Name: 所以你想成為一名睡眠醫學博士 [第 50 集］ (So You Want to Be a SLEEP MEDICINE DOCTOR [Ep. 50])
Uploaded: 2025-10-07T18:39:43.000Z
Duration: 12 min 10 s

So you want to be a sleep medicine doctor?

所以你想成為睡眠醫學醫師嗎？

You want to sit next to a complete stranger's bed with a clipboard and take notes on how loudly they snore?

你想坐在陌生人床邊，拿著剪貼板記錄他們打呼有多大聲嗎？

嗯，差不多是這樣，但又不完全是。

Let's debunk the public perception myths and give it to you straight.

我們要來揭穿公眾認知的迷思，直接告訴你真相。

Dr. Jubbal medschoolinsiders.com welcome to our next installment in so youo Want to Be.

Jubbal 醫師 medschoolinsiders.com 歡迎來到我們的「所以你想成為」系列的下一期。

In this series, we highlight a specific specialty or subspecialty within medicine to help you decide if it's a good fit for you.

在這個系列中，我們會介紹醫學中特定的專科或次專科，幫助你決定它是否適合你。

You can find our catalog of over 50 career paths so youo Want to Be playlist.

你可以在我們的「所以你想成為」播放清單中找到超過 50 種職業路徑的目錄。

If you don't see the specialty you're interested in, subscribe to help us decide what to cover next on our community poll.

如果你沒有看到你感興趣的專科，請訂閱，並在我們的社群投票中幫助我們決定接下來要介紹什麼。

Sleep medicine is an emerging field of medicine that's gaining mainstream popularity due to influencers like Dr.

睡眠醫學是一個新興的醫學領域，由於像 Dr.

Andrew Huberman, Dr. Peter Attia, and Brian Johnson, and sleep experts like Dr. Matthew Walker.

Andrew Huberman、Peter Attia 醫師和 Brian Johnson，以及像 Matthew Walker 醫師這樣的睡眠專家。

More and more people and society as a whole are coming to understand the critical role sleep plays in our health.

越來越多人以及整個社會都開始理解睡眠在我們健康中扮演的關鍵角色。

Sleep Sleep medicine is not about studying sleep.

睡眠醫學並不是在研究睡眠本身。

It's about studying the processes of human physiology during a state of sleep, understanding the intricate rhythms of different organs, and

而是在研究人類在睡眠狀態下的生理過程，瞭解不同器官的複雜節律，以及

the profound impact that sleep has on our physical health, emotional well being and cognitive function.

睡眠對我們的身體健康、情緒健康和認知功能產生的深遠影響。

On a technical level, sleep medicine explores the nuances of various sleep disorders from insomnia to sleep apnea.

從技術層面來說，睡眠醫學探索從失眠到睡眠呼吸中止症等各種睡眠障礙的細微差別。

It's a multidisciplinary field involving work from several different specialties such as such as internal medicine, ent, endocrinology, neurology, cardiology, pulmonology, psychology, and

這是一個跨學科的領域，涉及內科、耳鼻喉科、內分泌學、神經學、心臟病學、肺臟學、心理學，

甚至牙科等多個不同專科的工作。

Sleep medicine can be categorized in several ways.

睡眠醫學可以從幾個方面來分類。

First, let's consider the patient population.

Adult sleep medicine focuses on sleep disorders that commonly affect adults such as obstructive sleep apnea or osa, insomnia and restless leg syndrome or rls.

成人睡眠醫學主要關注影響成人的常見睡眠障礙，例如阻塞性睡眠呼吸中止症 (OSA)、失眠和不寧腿症候群 (RLS)。

Treatment may involve CPAP therapy, cognitive behavioral therapy for insomnia, also known as cbti, and pharmacological approaches.

治療可能包含 CPAP 呼吸器療法、失眠認知行為療法 (CBT-I) 以及藥物治療。

Pediatric sleep medicine is dedicated to addressing sleep disorders in children such as pediatric osa, behavioral insomnia and parasomnias, which include sleepwalking and night terrors.

兒科睡眠醫學則專門處理兒童的睡眠障礙，像是兒童 OSA、行為性失眠和異睡症，包括夢遊和夜驚。

Second, the primary focus of sleep medicine can also differ.

其次，睡眠醫學的主要焦點也會有所不同。

There are respiratory sleep disorders such as obstructive sleep apnea, central sleep apnea, and sleep related hypoventilation.

有呼吸相關的睡眠障礙，像是阻塞性睡眠呼吸中止症、中樞性睡眠呼吸中止症，以及睡眠相關的低通氣症。

Management of these conditions often involves devices like the cpap, bipap, oral appliances, and sometimes surgical interventions.

