Name: 競爭最激烈的5個醫生專業(2022年) (Top 5 Most Competitive Doctor Specialties (2022))
Uploaded: 2022-08-06T17:36:51.000Z
Duration: 11 min 11 s

You’ll often hear medical students and residents talk about which specialties are most competitive;

你會經常聽到醫學生和住院醫生談論哪些專業的競爭最激烈。

however, most of them don’t have the data to back up their claims.

然而，他們中的大多數人沒有數據來支持他們的主張。

Let’s explore the most up-to-date statistics and answer the question once and for all.

讓我們探討最新的統計數據，一勞永逸地回答這個問題。

Here are the top 5 most competitive specialties in 2022.

以下是2022年競爭最激烈的前5個專業。

There's a tremendous amount of misinformation out there regarding which medical specialties

關於哪些醫療專業，外面有大量的錯誤信息。

Everyone wants to say that their specialty is competitive - and they’re not wrong.

每個人都想說他們的專業是有競爭力的--而且他們也沒有錯。

Getting into any residency program is challenging; however, it is undeniable that some specialties

進入任何住院醫師項目都是具有挑戰性的；然而，不可否認的是，有些專業

are substantially more competitive and harder to get into than others.

競爭激烈，比其他國家更難進入。

Although specialty competitiveness always results in some bruised egos, whether or not

雖然專業的競爭性總是導致一些自尊心受到挫傷，但無論是否

your specialty is considered competitive does not make you a good or a bad doctor.

你的專業被認為是有競爭力的，並不意味著你是個好醫生或壞醫生。

This is Med School Insiders, and we’re committed to cutting through the noise and giving it

這裡是醫學院內部人士，我們致力於穿透噪音，給它

With that out of the way, let’s start with how we came up with our list.

說完這些，讓我們開始說說我們是如何得出名單的。

We gathered data from the official source – the National Residency Matching Program,

我們從官方管道收集數據--全國住院醫師匹配計劃。

or NRMP – and examined six categories for each specialty: average match rate, Step 1

或NRMP--並檢查了每個專業的六個類別：平均匹配率、步驟1

score, Step 2 CK score, number of publications, percentage of matriculants that were AOA,

分數、第二步CK分數、出版品數量、AOA的預科生百分比。

and percentage of applicants from a top 40 NIH funded medical school.

和來自美國國立衛生研究院資助的前40名醫學院的申請人的百分比。

You can access the data in our spreadsheet linked below.

你可以在我們下面鏈接的電子表格中獲得這些數據。

AOA, or the Alpha Omega Alpha Honor Medical Society, is an honor society in medicine – what

AOA，即Alpha Omega Alpha榮譽醫學會，是醫學界的一個榮譽協會--什麼是

you need to know for this analysis is that being AOA is often a good indicator of being

在這個分析中，你需要知道的是，AOA往往是一個很好的指標。

That being said, it’s not perfect, as many schools don’t have it.

也就是說，它並不完美，因為許多學校都沒有這個功能。

The top 40 NIH-funded medical schools are usually more competitive, meaning students

美國國立衛生研究院資助的前40所醫學院通常更具競爭力，這意味著學生

that got into these schools were, on average, stronger students.

平均而言，進入這些學校的學生更強。

Next, we ranked each specialty from 1 to 24 in each category, with 1 being the specialty

接下來，我們將每個專業在每個類別中的排名從1到24，其中1為專業。

with the lowest score in that category and 24 being the specialty with the highest score.

在該類別中得分最低的專業，24是得分最高的專業。

Once we had rankings for each specialty in each of the six different categories, we added

一旦我們有了每個專業在六個不同類別中的排名，我們就加上了

up all of the points to determine which specialties are most competitive.

