Overview
Chiremba chiremba chiremba uyo akarovedza zvakananga kushanda kune varwere vanoda rubatsiro rwakasiyana-siyana rwekuvhiya. Kuvhiya kunosanganisira kugadziriswa pamuviri wemurwere uye kugadzirisa kana kubvisa mukati momuviri wemuviri, uye nekuvhara kuvharwa kwekugadzirisa zvakakwana. Vamwe vanachiremba vanoziva uye vanobatana-vakadzidziswa mune imwe nzira yekuvhiya, asi vamwe vanachiremba, avo vanonzi "vanachiremba vese" vanowedzera muhukuru asi havaiti zvepamhando dzakasiyana-siyana dzekuvhiyiwa dzakadai seuropi kana kuvhiyiwa kwemoyo.
Kudzidziswa uye Dzidzo Inodiwa Kuti Ive Chiremba
Mumwe chiremba, savamwe vanachiremba, anofanira kutanga apedza chikoro chechikoro chechikoro chechikoro chechikoro chechikoro, kana chiremba chechikoro, asati apinda chikoro chezvokurapa kuti apedze doctorate yemishonga (MD) kana chiremba wechiremba we osteopathic. (DO) Kuwana zvikoro zviviri zvepasikoro uye zvechiremba zvinowanzoshanda kwemakore masere kunze kwekunge mumwe achizobatana muchikwata chepascheduate uye kuchikoro chechiremba chinowanzotora makore matanhatu kana manomwe pane makumi masere.
Mushure mekuchikoro, chiremba wechiremba anotevera anoenda purogiramu yokuvhiya yekugara inowanzogara makore mashanu. Kune marudzi akasiyana-siyana ezvokugara zvinosanganisira chirwere chikuru, chirwere chemapfupa (mapfupa, majoints, tendons), neurosurgery (brain, spinal cord) nezvimwe. Kana chiremba avhiya achida kuenderera mberi muchikamu chekuvhiya, chirwere ichi chinogona kuenda kune mamwe makore ekudzidziswa, anonzi kushamwaridzana, umo aizodzidza dzimwe nzira nemaitiro ane chokuita nechimwe chikamu chemuviri, kana kudzidza zvakaoma zvikuru unyanzvi hwekuvhiya hunoita kuti vanachiremba vakawanda vasazvipa.
Avhareji yevhiki yebasa nebasa rebasa
Vanachiremba vanowanzoshanda vana nehafu kusvika kwemazuva mashanu pavhiki nguva dzose, uye chero nguva ipi zvayo-yekudanwa kwezvinhu zvinokurumidza kana mamiriro ekukurumidzira. Kufanana nemabasa akawanda echiremba, kuva chiremba chiremba inopfuura awa makumi mana nevhiki pabasa. Vanachiremba vakawanda vanoshanda maawa 50-60 vhiki nevhiki, kusanganisira pa-nguva yekufonera, mabasa ekufambisa, uye mamwe mabasa.
Kazhinji, vanachiremba vanozove nevemazuva matatu vakadziviswa kuti vavhiwe uye mazuva maviri akazvipira kumahofisi emahofisi ekutevera-up appointment kana mazano ekutanga-opera.
Nyaya yemutoro inogona kusiyana, zvichienderana nemhando uye kuoma kwemavhiya akaitwa, uye inogona kuva kupi kubva 150 kubva pagore kusvikira 500 kana kupfuura. Ivhareji inenge 300-400 kuvhiya gore negore.
Mukuwedzera kwenguva inoshandiswa pakushanda kune varwere, kusangana navo, uye kubvunza kune vamwe vanachiremba, vanachiremba vanofanirawo kupedza nguva panyaya dzehutori dzakadai sokurondedzera kufambira mberi kwezvinyorwa zvezvinyorwa zvevarwere. Uyezve, nepo vamwe vanachiremba vanovhiyiwa nezvipatara, vanachiremba vakawanda vane vadzidzisi kana kuti ivo vasiri ivo vanoita maitiro avo, saka ivo vanofanira kubatsira mubasa rezvematongerwo enyikawo.
Skill Set Inodiwa
Kufanana navanachiremba vazhinji, vanachiremba vanofanirwa kunge vanoziva mumunda wemasvomhu, sayenzi, biology, anatomy uye physiology. Mukuwedzera, vanachiremba vanofanira kunge vane unhu hwakakosha uye ruoko rwemaoko. Vanachiremba vanofanira kuva vakasununguka vachishanda pasi pekumanikidzika kukuru, vachiita hutsika hutsika nekugadzirisa hupenyu kana kufa mamiriro ezvinhu. Kutarisa kune tsanangudzo inokosha kune vanovhiya, sezvo zvikanganiso zvinogona kuuraya muimba yekushandisa.
Kuvhiya Trends
Kuvhiyiwa kwepadoscopic, inozivikanwawo sekuvhiyiwa kusinganzwisisiki, ndiyo imwe yenzira dzakajairika dzemhando dzekuvhiya ikozvino dzinoshandiswa nevarapi vezvechiremba.
Laparoscopy urudzi rwekuvhiya runoderedza ngozi uye kupora murwere nemafungiro mashomanana uye kushungurudzika kwemuviri. Panguva yekuvhiyiwa kweparoscopic, chiridzwa chiduku chiduku chine kamera chinowanikwa mumuviri wemurwere. Irojekiti yemamera inokurudzira mifananidzo muvharidhi yevhidhiyo kuitira kuti chiremba anokwanisa kushandisa zvigadzirwa zvekuvhima kubva kunze kwemuviri wevarwere, kubvisa kukosha kwekufungidzirwa kukuru, uye nguva yekudzikinura yakareba shoma.