這些病症的管理常會使用 CPAP、BiPAP、口腔矯正器等裝置，有時也會進行手術。

There are also neurological sleep disorders like narcolepsy, idiopathic hypersomnia and restless leg Syndrome treatment may include lifestyle modifications, specialized therapies and medications like stimulants and dopamine agonists.

還有神經學相關的睡眠障礙，如嗜睡症、不明原因的過度嗜睡和不寧腿症候群，治療可能包括生活方式調整、專門療法，以及像興奮劑和多巴胺促效劑這類的藥物。

Then there's behavioral sleep medicine, which focuses on conditions like insomnia and circadian rhythm sleep wake disorders.

接著是行為睡眠醫學，它專注於失眠和晝夜節律睡眠-覺醒障礙等情況。

Techniques such as CBT I, light therapy and chronotherapy are commonly used to help patients re establish healthy sleep patterns.

像是 CBT-I、光照療法和時間療法等技巧，常被用來幫助病患重新建立健康的睡眠模式。

As someone who has struggled with insomnia myself, this has been incredibly helpful for me.

我自己也曾飽受失眠之苦，這些方法對我來說真的非常有幫助。

Learn more about the routines, principles and products that work best for me on the Kevin Jubbal, Maryland Channel Sleep Playlist link in the Description Third, sleep medicine physicians can work in different practice settings.

在說明區的 Kevin Jubbal, Maryland Channel Sleep Playlist 連結中，你可以找到最適合我的日常作息、原則和產品。第三，睡眠醫學醫師可以在不同的執業環境工作。

There are academic sleep centers which are often affiliated with universities or research institutions.

有學術型的睡眠中心，通常隸屬於大學或研究機構。

These centers combine clinical care with research and education and serve as hubs for studying emerging treatments and training future specialists.

這些中心結合了臨床照護、研究和教育，並且是研究新興療法和培訓未來專科醫師的中心。

There are also community based sleep clinics that provide accessible care to local populations.

也有以社區為基礎的睡眠診所，為當地民眾提供便利的照護。

They typically focus on the diagnosis and management of common sleep disorders, offering services such as sleep studies and basic therapies.

他們通常專注於常見睡眠障礙的診斷和管理，提供睡眠研究和基礎療法等服務。

Then there are multidisciplinary sleep practices that integrate with other medical specialties, bringing together specialists from pulmonology, neurology, psychiatry, otol, laryngology and behavioral health to address complex or comorbid sleep disorders.

接著是跨領域的睡眠醫學診所，與其他醫學專科整合，匯集了來自肺臟學、神經學、精神醫學、耳鼻喉科和行為健康領域的專家，以處理複雜或合併發生的睡眠障礙。

This collaborative approach ensures comprehensive, tailored care is provided to address the individual needs of every patient.

這種協作方式確保能提供全面、量身訂做的照護，以滿足每位病患的個別需求。

For example, neurologic sleep medicine specialists can become their region's experts in sleep disorders with underlying neurologic conditions.

舉例來說，神經學睡眠醫學專家可以成為他們地區在神經學相關睡眠障礙方面的專家。

Or sleep medicine physicians could join a startup or tech company like Apple, Whoop, Aura, or Ultrahuman as a sleep medicine expert who builds technology that scales globally.

或者睡眠醫學醫師可以加入像 Apple、Whoop、Aura 或 Ultrahuman 這樣的創業公司或科技公司，擔任睡眠醫學專家，開發能全球推廣的技術。

They could also go corporate and work with medical device or therapeutic companies to help them deliver better technologies.

他們也可以進入企業界，與醫療設備或治療公司合作，協助他們提供更好的技術。

Now let's clear up some misconceptions about sleep medicine.

接下來，我們來釐清一些關於睡眠醫學的迷思。

Sleep medicine is not sleep apnea medicine as people often think.

睡眠醫學不只是大家常以為的睡眠呼吸中止症的醫學。

Sleep apnea is only one aspect of sleep health.

睡眠呼吸中止症只是睡眠健康的一個面向。

Similarly, managing diabetes is not the same as managing metabolic health, and

同樣地，管理糖尿病不等於管理代謝健康，

managing AFIB is not the same as managing cardiovascular health.

而管理心房顫動也不等於管理心血管健康。

Sleep should be thought of as a holistic discipline, a much deeper view of what our body is doing during a state of sleep.

睡眠應該被視為一個整體性的學科，更深入地瞭解我們身體在睡眠狀態下的運作。

And also continuous positive airway pressure or a CPAP machine is not the only treatment for sleep apnea.

而且，陽壓呼吸器或 CPAP 呼吸器也不是治療睡眠呼吸中止症的唯一方法。

Often people think sleep medicine equals sleep apnea, which equals cpap.

