issues within medicine. With all of this  negativity, you might think that medicine  

醫學內部的問題。在所有這些負面因素的影響下，你可能會認為，醫學

is a dying career or that all physicians are  burned out and miserable. Not so fast. There  

是一個垂死的職業，或者說所有的醫生都疲於奔命，痛苦不堪。不要這麼快。有

are still many physicians who lead happy and  fulfilling lives and love their jobs. Let’s  

仍然有許多醫生過著快樂和充實的生活，並熱愛他們的工作。讓我們

talk about physician happiness and what you can do  to enjoy a fulfilling career as a future doctor. 

談論醫生的幸福，以及作為未來的醫生，你可以做些什麼來享受一個充實的職業生涯。

Dr. Jubbal, MedSchoolInsiders.com. Despite what the media might have you believe,  

Jubbal博士，MedSchoolInsiders.com。儘管媒體可能會讓你相信。

the data suggests that most physicians are  actually pretty happy. Approximately 60% of  

數據表明，大多數醫生實際上是很高興的。大約60%的

physicians report feeling happy outside of  work and 73% report that they would choose  

醫師們表示在工作之外感到幸福，73%的醫師表示他們會選擇

medicine again. Although this shouldn’t be used  as an excuse not to address the issues within  

又是醫藥。儘管這不應該被用作不解決內部問題的藉口。

medicine and medical education, the situation  is not as grim as some people make it out to be. 

醫學和醫學教育，情況並不像一些人說的那樣嚴峻。

According to Medscape’s 2020 Physician Lifestyle  and Happiness Report, the specialties with the  

根據Medscape的《2020年醫生生活方式和幸福感報告》，具有以下特點的專業：1.

greatest proportion of happy physicians were  rheumatology at number one followed by general  

幸福的醫生比例最大的是風溼病學，位居第一，其次是普通醫學。

surgery, public health & preventive medicine,  allergy & immunology, and orthopedics. The bottom  

外科、公共衛生和預防醫學、過敏和免疫學，以及骨科。底層

five were neurology, critical care, internal  medicine, gastroenterology, and endocrinology. 

五個是神經病學、重症監護、內科、胃腸病學和內分泌學。

In 2019, the top 5 happiest specialties were  rheumatology first, followed by otolaryngology,  

2019年，最幸福的前5個專科是風溼病學第一，其次是耳鼻喉科。

endocrinology, pediatrics, and general surgery  and the bottom five were neurology, infectious  

內分泌科、兒科和普通外科，倒數第一的是神經科、傳染病科。

disease, cardiology, pathology, and oncology. Despite rheumatology remaining in the top  

癌症、心臟病學、病理學和腫瘤學。儘管風溼病學仍在前幾位

position and neurology remaining in the bottom  position, there is minimal overlap between the  

在這個位置上，神經內科仍處於底部位置，兩者之間的重合度極低。

two years. Endocrinology, despite being a  top 5 specialty in 2019, found itself in the  

兩年了。內分泌學儘管是2019年的前5名專業，但發現自己在

bottom five in that same list in 2020. Although  significant year-to-year changes are possible,  

2020年，在同一名單中排名倒數第五。儘管每年都有可能發生重大變化。

it’s more likely that these are limitations of the  study which uses survey data and self-reporting.  

更有可能的是，這些是使用調查數據和自我報告的研究的侷限性。

So if specialty choice is not a reliable factor,  what actually influences physician happiness? 

是以，如果專科選擇不是一個可靠的因素，那麼實際上是什麼影響了醫生的幸福感？

To start, many people are drawn to medicine due  to the desire to help others. It should come as no  

首先，許多人被吸引到醫學界是由於希望幫助他人。這不應該是

surprise then that relationships are an important  factor when it comes to physician happiness. 

那麼令人驚訝的是，當涉及到醫生的幸福時，關係是一個重要因素。

According to research, approximately 27%  of physicians report patient gratitude and  

根據研究，約有27%的醫生報告了病人的感激和

relationships as the most rewarding part  of their job, and 23% report knowing that  

的人認為關係是他們工作中最有價值的部分，23%的人表示知道

they’re making the world a better place as  the most rewarding part. Moreover, a 2022  

他們讓世界變得更美好是最有意義的部分。此外，一個2022年的

study found that patient connection and visible  impact are common traits among happy physicians. 

