美国学术型住院医生，每周上完 26 小时临床班后，还要做……

今日，我们来聊一聊American的住院化疗科精神科的社会生活，他们是不是也有医教研的负荷？他们的常常又是怎样的呢？

Dr. 隋：亭侯精神科，我们的节目经投票选不止了很多很差的话题，其中之一就是American住院化疗科精神科的常常，我们今日谈论这个话题如何？

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. 隋：作为圣万桑六根和妇女医务人员的学术界型住院化疗科精神科和危重药理学研究者，您可以和我们分享一下您迥然不同的一周兼职按计划吗？

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：没问题。

Absolutely.

Dr. 隋：您能先和我们聊聊您的诊疗按计划吗？

Could you tell us your clinical schedule first?

Dr. 亭侯：作为耶鲁大学附属医务人员的学术界型住院化疗科牙科，我们每年的诊疗兼职敦促为 1196 每隔，每周分派 26 个诊疗每隔，每年为 46 周，在短期内将留下 40 每隔/周的兼职时长的 1/3 用于教学内容和科学研究。与非American学术界型住院化疗科的诊疗兼职敦促相比，我们的诊疗每隔数似乎更高，但它与大多数American学术界型住院化疗科一致。

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 .

在圣万桑六根，我们的住院化疗科兼职本线大多为 9 每隔； 因此，全日制学术界型住院化疗科精神科将每周兼职 3 个本线，每年为 46 周。就我一个人而言，我的住院化疗科诊疗兼职敦促是 0.5 FTE（或全职等效），因此我在住院化疗科中每周平均兼职 26 每隔，为期 23 周，而我的其他 0.5 FTE 包含 0.3 FTE，这代表了我的 8 周牙科 ICU 诊疗兼职敦促和 0.2 FTE，这代表了我用于诊疗科学研究的「买断」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. 隋：那么科学研究各个方面，你都做些什么呢？

S: So for research, what do you do?

Dr. 亭侯：我参与的科学研究项目主要是脓毒症和急性呼吸虚弱综合症（ARDS）的诊疗试验和科学研究。我曾是早期细菌感染休克协商化护理（ProCESS）试验以及许多American国立卫生科学研究院（NIH）和赢利诊疗试验和科学研究的中心地带科学研究组长。目前，圣万桑六根是American国立卫生科学研究院大力支持的急性肺损伤预防和早期化疗（PETAL）的网络的一个中心地带，我是新英格兰组住院化疗肺损伤（ALIGNE）诊疗中心地带的共同科学研究组长和 PETAL 的网络督导委员会 成员。另外，我也是 PETAL 的网络试验的中心地带科学研究组长。

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. 隋：那教学内容其余部分呢？

How about teaching part?

Dr. 亭侯：我的教学内容之外附属医院实习精神科、住院精神科、医校内、精神科助理校内、女校内在住院化疗科和 ICU 等诊疗环境以及二楼的见习。对于我们的牙科 ICU 附属医院实习精神科，我在月内一和月内二受邀他们的教学内容开会；对于我们的住院化疗科住院牙科，我受邀他们的教学内容文凭，并在周日下午受邀了发病率和发病率（M＆M）开会和创伤开会；对于医校内来说，我参与的是他们的目标结构化诊疗入学考试（OSCE）和回顾演讲。

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. 隋：谢谢您。除了诊疗、教学内容和科学研究计划外，您还有其他战斗任务吗？

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

Dr. 亭侯：是的，最重要的战斗任务之一是对我们的实习生和我们的初级肄业同步进行导师督导。此外还有投资公司申特地和发表书评。

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. 隋：你每年需要受邀的学术界开会是怎样的？

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

Dr. 亭侯：我通常会受邀学术界及时药理学学会（SAEM）年会和重症药理学会（SCCM）大会，尤其是当我的同事，住院医和我有书评参考资料的大会发言。

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. 隋：

那么，在迥然不同的一周里，您每个月内都会兼顾这些学术界战斗任务的有所不同组合，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American迥然不同的学术界型住院化疗科牙科的兼职按计划。

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

中美精神科介绍

American精神科：亭侯全益精神科，耶鲁药理学院住院化疗科系主任, 圣万桑六根和妇女医务人员住院化疗科精神科，牙科 ICU 重症集中管理研究者。

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.

中国精神科：隋瑞精神科，曾在中国和新加坡担任妇产科住院牙科，现为自由作家，同时在波士顿同步进行精神疾病相关诊疗科学研究。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.

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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)

).

书评刊发授权及合作事宜特地联系