大家常以為睡眠醫學就是睡眠呼吸中止症，就是 CPAP。

However, sleep medicine is more complex and involves managing many different types of therapies that are coming to market.

然而，睡眠醫學更複雜，涉及管理許多市面上各種不同的療法。

There are a number of ways to get into sleep medicine, but

進入睡眠醫學領域有許多方法，但

each starts the same with four years of medical school followed by residency at this time.

每個都一樣，都是先讀四年醫學院，然後再進行住院醫師訓練。

Sleep medicine does not have its own residency and is instead a subspecialization, also known as a fellowship.

睡眠醫學並沒有自己的住院醫師訓練，而是一個次專科，也稱為進修。

Sleep medicine fellowships follow several different residency programs, including internal medicine, pediatrics, neurology, psychiatry, family medicine, otolaryngology and pulmonology, and

睡眠醫學進修會跟隨幾個不同的住院醫師訓練，包括內科、兒科、神經學、精神科、家庭醫學、耳鼻喉科和胸腔內科，以及

Sleep medicine is typically a one year fellowship, but

睡眠醫學通常是一年的進修，但

it can be as long as two if combined with a research year.

如果加上一年的研究，可能會長達兩年。

Medical students who are interested in approaching medicine with a holistic lens and are fascinated with a multidisciplinary approach to health that utilizes functional medicine, integrative medicine and alternative medicine will do well in this field.

對於想以整體觀點來學醫，並對結合功能醫學、整合醫學和替代醫學的跨領域健康方法感到著迷的醫學生，在這個領域會做得很好。

Since sleep is a relatively new field with tons of opportunities for research and rapid advancements in consumer technology.

由於睡眠是一個相對新興的領域，有大量的研究機會和快速進步的消費科技。

Students passionate about research, the future of health, and

對研究、健康未來充滿熱情的學生，以及

entrepreneurship through startups will also find a great deal to keep them engaged.

透過新創公司創業，也會讓他們覺得很有意思。

According to 2023 match statistics, of the 200 certified applicants who selected sleep medicine as their preferred specialty, 183 were matched with a sleep medicine program.

根據 2023 年的配對統計，在 200 名選擇睡眠醫學為首選專科的認證申請者中，有 183 名成功配對到睡眠醫學課程。

Regarding the match, it's important to keep in mind that sleep medicine is already a relatively narrow subspecialty and there are no formal fellowship options specifically designed to further specialize after completing a sleep medicine fellowship.

關於配對，需要注意的是，睡眠醫學已經是一個相對狹窄的次專科，並沒有專門設計用於完成睡眠醫學進修後進一步專精的正式進修選項。

While many sleep doctors find a focus area such as research, behavioral sleep, narcolepsy, idiopathic hypersomnia, or restless leg syndrome, there is not much room for further specialization as far as compensation goes.

雖然許多睡眠醫學醫師會專注於特定領域，例如研究、行為睡眠、猝睡症、特發性嗜睡症或不寧腿症候群，但在薪酬方面，進一步專精的空間並不大。

Since sleep medicine is still an emerging career path, the salary for sleep medicine is less widely reported and varies considerably.

由於睡眠醫學仍是一個新興的職業路徑，睡眠醫學的薪資較少被廣泛報導，且差異很大。

A sleep medicine doctor's salary depends on their primary specialty, training, practice setting, years of experience and industry leadership.

睡眠醫學醫師的薪資取決於他們的主要專科、訓練、執業地點、經驗年資和產業領導地位。

With salaries ranging from 240 to $500,000.

薪資範圍從 24 萬到 50 萬美元不等。

For example, a pulmonologist who pursues further sleep medicine training stay to earn a higher paycheck than a family medicine physician who specializes in sleep medicine.

例如，一位進修睡眠醫學訓練的胸腔內科醫師，比一位專精睡眠醫學的家庭醫學醫師能賺取更高的薪水。

There's a lot to love about sleep medicine.

睡眠醫學有很多值得喜愛的地方。

If you can improve someone's sleep, you can truly restore their life.

如果你能改善一個人的睡眠，你就能真正地找回他們的生活。

And what's more, you get to see a diverse patient population as 50 to 70 million Americans have chronic sleep disorders.

而且，你還能接觸到各式各樣的病患，因為有五千萬到七千萬美國人患有慢性睡眠障礙。

The lifestyle and work life balance of a sleep medicine physician is also excellent as it's primarily outpatient work with regular nine to five hours and limited night or weekend responsibilities.

睡眠醫學醫師的生活方式和工作生活平衡也很棒，因為主要是門診工作，有固定的朝九晚五時間，而且晚上或週末的責任有限。

You also have the flexibility to combine sleep medicine with other work such as pulmonology and critical care.

