Mumwe mudzidzisi, kana kuti chiremba wepachirwere chemukati, ndiye chiremba mukuru wekuchengetedza uyo anonyanya kuona varwere vari muhofisi-yakagadzirirwa, pamwe nekukomberedza varwere vari muchipatara. Vanopinda mukati mavo vanowanzoita hutachiona hunofukidza huwandu hwemishonga kuti hubatanidze hutano hwakakwana hwehutano, kudzivirira zvirwere, uye kutarirwa kwezvirwere zvisingaperi uye zvirwere.
Vanhu vanogara mukati vanowanzobata vanhu vakuru, vamwe vaduku, uye vakwegurawo zvakare.
Chirwere cheshuga, huwandu hwehutachiona, uye kutonhora uye chirwere chepfupa ndedzimwe nyaya dzinoshandiswa nevadzidzisi vanogona kubata uye kubatsira kubata nguva dzose. Kazhinji vashandi vanogona kutaurirana nevanyanzvi kana kutumira murwere kuti aone chiremba anonyanya kuzivikanwa kana nyaya yakakomba kana yakaoma inomuka. Vanowanzopfeka havaiti mavhivhi, kunyange zvazvo dzimwe nguva vanogona kuita mamwe mahofisi emahofisi akadai sekubviswa kwema mole, kuongororwa kwepfungwa, kana kuti zviyero. Kazhinji internists vanoita physicals, kutarisa zvirwere kuburikidza nekudya, mishonga, uye dzimwe nzira dzisingasviki.
Basa rekushanda
Pamusana pehuwandu hwemabasa avo, vashandi vekudzidzira vanoita maitiro akawanda ekushanda uye kuti basa ravo rakagadzirwa sei. Vashandi vanogona kushanda mumahofisi emakiriniki, makiriniki, uye zvipatara, kazhinji pamwe chete. Munhu anoshanda mukati memunhu anogona kushanda ari oga semuongorori, aine uye anochengetedza zvaanoita, kana munhu anoshanda naye angashanda pamwe nevamwe vanachiremba kuti aite chikwata cheboka umo vanachiremba vane imwe nzvimbo yavo yega.
Kana kuti, vamwe vashandi vanogona kushandiswa sevashandi vanobhadhara nekliniki kana chipatara.
Zuva Rokushanda Sabata
Mahofisi emahofisi emaawa anenge 8 kusvika pa5 masikati, 4 kusvika ku5 mazuva evhiki. Vavhareji internist vachaona vanenge 22-25 varwere kana kupfuura zuva rega rega munguva yekliniki / mahofisi emahofisi. Mukuwedzera kumakiriniki, mumwe mudzidzisi anogonawo kuona varwere vari muchipatara zuva roga roga, kana paanenge achitumidzwa.
Izvi zvinogona kuwedzera maawa 5-15 + mavhiki ebasa, zvichienderana nemutoro wevarwere uye chidimbu chechipatara. Kana mudzidzi ari kuita zvaanenge achiita, vanogona kupedza nguva yakawanda yekutonga kugadzirisa mabasa pane bhizinesi remuitiro wechiito.
Kudzidziswa uye Dzidzo Inodiwa
Kufanana nevese vanachiremba, vanoita zvekugadzirira vakapedza chikoro chemakore mana emakore, pamwe nemakore mana echikoro chezvokurapa kuti vawane dhigirii rezvechiremba ( MD kana DO ) kubva kuchikoro chechiremba chinogamuchirwa.
Kuwedzera kune yavo yakazara yepamusoro-soro uye dzidzo yepamusoro, chipatarawo anofanira kupedza makore anoverengeka okupedza dzidzo yezvokurapa (GME) kusanganisira basa rimwe chete remakore, pamwe nemakore matatu okugara kwekugara. Uyezve, vese vanoita zvekudzidzira vanofanira kupedza chirongwa chekurapa chakakodzera uye chekupa mvumo yekuongororwa, kusanganisira matanho matatu eUUSMLE, uye chero nyika inobhadhara mvumo yekuongorora. Vakawanda vekudzidzira basa vanofanirwawo kuva bhodhi rakagadziriswa mukati moutano hwemukati, iyo inowanikwa kuburikidza nekupedza mharidzo uye yakanyorwa mabhii ekuongorora zviyeuchidzo zvakare.
Chii Chingafanana
Vanhu vari mukati vanove nemhando dzakasiyana-siyana dzezvakagadzirirwa kwavari nekuda kwechimiro chebasa ravo. Uyezve, sevanonyanya kutarisira vanachiremba, vanodzidza vakawanda vanoita sehupenyu hwezvavanoita uye kukwanisa kubatsira varwere kutarisira hupenyu hwavo nekufamba kwenguva.
