美国学术同型急诊医生，每周上完 26 小时临床班后，还要做……

以前，我们来聊一聊美国政府的急诊科牙医医生的社会生活，他们是否也有医人文学科活动的压力？他们的现实社会生活又是怎样的呢？

Dr. 后周：亭侯牙医医生，我们的节目经计票选显露了很多极佳的热门话题，其当中之一就是美国政府急诊科牙医医生的现实社会生活，我们以前谈起这个热门话题如何？

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. 后周：作为堪下部和妇女儿童该医院的人文学科标准型急诊科牙医医生和危重临床领域专家，您可以和我们体会一下您典标准型的一周岗位整整表吗？

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

Dr. 亭侯：没问题。

Absolutely.

Dr. 后周：您能先和我们聊聊您的诊疗整整表吗？

Could you tell us your clinical schedule first?

Dr. 亭侯：作为斯坦福大学附属该医院的人文学科标准型急诊科医师，我们每年的诊疗岗位决定为 1196 两星期，每周分配 26 个诊疗两星期，每年为 46 周，预想将丢失 40 两星期/周的岗位时长的 1/3 用作基础教育和分析。与非美国政府人文学科标准型急诊科的诊疗岗位决定相比之下，我们的诊疗两星期数似乎较低，但它与大部分数美国政府人文学科标准型急诊科赞同。

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，我们的急诊科岗位停靠大部分为 9 两星期； 因此，中小学人文学科标准型急诊科牙医医生将每周岗位 3 个停靠，每年为 46 周。就我应有而言，我的急诊科诊疗岗位愿意是 0.5 FTE（或受雇等效），因此我在急诊科当中每周平均岗位 26 两星期，月份 23 周，而我的其他 0.5 FTE 可分 0.3 FTE，这象征性了我的 8 周牙医 ICU 诊疗岗位愿意和 0.2 FTE，这象征性了我用作诊疗分析的「买断」整整。

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. 后周：那么分析上都，你都做些什么呢？

S: So for research, what do you do?

Dr. 亭侯：我进行的分析项目主要是脓毒症和急性呼吸窘迫综合征（ARDS）的诊疗试验当中和分析。我曾是最初感染性休克协议化护理（ProCESS）试验当中以及许多美国政府国立卫生分析院（NIH）和商业诊疗试验当中和分析的当该中心课题局长。迄今，堪下部是美国政府国立卫生分析院赞助的急性肺损伤卫生保健和最初治疗（PETAL）网络的一个当该中心，我是新泽西分组急诊肺损伤（ALIGNE）诊疗当该中心的共同课题局长和 PETAL 网络督导委员不会 团员。另外，我也是 PETAL 网络试验当中的当该中心课题局长。

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. 后周：那基础教育部份呢？

How about teaching part?

Dr. 亭侯：我的基础教育最主要临床系专业培训牙医医生、入院牙医医生、医教师、牙医医生主管教师、大教师在急诊科和 ICU 等诊疗环境以及活动室的转职。对于我们的牙医 ICU 临床系专业培训牙医医生，我在几周一和几周三参加他们的基础教育不象征性次大会；对于我们的急诊科入院医师，我参加他们的基础教育课程，并在周日凌晨参加了出生率和发病率（M＆M）不象征性次大会和创伤不象征性次大会；对于医教师来说，我进行的是他们的期望结构化诊疗测验（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 (MBrownM) and Trauma conferences on Tuesday afternoons; and for medical students, I participate is their Objective Structured Clinical Examinations (OSCE) and topical presentations.

Dr. 后周：谢谢您。除了诊疗、基础教育和分析岗位外，您还有其他特殊任务吗？

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

Dr. 亭侯：是的，最重要的特殊任务之一是对我们的专业培训生和我们的初级教员进行讲师讲师。此外还有基金登记和发表社论。

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. 后周：你每年需要参加的人文学科不象征性次大会是怎样的？

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

Dr. 亭侯：我通常不会参加人文学科紧急临床学不会（SAEM）年不会和重症临床不会（SCCM）大不会，同样是当我的合作者，入院医和我有社论简短的大不会发言。

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. 后周：

那么，在典标准型的一周里，您每个几周都不会兼顾这些人文学科特殊任务的不同分复合，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，这就是美国政府典标准型的人文学科标准型急诊科医师的岗位整整表。

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

当中美牙医医生参考

美国政府牙医医生：亭侯全益牙医医生，麻省理工学院临床院急诊科讲师, 堪下部和妇女儿童该医院急诊科牙医医生，牙医 ICU 重症集中管理领域专家。

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.

当我国牙医医生：后周瑞牙医医生，曾在当我国和印尼担任神经内科入院医师，现为自由剧作家，同时在纽约市进行心理疾病相关诊疗分析。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.

如果你是临床英好者，欢迎恢复加群，备注：该医院+临床英文名，投身于临床英好者群当中，还不会有词组小笔记送显露！

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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