Kushandiswa kwemichina yekurobheni mukuvhiya inzira inowedzera, iyo inoshandisa mishonga yakagadzirwa kuti iwedzere kunyatsogadzirisa nzvimbo dzinonyanya kuoma kana kuti kuoma kwakaoma.
Kushandiswa kwe robotics kuri kuwedzera kukurumbira zvikurukuru pakati pehutano hwakakura hutsika hunogona kutenga mari yakawanda yemamiriyoni emadhora robotic.
Basa rekushanda
Vanachiremba vanopedza inenge hafu kana kupfuura yenguva yavo yekushanda muimba yekugadzira (OR), zvimwe kuchipatara kana kuporesa chirwere chekurapa. Nguva isiri yekuvhiya inowanzoshandiswa muhofisi yehofisi, apo vanachiremba vanogona kusangana nemurwere kumhanyi anotangira uye mushure mokushanyira nekukurukurirana. Iko kushanyira kunosanganisira kuongorora kwokutanga kwomurwere kuongorora dambudziko, uye kurayira chero zvikonzero zvakakodzera kana kuongororwa kunofanirwa kusimbisa nyaya uye chirongwa chakanakisisa chokurapa. Mushure mekuvhiyiwa, chiremba anovhiya anosangana nemurwere zvakare kuti ave nechokwadi chokuti kurapwa kwakabudirira, kupa chirwere chepanyama sezvaidiwa , uye kuve nechokwadi kuti chirwere chekudzorera chiri munzira.
Mhando dzePurgeon uye Average Compensation
Zvinotevera mienzaniso mishomanana yemhando dzakasiyana-siyana dzechiremba, chiyero chemakore ekudzidziswa chinodiwa mushure mekuchikoro chechiremba, uye inowanzopedza mari yegore negore zvichienderana neyozvino inowanikwa.
- Gwara rezvechiremba : (5 Makore okugara, kushamwaridzana kunodiwa) Ita maitiro ekuvhiya, chirwere chinonzi hernia, uye mamwe marudzi ekuvhiya kusanganisira chiropa, spleen, mumukumbo, uye mamwe musoro, mutsi, mapfupa emapfupa, kusabvisa mwoyo. Nyanzvi dzezvechiremba dzinogona kusarudza kugadzirisa mune dzimwe nzira dzekuvhiya nokupedzisa kugoverana kwekudyidzana mukuvhiyiwa kwevascular (kushanda pamavheya uye mishonga), chirwere chetroracic, chirwere chepfungwa (kuvhiyiwa kwemoyo), kuvhiyiwa maoko, kuvhiyiwa kwevana, nezvimwewo. Avhareji Yekugutsira: $ 402,409, maererano neMGMA Chiremba Kupa Mutsva uye Kuongorora Kwekugadzira, shanduro yegore ra2013 kubva mugore ra2012.
- Vanachiremba veOrthopedic: (5 Makore emapurini ekuvhiya maitiro ekugara kwekugara) Vanachiremba veOrthopedic vanoziva mukuvhiya kwezvibatanidza, mapfupa, tendon, uye mitsipa. Izvi zvinosanganisira arthroscopy, kubatana kushandiswa kana kuvakazve, mapfupa emapfupa, kushanda pamapfupa akaputsika kana akaputika, nezvimwewo. Kuti uwedzere kuongorora, vanachiremba vemajoka vanogona kusarudza kushamwaridzana mumishonga yemitambo, kuvhiyiwa maoko, tsoka uye kupera kwechikwama, chirwere chepfungwa, nevamwe. Avhareji yekubhadhara: $ 586,311 nokuda kwechiremba wezvechiremba wemapurisa muna 2012, zvichibva muna 2013 MGMA Physician Compensation uye Production Survey.
- Neurosurgeons : (5 Makore ekudzidzisa kwekugara kwevana neurosurgery) Neurosurgeons inonyanya kugadzirwa kweuropi uye chirwere chepuropa. Ndiyo yakanyanya kubhadharwa yevashandi vose vanovhiya, vane mari inogona kusvika kune yakadarika $ 800,000-1,000,000 pagore. Avhareji yemari yegore negore: $ 765,321 maererano neongororo yeMGMA ya2013 yegore ra2012.
- Vanachiremba vepurasitiki: (Kwemakore matatu ekugara kwevanhu vakawanda, pamwe nemakore 2-3 ekurovedza mapurisa epurasitiki) Kuvhiya kwepurasitiki kunonyatsozivikanwa nokuda kwezvipfeko zvaro zvakadai se-liposuction, mazamu ekuwedzera, maziso-kukwira, nezvimwe. Vanachiremba vepurasitiki vanoshandawo pamwe nevanovhiringidzwa nezviitiko kana kupisa kuvakazve nzvimbo dzakakanganisika. Nokuti mavhivhi akawanda anoitwa nevarapi vepurasitiki ndivo vanovhiya nenzira dzakasarudzika nokuda kwezvipfeko, vanachiremba vepurasitiki vanogona kuwana mari yakawanda kupfuura mamwe akawanda emhando dzechiremba vanove netsitsi yemakambani einishuwarenzi. Vanachiremba vepurasitiki vanowana mubhadharo wakakwana pakarepo kubva kune varwere vavo, kusiyana nekumirira iyo inshuwarheni checks kusvika. Avhareji nyaya: $ 520,077