Vanhu vanoita zvepakati vanoita sevanakidzwa nokuva nemafungiro akanaka kune hupenyu hwevanhu nguva dzose. Uyezve, nokuti vanoita basa havaiti chirwere chakawanda, mutoro wavo mari (malpractice inshuwarisi, nezvimwewo) yakaderera kana ichienzaniswa nezvimwe zviitiko.
Chii Chisingafaniri Kufanana
Vashandi vezvemutambo vanogona kuwandiswa nekunyoresa mahofisi ekuchengetedza mahofisi ne-on-call chirongwa chechipatara chekutenderera varwere vari muchipatara, izvo zvinongogadziriswa nekushanda munharaunda inopa zvipatara zvemashoko uye kutaurira varwere vako vose kuchipatara. Kunyange zvazvo uri mubhadhadzi wemari ari kubhadhara zvakanaka, pane zvimwe zvekurapa zvikwereti izvo zvinowedzera zvakawanda, naizvozvo kana uri kutarisira kuita $ 300 000 kana kupfuura sechiremba, iwe unogona kufunga nezvekugadzirwa kwekuvhiya kana zvimwe zvehutano hwepamusoro.
Kubhadhara
Maererano neAradic Group Management Association (MGMA), mavhareji ekubhadharwa kwevashandi vanoita madhora 191,000, kubva muna 2006 data. Iyo 75th percentile yekubhadhara inenge inenge $ 221,000, uye inogona kuwana mari inopfuura $ 277,000 kune vanonyanya kuwana. Vanopinda mukati vanowanzove nevhiki dzinenge 4-6 dzezororo. Ramba uchifunga kuti vazhinji vevashandi vanowana mari yavo zvakananga sevadzidzisi kana vashandi vekuita padziviriro, pasinei nekuve mushandi akabhadhara wechipatara.
Career Path
Mushonga wemukati ndeimwe yemhando dzakasiyana-siyana dzezvehutano uyo chiremba angasarudza, uye vashandi vanogona kunge vari kunyanya kusarudzwa kwevamwe vanachiremba maererano nemaitiro emabasa. Vanhu vanogona kupinda mukana vanogona kuva vashandi veboka, kliniki, kana chipatara, kana vanogona kusarudza kuzarura uye kuva nemuitiro wavo pachavo pane. Pamusoro pezvo, anodzidzira zvekugadzirira anogona kuva chipatara, asina chekudzidziswa kana dzidzo inodikanwa, iyo inopa mubhadharo wepamusoro uye mazuva akawanda kubva panguva yegore mukutsinhana kwemaawa akawanda mumazuva apo chipatara chiri kushanda.
Uyezve, mudzidzisi anogona kusarudza kupedzisa mamwe maGME (dzidzo yepamusoro yezvokurapa) muchimiro chekudyidzana, izvo zvinogona kubvumira mudzidzi kuti aite zvidzidzo mune mamwe mazano ezvehutano uye aongorore pane chimwe chimiro cheboka kana chirongwa chemuviri. Munhu anokwanisa kusarudza angasarudza kugadzirisa mune imwe yeiyo inotevera inyanzvi yemishonga yemukati:
- Cardiologist : anobata zvirwere zvemwoyo, mapapu, mutezo weropa uye mamiriro ezvinhu akaoma mwoyo; zvinoda kushamwaridzana kwemakore matatu.
- Endocrinologist : anobata zvirwere kana mamiriro ezvinyorwa, mahomoni nezvimwe zvivimbiso zvemukati - zvinoda mamwe makore maviri ekudyidzana mushure mokurapa mishonga yekugara.
- Gastroenterologist : inobata chirwere chekudya chinosanganisira chironda, chiropa, uye utumbo; zvinoda kushamwaridzana kwemakore maviri.
- Nefirologist : anobata zvinetso zvepvo; inoda 2-makore kushamwaridzana mushure mokugara.
- Pulmonologist : anobata zvirwere zvemapapu uye zvinetso zvakadai seCOPD, asthma, kenza, kufema uye zvinetso zvehope. Inoda 2-gore kushamwaridzana.
- Oncologist : inobata kanzira uye mishonga yakasimba yemarudzi ose, uye inotungamirira chemotherapy. Inoda 2 makore ekushamwaridzana mushure mokurapa kwemishonga yekugara.
- Rheumatologist : inobata kusawirirana kwezvibatanidza, masimba, uye mapfupa, zvakadai seArthritis. Inoda 3 makore ekugoverana kushamwaridzana.
- Allergist & Immunologist: kuongororwa, kuongororwa, uye kugadzirisa zvirwere zvakanyanya uye kushaya simba kwezvirwere zvemuviri. Inoda 2-year kushamwaridzana.