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。

Dr. Jubbal, MedSchoolInsiders.com.

Jubbal博士，MedSchoolInsiders.com。

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。

are the most competitive.

是最有競爭力的。

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

to you straight.

向你直說。

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。

a high-performing student.

一個表現優異的學生。

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

description.

描述。

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。

as well as new data from the NRMP.

以及來自NRMP的新數據。

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。

has held for the past few years.

在過去的幾年中一直保持著。

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。

specialties.

專長。

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。

channel - link in the description.

頻道--描述中的鏈接。

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

from a top 40 NIH school.

來自NIH前40名的學校。

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.

移回第四和第五位。

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

surgical specialties.

外科專業。

Dermatology is the only exception to this.

皮膚病學是唯一的例外。

There are a few possible explanations.

有幾個可能的解釋。

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。

specialties.

專長。

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.

沒有包括在Medscape的報告中。

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。

- link in the description.

- 描述中的鏈接。

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

是以，可以選擇的專業包括

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。

and more.

以及更多。

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。

terms of competitiveness.

在競爭力方面。

There are a few potential reasons for this.

這有幾個潛在的原因。

The lifestyle of ENT surgeons is great, and you can make good money with a good work/life

耳鼻喉科醫生的生活方式很好，你可以賺到很好的錢，有良好的工作/生活。

balance.

平衡。

Compared to some other surgical subspecialties, there is often more clinic time allowing you

與其他一些外科亞專業相比，通常有更多的門診時間，使你能夠

to split your time more evenly between the clinic and the operating room.

在診所和手術室之間更平均地分配你的時間。

In addition, as a surgical specialty, ENT is fairly resistant to midlevel encroachment

此外，作為一個外科專業，耳鼻喉科對中層人員的侵佔有相當的抵抗力。

whereas dermatology is at an elevated risk.

而皮膚科的風險則較高。

Although this is speculative and it is impossible to know for sure, these factors likely play

雖然這只是推測，不可能確定，但這些因素很可能起到了作用。

a role in ENT moving up to the number two most competitive specialty in 2022 and pushing

在2022年耳鼻喉科上升為第二大最具競爭力的專業並推動其發展的過程中發揮作用。

dermatology into the number three spot.

皮膚病學進入第三位。

That being said, it’s not just about how much money you make but also how hard you

也就是說，這不僅僅是關於你賺多少錢的問題，還包括你有多努力。

have to work to make it.

必須努力去做。

Dermatology is still known for being one of the best lifestyle specialties.

皮膚病學仍以最佳生活方式專業之一而聞名。

Given the outpatient nature, low acuity of medical conditions, limited call, and flexible

鑑於門診的性質，醫療條件的低敏性，有限的呼叫，以及靈活的

workdays, dermatologists generally have more control over how they work.

工作日，皮膚科醫生通常對他們的工作方式有更多的控制。

Dermatologists are also at the higher end of the spectrum in terms of physician compensation

在醫生報酬方面，皮膚科醫生也處於較高的水準。

with an average salary of $438,000 in 2022.

2022年的平均工資為438,000美元。

Although this is less than most surgical specialties, dermatologists also work fewer hours on average.

雖然這比大多數外科專業要少，但皮膚科醫生的平均工作時間也較少。

The average dermatologist works 45 hours per week whereas most surgical specialties vary

皮膚科醫生平均每週工作45小時，而大多數外科專業的工作時間都不一樣。

from 52 hours at the low end to upwards of 60 hours at the high end.

從低端的52小時到高端的60小時以上。

When we take this into account, dermatologists enjoy the third highest average hourly rate

如果我們考慮到這一點，皮膚科醫生享有第三高的平均時薪。

out of any specialty with only plastic surgeons and orthopedic surgeons earning more per hour.

在所有專業中，只有整形外科醫生和骨科醫生每小時的收入更高。

For these reasons, it is not surprising that dermatology still ranks as the number three

由於這些原因，皮膚病學仍然排在第三位也就不足為奇了。

most competitive specialty.

最具競爭力的專業。

Outside of the top 5, there were also changes in the rankings of some of the middle-tier

在前5名之外，一些中間層的排名也有變化

specialties in 2022 – the most notable of which was radiation oncology.

2022年的專業 - 其中最引人注目的是放射腫瘤學。

In 2020, radiation oncology ranked as the seventh most competitive specialty.

2020年，放射腫瘤學在競爭最激烈的專業中排名第七。

In 2022, however, it now ranks fourteenth.

然而，在2022年，它現在排名第十四。

It should be noted that urology and thoracic surgery were added for 2022; however, even

應該注意的是，2022年增加了泌尿外科和胸腔外科；但是，即使是

if we omit these specialties, it would still be in the number twelve spot.

如果我們省略這些特產，它仍將處於第十二位。

This significant decline in competitiveness may reflect decreasing interest in radiation

這種競爭力的大幅下降可能反映了人們對輻射的興趣下降。

oncology from medical students.

醫學學生的腫瘤學。

In recent years, many have been concerned about oversaturation within the field of radiation

近年來，許多人對輻射領域的過度飽和感到擔憂。

oncology.

腫瘤學。

Between 2001 and 2019, the number of radiation oncology positions offered annually in the

2001年至2019年期間，每年提供的放射腫瘤學職位的數量在

match increased by 227%.

匹配度增加了227%。

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 American Society for Radiation Oncology, or ASTRO, predicts that fewer radiation

是以，美國放射腫瘤學協會（ASTRO）預測，將有更少的放射物被用於治療。

oncologists may be needed in the coming years.

