Name: 神經外科醫生與神經科醫生 💥 職業之爭（培訓、生活方式和薪酬） (Neurosurgeon vs Neurologist 💥 Career Battle (Training, Lifestyle, & Pay))
Uploaded: 2025-09-26T18:39:15.000Z
Duration: 10 min 45 s

One treats the brain with medicine, the other with a scalpel.

一個用藥物治療大腦，一個用手術刀治療大腦。

關係子句

Welcome to our career battle series, where we compare two different medical career options to help you decide which is the best path for you.

歡迎來到我們的 "職業之戰 "系列，在這裡我們將比較兩種不同的醫療職業選擇，幫助您決定哪種職業最適合您。

We'll break down training requirements, compensation, lifestyle, and the pros and cons of pursuing each career path.

我們將對培訓要求、薪酬、生活方式以及從事每種職業的利弊進行分析。

In our previous videos, we covered doctor vs surgeon, diagnostic vs interventional radiologist, and plastic surgeon vs cosmetic surgeon.

在之前的視頻中，我們介紹了醫生與外科醫生、診斷放射科醫生與介入放射科醫生以及整形外科醫生與美容外科醫生。

Next up in the battle arena is neurologist vs neurosurgeon.

接下來的競技場是神經科醫生對神經外科醫生。

Let's start by addressing a common misconception.

首先，讓我們來談談一個常見的誤解。

Both neurologists and neurosurgeons are experts in the nervous system, but their approaches to patient care are fundamentally different.

神經內科醫生和神經外科醫生都是神經系統方面的專家，但他們治療病人的方法卻有著本質的不同。

Neurologists specialize in the non-surgical management of disorders affecting the central and peripheral nervous systems.

神經科醫生擅長對影響中樞和周圍神經系統的疾病進行非手術治療。

They're the medical detectives of the brain, using clinical examination, imaging, and diagnostic tests to diagnose and treat conditions like strokes, seizures, headaches, dementia, and movement disorders.

他們是大腦的醫學偵探，利用臨床檢查、成像和診斷測試來診斷和治療中風、癲癇發作、頭痛、痴呆和運動障礙等疾病。

Think of them as the internists of the nervous system.

把它們想象成神經系統的內科醫生。

Neurosurgeons, on the other hand, provide surgical interventions for conditions affecting the nervous system.

而神經外科醫生則對影響神經系統的疾病進行外科干預。

While they know a great deal about the medical management of neurological conditions, their primary focus is on operating.

雖然他們對神經系統疾病的醫療管理非常瞭解，但他們的主要工作重點是手術。

They handle everything from brain tumors and aneurysms to spinal fusions and trauma cases that require immediate surgical intervention.

從腦腫瘤和動脈瘤到脊柱融合術和需要立即手術干預的外傷病例，他們都能處理。

The key distinction lies in the treatment approach.

Neurologists primarily use medications, lifestyle modifications, and non-invasive procedures, whereas neurosurgeons employ surgical techniques to directly address problems within the nervous system.

神經科醫生主要使用藥物、生活方式調整和非侵入性程序，而神經外科醫生則使用外科技術直接解決神經系統內的問題。

Both specialties deal with the most fascinating organ system in the human body, but they approach patient care from opposite ends of the treatment spectrum.

這兩個專科都與人體中最迷人的器官系統打交道，但他們的治療方法卻截然相反。

But while their approaches differ, they often work closely together.

但是，儘管他們的方法各不相同，卻經常密切合作。

Neurologists frequently refer patients to neurosurgeons when surgical intervention becomes necessary, and neurosurgeons rely on neurologists for post-operative medical management.

當需要進行手術干預時，神經科醫生經常會將病人轉診給神經外科醫生，而神經外科醫生則依靠神經科醫生進行術後醫療管理。

The training pathways for these specialties differ dramatically in both length and competitiveness.

這些專業的培訓途徑在時間長度和競爭力方面都有很大差異。

Neurology residency lasts 4 years after medical school.

神經病學實習期為醫學院畢業後的 4 年。

Your first year is spent on an internal medicine internship, as you need a strong foundation in general medicine to manage complex medical issues that your patients often face.

第一年將在內科實習，因為您需要在全科醫學方面打下堅實的基礎，才能處理病人經常面臨的複雜醫療問題。

The remaining 3 years focus exclusively on neurology training, including both inpatient and outpatient rotations.

