字幕列表 影片播放 由 AI 自動生成 列印所有字幕 列印翻譯字幕 列印英文字幕 Medical education is failing students. 醫學教育正在使學生失望。 At least, that’s what you’ve heard from countless medical students and residents, 至少,這是你從無數的醫學生和住院醫生那裡聽到的。 right? 對嗎? But what if I told you it’s not all doom and gloom and there are actually many things 但是,如果我告訴你,這並不全是厄運和陰霾,實際上有許多事情 it gets right? 它得到的權利? Here are 5 reasons why the U.S. medical education system is great. 以下是美國醫學教育系統偉大的5個原因。 Dr. Jubbal, MedSchoolInsiders.com. Jubbal博士,MedSchoolInsiders.com。 Medical education in the U.S. has been facing a great deal of criticism over the past few 在過去的幾年中,美國的醫學教育一直面臨著大量的責備。 years. 年。 Issues like burnout, depression, work-life balance, and the rising cost of medical school 諸如職業倦怠、抑鬱症、工作與生活的平衡以及醫學院費用的上升等問題 have been hot topics in the media. 一直是媒體的熱門話題。 But with all of this focus on the negatives, we often don’t hear about the other side 但是,在所有這些對負面因素的關注中,我們往往沒有聽到另一面的情況 of the argument. 的論證。 It’s important to remember that medical education in the U.S. is not all bad. 重要的是要記住,美國的醫學教育並不全是壞事。 As with most things in life, it’s not so black and white and the truth often lies somewhere 就像生活中的大多數事情一樣,它不是那麼非黑即白,真相往往就在某處。 in the middle. 在中間。 Let’s start with the length of training. 讓我們從訓練的長度開始。 Although the U.S. has one of the longest pathways to becoming a physician out of any developed 儘管在所有發達國家中,美國是成為醫生的途徑最長的國家之一。 country, this isn’t necessarily a bad thing. 國家,這不一定是一件壞事。 By requiring a 4-year Bachelor’s degree prior to medical school, aspiring physicians 通過要求在上醫學院之前獲得4年的學士學位,有志於此的醫生們 are able to explore other interests before committing to a career in medicine. 在致力於醫學事業之前,能夠探索其他興趣。 Although most premeds complete degrees in biology, biochemistry, or another science-related 儘管大多數醫學預科生完成了生物學、生物化學或其他與科學相關的學位 field, there are no restrictions on the type of degree you need to obtain prior to medical 在醫學領域,對你需要獲得的學位類型沒有限制。 school. 學校。 As long as you complete the prerequisite courses and hold some form of Bachelor’s degree, 只要你完成先修課程並持有某種形式的學士學位。 you can apply. 你可以申請。 By allowing students to explore other interests and subjects outside of medicine before medical 通過允許學生在醫學之前探索醫學以外的其他興趣和學科 school, students are able to bring unique perspectives and experiences to the medical 在學校,學生能夠為醫學界帶來獨特的觀點和經驗。 profession. 專業。 Requiring a 4-year degree prior to medical school also provides students with more time 要求在讀醫學院之前獲得4年的學位,也為學生提供了更多的時間 to gain exposure to the medical field through shadowing and volunteer work before committing 在作出承諾之前,通過實習和志願工作接觸醫學領域。 to a career as a doctor. 到醫生的職業。 As such, premeds are able to enter their medical training with a far better understanding of 是以,預科生能夠在進入醫學培訓時對以下方面有更好的瞭解 the realities of being a physician. 作為一名醫生的現實情況。 During college, premeds are also exposed to a variety of students, many of which are pursuing 在大學期間,預科生也會接觸到各種各樣的學生,其中許多人都在追求 career paths outside of medicine. 醫學以外的職業道路。 By seeing all of these different people and the different career paths available, premeds 通過看到所有這些不同的人和不同的職業道路,預科生們 gain insight into what other careers are out there, ultimately making their decision to 獲得對其他職業的洞察力,最終使他們做出決定。 pursue a career in medicine much more intentional. 追求醫學事業的意圖更強。 This reduces the fear of missing out or “FOMO” that often comes with committing to a career 這減少了對錯過的恐懼或 "FOMO",這種恐懼往往伴隨著對職業的承諾。 without having explored other options first. 而沒有首先探索其他選擇。 It also reduces the likelihood that students will regret their decision to pursue medicine 這也減少了學生為自己追求醫學的決定而後悔的可能性。 as they will have had more opportunities to explore the profession and understand what 因為他們將有更多的機會來探索這個行業,並瞭解什麼是 "不可能的"。 