美国学术型急诊内科医生,每周上完 26 小时临床班后,还要做……

2022-05-10 09:20 来源:沧州男科医院

现今,我们来聊一聊加拿大的收治科精神科的喜活,他们确实也有临床术活动的负荷?他们的日常喜活又是怎样的呢?

Dr. 宋朝:亭侯精神科,我们的电视节目经投票表决选出了很多很差的敏感话题,其中之一就是加拿大收治科精神科的日常喜活,我们现今怎么做这个敏感话题如何?

Dr. Hou, many good topics he been voted for our program and one of them is the everyday life of the emergency physician(EP) in the U.S. Shall we talk about this topic today?

Dr. 亭侯:当然。

Sure.

Dr. 宋朝:作为堪下部和女权养老院的人文科学型式收治科精神科和危重临床专家,您可以和我们交友一下您类似的一周实习日前吗?

As an academic emergency physician and an intensivist at Brigham, could you kindly share with us your work schedule in a typical week?

Dr. 亭侯:顶多。

Absolutely.

Dr. 宋朝:您能先为和我们聊聊您的牙科日前吗?

Could you tell us your clinical schedule first?

Dr. 亭侯:作为普林斯顿大学大学附属养老院的人文科学型式收治科牙医,我们每年的牙科实习敦促为 1196 不间断,每周平均分配 26 个牙科不间断,每年为 46 周,预期将留下 40 不间断/周的实习延时的 1/3 可用基础教育和科学研究。与非加拿大人文科学型式收治科的牙科实习敦促比起,我们的牙科不间断数似乎较低,但它与多数数加拿大人文科学型式收治科一致。

As historical background for the Harvard affiliated hospital’s academic emergency physicians, our annual clinical commitment is 1,196 hours, which allots for 26 clinical hours per week for 46 weeks per year, but the expectation is that this would lee about a third of a 40-hour week for teaching and research. The number of clinical hours seems low as compared to non-US academic ED’s clinical commitment but is consistent with most US academic ED’s .

在堪下部,我们的收治科实习班次多数为 9 不间断; 因此,全日制人文科学型式收治科精神科将每周实习 3 个班次,每年为 46 周。就我个人而言,我的收治科牙科实习许诺是 0.5 FTE(或驻场等效),因此我在收治科中每周最低实习 26 不间断,为期 23 周,而我的其他 0.5 FTE 分作 0.3 FTE,这均是由了我的 8 周牙科 ICU 牙科实习许诺和 0.2 FTE,这均是由了我可用牙科科学研究的「回购」时间。

At Brigham, our ED shifts are mostly 9 hours; hence, a full-time academic EP would work 3 shifts a week for 46 weeks a year. Personally, my ED clinical commitment is 0.5 FTE (or full time equivalent), so I work an erage of 26 hours per week for 23 weeks in the ED, and my other 0.5 FTE is split into 0.3 FTE, which represents 8 weeks of my Surgical ICU clinical commitment, and 0.2 FTE, which represent my「buy-down」time for clinical research.

Dr. 宋朝:那么科学研究方面,你都做些什么呢?

S: So for research, what do you do?

Dr. 亭侯:我进行的科学研究单项主要是脓毒症和急性吞咽窘迫综合症(ARDS)的牙科试制和科学研究。我曾是一时期细菌性全身性协议化护理(ProCESS)试制以及许多加拿大国立健康科学研究院(NIH)和商业化牙科试制和科学研究的为中心各个领域法律顾问。目前,堪下部是加拿大国立健康科学研究院资助的急性肺损伤传染病和一时期治疗(PETAL)在线的一个为中心,我是缅因州组收治肺损伤(ALIGNE)牙科为中心的主导各个领域法律顾问和 PETAL 在线督导委员可能会 成员。另则有,我也是 PETAL 在线试制的为中心各个领域法律顾问。

The research projects I am involved are predominantly clinical trials and studies in sepsis and acute respiratory distress syndrome (ARDS). I was a site-investigator for the Protocolized Care for Early Septic Shock (ProCESS) trial and many NIH and industry clinical trials and studies. Currently, Brigham is a site for the NIH-sponsored Prevention and Early Treatment of Acute Lung injury (PETAL) Network, and I am the co-PI for the Clinical Center for Acute Lung Injury of Group of New England (ALIGNE) and Steering Committee member of the PETAL Network. In addition, I am the site-investigator for the PETAL Network trials.