餘下的 3 年則專門進行神經病學培訓，包括住院和門診輪轉。

Neurosurgery residency, however, is the longest of all medical specialties at 7 years, which reflects the complexity and precision required for surgical intervention on the nervous system.

然而，神經外科住院醫師培訓是所有醫學專業中最長的，需要 7 年時間，這反映了神經系統外科干預所要求的複雜性和精確性。

Most programs also include a dedicated research year.

大多數計劃還包括專門的研究年。

The difference in competitiveness between neurology and neurosurgery is considerable.

神經內科和神經外科之間的競爭力差距很大。

According to our specialty competitiveness index, neurology is the 6th least competitive specialty.

根據我們的專科競爭力指數，神經病學是競爭最不激烈的專科，排名第六。

It has a match rate of 93.8%, an average Step 2CK score of 250, and an average of 8.8 research items.

它的匹配率為 93.8%，第 2CK 步平均分數為 250 分，平均研究項目為 8.8 個。

Neurosurgery, on the other hand, ranks 2nd most competitive, having recently jumped from 5th It has the lowest match rate of any specialty, at 68.7%, and an average Step 2CK score of 255.

另一方面，神經外科在競爭最激烈的專業中排名第 2，最近從第 5 位躍升至第 6 位。神經外科是所有專業中匹配率最低的專業，為 68.7%，第 2CK 步平均分為 255 分。

It also demands the most research experience, with an average of 37.4 publications, abstracts, and presentations per applicant.

該專業對研究經驗的要求也最高，平均每位申請人需要發表 37.4 篇論文、摘要和演講。

Want to know where the rest of the specialties rank?

想知道其他專業的排名情況嗎？

Access our free specialty competitiveness index, which breaks down key metrics for 22 medical specialties.

免費獲取我們的專科競爭力指數，該指數細分了 22 個醫學專科的關鍵指標。

Both specialties offer extensive fellowship opportunities for subspecialization.

這兩個專科都為亞專業化提供廣泛的獎學金機會。

Neurologists can pursue fellowships in stroke, epilepsy, movement disorders, neurocritical care, and many others.

神經科醫生可以攻讀中風、癲癇、運動障礙、神經重症監護等方面的研究金。

Neurosurgeons can subspecialize in areas such as skull base surgery, spine surgery, pediatric neurosurgery, or functional neurosurgery.

神經外科醫生可以在顱底手術、脊柱手術、小兒神經外科或功能神經外科等領域進行亞專業化。

There's a significant compensation difference between these specialties that reflects the training length, lifestyle demands, and market forces.

這些專業之間的薪酬差異很大，反映了培訓時間、生活方式要求和市場力量。

Neurologists earn an average of approximately $348,000 a year, placing them in the middle range of physician specialties.

神經科醫生的平均年收入約為 34.8 萬美元，在專科醫師中處於中等水平。

This compensation reflects the chronic nature of neurological conditions and the limited number of procedures neurologists perform.

這種補償反映了神經科疾病的慢性性質以及神經科醫生實施的手術數量有限。

Neurosurgeons, however, command the highest average salary in medicine, at over $760,000.

不過，神經外科醫生的平均工資是醫學界最高的，超過 76 萬美元。

They consistently rank as the highest paid physicians, though, as the saying goes, they make the most money but don't have any time to enjoy it.

他們一直是收入最高的醫生，但俗話說，他們掙得最多，卻沒有時間享受。

Neurosurgeons have extremely demanding schedules.

神經外科醫生的日程安排極為緊湊。

The high compensation reflects the extensive training required, the high stakes nature of their work, the demanding lifestyle with trauma call responsibilities, and the exceptional level of skill needed to operate on the most complex organ system in the human body.

高額的報酬反映了他們需要接受廣泛的培訓、工作的高風險性質、擔負創傷出診任務的艱苦生活方式，以及在人體最複雜的器官系統上進行手術所需的卓越技能水準。

The compensation difference also relates to the different practice models.

薪酬差異還與不同的實踐模式有關。

Neurologists primarily make money through office visits and occasional office or bedside Neurosurgeons make money through complex surgical procedures that command higher reimbursement rates.

神經科醫生主要通過出診賺錢，偶爾在辦公室或床邊出診的神經外科醫生通過複雜的外科手術賺錢，這些手術的報帳率較高。

The lifestyle differences between these specialties are substantial.

這些專業之間的生活方式差異很大。

Neurology offers a more predictable lifestyle, with approximately 80% of practice being outpatient.

