Name: 想成為國際衛生醫生？ [EP. 43] (So You Want to Be a GLOBAL HEALTH DOCTOR [Ep. 43])
Uploaded: 2026-02-15T18:29:52.000Z
Duration: 12 min 18 s

So you want to be a global health doctor?

所以你想成為一位全球衛生醫師嗎？

You went into medicine to help others and now want to give back to the less fortunate communities who don't have the resources for proper healthcare.

你進入醫學領域是為了幫助別人，現在想回饋給那些沒有資源獲得適當醫療保健的弱勢社區。

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

我們要來揭穿大眾的看法迷思，直接告訴你真相。

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

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

In this series, we break down a specific specialty within medicine, in this case global health, to help you decide if it's a good fit for you.

在這個系列裡，我們會深入探討醫學中的特定專科，這次是全球衛生，希望能幫助你決定這是否適合你。

You can find dozens of other specialties on our so youo Want to Be playlist.

你可以在我們的「所以你想成為」播放列表裡找到數十種其他專科。

Make sure you're subs if you want to vote in upcoming polls to help decide what future specialties we cover.

請務必訂閱，這樣你才能在即將到來的投票中參與投票，幫助決定我們未來要報導哪些專科。

If you'd like to see what being a global health doctor looks like, check out my second channel, Kevin Jubbal, MD, where we'll cover A Day in the Life of a Global Health Physician Global health is the field of medicine that helps spread medicine and surgery to developing countries and underserved populations.

如果你想看看全球衛生醫師的工作內容，請到我的第二個頻道 Kevin Jubbal, MD，我們將會報導「全球衛生醫師的一天」。全球衛生是醫學領域中，將醫學和外科推廣到開發中國家和服務不足人口的學科。

Currently 75% of the world's surgeries are performed in the wealthiest one third of the world and the poorest 1/3 make up only 6% of the world's surgeries.

目前全球 75% 的手術都發生在最富裕的三分之一國家，而最貧窮的三分之一國家只佔全球手術的 6%。

In addition, there are 5 billion people in the world who don't have access to safe and affordable surgical care.

此外，全球有 50 億人無法獲得安全且負擔得起的が手術照護。

Global Health aims to decrease this health gap of inequality by partnering with local physicians and advocates to empower those populations through it.

全球衛生旨在透過與當地醫師和倡議者合作，賦予這些人口力量，來縮小這種健康不平等差距。

The hope is for longer, healthier lives, improved quality of life, better medical systems across the board and improved economies.

希望能夠帶來更長久、更健康的生活，改善生活品質，全面提升醫療系統和經濟。

Global health doctors do much more than provide care for their patients.

全球衛生醫師的工作，遠不止是為病人提供照護。

These physicians also have administrative roles, reach out to local leaders, physicians and other community leaders, and

這些醫師也扮演行政角色，與當地領導人、醫師和其他社區領袖聯繫，並且

oftentimes are involved in the physical aspect of setting up care.

常常會參與實際建立照護的執行工作。

A good portion of their time is spent educating others such as teaching local physicians techniques and providing medical education to the local population.

他們有相當多的時間用於教育他人，例如教授當地醫師技術，並向當地居民提供醫學教育。

However, this learning is not a one way street.

There's also much to learn from their hosts, such as the techniques that local doctors have successfully implemented with their limited resources.

從接待方那裡也能學到很多，例如當地醫師如何利用有限的資源成功實施的技術。

The scope of practice for a global health doctor depends on multiple factors such as your own expertise, the local infrastructure and the ability to keep continuity of care after treatment.

全球衛生醫師的執業範圍，會取決於多種因素，像是你自身的專業、當地基礎設施，以及治療後能否持續照護的能力。

For example, if you're practicing medicine in a war torn country, you're more likely to deal with trauma.

舉例來說，如果你在戰亂國家行醫，你可能更常處理創傷。

It may be more difficult to treat patients who need follow up for years such as transplant patients.

像是需要多年追蹤的病患，例如器官移植的病患，治療起來可能會比較困難。

Another limiting factor can be the country's resources which unfortunately means you might not be able to provide the care that's cutting edge for a patient.

