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VA 系统的优缺点
[版面:医疗实践][首篇作者:kobejordan] , 2013年07月27日19:43:54 ,2203次阅读,32次回复
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kobejordan
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发信人: kobejordan (baobao), 信区: Medicalpractice
标  题: VA 系统的优缺点
发信站: BBS 未名空间站 (Sat Jul 27 19:43:54 2013, 美东)

比如说工资,忙碌,福利等等。和大学医院附属的VA是不是和一般的VA不同?
听说如果想走ACADEMIC, 进大学医院的VA可以说是一个比较好的选择。
--

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Aplusplus
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发信人: Aplusplus (Hakuna Matata), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Sun Jul 28 19:41:47 2013, 美东)

我的理解是VA是联邦机构,应该是独立的,与医学院不应该是附属关系。除非身份问题
,我建议大家不要先考虑VA。

【 在 kobejordan (baobao) 的大作中提到: 】
: 比如说工资,忙碌,福利等等。和大学医院附属的VA是不是和一般的VA不同?
: 听说如果想走ACADEMIC, 进大学医院的VA可以说是一个比较好的选择。



★ 发自iPhone App: ChineseWeb 7.8
--
When I do something right, no one remembers;
When I do something wrong, no one forgets.


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kobejordan
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发信人: kobejordan (baobao), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Sun Jul 28 22:03:18 2013, 美东)

下面是个简单总结,不知道准不准确

http://www.thoracic.org/assemblies/rcmb/career-talk-book/resources/toolkit-academic/academic-medicine-at-university-and-va-affairs-advice-for-career-development.pdf
--

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Aplusplus
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发信人: Aplusplus (Hakuna Matata), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Mon Jul 29 20:35:54 2013, 美东)

觉得最准确的是最后一句。

【 在 kobejordan (baobao) 的大作中提到: 】
: 下面是个简单总结,不知道准不准确
: http://www.thoracic.org/assemblies/rcmb/career-talk-book/resources/toolkit-academic/academic-medicine-at-university-and-va-affairs-advice-for-career-development.pdf



--
When I do something right, no one remembers;
When I do something wrong, no one forgets.


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usmle
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发信人: usmle (), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Wed Jul 31 00:12:04 2013, 美东)

工资不高,不忙,福利好,工作稳定。也是道听途说了。我觉得也是不错的选择。

【 在 kobejordan (baobao) 的大作中提到: 】
: 比如说工资,忙碌,福利等等。和大学医院附属的VA是不是和一般的VA不同?
: 听说如果想走ACADEMIC, 进大学医院的VA可以说是一个比较好的选择。



--

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hualianmao
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发信人: hualianmao (HM), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Wed Jul 31 19:47:56 2013, 美东)

VA非常好,尤其是对中国医生来说。
VA医生的工资现在来看不算太低,比如一般的内科工资大多数在15万到20万之间,
大部分在17或18万左右。虽然比不上有些私人诊所,但是和大学医院相差也不是太
多。而专科好点的能到20多万,超过30万的就相对少见了。所以总体来说大部分都是
接近20万或20万出头。VA的福利也不算太差。如果算收入和工作量的比值的话,VA
的医生其实收入不差。VA医生的收入根据不同专业有6个级别,工资范围在网络上可以
查到。  
http://cryptome.org/0001/va080709.htm
注意看工资范围,一般不会给你接近低限的工资,大部分情况会给你靠近高限的工资,
但不会达到高限。但是VA的医生头十年内会逐年缓慢增长工资,所以过一些年后就达到
了高限或非常接近高限的工资,但是不会超过高限。所以VA医生的工资有个限制,你能
知道你最多拿多少工资,除非根据国家经济状况进行的通货膨胀的调整有时候大家一起
长点工资。

最关键的是VA工作不是太忙,工作环境非常好,没有压力,而且病人都非常好,很容易
相处,不用担心病人告你,一般也不会担心失业,VA的工作非常稳定。这些对于很多中
国医生来说非常重要。要说缺点,就是比较关僚一些,有时候你会觉得多付出了并没有
得到响应的回报。如果想做科研开实验室拿Norbel  prize可能不如在大学里方便。

VA医院很多都是和当地的医学院合作,如果是VA的医生,很多可以挂名当地医学院的教
授职位,属于clinical track。我觉得clinical track比tenure track的职位要好,压
力小,除非你致力于做科研。





--

※ 修改:·hualianmao 於 Jul 31 20:10:50 2013 修改本文·[FROM: 128.]
※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 128.]

 
kobejordan
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发信人: kobejordan (baobao), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Wed Jul 31 20:17:04 2013, 美东)

讲得有道理,不过所有的美国老头老太都说和大型教学医院联合的VA是对走clinician
scientist的小萝卜头的最佳选择,想进去还是有难度的。

福利好是指什么?


【 在 hualianmao (HM) 的大作中提到: 】
: VA非常好,尤其是对中国医生来说。
: VA医生的工资现在来看不算太低,比如一般的内科工资大多数在15万到20万之间,
: 大部分在17或18万左右。虽然比不上有些私人诊所,但是和大学医院相差也不是太
: 多。而专科好点的能到20多万,超过30万的就相对少见了。所以总体来说大部分
都是
: 接近20万或20万出头。VA的福利也不算太差。如果算收入和工作量的比值的话,
VA
: 的医生其实收入不差。VA医生的收入根据不同专业有6个级别,工资范围在网络上可以
: 查到。  
: http://cryptome.org/0001/va080709.htm
: 注意看工资范围,一般不会给你接近低限的工资,大部分情况会给你靠近高限的工资,
: 但不会达到高限。但是VA的医生头十年内会逐年缓慢增长工资,所以过一些年后就达到
: ...................