你也可以根據自己的興趣，將睡眠醫學與其他工作結合，例如胸腔內科和加護醫療。

It's also an ideal time to get into sleep medicine.

現在也是投入睡眠醫學的絕佳時機。

Sleep disorders are quite prevalent in the population, creating a high demand for qualified sleep specialists.

睡眠障礙在人口中相當普遍，是以對合格的睡眠專家有很高的需求。

Plus, more and more people are paying closer attention to their health from a longevity and wellness perspective thanks to online longevity and health optimization personalities.

此外，越來越多人從長壽和健康的角度更關注自己的健康，這都要歸功於線上的長壽和健康優化意見領袖。

Sleep sleep, along with nutrition and exercise is one of the three pillars of health that makes the largest impact on your well being and effectiveness.

睡眠，以及營養和運動，是影響你身心健康和效率最大的三大健康支柱之一。

As a popular and growing field, there are plenty of opportunities for entrepreneurship and key opinion leadership.

由於這是一個受歡迎且不斷發展的領域，是以在創業和意見領袖方面有許多機會。

You could also collaborate and lend your expertise to the tech sector by working with an established sleep tech company or startup as a medical specialist.

你也可以擔任醫療專科醫師，與現有的睡眠科技公司或新創公司合作，將你的專業貢獻給科技產業。

Sleep tech is also developing at a faster and faster rate With AI and sleep medicine, the dynamic nature of wearables, and

睡眠科技的發展速度也越來越快，結合 AI 和睡眠醫學，還有穿戴式裝置的動態變化，

the massive data sets that they provide, there's more information about sleep than ever before.

以及它們提供的龐大數據集，關於睡眠的資訊比以往任何時候都多。

Of course, sleep medicine is not for everyone.

當然，睡眠醫學並不是適合每個人。

For one thing, it's a slower paced specialty, so it's possible to become bored of reading sleep study after sleep study.

舉例來說，這是一個步調較慢的專科，你可能會厭倦一篇又一篇地閱讀睡眠研究報告。

This is especially dependent on what specialty you're coming from.

這尤其取決於你原本的專科背景。

For example, if you're coming from pulmonary medicine or critical care, you may miss the opportunity to save lives on a daily basis.

例如，如果你原本是肺臟醫學或重症加護的醫師，你可能會懷念每天拯救生命的機會。

Now, while the rapid advancement of sleep technology and research will be a pro for some, it won't be for everyone requires ongoing learning and adaptation.

現在，雖然睡眠科技和研究的快速進步對某些人來說是優勢，但並非人人都能適應需要持續學習和調整的環境。

And because it's such a new field, your work could look completely different a decade from now.

而且因為這是一個相當新興的領域，十年後你的工作內容可能就完全不同了。

Sleep medicine has many variables depending on the path you take to get there.

睡眠醫學有許多變數，取決於你選擇的職業路徑。

It can be more demanding and may require working overnight for sleep studies.

這可能更具挑戰性，而且可能需要為睡眠研究值夜班。

Additionally, you can encounter difficult patients who are not at their best due to lack of sleep.

此外，你可能會遇到因為睡眠不足而狀況不佳的困難病患。

Sleep deprived patients can be irritable and frustrated with the situation they are in and they may take it out on you.

睡眠不足的病患可能會煩躁易怒，對自身處境感到沮喪，並可能將情緒發洩在你身上。

So should you become a sleep medicine doctor?

那麼，你應該成為睡眠醫學醫師嗎？

Sleep medicine isn't a medical field for adrenaline junkies as a great deal of your time will be spent reading sleep studies and conducting research.

睡眠醫學並非腎上腺素愛好者的領域，因為你大部分時間都會花在閱讀睡眠研究和進行研究上。

If you're looking for a slower paced career and don't like participating in high acuity care in the emergency department or icu, sleep medicine may be a good fit.

如果你尋求步調較慢的職業，而且不喜歡在急診室或加護病房參與高急性照護，睡眠醫學可能適合你。

It's also an excellent field if you're interested in holistic medicine.

如果你對整體醫學感興趣，這也是一個絕佳的領域。

Sleep is a foundational component of our health, which means it involves several fields of medicine.

睡眠是我們健康的基礎組成部分，這意味著它涉及多個醫學領域。

You can customize your career based on your interests and you'll be able to interact with a number of colleagues from different specialties.

你可以根據自己的興趣客製化職業，並能與來自不同專科的許多同事互動。

For example, the expert contributor for this guide, Dr. Sahil Chopra, started out as an intensivist and pulmonologist.

例如，本指南的專家貢獻者 Sahil Chopra 醫師，最初是加護病房醫師和肺臟專科醫師。