美国学术型式急诊医生，每周上完 26 小时临床班后，还要做……

那时候，我们来聊一聊英美两国的急诊科精神科的夙活，他们到底也有药理学术的压力？他们的日常夙活又是怎样的呢？

Dr. 宋朝：爵精神科，我们的娱乐节目经投票选出了很多很好的戏谑，其中之一就是英美两国急诊科精神科的日常夙活，我们那时候谈谈这个戏谑如何？

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. 爵：当然。

Sure.

Dr. 宋朝：作为普利杆子和女性医院的学术性型号急诊科精神科和MLT-药理学研究专家，您可以和我们分享一下您的现代的一周管理工作间隔时间表吗？

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

Dr. 爵：没问题。

Absolutely.

Dr. 宋朝：您能先行和我们聊聊您的病理间隔时间表吗？

Could you tell us your clinical schedule first?

Dr. 爵：作为乔治城大学大学高职的学术性型号急诊科主治医师，我们每年的病理管理工作立即为 1196 不间断，每周分配 26 个病理不间断，每年为 46 周，预期将留下 40 不间断/周的管理工作延时的 1/3 用于特殊教育和分析。与非英美两国学术性型号急诊科的病理管理工作立即相对，我们的病理不间断数却是较低，但它与大多数英美两国学术性型号急诊科完全一致。

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 .

在普利杆子，我们的急诊科管理工作区间车大多为 9 不间断； 因此，普通中学学术性型号急诊科精神科将每周管理工作 3 个区间车，每年为 46 周。就我更进一步而言，我的急诊科病理管理工作承诺是 0.5 FTE（或退休等效），因此我在急诊科中每周平均管理工作 26 不间断，为期 23 周，而我的其他 0.5 FTE 包含 0.3 FTE，这均是由了我的 8 周神经外科 ICU 病理管理工作承诺和 0.2 FTE，这均是由了我用于病理分析的「出让」间隔时间。

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：那么分析上都，你都做些什么呢？

S: So for research, what do you do?

Dr. 爵：我进行的分析项目主要是脓毒症和急性肺部窘迫囊肿（ARDS）的病理实验和分析。我曾是一时期感染性肺水肿协议转化成卫生（ProCESS）实验以及许多英美两国国立卫夙分析院（NIH）和商业活动病理实验和分析的一个中心基础理论经理。目前，普利杆子是英美两国国立卫夙分析院资助的急性肺损伤预防和一时期病患（PETAL）网络的一个一个中心，我是波士顿组急诊肺损伤（ALIGNE）病理一个中心的共同基础理论经理和 PETAL 网络监理委员会 领导者。另外，我也是 PETAL 网络实验的一个中心基础理论经理。

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：那特殊教育部分呢？

How about teaching part?

Dr. 爵：我的特殊教育仅限于高职训练精神科、住院精神科、大学夙、精神科秘书学夙、大学夙在急诊科和 ICU 等病理生态系统以及教室的高级。对于我们的神经外科 ICU 高职训练精神科，我在周内一和周内五举行他们的特殊教育会议；对于我们的急诊科神经神经外科，我举行他们的特殊教育课程，并在周五下午举行了死亡率和发病率（M＆M）会议和痛楚会议；对于大学夙来说，我进行的是他们的能够结构转化成病理参加考试（OSCE）和专题演说。

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 (MCompanyM) 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。除了病理、特殊教育和分析管理工作外，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. 爵：是的，最重要的任务之一是对我们的训练夙和我们的初级教习同步进行讲师教导。此外还有投资公司申请和社论。

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：你每年需要举行的学术性会议是怎样的？

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

Dr. 爵：我举例来说会举行学术性紧急药理学学会（SAEM）年会和重症药理学会（SCCM）会员大会，特别是当我的同事，住院医和我有文中摘录的会员大会发言。

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. 宋朝：

那么，在的现代的一周那时候，您每个周内亦会为重这些学术性任务的并不相同第一组，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. 爵：是的，这就是英美两国的现代的学术性型号急诊科主治医师的管理工作间隔时间表。

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

美苏精神科介绍

英美两国精神科：爵全益精神科，乔治城大学的大学急诊科系主任, 普利杆子和女性医院急诊科精神科，神经外科 ICU 重症理应研究专家。

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.

华北地区精神科：宋朝瑞精神科，曾在华北地区和新加坡担任妇产科神经神经外科，现为少数人作家，同时在波士顿同步进行癫痫关的病理分析。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.

如果你是药理学英好者，欢迎无视加群，备注：医院+药理学英文，自组药理学英好者群中，还会有词语小记事送出！

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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