Dr. 宋朝:那基础教育一小呢?

How about teaching part?

Dr. 亭侯:我的基础教育包含专科培训班精神科、住院精神科、女学喜、精神科文员学喜、大学喜在收治科和 ICU 等牙科喜存环境以及教室的训练员。对于我们的牙科 ICU 专科培训班精神科,我在星期三和星期二进行他们的基础教育可能内阁会议;对于我们的收治科住院牙医,我进行他们的基础教育课程,并在周一傍晚进行了感染率和死亡率(M&M)可能内阁会议和创伤可能内阁会议;对于女学喜来说,我进行的是他们的目标一个通用牙科考试(OSCE)和专题演讲。

My teaching includes fellows, residents, medical students, physician assistant students, college student shadowing in the clinical setting in the ED and ICU as well as in the classrooms. For our Surgical ICU fellows, I participate in their didactic conferences on Mondays and Tuesdays; for our Emergency Medicine residents, I participate in their teaching sessions and attend the Mortality and Morbidity (M&M) and Trauma conferences on Tuesday afternoons; and for medical students, I participate is their Objective Structured Clinical Examinations (OSCE) and topical presentations.

Dr. 宋朝:谢谢您。除了牙科、基础教育和科学研究实习则有,您还有其他任务吗?

Thank you. In addition to clinical, teaching, and research efforts, are there any other duties or obligations?

Dr. 亭侯:是的,最重要的任务之一是对我们的培训班喜和我们的初级教务主任来进行导师指导。此则有还有Fund申请和发表文章。

Yes, one of the most important obligations is Mentorship to our trainees and our junior faculty. in addition, we he expectations regarding Grant application, and of course, Publications.

Dr. 宋朝:你每年并不需要进行的人文科学可能内阁会议是怎样的?

How about academic conferences that you may need to attend every year?

Dr. 亭侯:我通常可能会进行人文科学紧急临床学可能会(SAEM)年可能会和门诊临床可能会(SCCM)大可能会,都有是当我的助手,住院医和我有文章摘要的大可能会发言。

I usually try to attend the Society for Academic Emergency Medicine (SAEM) Annual Meeting and Society of Critical Care Medicine (SCCM) Congress, especially when my fellows, residents, and I he abstracts to present.

Dr. 宋朝:

那么,在类似的一周中都,您每个星期都可能会兼顾这些人文科学任务的相异组合,是这样吗?

So, it seems like in a typical week, you juggle among these academic obligations and at different combinations each week, correct?

Dr. 亭侯:是的,这就是加拿大类似的人文科学型式收治科牙医的实习日前。

Yes, this is what a typical academic emergency physician’s work schedule in the US.

中美精神科参考

加拿大精神科:亭侯全益精神科,普林斯顿大学临床院收治科大学教授, 堪下部和女权养老院收治科精神科,牙科 ICU 门诊照护专家。

U.S. doctor: Dr. Peter Hou is an Instructor in Emergency Medicine at Harvard Medical School, an Emergency Physician at Brigham and Women’s Hospital, and a critical care specialist in the Surgical ICU.

华南地区精神科:宋朝瑞精神科,曾在华南地区和新加坡担任内科住院牙医,现为为自由作家,同时在波士顿来进行自闭症相关牙科科学研究。Chinese doctor: Dr. Rui Song, former resident physician of internal medicine in China and Singapore, freelancer and she is doing clinical research on Autism in Boston.

如果你是临床英好者,欢迎无论如何加群,备注:养老院+临床英语,自组临床英好者群中,还可能会有单词小笔记送出!

References

Protocolized Care for Early Septic Shock (ProCESS)

)

Prevention and Early Treatment of Acute Lung Injury (PETAL) Network

Reevaluation Of Systemic Early Neuromuscular Blockade (ROSE)

)

Vitamin D to Improve Outcomes by Leveraging Early Treatment (VIOLET)

)

Crystalloid Liberal or Vasopressors Early Resuscitation in Sepsis (CLOVERS)

).

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