研究發現，與病人的聯繫和可見的影響是快樂醫生的共同特徵。

As a doctor, you have the ability to significantly  improve the quality of life of your patients. Not  

作為一名醫生，你有能力顯著改善病人的生活品質。不是

only is this often tremendously satisfying,  but it also provides you with something that’s  

這通常是非常令人滿意的，但它也為你提供了一些東西，即

difficult to find–purpose. When you feel  like you’re working for a larger purpose,  

很難找到--目的。當你覺得你在為一個更大的目的工作時。

you’re more likely to enjoy your work and are  more resilient to setbacks and challenging times. 

你更有可能享受你的工作，並對挫折和挑戰時期有更強的適應力。

In addition to relationships with patients,  relationships with peers and colleagues have  

除了與病人的關係外，與同行和同事的關係也有

also been shown to be an important factor when  it comes to physician happiness. If we look  

也被證明是影響醫生幸福感的一個重要因素。如果我們看

to Maslow’s Hierarchy of Needs, connection  and belonging are universal human needs–and  

根據馬斯洛的需求層次理論，聯繫和歸屬是人類的普遍需求------。

doctors are no exception. Having a sense of  community, connection, and belonging as a  

醫生也不例外。作為一名醫生，有一種社區、聯繫和歸屬感。

physician is key to having a happy career. Although intrinsic factors such as purpose  

醫生是擁有幸福職業生涯的關鍵。雖然內在的因素，如目的

and meaning are incredibly important  for happiness, extrinsic factors such  

和意義對於幸福來說是非常重要的，而外在的因素如

as money still play a role. Approximately  10% of physicians report making good money  

因為金錢仍然起著作用。大約10%的醫生報告說，他們的收入不錯

at a job that they like as the most rewarding  part of their job and 28% report insufficient  

他們喜歡的工作是他們工作中最有價值的部分，28%的人報告說沒有足夠的

compensation as a major source of burnout. According to Medscape’s Physician Compensation  

補償是職業倦怠的一個主要來源。根據Medscape的醫生報酬

report, the top 5 highest-paid specialties in 2022  were plastic surgery, orthopedics, cardiology,  

報告顯示，2022年收入最高的前5個專業是整形外科、骨科、心臟病學。

otolaryngology, and urology. The bottom  five were public health and preventive  

耳鼻喉科，和泌尿科。排名後五位的是公共衛生和預防

medicine, pediatrics, family medicine,  endocrinology, and infectious disease. 

醫學、兒科、家庭醫學、內分泌學和傳染病。

Perhaps even more important than total  compensation, however, is your perception of your  

然而，也許比總報酬更重要的是，你對自己的看法。

compensation. If you feel that there is a mismatch  between the work that you do and the salary that  

補償。如果你覺得你所做的工作和你的工資之間不匹配，那麼你就會覺得你的工作是不合適的。

you earn, you are more likely to feel unhappy. The  top five specialties with the greatest proportion  

你的收入，你更有可能感到不快樂。比例最大的前五個專業

of doctors that feel fairly compensated are  public health and preventive medicine, oncology,  

感到報酬公平的醫生是公共衛生和預防醫學、腫瘤學。

plastic surgery, psychiatry, and dermatology. Although total compensation factors into the  

整形外科、精神病學和皮膚病學。雖然總的報酬因素在

perception of your pay being fair, it’s  clear from the top 5 that how you earn  

對你的薪酬是否公平的看法，從前五名中可以看出，你的收入方式

your salary also plays a role. Despite being  in the bottom five for total compensation,  

你的工資也起到了一定的作用。儘管在總報酬方面排名倒數第五。

public health and preventive medicine ranks number  one in terms of feeling fairly compensated. This  

公共衛生和預防醫學在感覺得到公平補償方面排名第一。這

brings us to our next factor that influences  physician happiness which is work-life balance. 

