Name: 2024 年職業倦怠最嚴重的 5 個醫學專業 (5 Medical Specialties with the Most Burnout in 2024)
Uploaded: 2025-10-28T18:23:01.000Z
Duration: 10 min 28 s

進階被動語態

49% of physicians report being burnt out.

But which specialties have the greatest rates of burnout?

但哪些科別的過勞比例最高呢？

Jubbal medschoolinsiders.com after three years of steady increase, physician burnout and depression declined for the first time since 2020.

Jubbal medschoolinsiders.com 在持續增加三年後，醫師過勞和憂鬱症自 2020 年來首次下降。

However, there's still a long way to go to get those numbers down.

不過，要降低這些數字還有很長的路要走。

Depression amongst physicians is back to where it was in 2021, but

醫師的憂鬱症回到了 2021 年的水準，但

burnout is still at a whopping 49%, which is 8% higher than the 2020 report from before.

過勞比例仍高達驚人的 49%，比 2020 年先前的報告高出 8%。

Unfortunately, even though many COVID 19 stressors have let up, they have been replaced with others, including understaffed hospitals, reduced funding and stagnant salaries.

令人遺憾的是，即使許多 COVID-19 的壓力源已經減輕，但它們已被其他因素取代，包括醫院人力不足、資金減少和薪資停滯。

At number one, with 63% of practicing physicians reporting burnout is emergency medicine.

位居第一名的是急診醫學科，有 63% 的執業醫師報告有過勞問題。

EM doctors treat patients with urgent healthcare needs, from acute conditions like heart attacks to exacerbations of chronic health conditions to stabilizing patients involved in trauma.

急診科醫師會處理各種緊急醫療需求的病患，從心臟病發作等急性疾病，到慢性病的惡化，以及穩定創傷病患的狀況。

They tend to be jack of all trades doctors because they are faced with so many different health concerns, emergencies and surprise circumstances.

他們通常是全能型的醫師，因為他們需要面對非常多樣的健康問題、緊急情況和突發狀況。

There are many reasons why so many EM doctors report burnout.

急診科醫師之所以有這麼高的過勞比例，原因有很多。

EM doctors work on the front line, which means consistent high intensity stress and unpredictability.

急診科醫師工作在前線，意味著持續的高強度壓力與不可預測性。

It's also an unfortunate reality that a large number of patients abuse the emergency department.

不幸的是，有大量的病患濫用急診室，這也是一個令人遺憾的現實。

Homeless patients may fake a medical condition also known as malingering, such as so that they can have a guaranteed meal and a roof over their head for the night.

無家可歸的病患可能會假裝有病，也就是「詐病」，以便能獲得一頓飯和一個過夜的地方。

It's also common for uninsured or undocumented patients to use the ED not for emergencies, but

沒有保險或沒有合法居留身份的病患，也常將急診室當作他們的主要照護來源，而不是真的有緊急狀況。

People who are addicted to narcotics often visit the emergency room in the hope of finding painkillers, something that's become increasingly common due to the opioid epidemic.

對毒品上癮的人，常會到急診室尋求止痛藥，這由於鴉片類藥物氾濫而變得越來越普遍。

Dealing with intoxicated or agitated patients means EM doctors face face a higher risk of physical harm from their patients than physicians in other specialties.

處理酒醉或情緒激動的病患，意味著急診科醫師面臨來自病患的肢體傷害風險，比其他科別的醫師還要高。

EM doctors also face higher risk of litigation due to the higher rates of malpractice claims compared to the average physician.

急診科醫師因為醫療疏失的訴訟案件比一般醫師高，所以面臨較高的訴訟風險。

Naturally, these situations are not necessarily the fault of the patients, but

當然，這些情況不一定都是病患的錯，

it's something many EM doctors, depending on where they practice, often deal with on a daily basis.

但這卻是許多急診科醫師，依據他們執業地點的不同，每天都可能遇到的情況。

And aside from moments of excitement and high stress, the most common things EM doctors treat are headaches, emotional abdominal pain and chest pain.

除了刺激和高壓的時刻，急診科醫師最常處理的病症是頭痛、情緒性腹痛和胸痛。

The treatments in these cases aren't always definitive and the standard workup can grow repetitive and tedious.