另一個限制因素可能是國家的資源，這也意味著你可能無法提供病患最尖端的照護。

Sometimes it's a work with what you have situation which is not what North American trained doctors are accustomed to.

有時候，這就是一種「就地取材」的狀況，這不是受過北美訓練的醫師習慣的。

This brings us to an important method of differentiating global health practice.

這就帶我們探討一種區分全球衛生實務的重要方法。

Seasonal versus Embedded versus One Time Doctors who practice global health on a seasonal or intermittent basis go to these countries during regularly scheduled intervals.

季節性、駐地或一次性醫師，這些在季節性或間歇性進行全球衛生實務的醫師，會在定期安排的時間前往這些國家。

Some may prefer traveling in the summer months and some may prefer the spring.

有些人可能偏好在夏季旅行，有些人則可能偏好春季。

They typically travel once a year or once every six months.

他們通常一年去一次，或是每六個月去一次。

The reason they only go once a year is these projects are usually self funded and these physicians still have their own practices back home.

他們一年只去一次的原因是，這些計畫通常是自費的，而且這些醫師在國內還有自己的診所。

The upside of working on a seasonal basis is you get to provide continu care and build trust with the local community.

以季節性工作的好處是，你能提供持續的照護，並與當地社區建立信任。

However, the downside is there are long lags between your visits which can hinder the progress you make.

然而，缺點是你的探訪之間會有很長的間隔，這可能會阻礙你取得的進展。

Embedded global health doctors are those who decide to move to a different country altogether and work locally.

嵌入式全球衛生醫師是指那些決定完全搬到另一個國家並在當地工作的人。

They are able to fully integrate into the healthcare system and build more trust with the local community.

他們能夠完全融入醫療保健系統，並與當地社區建立更多信任。

However, embedded doctors are limited by the resources available in the community they practice in and can't supplement as easily.

然而，嵌入式醫師會受到他們執業社區可用資源的限制，而且無法像季節性醫師那樣輕鬆地獲得補充。

It's difficult to acquire industrialized technology and medical supplies when you don't travel back and forth seasonally.

當你沒有季節性往返時，很難獲得工業化技術和醫療用品。

It's also financially challenging as you're working in environments that don't have the funds to pay near what you'd expect to earn in the US One time global health doctors usually do a mission for a short period of time, such as a few weeks, and

這在經濟上也很有挑戰性，因為你在沒有足夠資金支付你預期在美國賺取的收入的環境中工作。一次性全球衛生醫師通常會進行為期很短的任務，例如幾週，

While it may not be as impactful as seasonal or embedded practices, these physicians still get the opportunity to share their expertise with others and learn from local physicians.

雖然這可能不如季節性或嵌入式實務有影響力，但這些醫師仍然有機會與他人分享他們的專業知識，並向當地醫師學習。

The downside of one time global health endeavors is there's no continuity of care and if you're not incredibly careful, you can risk disrupting the local medical system.

أما بالنسبة一次性的全球衛生行動，缺點是沒有延續性的照護，而且如果你不夠謹慎，可能會冒著破壞當地醫療系統的風險。

Another categorization of global health is surgical versus medical care and each has its pros and cons.

全球衛生的另一種分類是手術照護和內科照護，各有優缺點。

Surgical global health is procedural and these surgeries are usually instantly life changing for patients.

手術全球衛生是程序性的，這些手術通常能立即改變病患的生命。

You get to immediately heal patients and solve their problems.

你可以立即治癒病患並解決他們的問題。

However, surgical care is expensive and you must consider additional factors such as the patient's baseline health, pre and post op management, the rehabilitation resources, and

然而，手術照護費用昂貴，而且你必須考慮其他因素，例如病患的基礎健康狀況、術前術後照護、復健資源，以及

the patient's ability to buy medication after the surgery.

There's also the risk of postoperative complications which the patient and local physicians may not have adequate resources to deal with after you've left.