這就給我們帶來了影響醫生幸福感的下一個因素，即工作與生活的平衡。

According to research, approximately 55%  of doctors would take a salary reduction  

根據研究，大約55%的醫生會接受減薪

to have better work-life balance with the  median physician willing to give up between  

有更好的工作和生活的平衡，中位數的醫生願意放棄工作和生活之間的平衡。

$20,000 and $50,000 per year to achieve it. Work-life balance is influenced by various  

每年20,000美元和50,000美元來實現它。工作與生活的平衡受到各種影響

factors including number of hours worked and how  predictable or unpredictable the work hours are,  

包括工作小時數以及工作時間的可預測性或不可預測性等因素。

which is largely a function of being on call.  This is why specialties such as dermatology  

這在很大程度上是一個隨叫隨到的功能。 這就是為什麼諸如皮膚病學等專業

tend to rank highly in terms of work-life balance.  Dermatologists typically don’t take call and work  

在工作與生活的平衡方面往往排名很高。 皮膚科醫生通常不接電話，也不工作。

fewer hours per week than most other physicians. That being said, other factors such as the amount  

每週的工作時間比大多數其他醫生少。雖然如此，其他因素，如數量

of time spent with patients versus the time spent  charting and doing other administrative work also  

花在病人身上的時間與花在製圖和做其他行政工作上的時間相比，也是如此。

influence physician happiness. One interesting  finding is that the use of medical scribes can  

影響醫生的幸福感。一個有趣的發現是，使用醫療抄寫員可以

significantly improve physician satisfaction.  This makes sense as they decrease the amount of  

顯著提高醫生的滿意度。 這很有意義，因為它們減少了

time that physicians spend charting and give them  more time with patients–both of which are major  

醫生花在製圖上的時間，讓他們有更多的時間與病人相處--這兩者都是重要的。

contributors to the next point which is burnout. Burnout has been a popular topic in medicine  

談到下一點，也就是職業倦怠。職業倦怠一直是醫學界的一個熱門話題

in recent years and can negatively impact  a physician’s happiness. According to the  

在最近幾年，這可能對醫生的幸福感產生負面影響。根據

literature, issues such as too much charting  and paperwork, too many hours at work,  

文學，諸如過多的製圖和文書工作，工作時間過長等問題。

lack of respect, insufficient compensation, and  lack of autonomy are major sources of burnout. 

缺乏尊重、報酬不足和缺乏自主權是倦怠的主要來源。

The top 5 specialties with the highest levels of  burnout are emergency medicine, critical care,  

倦怠程度最高的前5個專業是急診醫學、重症監護。

OB/GYN, infectious disease, and family  medicine, and the top 5 specialties with the  

婦產科、傳染病和家庭醫學，以及前5個專業的

least are public health and preventive medicine,  dermatology, pathology, oncology, and orthopedics. 

至少有公共衛生和預防醫學、皮膚病學、病理學、腫瘤學和骨科。

It should be noted, however, that burnout is an  issue that affects every specialty. Although these  

然而，應該指出的是，職業倦怠是一個影響到每個專業的問題。雖然這些

are the specialties with the highest rates  of burnout, you’re likely to find physicians  

是職業倦怠率最高的專業，你可能會發現醫生們

who are burned out no matter what specialty  you’re looking at. Similarly, you’re bound  

無論你看的是什麼專業，誰都會被燒死。同樣地，你一定會

to find physicians who are enthusiastic and enjoy  their job in every specialty as well. Regardless,  

在每個專業都能找到充滿熱情和喜歡自己工作的醫生。不管怎麼說。

mitigating burnout is an important part  of maintaining happiness as a physician. 

減輕職業倦怠是保持醫生幸福感的一個重要部分。

To learn more about the topic of burnout and the  various ways to minimize it in your own life,  

瞭解更多關於職業倦怠的話題，以及在你自己的生活中儘量減少職業倦怠的各種方法。

be sure to check out Why Are Doctors Miserable -  the Burnout Epidemic – link in the description. 

請務必查看《為什麼醫生很痛苦--職業倦怠的流行》--描述中的鏈接。

So how should this data influence your choice of  specialty? Should everyone go into dermatology  

那麼，這些數據應該如何影響你對專業的選擇？是否每個人都應該進入皮膚科

or preventive medicine? Of course not. At the end of the day, there are multiple  

或預防醫學？當然不是。在一天結束時，有多個

factors that you should consider when choosing  your specialty. If you’re on the fence,  

你在選擇專業時應考慮的因素。如果你在猶豫不決

knowing what specialties tend to be the happiest  on average may help sway your decision; however,  

瞭解哪些專業的人平均來說是最幸福的，可能有助於動搖你的決定；但是。

it should not be a primary consideration. Instead of looking at other people’s happiness,  

它不應該是一個主要的考慮因素。而不是看別人的幸福。

it’s much more important to examine your own.  Find a specialty that you enjoy and speaks to  

審視自己的情況更為重要。 找到一個你喜歡的專業，並與之對話

your strengths instead of just choosing  the one that you feel is the happiest. 

