美國「」住在醫院裡的醫生」住院醫都在做什麼？

美國「」住在醫院裡的醫生」住院醫都在做什麼？

美國住院醫培訓是成功的標準化體系，

美國的住院醫期間是出了名的累，那他們在住院醫期間到底做了什麼？

分享人：Dr. Benji Ho

I rememberwhen we were pre-med students, we looked up to those who were already in medschool and thought that their life was smooth sailing. Then once we proudly gotinto med school, we became 「firsties」 and looked up admirably to the fifthsemester honor students as they walked across the stage during white coatceremony, having their words of wisdom read out. Then once we finally reachedwhere they were and became clinical students, we realized we were at the bottomof the pecking order again, and looked up to the residents we worked withand couldn』t wait to get to where they were. And now that we have made it toresidency, we are back at the bottom of the rung again.

I don』t remember where I found this image, but I thought it was funny and wantedto share. After four hard years of studying, we finally get to practice (some)medicine! Looking forward to residency!

HowResidents Spend Their Day？

l Attempting to draw blood

l Successfully drawing blood

l Looking for Urine samples

l Filling cut death certificates

l Chasing patients down the hall

l Sanitizing hands

l Telling internsto write their notes

l Waiting for transport

l Wheeling patients yourself because transport never came

l Napping with your eyes open

l Trying to find the source of that smell

l Crying

l Waiting for the elevator

l Looking up drug interactions

l Realizing you should look up drug interactions before ordering medication

l Calling CT to find out why there is a 12-hour delay

l Practicing medicine

沒有錯，美國住院醫大多數時間，也是在做一些瑣事，比如告訴實習醫生要記筆記、推病人等，與中國的住院醫的日常工作差不多。但是經過美國住院醫培訓成為醫生，美國醫生能夠保證同樣標準的臨床操作，並表現出實力相當的臨床能力，這個是值得中國規培所深思的。

·美國住院醫師培訓階段補充：

美國，住院醫師的培養具有較廣泛的基礎而不提倡過早專科化，幾乎所有醫學畢業生都要接受至少三年的住院醫師培訓（少數項目2年），某些專業長達 8 年。

第一年為實習醫師，完成第一年的教育後參加執照考試。拿到州政府的醫師執照並可開始行醫（其實就是有行醫資格而已，有一些處方權），其後可根據本人意願與專業需要繼續進行住院醫師培訓。

美國住院醫師的工作時間驚人：原來，美國外科住院醫每周通常工作 110 小時，相當於 1 周工作 7 天，每天工作 15 小時，不過現在已經降低工作強度了。

美國有限定住院醫師每周工作時間不超過 80 小時，每次連續工作的時間不超過 12 小時，每個班之間至少間隔 8 小時，每周至少有 1 次 24 小時連續休息的時間，大多數醫院都會遵守。

住院醫師實際上仍是一名學生，除了完成臨床工作外，他們還有一套專業培訓計劃要完成。

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