這些情況的治療並不總是確定的，標準的檢查流程可能會變得重複且乏味。

For these reasons and more, EM doctors face a high degree of burnout.

這些原因以及更多，導致急診科醫師面臨高度的醫師過勞。

And the number two spot is OB gyn, which covers both obstetrics and GYNECOLOGY Obstetrics is the medical and surgical management of pregnancy, and

第二名是婦產科，涵蓋了產科和婦科。產科是懷孕的內外科照護，

gynecology is the medical and surgical management of the female reproductive tract.

而婦科是女性生殖系統的內外科照護。

OB GYN doctors see patients through puberty, adult life, pregnancy, menopause, and beyond.

婦產科醫師會照護病患度過青春期、成年生活、懷孕、更年期，以及之後的時期。

The lifestyle of OB GYN physicians is on the more challenging side as it's common for them to be on call for a range of gynecological or OB emergencies.

婦產科醫師的生活方式比較具挑戰性，因為他們經常需要輪值處理各種婦科或產科的緊急狀況。

It's a very unpredictable and active specialty.

這是一個非常難以預測且活躍的科別。

When these physicians aren't running between labor and delivery, the office, and

當這些醫師們不在產房、診間和

the emergency department, they're standing in the operating room.

急診室之間奔波時，他們就站在手術室裡。

Plus, while delivering babies is rewarding, it's also very stressful and messy.

此外，雖然接生寶寶很有成就感，但壓力也非常大，也很混亂。

It's a specialty with a high degree of blood loss and the blood is often combined with other bodily fluids and solids during labor.

這是一個出血量很大的科別，而且在生產過程中，血液經常會混合其他體液和固體。

On top of the unpredictability, the mess and the stress.

除了難以預測、混亂和壓力之外。

OBGYN physicians also earn lower salaries than doctors in other specialties, averaging $308,000 per year.

婦產科醫師的薪資也低於其他科別的醫師，平均每年為 308,000 美元。

For context, on average, physicians make $352,000 a year.

作為參考，平均而言，醫師的年收入為 352,000 美元。

Some specialties make over $500,000 a year, including plastic surgery, orthopedics, cardiology, urology, and gastroenterology.

有些科別的年收入超過 500,000 美元，包括整形外科、骨科、心臟內科、泌尿科和腸胃科。

In the number three spot is oncology, which focuses on the diagnosis and treatment of cancers as well as complications that can arise from cancer and its treatment.

第三名是腫瘤科，專注於癌症的診斷與治療，以及癌症及其治療可能引起的併發症。

53% of oncologists self report burnout from their job.

53% 的腫瘤科醫師表示自己有職業過勞的問題。

You likely don't have to think too long and hard to figure out why this specialty suffers from burnout.

你大概不用想太久就知道為什麼這個科別會這麼容易過勞了。

Oncologists are faced with cancer on a daily basis, which means they're also faced with death and delivering potentially devastating news to patients and their families.

腫瘤科醫師每天都要面對癌症，這也意味著他們每天都要面對死亡，以及向病患和家屬傳達可能令人心碎的消息。

Additionally, the little work life balance oncologists have continues to lessen as they become more and more bogged down with increasing administrative burdens.

此外，腫瘤科醫師原本就少得可憐的工作生活平衡，隨著他們越來越深陷日益增加的行政負擔，也持續在減少。

These rising demands on oncologists mean they are less productive at work and therefore have less time away from work.

這些對腫瘤科醫師日益增加的要求，意味著他們在工作上的生產力下降，是以離開工作崗位上的時間也變少了。

Oncologists face many organizational limitations of healthcare.

腫瘤科醫師面臨許多醫療體系的組織限制。

This is especially true of the private sector, which unfortunately often cares more about the bottom line than what's best for patients.

這在私人醫療體系尤其如此，不幸的是，私人醫療體系往往比病患權益更在意營收。

It can be discouraging for oncologists to not have the adequate time to spend with patients or the necessary resources to help them.

對腫瘤科醫師來說，沒有足夠的時間陪伴病患，或是沒有必要的資源來幫助他們，這點確實令人沮喪。

Telling someone they can't afford the life saving treatment options available or that there simply aren't enough resources to help them is very challenging to say the least.

告訴病患他們無法負擔可用的救命治療選項，或是根本沒有足夠的資源來幫助他們，這至少可以說是極具挑戰性的。

This emotional burden takes a toll on oncology physicians and builds over time leading to higher rates of burnout.