你的長處，而不是隻選擇你覺得最幸福的那個。

Two factors that people often don’t consider with  these lists are the sampling and self-selection  

人們往往不考慮這些名單的兩個因素，即抽樣和自我選擇。

biases. This data represents only a very small  sample of the larger doctor population and it may  

偏差。這個數據只代表了更大的醫生群體中的一個非常小的樣本，它可能是

not be entirely representative. And just because  60% of general surgeons in that sample report  

並不完全具有代表性。而且僅僅因為該樣本中60%的普通外科醫生報告說

being happy doesn’t mean that 60% of doctors would  be happy becoming general surgeons. These are  

幸福並不意味著60%的醫生會高興地成為普通外科醫生。這些是

doctors who have already chosen their specialties.  It’s a subtle, but important distinction. 

已經選擇了自己專業的醫生。 這是一個微妙但重要的區別。

In addition, lifestyle factors  such as compensation, hours worked,  

此外，生活方式因素，如報酬、工作時間。

and administrative burden are highly variable.  It’s entirely possible to carve out your own  

和行政負擔是高度可變的。 完全有可能開闢出自己的

niche and create the lifestyle that you want  no matter what specialty you choose. As Plastic  

無論你選擇什麼專業，都可以在利基市場上創造出你想要的生活方式。作為塑膠

Surgeon Dr. Goldman said in his interview  on the Kevin Jubbal, M.D. YouTube channel,  

外科醫生戈德曼在接受Kevin Jubbal, M.D. YouTube頻道的採訪時說。

“what you do with your specialty is more  important than what specialty you choose.” 

"你用你的專業做什麼比你選擇什麼專業更重要。"

That being said, don’t fall into the trap I’ve  seen many succumb to. I’ve come across dozens  

話雖如此，但不要落入我看到的許多人屈服的陷阱。我遇到過幾十個

of residents and even attending physicians  who wanted to do a different specialty,  

的住院醫生，甚至是想做不同專業的主治醫生。

like dermatology or plastic surgery, but  ultimately had to compromise to something  

像皮膚科或整形外科，但最終不得不向一些東西妥協。

less competitive because they weren’t strong  enough for the specialty they truly desired. 

因為他們不夠強大，無法勝任他們真正想要的專業，所以競爭力下降。

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

如果你認為你不是最聰明的，你註定會被淘汰，那就在這裡停下來。你的能力

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

碾壓你的MCAT、USMLE，並擁有幾十篇研究文章，這與其說是一個功能，倒不如說是一種能力。

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

你的智力，而更多的是適當準備的功能，不斷提高。

and putting in the work. Having a stellar  medical school or residency application and  

並投入工作。擁有一份出色的醫學院或住院醫生申請和

crushing the interviews is no different. At Med School Insiders, our mission is  

擠壓面試也不例外。在Med School Insiders，我們的任務是

to empower a generation of happier, healthier,  and more effective future doctors. From medical  

賦予一代更快樂、更健康、更有效的未來醫生權力。從醫學

school or residency application help to crushing  your MCAT or USMLE, we’ve got your back. And our  

從學校或住院醫生申請的幫助，到壓制你的MCAT或USMLE，我們都會支持你。而且我們的

results speak for themselves. We’ve become  the fastest growing company in this space  

結果不言自明。我們已經成為這個領域中發展最快的公司。

with the highest satisfaction ratings. See for  yourself and learn more at MedSchoolInsiders.com. 

具有最高的滿意度。自己看，並在MedSchoolInsiders.com瞭解更多。

Thank you all so much for watching. If you  enjoyed this video, be sure to check out the  

非常感謝大家的觀看。如果你喜歡這個視頻，請務必查看

Best Doctor Lifestyle Specialties or this other  video. Much love, and I’ll see you guys there.

最好的醫生生活方式專業或這個其他視頻。非常感謝，我們會在那裡見到你們。