了所有的點，以確定哪些專業最有競爭力。

If you want to learn more about the methodology used in this analysis, be sure to check out

如果你想了解更多關於本分析中使用的方法，請務必查看

our previous video covering the Top 5 Most Competitive Doctor Specialties - link in the

我們之前的視頻涵蓋了五大最具競爭力的醫生專業--鏈接在

In 2018, when that video was released, the top 5 most competitive specialties were dermatology,

在2018年，當該視頻發佈時，競爭最激烈的前5個專業是皮膚科。

plastic surgery, neurosurgery, orthopedic surgery, and ENT.

整形外科、神經外科、骨科和耳鼻喉科。

When the NRMP released their updated data for 2020, the top 5 specialties remained the

當NRMP發佈其2020年的最新數據時，排名前五的專業仍然是

same; however, the order shifted with plastic surgery moving up to first, followed by dermatology,

然而，順序發生了變化，整形外科上升到第一位，其次是皮膚科。

neurosurgery, ENT, and orthopedic surgery.

神經外科、耳鼻喉科和骨科手術。

In 2022, however, things have changed yet again.

然而，在2022年，情況又發生了變化。

We have added data for two new specialties to the list, thoracic surgery and urology,

我們在列表中增加了兩個新的專業的數據，即胸外科和泌尿科。

It should be noted that the NRMP does not publish data for thoracic surgery and urology,

應該注意的是，NRMP沒有公佈胸外科和泌尿科的數據。

so the data used in this analysis for these two specialties are from 2021.

所以本分析中使用的這兩個專業的數據是2021年的。

Plastic surgery retains its number 1 ranking as the most competitive specialty which it

整形外科作為競爭最激烈的專業，保持了第一的排名。

Dermatology, which has consistently duked it out with plastic surgery for the number

皮膚病學，一直與整形外科在數量上不相上下。

one spot, has moved down to number three with ENT moving into the number two position.

排名第一，已降至第三位，ENT公司進入第二位。

Thoracic surgery takes the number four spot followed by neurosurgery at number five.

胸外科佔據第四位，其次是神經外科，排名第五。

It should be noted that ophthalmology was not included in this analysis given the lack

應該注意的是，由於缺乏對眼科學的研究，本分析未包括眼科學。

of complete data; however, based on the data that we do have such as Step 1 scores and

的完整數據；然而，根據我們所擁有的數據，如步驟1的分數和

match rate, it is a middle-tier specialty and would not be in the top 5 most competitive

匹配率，它是一箇中等水平的專業，不會進入競爭最激烈的前5名。

Historically, it has hovered high on tier 3 and that likely hasn’t changed for 2022.

從歷史上看，它一直徘徊在第三級的高位，這一點在2022年可能沒有改變。

To learn more about the different tiers of specialty competitiveness, check out Why Every

要了解更多關於專業競爭力的不同層次，請查看《為什麼每一個

Specialty Seems Competitive over on the Kevin Jubbal, M.D.

在凱文-朱波爾醫學博士的辦公室裡，專業性似乎很強。

Every analysis has its weaknesses, however, and this analysis is no exception.

然而，每個分析都有其弱點，這個分析也不例外。

The main limitation is that it weights each of the six components equally – again being

主要的限制是，它對六個組成部分中的每一個都進行了平等的加權--同樣是

match rate, Step 1 score, Step 2 CK score, number of publications, AOA status, and coming

匹配率、第1步分數、第2步CK分數、出版品數量、AOA地位和未來

In reality, some components are more indicative of a specialty’s competitiveness than others.

在現實中，有些成分比其他成分更能顯示出一個專業的競爭力。

To help address this shortcoming, we have created the new 2022 MSI Competitiveness Index

為了幫助解決這一缺陷，我們創建了新的2022年MSI競爭力指數

which weights each of the six components based on their relative importance.

它根據六個組成部分的相對重要性對其進行加權。

Match rate is weighted 25%, Step 1 score 25%, Step 2 CK score 15%, publications 20%, AOA

匹配率的權重為25%，步驟1得分25%，步驟2 CK得分15%，出版品20%，AOA

10%, and Top 40 NIH School 5% to better reflect the relative importance of each component.

