美国学术型急诊医生，每周上完 26 同一时间临床班后，还要做……

今天，我们来聊一聊American的急诊科精神科的生活，他们是否也有医教学的冲击？他们的日常生活又是怎样的呢？

Dr. 宣和：亭侯精神科，我们的节目经投票选举遴选了很多很好的话题，其中之一就是American急诊科精神科的日常生活，我们今天谈谈这个话题如何？

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. 宣和：作为普利六根和青年人疗养院的人文科学HG急诊科精神科和危重神经外科专家，您可以和我们分享一下您典HG的一周指导日期吗？

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. 宣和：您能可先和我们聊聊您的诊疗日期吗？

Could you tell us your clinical schedule first?

Dr. 亭侯：作为耶鲁大学大学附属疗养院的人文科学HG急诊科精神科，我们每年的诊疗指导要求为 1196 天内，每周分配 26 个诊疗天内，每年为 46 周，预期将留下 40 天内/周的指导足足的 1/3 用做特殊教育和研究论题。与非American人文科学HG急诊科的诊疗指导要求相比，我们的诊疗天内数或许高，但它与大其余部分数American人文科学HG急诊科一致。

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 .

在普利六根，我们的急诊科指导班次大部细分 9 天内； 因此，全日制人文科学HG急诊科精神科将每周指导 3 个班次，每年为 46 周。就我个人而言，我的急诊科诊疗指导尽力是 0.5 FTE（或驻场等效），因此我在急诊科中每周平均指导 26 天内，日和 23 周，而我的其他 0.5 FTE 细分 0.3 FTE，这推选了我的 8 周神经外科 ICU 诊疗指导尽力和 0.2 FTE，这推选了我用做神经外科研究论题的「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. 宣和：那么研究论题方面，你都做些什么呢？

S: So for research, what do you do?

Dr. 亭侯：我展开的研究论题项目主要是脓毒症和急性呼吸窘迫综合征（ARDS）的诊疗实验和研究论题。我曾是最初病原休克协议化保健（ProCESS）实验以及许多American国立健康研究论题院（NIH）和商业化诊疗实验和研究论题的外围论题主任。目前，普利六根是American国立健康研究论题院捐助的急性肺损伤健康保健和最初放射治疗（PETAL）网络平台的一个外围，我是新英格兰组急诊肺损伤（ALIGNE）诊疗外围的共同论题主任和 PETAL 网络平台主要职责委员会 成员。另外，我也是 PETAL 网络平台实验的外围论题主任。

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. 宣和：那特殊教育其余部分呢？

How about teaching part?

Dr. 亭侯：我的特殊教育仅限于外科培训班精神科、康复精神科、神经外科生、精神科主管学生、大学生在急诊科和 ICU 等诊疗周围环境以及教室的高级。对于我们的神经外科 ICU 外科培训班精神科，我在星期一和周二参加他们的特殊教育开会；对于我们的急诊科妇产科，我参加他们的特殊教育课程，并在周五下午参加了死亡率和发病率（M＆M）开会和创伤开会；对于神经外科生来说，我展开的是他们的目标结构化诊疗考生（OSCE）和栏目就职演说。

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 (MPriceM) and Trauma conferences on Tuesday afternoons; and for medical students, I participate is their Objective Structured Clinical Examinations (OSCE) and topical presentations.

Dr. 宣和：谢谢您。除了诊疗、特殊教育和研究论题指导外，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，最主要的战斗任务之一是对我们的培训班生和我们的初级科主任展开教师指导。此外还有基金申再三和刊出。

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. 宣和：你每年须要参加的人文科学开会是怎样的？

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

Dr. 亭侯：我通常会参加人文科学紧急神经外科学会（SAEM）年会和重症神经外科会（SCCM）大会，比如说是当我的同事，康复医和我有短文摘要的大会质问。

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. 宣和：

那么，在典HG的一周里，您每个星期都会顾及这些人文科学战斗任务的不同组合，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典HG的人文科学HG急诊科精神科的指导日期。

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

中澳精神科讲解

American精神科：亭侯全益精神科，耶鲁大学神经外科院急诊科系主任, 普利六根和青年人疗养院急诊科精神科，神经外科 ICU 重症抚育专家。

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.

中国精神科：宣和瑞精神科，曾在中国和新加坡担任内科妇产科，现为受限制作家，同时在纽约市展开自闭症具体神经外科研究论题。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.

如果你是神经外科英好者，赞赏回复加群，除此以外：疗养院+神经外科直译，加入神经外科英好者群中，还会有片语小所写送到出！

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)

).

短文转载授权及合作事宜再三联系