這種情感負擔會對腫瘤科醫師造成壓力，並隨著時間累積，導致更高的過勞率。

Pediatricians care for babies, children and adolescents from birth up to the age of 25.

小兒科醫師照護從出生到25歲的嬰兒、兒童及青少年。

Because they are dealing with children, they also deal with their patients parents.

因為他們是跟小孩打交道，所以也得跟病童的父母溝通。

This presents two different patient types and relationships to maintain, which can be quite a lot to balance.

這代表要處理兩種不同類型的病患和關係，確實需要花很多心思來平衡。

The life of a pediatrician is not for those who lack patience and empathy.

小兒科醫師的生活不適合沒耐心又缺乏同理心的人。

As young people are sensitive and require a soft touch, their tempers and nerves are often completely frayed.

年輕人很敏感，需要溫柔對待，他們的脾氣和情緒常常會被搞得七葷八素。

So pediatricians must remain calm, empathetic and consistent at all times, which can grow very difficult over time.

所以小兒科醫師必須隨時保持冷靜、有同理心且一致，這隨著時間會變得非常困難。

On the flip side, not all parents are good parents.

反過來說，並非所有家長都是好家長。

Pediatricians see a number of children who have been abused by their caregivers, which is never easy.

小兒科醫師會遇到許多被照顧者虐待的兒童，這從來都不容易。

And then there's the elephant in the room.

然後還有個大家心知肚明卻避而不談的問題。

Losing patients is always tough for a physician, but it can be especially difficult to lose children.

對醫師來說，失去病患總是令人難受，但失去孩童病患更是難上加難。

Understandably, it's not easy for a pediatrician to leave work after losing a child they've developed a relationship with and have dinner with their family like nothing happened.

當然，小兒科醫師在失去一個自己建立關係、甚至還曾和對方家人一起吃過飯的孩子後，要若無其事地離開工作，這並不容易。

It's hard not to take that kind of devastation home.

這種心碎的感覺真的很難不帶回家。

There's also not as much research within pediatrics compared to adult medicine.

相較於成人醫學，小兒科的研究也比較少。

This can be extremely frustrating since certain drugs have not yet been tested on kids for efficacy and safety protocols.

這點非常令人沮喪，因為有些藥物尚未經過兒童的療效和安全協議測試。

As with other primary care specialties, pediatricians have to spend a great deal of time on the computer and charting.

和其他初級照護科別一樣，小兒科醫師必須花很多時間在電腦和病歷記錄上。

Considering many of these physicians went into this specialty to work with kids, having to spend so much time away from them can also be grating.

考量到許多這些醫師選擇這個科別就是為了和小朋友一起工作，卻必須花這麼多時間遠離他們，這也會讓人感到厭煩。

To top it all off, pediatricians compensation is one of the lowest of all medical specialties, averaging around $250,000 a year.

更別提，小兒科醫師的薪資是所有醫學科別中最低的之一，平均約為 25 萬美元一年。

Many children are on Medicaid, which has lower reimbursement than commercial insurance.

許多兒童有 Medicaid，其給付低於商業保險。

US Healthcare has a fee for service model, and

美國的醫療體系是論量計酬的模式，

children generally require fewer interventions than adults, so adult specialties often earn more money.

而且兒童通常比成人需要較少的介入措施，所以成人科別通常能賺更多錢。

At number five, with 51% of physicians reporting burnout, is family medicine.

第五名是家庭醫學，有 51% 的醫師回報有過勞。

Family medicine is the center of primary care.

These physicians treat the broadest range of ailments and patients, from newborns to seniors and everything in between.

這些醫師治療的病症和病患範圍最廣，從新生兒到長者，以及介於兩者之間的各種情況。

They are not limited to a single organ disease or age range, so to be effective at their job, they need to be familiar with and stay up to date with many different areas of medicine.

他們不侷限於單一器官疾病或年齡層，所以要有效地勝任工作，他們需要熟悉並隨時更新許多不同的醫學領域知識。

Retaining and maintaining this knowledge is quite a bit of work that's often not accounted for in their daily duties.

保持和維護這些知識需要相當多的心力，而且這些工作常未被計入他們的日常職責。

Plus, family medicine physicians consistently earn one of the lowest doctor salaries of any specialty at just over $250,000.