10%，美國國立衛生研究院前40名學校5%，以更好地反映每個組成部分的相對重要性。

When we add these weightings, plastic surgery, ENT, and dermatology remain as the top 3;

當我們加上這些權重，整形外科、耳鼻喉科和皮膚科仍然是前三名。

however, thoracic surgery moves out of the top 5 and neurosurgery and orthopedic surgery

然而，胸外科走出了前五名，而神經外科和骨科手術則進入了前五名。

move back into the fourth and fifth positions.

One noticeable trend among the most competitive specialties is that nearly all of them are

在最具競爭力的專業中，一個明顯的趨勢是，幾乎所有的專業都是

Dermatology is the only exception to this.

To start, surgical specialties tend to have high compensation relative to other medical

首先，相對於其他醫學專業，外科專業的報酬往往較高。

According to Medscape’s 2022 Physician Compensation report, plastic surgeons make an average of

根據Medscape的2022年醫生報酬報告，整形外科醫生的平均收入為

$576,000, orthopedic surgeons make $557,000 and ENT surgeons earn $469,000.

576,000美元，骨科醫生收入557,000美元，耳鼻喉科醫生收入469,000美元。

Neurosurgeons and thoracic surgeons are also known for having very high compensation but

神經外科醫生和胸外科醫生也以具有非常高的報酬而聞名，但

were not included in Medscape’s report.

According to data from the AAMC, the median salary for neurosurgeons is $753,000 per year

根據AAMC的數據，神經外科醫生的年薪中位數為753,000美元。

and the median salary for thoracic surgeons is $712,000 per year.

而胸外科醫生的年薪中位數為712,000美元。

In addition, surgical specialties tend to be fairly resistant to mid-level encroachment

此外，外科專業往往對中層人員的侵佔有相當大的阻力

which is a growing concern for many physicians in the United States.

這也是美國許多醫生越來越關注的一個問題。

To learn more about scope of practice for nurse practitioners and physician assistants,

要了解更多關於執業護士和醫生助理的執業範圍。

be sure to check out our Research Explained video covering the Scope Creep Controversy

請務必查看我們的 "研究解釋 "視頻，其中包括 "範圍蠕變 "爭議。

Another trend, specifically within the top 3, is the ability to open cash-based practices.

另一個趨勢，特別是在前三名內，是開設現金業務的能力。

This is particularly relevant as Medicare reimbursement rates have not kept up with

這一點尤其重要，因為醫療保險的報帳率沒有跟上

the rising costs of healthcare in the U.S. As such, specialties that have the option

to open cash-based practices are more resistant to changes in insurance reimbursement.

開設以現金為基礎的診所，對保險報帳的變化更有牴觸。

Within plastics and dermatology, there is potential to open aesthetic practices which

在整形外科和皮膚科內，有可能開設美容診所，這些診所包括

are generally cash-based due to the cosmetic and elective nature of procedures.

由於手術的美容和選擇性質，一般都是基於現金的。

In addition, ENT surgeons are able to complete a fellowship in facial plastics which provides

此外，耳鼻喉科醫生還可以完成面部整形的研究，提供

them with training in aesthetic procedures including rhinoplasties, facelifts, blepharoplasties,

他們接受過美容手術的培訓，包括隆鼻、拉皮、眼瞼整形。

This may be another factor contributing to the continued competitiveness of plastics

這可能是促成塑膠持續競爭力的另一個因素。

and dermatology and the increase in competitiveness that we are seeing with ENT in 2022.

和皮膚病學，以及我們在2022年看到的耳鼻喉科的競爭力增加。

Although the top 5 has remained constant for several years, the most notable change is

雖然前五名幾年來一直保持不變，但最明顯的變化是

ENT moving from the number five spot to the number two spot and passing dermatology in

耳鼻喉科從第五位升至第二位，並超過皮膚科。

There are a few potential reasons for this.

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競爭最激烈的5個醫生專業(2022年) (Top 5 Most Competitive Doctor Specialties (2022))

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