神經病學提供了一種更可預測的生活方式，約 80% 的業務是門診。

Most neurologists work regular business hours, Monday through Friday, building long term relationships with patients who have chronic conditions.

大多數神經科醫生週一至週五正常上班，與慢性病患者建立長期合作關係。

However, those in practice typically take call for local hospitals to cover stroke emergencies and urgent neurological consults.

不過，執業醫師通常會在當地醫院值班，負責中風急診和神經科緊急會診。

The work is intellectually stimulating, but can be emotionally challenging, as many neurological conditions are progressive and currently incurable.

由於許多神經系統疾病都是漸進性的，目前還無法治癒，是以這項工作在智力上很有啟發性，但在情感上也很有挑戰性。

Neurology consistently ranks high in burnout rates, particularly due to the chronic and often devastating nature of the diseases neurologists treat.

神經內科的職業倦怠率一直居高不下，這主要是由於神經內科醫生治療的疾病具有慢性且經常具有破壞性的特點。

Neurosurgery has a much demanding lifestyle.

神經外科的生活方式要求很高。

In addition to scheduled surgical cases, neurosurgeons take trauma call, meaning they can be called in at any hour for emergency surgery.

除了定期手術病例外，神經外科醫生還接受創傷呼叫，這意味著他們可以在任何時間應召進行緊急手術。

Brain hemorrhage, spinal cord injuries, and other neurosurgical emergencies don't follow a schedule.

腦出血、脊髓損傷和其他神經外科急症並沒有時間表。

Some procedures can last 10 to 18 hours, requiring exceptional stamina and focus.

有些程序可持續 10 到 18 個小時，需要超強的耐力和專注力。

Even as attendings, neurosurgeons often work unpredictable hours and face high stress situations where split second decisions can mean the difference between life and death for their patients.

即使作為主治醫師，神經外科醫生的工作時間也常常難以預測，並面臨高度緊張的情況，在這種情況下，瞬間的決定可能意味著病人的生死。

Now, what are the pros and cons of becoming a neurologist?

那麼，成為一名神經科醫生有哪些利弊呢？

Neurology offers the opportunity to work with the most fascinating organ system in medicine while maintaining a relatively balanced lifestyle.

神經病學提供了與醫學中最迷人的器官系統打交道的機會，同時又能保持相對平衡的生活方式。

The field is experiencing rapid advancement, with new treatments for conditions like multiple sclerosis, epilepsy, and stroke emerging regularly.

這一領域的發展日新月異，針對多發性硬化症、癲癇和中風等疾病的新療法層出不窮。

Neurological diseases consistently receive substantial NIH funding.

神經系統疾病一直獲得美國國立衛生研究院的大量資助。

The specialty allows for deep, longitudinal relationships with patients.

該專業允許與病人建立深入、縱向的關係。

Since most neurological conditions are chronic, you'll guide patients through their journey over months or years, providing both medical management and emotional support.

由於大多數神經系統疾病都是慢性病，是以您需要在數月或數年的時間裡指導患者，為他們提供醫療管理和情感支持。

The intellectual challenge of neurological diagnosis, which means using the physical exam and clinical reasoning to localize lesions and determine treatment plans, appeals to complex problem solving.

神經學診斷是一項智力挑戰，它意味著利用體格檢查和臨床推理來定位病變和確定治療方案，這對複雜問題的解決很有吸引力。

However, neurology also has some big cons.

不過，神經學也有一些很大的弊端。

Despite increased research funding, many neurological conditions still have limited treatment options, which can be emotionally draining for physicians who want to cure their patients.

儘管研究經費有所增加，但許多神經系統疾病的治療方案仍然有限，這可能會讓希望治癒病人的醫生情緒低落。

Conditions like ALS, advanced dementia, and certain brain tumors have particularly poor prognoses, requiring neurologists to be comfortable with palliative care and end-of-life discussions.

肌萎縮性脊髓側索硬化症、晚期痴呆症和某些腦腫瘤等疾病的預後特別差，這就要求神經科醫生能夠從容應對姑息治療和臨終討論。

The compensation is lower than in many other specialties.

Additionally, the emotional toll of treating progressive, debilitating diseases contributes to higher burnout rates compared to other medical specialties.

此外，與其他醫學專科相比，治療漸進性、使人衰弱的疾病所帶來的精神損失也導致了更高的職業倦怠率。

What are the pros and cons of neurosurgery?