此外，家庭醫學醫師的薪資是所有科別中最低的醫師薪資之一，僅略高於 25 萬美元。

While that's a decent paycheck, family medicine doctors still have a similar burden of debt to doctors in different fields and their reduced salary means they are not able to pay off their debt as soon as other doctors.

雖然這是筆不錯的薪水，但家庭醫學醫師仍面臨與其他領域醫師相似的債務負擔，而他們較低的薪資意味著無法像其他醫師一樣快地還清債務。

There's also a great deal of computer work and charting involved in family medicine.

家庭醫學也涉及大量的電腦工作和病歷記錄。

Their day to day is increasingly concerned with documentation and billing which determines the compensation or reimbursement they receive from insurance companies depending on their patient population.

他們的日常工作越來越多地涉及文件記錄和計費，這決定了他們從保險公司收到的報酬或報銷金額，具體取決於他們的病患群體。

Many family medicine physicians also need to juggle a number of different social issues with patients such as insurance coverage, access to care and more.

許多家庭醫學醫師還需要處理病患的各種社會問題，例如保險涵蓋範圍、就醫管道等等。

Family medicine doctors may have better work life balance than some specialties in terms of total hours worked or predictability of those hours, but

家庭醫學醫師在總工時或工時的可預測性方面，可能比某些科別擁有更好的工作與生活平衡，但

when they're at work they're moving fast through patients and are compensated towards the bottom of all specialties.

他們在工作時，看診節奏非常快，而且在所有科別中，他們的薪資是偏低的。

The next five in order of burnout are radiology with 51% burnout and pulmonary medicine, anesthesiology, gastroenterology and internal medicine all tied at 50%.

接下來依過勞比例排序的五個科別是放射科，過勞比例為 51%；而胸腔內科、麻醉科、腸胃內科和內科則都並列 50%。

Many of the specialties with the highest rates of burnout are those in primary care, which is the first line of defense in healthcare.

許多過勞比例最高的科別都屬於基層醫療，而基層醫療是醫療保健的第一道防線。

For these physicians, the amount of charting and other clerical work continues to increase at a rate much higher than procedural specialties thanks to electronic medical records.

對於這些醫師來說，由於電子病歷系統，他們需要處理的病歷記錄和其他行政工作量持續增加，其增加速度遠高於需要動手術的科別。

While EMRs are required for effective billing, it forces physicians to work longer hours and spend less time face to face with patients and more time facing computer screens.

雖然電子病歷系統對於有效的計費是必需的，但這迫使醫師們工作更長時間，減少與病患面對面的時間，而將更多時間花在電腦螢幕前。

Additionally, it's becoming more common for smaller practices to be bought up by private equity firms.

此外，小型診所被私募股權公司收購的情況也越來越普遍。

The goal of these firms is to make as much money as possible so they have a short term investor return mindset rather than long term goals in mind.

這些公司的目標是盡可能多地賺錢，是以他們擁有短期的投資者回報思維，而不是長遠的目標。

They aim to reduce costs while increasing output in order to turn the practice around and sell it again at a profit.

他們旨在削減成本並增加產出，以便扭轉診所的經營狀況，然後再轉售獲利。

This process puts a greater workload on physicians and other hospital workers and adds stress to an already incredibly demanding job.

這個過程讓醫師和其他醫院員工的工作量增加，也為已經極度艱難的工作增添了壓力。

These long hours, coupled with tedious charting responsibilities and stressful work environments have have pushed many physicians to quit medicine.

這些長時間工作，加上繁瑣的病歷記錄責任和壓力重重的工作環境，已迫使許多醫師放棄從醫。

我會在後面更詳細地說明這些原因。

Over on the Kevin Jubal MD channel, check out the Doctors Quitting Medicine Reaction playlist.

在 Kevin Jubal MD 的頻道上，可以看看「醫師放棄從醫」的反應播放清單。

If you're still struggling to choose your medical specialty, check out our so you want to be playlist which takes a deep dive into the pros, cons and training steps for every medical specialty.

如果你還在猶豫要選擇哪個醫療科別，可以看看我們的「你想成為什麼科的醫師」播放清單，裡面深入探討了每個醫療科別的優缺點和訓練步驟。