還有術後併發症的風險，在你離開後，病患和當地醫師可能沒有足夠的資源來處理。

Medical global health is mostly associated with managing comorbidities through medications and lifestyle changes.

內科全球衛生主要與透過藥物和生活方式改變來管理共病症有關。

These problems are much more common than surgical issues and the interventions are not as invasive.

這些問題比手術問題普遍得多，而且幹預措施也沒有那麼侵入性。

Counseling patients about certain modifications to their lifestyle can lead to long lasting change.

諮詢病患關於生活方式的某些改變，可以帶來持久的改變。

However, this is a much longer process and the patient's cost can build over time.

不過，這是一個漫長許多的過程，病患的開銷也會隨時間累積。

You might be able to provide the patient with medication to last a few months, but

你或許能提供病患幾個月的藥物，但

who will pay for these medications on an ongoing basis?

這些藥物後續的費用由誰來支付呢？

There's also combined surgical and medical global health which can provide more services to patients.

還有結合了手術和醫學的全球衛生，能為病患提供更多服務。

However, this needs much more coordination between different specialties which can be complex and difficult to organize.

不過，這需要不同專科之間更多的協調，這會很複雜且難以安排。

Lets clear up some of the misconceptions about global health.

我們來釐清一些關於全球衛生的迷思。

Many may think of global health as a form of colonialism where doctors believe they're the good guys who can fix all of a local population's problems.

許多人可能認為全球衛生是一種殖民主義，認為醫師是能解決當地居民所有問題的好人。

Global health is more nuanced and should never result in a west is best attitude.

全球衛生更細膩，絕不該造成一種「西方最好」的心態。

Both global health doctors and local physicians have their own set of expertise.

全球衛生的醫師和當地醫師都有各自的專長。

For example, a US trained surgeon may be better at performing certain laparoscopic procedures, whereas local surgeons may be more skilled in traditional open surgical techniques.

例如，一位受過美國訓練的外科醫師可能更擅長某些腹腔鏡手術，而當地外科醫師可能更精通傳統的開放式手術技術。

Plenty of back and forth teaching and collaboration occurs with local teams which consist of everyone the local population trusts, including doctors, nurses, religious leaders, politicians and more.

與由當地居民信任的團隊（包括醫師、護理師、宗教領袖、政治人物等）之間，有許多來回的教學與合作。

Another important misconception is that the care in these countries is substandard.

另一個重要的迷思是，這些國家的照護水準較差。

While their limited resources may affect how patients are diagnosed or which treatments they receive, the level of care the local doctors and nurses provide is still exceptional.

雖然有限的資源可能會影響病患的診斷方式或接受的治療，但當地醫師和護理師提供的照護水準仍然非常傑出。

To become a global health doctor, you must first complete four years of medical school followed by three to seven years of residency depending on your chosen specialty.

要成為一名全球衛生醫師，你必須先完成四年的醫學院學業，接著根據你選擇的專科，進行三到七年的住院醫師訓練。

Surgeons typically complete five years of general surgery training and however many years of a surgical subspecialty you're passionate about.

外科醫師通常會完成五年的一般外科訓練，以及你熱衷的任何外科次專科訓練。

If you want to be a medical global health doctor, you will need to complete three years of internal medicine or another primary care specialty, followed by a few years of fellowship training in the field of your choice.

如果你想成為一名全球衛生的醫學醫師，你需要完成三年內科或另一種初級照護專科的訓練，然後在你選擇的領域進行幾年的進階訓練。

You can become a global health doctor in any field you choose and you can choose to go into global health at any time.

你可以選擇任何你想要的領域成為全球衛生醫師，並且可以在任何時候選擇投入全球衛生領域。

There are always opportunities to enter the field at every level of training.

在每個訓練階段，總是有進入這個領域的機會。

When pursuing global health, there are a few priorities to keep in mind.

在追求全球衛生時，有幾個優先事項需要記住。

The first is to be as well trained as possible.

第一個是盡可能地接受完善的訓練。

Just like back home, people are still entrusting you with their lives, except now you may not have all the tools you're used to.