The specialty provides the ultimate combination of intellectual challenge and technical skill.

該專業是智力挑戰和技術技能的終極結合。

You're literally operating on the most complex organ in the human body, often in life or death situations where your intervention can dramatically change a patient's outcome.

你實際上是在對人體最複雜的器官進行操作，往往是在生死攸關的情況下，你的干預可以極大地改變病人的結局。

The field is highly innovative, particularly in areas like functional neurosurgery, where the line between biology and technology continues to blur.

該領域極具創新性，尤其是在功能神經外科等領域，生物學與技術之間的界限不斷模糊。

Neurosurgeons work with cutting-edge technology and techniques, from minimally invasive spine procedures to deep brain stimulation for movement disorders.

神經外科醫生採用最先進的技術和工藝，從微創脊柱手術到治療運動障礙的深部腦刺激。

The academic nature of the field means you'll be surrounded by brilliant colleagues and have opportunities to advance medical knowledge through research.

該領域的學術性質意味著您將與傑出的同事為伍，並有機會通過研究推動醫學知識的發展。

The financial compensation is also the best in the business.

That said, it's largely due to the fact that the training is the longest and the lifestyle among the most demanding in medicine.

這在很大程度上是因為培訓時間最長，生活方式也是醫學界最苛刻的。

The 7-year residency is notoriously brutal with long hours and intense pressure.

為期 7 年的住院實習是出了名的殘酷，時間長、壓力大。

Even as an attending, the lifestyle remains demanding due to trauma call responsibilities.

即使作為一名主治醫師，由於要承擔創傷應診的責任，生活方式仍然十分苛刻。

The emotional toll can also be significant.

Many neurosurgical patients have poor outcomes, and you'll regularly face families in their worst moments.

許多神經外科病人的治療效果不佳，您將經常在他們最糟糕的時候面對他們的家人。

Bottom line, which is the best path for you?

It ultimately depends on your personality, career priorities, and willingness to make certain lifestyle sacrifices.

這最終取決於你的個性、職業優先順序以及是否願意犧牲某些生活方式。

If you're fascinated by the nervous system but value work-life balance, prefer medical management over surgical intervention, and want to build long-term patient relationships, neurology may be a better fit.

如果您對神經系統非常著迷，但又非常重視工作與生活的平衡，喜歡藥物治療而不是手術干預，並希望與病人建立長期的關係，那麼神經內科可能更適合您。

You should be with the intellectual challenge of complex diagnosis and the emotional challenge of managing progressive diseases.

您應該應對複雜診斷的智力挑戰和管理漸進性疾病的情感挑戰。

If you're driven by the desire to directly intervene in life threatening situations, have exceptional manual dexterity, and are willing to sacrifice lifestyle for the opportunity to perform complex surgery on the most critical organ system, neurosurgery could be your calling.

如果您渴望直接干預危及生命的情況，具有超凡的手部靈活性，並願意犧牲生活方式來換取在最關鍵的器官系統上實施複雜手術的機會，神經外科可能就是您的選擇。

You'll need incredible stamina, both physical and emotional, to handle the demands of training and practice.

您需要驚人的體力和精力來應對訓練和練習的要求。

It really comes down to 4 major differences.

First, neurology requires 4 years of residency, whereas neurosurgery requires 7.

首先，神經內科需要 4 年的住院醫師培訓，而神經外科需要 7 年。

Second, neurology is the 6th least competitive specialty, while neurosurgery ranks as the 2nd most competitive specialty.

其次，神經內科是競爭最不激烈的第 6 個專業，而神經外科則是競爭最激烈的第 2 個專業。

Our completely free Specialty Competitiveness Index ranks 22 medical specialties based on 5 key data points.

我們完全免費的專科競爭力指數根據 5 個關鍵數據點對 22 個醫學專科進行排名。

Third, neurologists can have a strong work-life balance, whereas neurosurgeons are known for sacrificing their personal lives for their careers.

第三，神經科醫生可以很好地平衡工作與生活，而神經外科醫生則以犧牲個人生活來換取事業而聞名。

And fourth, neurosurgeons earn over twice as much as neurologists.

第四，神經外科醫生的收入是神經內科醫生的兩倍多。

Let us know what medical career paths you'd like us to cover next in the comments.

請在評論中告訴我們您希望我們接下來介紹哪些醫學職業道路。