在未來幾年，可能需要腫瘤學家。

In a 2021 Statement regarding the future of radiation oncology, ASTRO stated that  “residency

在2021年關於放射腫瘤學未來的聲明中，ASTRO指出，"住院醫師資格

positions should be reserved for those who are enthusiastic about the field and should

職位應保留給那些對該領域有熱情的人，並應

reflect the anticipated societal need for radiation therapy services.”

反映了社會對放射治療服務的預期需求"。

Another notable change is that anesthesia has moved up in the rankings from the seventeenth

另一個值得注意的變化是，麻醉學的排名已經從第十七位上升到了第二位。

most competitive specialty in 2020 to the fourteenth most competitive in 2022.

2020年最具競爭力的專業，到2022年將成為第十四個最具競爭力的專業。

This increase in competitiveness may reflect increased interest in the field of anesthesiology.

這種競爭力的提高可能反映了人們對麻醉學領域的興趣增加。

Anesthesiology has always been known for having a great lifestyle; however, there seems to

麻醉學一直以擁有美好的生活方式而聞名；然而，似乎有

be an ever greater emphasis placed on lifestyle among medical students today.

今天，醫學生對生活方式的重視程度越來越高。

The COVID-19 pandemic shed light on the long-standing issues of overwork and burnout among physicians.

COVID-19的大流行揭示了醫生中長期存在的過度工作和倦怠問題。

As such, many students may be attracted to the great work-life balance that anesthesia

是以，許多學生可能會被麻醉學的工作與生活的巨大平衡所吸引。

can offer.

可以提供。

Many anesthesiologists work regular 9 to 5 hours and when they’re off, they’re completely

許多麻醉師的工作時間是正常的9至5小時，當他們休息時，他們就完全

off.

關閉。

There’s no need to carry a pager home or be called during the middle of the night.

沒有必要帶著傳呼機回家或在半夜被叫。

Overall, it’s quite clear that the most competitive specialties are highly correlated

總體而言，很明顯，最具競爭力的專業是高度相關的

with excellent pay, excellent lifestyle, or resistance to issues like oversaturation,

有優秀的薪酬，優秀的生活方式，或對過度飽和等問題的抵抗。

encroachment, and changes in insurance reimbursement.

侵佔，以及保險報帳的變化。

Correlation is not causation, but I think it’s safe to say that there’s more than

相關性不是因果關係，但我認為可以安全地說，有超過

a simple correlation going on here.

這裡發生了一個簡單的關聯性。

What do you think of the results?

你認為結果如何？

Are you surprised, or is this what you were expecting?

你是否感到驚訝，或者這是你所期待的？

Leave a comment down below – I’d love to hear your thoughts.

請在下面留言--我很想聽聽你的想法。

If you find yourself getting discouraged because your dream specialty ranks high on the competitiveness

如果你發現自己因為你的夢想專業在競爭中排名靠前而感到氣餒

index, don’t fall into the trap I’ve seen many succumb to.

指數，不要落入我見過的許多人屈服的陷阱。

I’ve come across dozens of residents and attending physicians who wanted to do a different

我遇到過幾十個住院醫生和主治醫生，他們想做一個不同的工作。

specialty, like plastic surgery, ENT, or dermatology, but ultimately decided they weren’t competitive

諸如整形外科、耳鼻喉科或皮膚科等專業，但最終決定他們不具備競爭力。

enough for the specialty that they truly desired.

足夠用於他們真正想要的專業。

If you think you’re not the smartest and that you’re doomed, stop right there.

如果你認為你不是最聰明的，你是註定要失敗的，那就在這裡停下來。

Your ability to crush your MCAT, USMLE, and have dozens of research articles is less a

你的能力是粉碎你的MCAT、USMLE，並有幾十篇研究文章，這不是一個

function of your intelligence and more a function of proper preparation, constantly improving,

你的智慧的功能，而更多的是適當的準備，不斷地改進。

and putting in the work.

並投入工作。

Having a stellar medical school or residency application and crushing the interviews is

擁有一份出色的醫學院或住院醫師申請，並在面試中脫穎而出是

no different, even if you don’t consider yourself a “people person.”

沒有什麼不同，即使你不認為自己是一個 "人"。

Even though I wasn’t the most gifted student, I obsessed over honing my own systems and

儘管我不是最有天賦的學生，但我執著於磨練自己的系統和

strategies to match into plastic surgery.

匹配到整形外科的策略。

And you can learn how to do the same.

你也可以學習如何做到這一點。

At Med School Insiders, our mission is to empower a generation of happier, healthier,

在Med School Insiders，我們的使命是讓一代人更快樂、更健康。

and more effective future doctors.

和更有效的未來醫生。

From help on medical school or residency applications to crushing your MCAT or USMLE, we’ve got

從對醫學院或住院醫師申請的幫助到粉碎你的MCAT或USMLE，我們有

your back.

你的背部。

And our results speak for themselves.

我們的結果不言自明。

We’ve become the fastest-growing company in the space with the highest satisfaction

我們已經成為該領域內發展最快、滿意度最高的公司。

ratings.

評級。

See for yourself and learn more at MedSchoolInsiders.com.

自己看，並在MedSchoolInsiders.com瞭解更多。

Thank you all so much for watching!

非常感謝大家的觀看!

If you enjoyed this video, check out NP & PA vs MD & DO or the Top 5 Riskiest Doctor Specialties.

如果你喜歡這段視頻，請查看NP和PA與MD和DO的對比或五大風險最高的醫生專業。

Much love and I’ll see you guys there.

非常感謝，我們會在那裡見到你們。