they’re getting themselves into. 他們正在使自己陷入。 The challenging environment during medical school and residency also serves as a catalyst 醫學院和住院醫師期間的挑戰性環境也是一種催化劑。 for students to grow and mature as individuals. 學生作為個人成長和成熟。 Although there are surely issues that come with the rigors of medical education, being 雖然在嚴格的醫學教育中肯定會有一些問題,但作為 in a challenging environment often forces students to adapt and evolve. 在一個具有挑戰性的環境中,往往迫使學生適應和發展。 As they say, diamonds are just lumps of coal that did well under pressure. 正如他們所說,鑽石只是在壓力下表現良好的煤塊。 Research has shown that a little bit of stress is actually ideal and can help you perform 研究表明,一點點的壓力實際上是理想的,可以幫助你執行 better. 更好。 This is explained by the Yerkes-Dodson Law, which says that up to a certain point, increased 這可以用耶克斯-多德森定律來解釋,該定律說,在某一點上,增加的 arousal can help your performance. 喚醒可以幫助你的表現。 When the stress becomes too much, however, performance starts to decline. 然而,當壓力變得過大時,表現就開始下降。 That being said, if you are able to refine your systems and find balance during your 這就是說,如果你能夠在你的工作期間完善你的系統並找到平衡 medical training, you will grow immensely as a person throughout the process. 醫學培訓,在整個過程中你將作為一個人得到巨大的成長。 I wouldn’t be where I am today if it weren’t for the challenges I faced during college, 如果不是因為我在大學期間面臨的挑戰,我就不會有今天的成就。 medical school, and residency. 醫學院和住院醫師。 To overcome these obstacles, I had to refine my study techniques, time management skills, 為了克服這些障礙,我必須完善我的學習技巧、時間管理技能。 and productivity and become a top-performing student. 和生產力,併成為一名錶現優異的學生。 Without this pressure to perform, I wouldn’t have learned nearly as much as I did and wouldn’t 如果沒有這種表現的壓力,我就不會學到那麼多,也不會 be in the position I am today where I can pass all of that knowledge on to all of you. 在我今天的位置上,我可以把所有這些知識傳遞給你們所有人。 In addition to personal growth, the challenging environment in medical school also helps foster 除了個人成長之外,醫學院的挑戰性環境也有助於培養 strong relationships between you and your peers. 你和你的同齡人之間的強大關係。 You are surrounded by other students that are experiencing the same challenges, and 你周圍有其他正在經歷同樣挑戰的學生,而且 shared suffering often creates some of the strongest bonds. 共同的苦難往往創造出一些最牢固的紐帶。 It’s not uncommon to develop friendships during medical school that will last a lifetime. 在醫學院期間建立起將持續一生的友誼是很常見的。 The medical school curriculum has also changed and evolved throughout the last few decades 在過去的幾十年裡,醫學院的課程也發生了變化和發展。 and has many positive aspects. 並有許多積極的方面。 To start, an increasing number of medical schools have adopted pass-fail curriculums 首先,越來越多的醫學院校採用了合格-不合格課程 during the preclinical years. 在臨床前的幾年裡。 The benefit of this is that it decreases competition between students and encourages collaboration. 這樣做的好處是,它減少了學生之間的競爭,鼓勵合作。 When curriculums are pass-fail, students are not as concerned about their peer’s performance 當課程是通過-失敗的時候,學生就不太關心他們的同伴的表現了 and how it may negatively affect their chances of matching into their desired residency program. 以及這可能對他們進入理想的住院醫師項目的機會產生負面影響。 In the wake of the COVID-19 pandemic, many schools have also transitioned away from mandatory 在COVID-19大流行之後,許多學校也已經從強制性的 "教育 "過渡到 "教育"。 lectures and have given students the option to use a “flipped classroom” approach 講座,並讓學生選擇使用 "翻轉課堂 "的方法。 to learning by providing pre-recorded lectures and other educational materials. 通過提供預先錄製的講座和其他教育材料來學習。 This allows students to gain their first exposure to the information at home through self-directed 這使學生能夠在家裡通過自學獲得第一次接觸資訊的機會。 and self-paced learning before practicing and applying that knowledge in the classroom 在課堂上練習和應用這些知識之前,先進行自定進度的學習。 setting. 設置。 