就像在家鄉一樣，大家仍然把生命託付給你，只是現在你可能沒有所有習慣使用的工具了。

People trust your knowledge, skill and intentions.

人們信任你的知識、技能和意圖。

You also need to build problem solving skills that can help you adapt to any situation.

你也需要培養解決問題的能力，幫助你適應任何情況。

You may not have the equipment you're used to working with and this will require out of the box thinking.

你可能沒有習慣使用的設備，這需要跳脫框架的思考。

Learning how to network is also very important.

學習如何建立人脈也非常重要。

As a global health doctor, you'll be building relationships with professionals in various fields such as local physicians, politicians, manufacturers and more.

作為一名全球衛生醫師，你會與各領域的專業人士建立關係，例如當地醫師、政治人物、製造商等等。

Building a large network is essential to making your visit impactful.

建立一個龐大的人脈網絡對於讓你的探訪產生影響至關重要。

You have to consider long term health outcomes, local health infrastructures and how to build it rather than discredit it, and

你必須考慮長期的健康結果、當地的衛生基礎設施，以及如何去建設它，而不是去抹煞它，

讓所有相關方都能獲得賦權的方式。

There's a lot to love about global health.

全球衛生有很多值得喜愛的地方。

To start, it's a very fulfilling and rewarding career.

首先，這是一份非常有成就感且回報豐厚的職業。

You get to meet patients from less fortunate backgrounds and use your training to give back.

你會遇到來自不幸背景的病患，並運用你的訓練回饋社會。

You often get to give these patients a new lease on life.

你常常能給予這些病患重獲新生的機會。

Usually these diseases are disabling and you'll be able to help them go back to a life in which they can work and live without pain, something they could not afford to do on their own.

通常這些疾病會造成殘疾，而你將能幫助他們重拾能工作和生活而無痛苦的生活，這是他們自己無法負擔的。

Typically, you get to work in an environment without as much bureaucracy or paperwork, which means you can spend more time practicing pure medicine.

通常，你能在較少官僚或文書工作的環境中工作，這意味著你可以花更多時間鑽研純粹的醫學。

In some situations, you'll also help build the local infrastructure and medical capabilities from the ground up.

在某些情況下，你還將從零開始協助建立當地的基礎設施和醫療能力。

Working in global health will help you become a better doctor overall.

在全球衛生領域工作將有助於你成為一名更優秀的醫師。

As a global health doctor, you're forced to provide the same exceptional care with fewer resources.

作為一名全球衛生醫師，你被迫在資源較少的情況下提供同樣卓越的照護。

You learn to think on your feet and pick up new skills that will make you more adaptable no matter where your career takes you.

你會學到臨機應變，並學到新技能，讓你無論職涯走到哪裡都能更具適應力。

You also get to travel and learn about different cultures, countries and their medical systems.

你還可以旅行，認識不同的文化、國家及其醫療體系。

Through these experiences, you'll learn what you're truly capable of, enabling you to grow both as a physician and a person.

透過這些經驗，你會瞭解自己真正能做到什麼，進而讓你作為醫師和個人都能成長。

Lastly, you get to meet incredibly diverse people inside and outside of medicine.

最後，你會認識到醫學內外各式各樣的人。

You can build strong, long lasting relationships with people from all over the world.

你能與來自世界各地的人們建立牢固、持久的關係。

While global health is an exciting specialty, it's not for everyone to start.

雖然全球衛生是一個令人興奮的專科，但一開始並非適合所有人。

You'll either be contributing a considerable amount yourself toward seasonal missions, or you'll be giving up your potential to earn a US Doctor's salary.

你可能要自己投入相當多的心力在季節性的任務上，或者放棄賺取美國醫師薪水的潛力。

While money isn't everything, cost is an important factor to consider for your future career, especially if you're graduating with considerable student loan debt.

雖然金錢不是一切，但成本是你未來職涯需要考量的重點，特別是如果你背負著不少學貸畢業的話。

It can also be scary to leave your comfort zone.

離開舒適圈也可能讓人感到害怕。