Name: 職業之爭 💥 神經科醫生 vs 精神科醫生 (Career Battle 💥 Neurologist vs Psychiatrist)
Uploaded: 2025-10-01T18:16:38.000Z
Duration: 11 min 48 s

Welcome to our brand new Career Battle series

歡迎來到我們全新的 Career Battle 系列

where we compare two different medical career options

我們將比較兩種不同的醫療職涯選擇

We'll break down compensation, lifestyle, length of training,

我們會詳細分析薪酬、生活方式、訓練時長，

and the pros and cons of pursuing each career path.

Jubbal medschoolinsiders.com in the first videos of the series,

Jubbal medschoolinsiders.com 在系列的第一支影片中，

we covered the differences between doctors

and surgeons and diagnostic and interventional radiologists.

與外科醫師、診斷放射科醫師和介入性放射科醫師之間的差異。

by popular request, is neurologist versus Psychiatrist.

應大眾要求，是神經科醫師對決精神科醫師。

Let's break Break it down what are the key differences

讓我們來解析一下，兩者之間的主要差異是什麼？

神經學和精神醫學有什麼不同？

To keep things simple, neurologists specialize in the brain

簡單來說，神經科醫師專精於大腦

as an organ and manage things like medical complications

作為器官，並處理中風、創傷和血管疾病等醫療併發症。

from strokes, trauma, and vascular disease.

精神科醫師則主要關注心靈的功能，

Psychiatrists primarily focus on the function of the mind,

像是思想、情緒和行為，以應對憂鬱、焦慮和其他心理健康狀況。

such as thoughts, emotions, and behaviors in response to things

like depression, anxiety, and other mental health conditions.

In terms of patient populations, neurologists tend

在病患族群方面，神經科醫師傾向

in more medicalized settings and conserve on specialized teams.

在較多醫療化的環境中，並在專門的團隊裡。

Like hospital stroke teams, neurologists become experts

像是醫院的中風團隊，神經科醫師會成為專家

in diagnostic tests and medications aimed at managing chronic conditions

在診斷測試和藥物方面，旨在管理慢性病

by the primary medical team taking care of a patient

when there are questions about the brain or

to rule out physiologic causes of psychiatric conditions.

in outpatient settings and focus primarily

including mood disorders like depression, personality disorders like borderline,

包括憂鬱症等情緒障礙、邊緣性人格障礙，

and psychotic disorders like schizophrenia.

They also perform psychotherapy, also known as talk therapy,

他們也會進行心理治療，也就是談話治療，

change unhealthy thought patterns and behaviors,

改變不健康的思考模式與行為，

as well as understand the way they relate

to use advanced imaging and diagnostic tests

psychiatrists rely more on the clinical relationship,

精神科醫師則更依賴臨床關係、

direct observations, and, when appropriate, input from those close

直接觀察，以及在適當的時候，從親近

to the patient to help clarify the underlying issue.

病患的人那裡獲得資訊來釐清根本問題。

when considering all the different subspecialties and clinical settings

尤其是在考慮所有不同的次專科和臨床環境時

與心靈之間的界線是很模糊的。

Subspecialties like behavioral neurology and neuropsychiatry

行為神經學和神經精神病學等次專科

Additionally, many psychiatrists work in inpatient medical settings,

此外，許多精神科醫師在住院醫療環境中工作，

many neurologists work in outpatient settings,

許多神經科醫師在門診環境中工作，

and both can work in research and legal settings.

而且兩者都可以從事研究和法律相關工作。

Now, how is the training different between neurology and psychiatry?

那麼，神經學和精神科的訓練有什麼不同呢？

of medical school and four years of residency training.

的醫學院以及四年的住院醫師訓練。

Psychiatry residency requires one internship year,

精神科住院醫師訓練需要一年的實習期，

followed by three years of dedicated psychiatry training

including inpatient outpatient emergency settings and consultation on medical wards.

包括住院、門診、急診，以及在內科病房的諮詢。

Psychiatry residents also maintain outpatient panels

精神科住院醫師也會維持自己的門診病患群，

The settings they rotate in include inpatient neurology units,

他們輪調的場域包含住院神經學單位、

outpatient clinics, neuro ICU, stroke care,

門診診所、神經加護病房、中風照護，

and procedural training, as in EEGs and lumbar punctures.

以及像是腦電圖和腰椎穿刺等程序訓練。

to complete subspecialty training for psychiatry.

Popular areas for subspecialization include child and adolescent psychiatry,

次專科的熱門領域包含兒童及青少年精神科，

addiction psychiatry, forensic psychiatry, geriatric bariatric psychiatry,

成癮精神醫學、法醫精神醫學、老年減重精神醫學，

涵蓋了所有這些以及更多內容，

on the many subspecialties available to psychiatrists,

介紹了精神科醫師可選擇的許多次專科。

but in general, neurology has many more subspecialty options.

但總體來說，神經學有更多次專科選擇。

Popular subspecialty choices include vascular neurology,

熱門的次專科選擇包含腦血管神經學，

which deals with strokes, neurocritical care,

epilepsy, movement disorders, headache medicine, neuromuscular medicine,

癲癇、動作障礙、頭痛醫學、神經肌肉醫學，

multiple sclerosis and neuroimmunology, behavioral neurology and neuropsychiatry,

多發性硬化症與神經免疫學、行為神經學與神經精神醫學，

to subspecialize in sleep medicine as they are certified

在睡眠醫學上進一步專精，因為它們都獲得

by the same governing board that's the American Board

美國精神與神經醫學會的認證，

也就是 American Board of Psychiatry and Neurology。

in the description what about compensation?

Salaries between neurology and psychiatry are