As a result, students are able to learn at their own pace instead of being forced to 是以,學生能夠按照自己的節奏學習,而不是被迫學習。 conform to the pace of their instructor. 符合他們的教員的節奏。 This allows them to spend their time more efficiently and better optimize their learning. 這使他們能夠更有效地利用時間,更好地優化他們的學習。 For instance, if a student has a strong understanding of a particular topic, they can speed through 例如,如果一個學生對某一主題有很強的理解,他們可以快速通過 that part of the lecture at 2x speed. 講座的這一部分以2倍的速度進行。 And when they reach a topic that they struggle with, they can slow things down and take more 當他們到達一個他們難以應付的主題時,他們可以放慢速度,採取更多的 time to understand it. 時間來理解它。 This approach also allows classroom time to be devoted to active learning instead of passive 這種方法還允許將課堂時間用於主動學習,而不是被動學習。 learning. 學習。 Many schools have incorporated more problem-based learning into their curriculums and present 許多學校已將更多基於問題的學習納入其課程,並提出了 students with clinical cases aimed at reinforcing topics that they’re learning. 學生們通過臨床案例,旨在加強他們正在學習的主題。 This forces students to think critically and apply their knowledge to real-world situations. 這迫使學生進行批判性思考,並將他們的知識應用到現實世界中。 Not only does this help tie what students are learning to the clinical setting, but 這不僅有助於將學生所學的知識與臨床環境結合起來,而且 it also challenges them to use higher levels of thinking than they normally use during 這也是對他們的挑戰,讓他們使用比平時更高的思維水準。 studying. 研究。 This is beneficial as these higher levels of thinking have been shown to aid in long-term 這是有益的,因為這些較高的思維水準已被證明有助於長期的發展。 retention of information. 保留資訊。 In addition, problem-based learning reinforces the same problem-solving skills that medical 此外,基於問題的學習加強了與醫學有關的解決問題的技能。 students will ultimately use in practice as a physician. 學生最終將在實踐中作為醫生使用。 Next is the heavy emphasis on research during medical school. 其次是醫學院期間對研究的高度重視。 Although some may see this as a negative, there are some advantages to research during 雖然有些人可能認為這是個負面因素,但在研究過程中也有一些好處 medical school. 醫學院。 To be a physician means that you are also a lifelong student. 成為一名醫生意味著你也是一個終身的學生。 Our understanding of medicine is constantly evolving, so the learning doesn’t stop when 我們對醫學的理解是不斷髮展的,所以學習並沒有停止,當 you finish medical school and residency. 你完成醫學院和住院醫師的學習。 There will always be new situations that arise and new information that comes out that you 總會有新的情況出現,也會有新的資訊出現,而你卻不知道。 weren’t exposed to during your training. 在你的訓練中沒有接觸過的。 In some instances, you may even be thrust into the middle of a pandemic and have to 在某些情況下,你甚至可能被推到一場大流行病的中間,不得不 treat patients with an illness that science doesn’t fully understand yet. 治療患有科學尚不完全瞭解的疾病的病人。 As such, being able to read and interpret research is an important skill for physicians. 是以,能夠閱讀和解釋研究是醫生的一項重要技能。 It allows them to go straight to the source of new information and critically assess its 它使他們能夠直接找到新資訊的來源,並對其進行批判性評估。 strengths and weaknesses. 優勢和劣勢。 No research study is perfect and every single one is subject to its own biases and limitations, 沒有一項研究是完美的,每一項研究都有其自身的偏見和侷限性。 so by understanding the research process intimately, physicians are able to recognize the nuance 是以,通過深入瞭解研究過程,醫生們能夠認識到細微的差別。 and not just take the researcher’s conclusions at face value. 而不是隻聽信研究者的結論。 Lastly, there’s the quality of instructors in the U.S. 最後,是美國教員的品質。 The countries that pay doctors the most and offer the greatest chance for advancement 給予醫生最多報酬並提供最大升遷機會的國家 often attract the top talent, and the U.S. offers some of the highest salaries for physicians 往往能吸引頂尖人才,而美國為醫生提供了一些最高的工資。 of any country in the world. 是世界上任何國家中的佼佼者。 As a result, many foreign-trained physicians are attracted to the U.S. despite the challenges 是以,儘管存在各種挑戰,許多外國培訓的醫生仍被吸引到美國。 