procedures has generally been increasing year over year,

雖然對整容手術的需求總體上逐年增加。

plastic surgeons are starting to face increased competition from non-plastic surgeons.

整形外科醫生開始面臨來自非整形外科醫生的更多競爭。

There are many non-plastic surgeon physicians and mid-levels who want a piece of the action

有許多非整形外科醫生和中層人士想分一杯羹。

and attend weekend workshops to learn how to do botox, filler, liposuction, and even

並參加週末研討會，學習如何做肉毒桿菌、填充劑、吸脂，甚至是

This is what leads to dangerous and life-altering complications, like when an OBGYN does a tummy

這就是導致危險和改變生命的併發症的原因，比如當婦產科醫生做腹部手術時

tuck and the patient develops necrotizing fasciitis, also known as flesh-eating bacteria,

tuck，病人出現壞死性筋膜炎，也被稱為食肉菌。

or when an ENT-trained facial plastic surgeon does a thigh lift with similarly devastating

或者當一個接受過耳鼻喉科培訓的面部整形外科醫生在做大腿提升手術時，也有類似的破壞性。

Greed is driving many non-qualified practitioners to want a piece of the aesthetic pie, and

貪婪驅使許多不合格的從業者想從審美的蛋糕中分一杯羹，而

這是一個重大的病人安全問題。

After a botched job, the patient comes to an actual board-certified plastic surgeon

在一次失敗的工作後，病人來到一個真正的委員會認證的整形外科醫生那裡。

to fix the damage, but many of these complications result in lifelong issues that are impossible

以修復損害，但許多這些併發症導致了終身的問題，是不可能的。

I’ve heard too many of these stories from my plastic surgeon friends and colleagues

我已經從我的整形外科醫生朋友和同事那裡聽到了太多這樣的故事

There’s a reason why plastic surgeons spend 6 or more years in training to perfect the

整形外科醫生花6年或更長時間進行培訓，以完善他們的工作，這是一個原因。

nuances of these surgical and non-surgical procedures.

這些手術和非手術程序的細微差別。

They are far more qualified and perform these various procedures more effectively and far

他們更有資格，更有效地執行這些不同的程序，並遠

However, it comes down to a marketing issue.

然而，這歸結為一個營銷問題。

Patients should seek properly trained plastic surgeons who are certified by the American

患者應尋求經過適當培訓的整形外科醫生，這些醫生得到了美國政府的認證。

Board of Plastic Surgery, which is a member of the American Board of Medical Specialties.

整形外科委員會，該委員會是美國醫學專業委員會的成員。

There are several other similar-sounding organizations that are not recognized by the American Board

還有其他幾個聽起來很相似的組織，但不被美國委員會所承認

of Medical Specialties that are deceiving uninformed patients.

欺騙不知情的病人的醫學專業。

As it stands now, the aesthetic market is becoming oversaturated, and only through concerted

就目前情況而言，審美市場正在變得過度飽和，只有通過協調的

efforts to educate the public will plastic surgeons be able to effectively advocate for

在教育公眾的努力下，整形外科醫生將能夠有效地倡導

Perhaps the most surprising specialty at risk for oversaturation is emergency medicine.

也許最令人驚訝的面臨過度飽和風險的專業是急救醫學。

Although emergency medicine physicians have been integral during the pandemic, many new

雖然急診科醫生在大流行期間是不可或缺的，但許多新的

EM doctors are reporting difficulty finding jobs.

急診科醫生報告說難以找到工作。

A lot of you have asked me to elaborate on EM’s job prospects.

你們中的很多人都要求我詳細說明EM的就業前景。

If you feel heard right now, let me know with a thumbs up.

如果你現在覺得被聽到了，請用大拇指告訴我。

And if you want more content like this, make sure you’re subscribed.

如果你想獲得更多這樣的內容，請確保你已訂閱。

The number of accredited emergency medicine programs has nearly doubled over the last

在過去的幾年裡，經認證的急診醫學項目的數量幾乎翻了一番。

15 years, going from 133 in 2005 to 265 in 2019.

15年來，從2005年的133人到2019年的265人。

As a result, the demand for EM physicians is not increasing fast enough to keep up with

是以，對EM醫生的需求增長速度不足以跟上

the amount of new doctors entering the field.

Surprisingly, the coronavirus pandemic has only added to this issue.

令人驚訝的是，冠狀病毒的大流行只是增加了這個問題。

In many areas of the country, emergency departments experienced significant decreases in patient

在該國的許多地區，急診科的病人明顯減少。

Many people were avoiding hospitals for fear of contracting COVID-19.

許多人因為害怕感染COVID-19而躲避醫院。

The transition to remote learning and work from home also meant that fewer people were

向遠程學習和在家工作的過渡也意味著更少的人在

leaving the house, leading to fewer accidents.

Many emergency departments were even forced to close their doors due to a lack of inpatient

由於缺乏住院病人，許多急診科甚至被迫關門。

在醫院超負荷運轉的樓層中的床位。

Some emergency departments reported as much as a 40% decrease in patient volume early

一些急診科報告說，早期病人數量減少了40%之多。

in the pandemic and some continue to be down as much as 20% compared to pre-pandemic patient

在這一流行病中，一些人繼續與流行病前的病人相比下降多達20%。

This is a big issue as patient volume matters a lot more in emergency medicine than it does

這是一個大問題，因為病人數量在急診醫學中比它重要得多。

There aren’t as many high-cost procedures in emergency medicine, so EM physicians rely

急診科沒有那麼多高成本的手術，所以急診科醫生依靠的是

on seeing a high volume of patients as opposed to seeing just a few complicated ones.

與只看少數複雜的病人相比，他們要看大量的病人。

It’s also very expensive to keep an emergency department open all day, every day, and have

保持急診科全天開放也是非常昂貴的，而且要有

Since physicians are the highest-paid members of the medical team, hospitals are incentivized

由於醫生是醫療團隊中收入最高的成員，醫院被激勵著

to stretch each physician as far as they can.

儘可能地擴大每個醫生的範圍。

This brings me to the next risk category.

The growth of mid-level providers such as nurse practitioners, physician assistants,

中級提供者的增長，如執業護士、醫生助理。

字幕列表影片播放

5個風險最大的醫生專業 (5 RISKIEST Doctor Specialties)

pandemic

practice

devastating

experience