of obtaining the right to practice here permanently. 獲得在這裡永久執業的權利。 And because the supply is so high, the U.S. is often able to cherry-pick the top talent. 而且,由於供應量很大,美國往往能夠挑選出頂級人才。 The ability to attract top talent to the United States is not unique to medicine either. 吸引頂尖人才到美國的能力也不是醫學界獨有的。 We can see this in a variety of other industries as well. 我們在其他各種行業也可以看到這一點。 In computer science, for instance, top talent are often attracted to Silicon Valley as this 例如,在計算機科學領域,頂尖人才往往被吸引到硅谷,因為這 is where many of the tech giants are like Apple and Google. 是許多科技巨頭的所在地,如蘋果和谷歌。 As such, this is where they can take their careers the farthest. 是以,這也是他們可以將自己的職業生涯推向最遠的地方。 Practicing medicine in the United States is no different. 在美國行醫也不例外。 In addition to high salaries attracting top physicians, the economic structure of the 除了高薪吸引頂級醫生外,經濟結構也是如此。 United States rewards innovation and creativity. 美國獎勵創新和創造。 The U.S has more clinical trials than any other country, strong intellectual property 美國的臨床試驗比其他任何國家都要多,強大的知識產權 laws, and significant public and private investment in research and development. 法律,以及大量公共和私人投資於研究和開發。 As a result, the U.S. is a world leader in healthcare innovation, and often sets the 是以,美國在醫療保健創新方面處於世界領先地位,並經常為其設定了一個新的標準。 standard for other countries to follow suit. 為其他國家效仿的標準。 With access to new technologies and some of the best and brightest physicians in the world, 有機會接觸到新技術和世界上一些最好和最聰明的醫生。 medical students in the U.S. are often at the cutting edge of medicine. 美國的醫學生往往處於醫學的最前沿。 Although medical education in the United States is not without its faults, there are still 雖然美國的醫學教育並非沒有缺點,但仍有 many things that it gets right. 很多事情它都做對了。 If you’re considering a career in medicine, it is important to be aware of its shortcomings; 如果你正在考慮從事醫學工作,重要的是要意識到它的缺點。 however, it is equally important not to give in to negativity bias. 然而,同樣重要的是,不要屈服於消極的偏見。 Just like anything else, medical education has its own pros and cons and it is imperative 就像其他事物一樣,醫學教育也有其自身的優點和缺點,當務之急是 to understand both sides when deciding if this is the career for you. 在決定這是否是你的職業時,要了解雙方的情況。 At Med School Insiders our goal is to empower a generation of happier, healthier, and more 在Med School Insiders,我們的目標是賦予一代人更快樂、更健康和更多的機會。 effective future doctors, and part of that is helping students overcome the challenges 培養有效的未來醫生,而其中的一部分就是幫助學生克服挑戰。 of medical education to become the best physicians they can be. 醫學教育,以成為他們能夠成為的最好的醫生。 Our team is made up of top-performing doctors who received merit-based scholarships at the 我們的團隊是由表現優異的醫生組成的,他們獲得了美國大學的擇優獎學金。 nation’s top medical schools and they can show you how to do the same. 他們可以告訴你如何做到這一點。 From MCAT tutoring and medical school admissions to USMLE tutoring and residency applications, 從MCAT輔導和醫學院招生到USMLE輔導和住院醫生申請。 we’re here to help you at each step of the way. 我們會在每一個步驟中幫助你。 If you want to be a stellar applicant and receive one-on-one advising, tutoring, interview 如果你想成為一個優秀的申請人,並得到一對一的指導、輔導、面試和培訓。 preparation, personal statement or secondary editing, mentorship, and more to become the 準備、個人陳述或二次編輯、導師指導,以及更多,以成為 strongest applicant you can be, visit MedSchoolInsiders.com. 你可以成為最強的申請人,請訪問MedSchoolInsiders.com。 Thank you all so much for watching, if you enjoyed this video be sure to check out Affirmative 非常感謝大家的觀看,如果你喜歡這個視頻,請務必查看《肯定》。 Action in Medical School Admissions or Day in the Life of a Medical Student over on the 醫學院招生中的行動或醫學生生活中的一天,請點擊這裡。 Kevin Jubbal, M.D. Kevin Jubbal, M.D. channel. 管道。 Much love, and I’ll see you guys there. 非常感謝,我們會在那裡見到你們。
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