--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 99.]

 
SUMO2009
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发信人: SUMO2009 (Small Ubiquitin-like Modifier), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Wed Jul 31 21:23:15 2013, 美东)


我们中心有一个physician-scientist就转到VA了,拿了一个R0
1,run lab,再发自己工资都有点困难,到VA,80%的工资是VA负担。她说
申请VA的课题,钱和R01差不多,还容易多了,这才过去2个多月,马上就要交新的
grant了。

VA和很多当地大学有挂靠的,两边兼职的很多,很多VA科研经费不能用于PI发自己工资
,是run lab用的。


【 在 kobejordan (baobao) 的大作中提到: 】
: 讲得有道理,不过所有的美国老头老太都说和大型教学医院联合的VA是对走
clinician
: scientist的小萝卜头的最佳选择,想进去还是有难度的。
: 福利好是指什么?
: 都是
: VA



--

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bricircle
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发信人: bricircle (whatever), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Thu Aug  1 20:10:53 2013, 美东)

What you said are very close and are in details. I felt many people do not
know VA very well is because there are not many Chinese CMGs employed by VA.
Differences to many academics and private practices include 1. VA system is
federal agency and is totally government funding and so the MD staff is
federal employee. 2. Many VAs are associated with University hospitals, so,
MD staff of VA often has academic titles, which are very good for education,
learning and research. 3. VA system has most complete and well equipped
electronic medical record system in US, which is far advanced than many
university hospitals. 4. VA hospitals can be very different in terms of
quality of care, some VA hospitals even attract top notch medical graduates
and are very hard to get in.
--

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kobejordan
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发信人: kobejordan (baobao), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Thu Aug  1 21:04:52 2013, 美东)

Thanks, which VA hospitals are considered top notched VA hospital?
【 在 bricircle (whatever) 的大作中提到: 】
: What you said are very close and are in details. I felt many people do not
: know VA very well is because there are not many Chinese CMGs employed by
VA.
:  Differences to many academics and private practices include 1. VA system
is
:  federal agency and is totally government funding and so the MD staff is
: federal employee. 2. Many VAs are associated with University hospitals, so
,
: MD staff of VA often has academic titles, which are very good for
education,
:  learning and research. 3. VA system has most complete and well equipped
: electronic medical record system in US, which is far advanced than many
: university hospitals. 4. VA hospitals can be very different in terms of
: quality of care, some VA hospitals even attract top notch medical
graduates
: ...................



--

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hualianmao
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发信人: hualianmao (HM), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Thu Aug  1 22:43:42 2013, 美东)

福利好就是指那些退休金,假期,工作环境等等,总体来说还算不错的。现在进VA确实
比以前要难了。
【 在 kobejordan (baobao) 的大作中提到: 】
: 讲得有道理,不过所有的美国老头老太都说和大型教学医院联合的VA是对走
clinician
: scientist的小萝卜头的最佳选择,想进去还是有难度的。
: 福利好是指什么?
: 都是
: VA



--

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Aplusplus
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发信人: Aplusplus (Hakuna Matata), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Thu Aug  1 22:47:40 2013, 美东)

Sorry I can't not agree with you.
I believe every resident in US has some experiences in VA. To me it is just
like hospitals in China. It is federal Government. Government means
bureaucracy, no other way around.
I was tired of the system, tired of the personnel, tired of those boring,
slowing and demanding nursing staff who seem to be always yawning from
morning to evening. Man, I could not understand how USA has such a
socialistic system. Of course we CMGs could work in a worse environment but
if there is a better opportunity, please do not consider VA.


【 在 bricircle (whatever) 的大作中提到: 】
: What you said are very close and are in details. I felt many people do not
: know VA very well is because there are not many Chinese CMGs employed by
VA.
:  Differences to many academics and private practices include 1. VA system
is
:  federal agency and is totally government funding and so the MD staff is
: federal employee. 2. Many VAs are associated with University hospitals, so
,
: MD staff of VA often has academic titles, which are very good for
education,
:  learning and research. 3. VA system has most complete and well equipped
: electronic medical record system in US, which is far advanced than many
: university hospitals. 4. VA hospitals can be very different in terms of
: quality of care, some VA hospitals even attract top notch medical
graduates
: ...................



--
When I do something right, no one remembers;
When I do something wrong, no one forgets.


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kobejordan
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发信人: kobejordan (baobao), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Thu Aug  1 23:55:12 2013, 美东)

People have different career development plans, life style preferences,
interests. Academic physicians always laugh at private physicians that they
don't understand the disease in depth and can not manage complicated
patients; private physicians always laugh at academicians that they live in
ivory towel and don't know the patients.

To some people who remains ignorant, private practice in USA is the lowest
tier of medicine practice that is even worse than the system in China. 



【 在 Aplusplus (Hakuna Matata) 的大作中提到: 】
: Sorry I can't not agree with you.
: I believe every resident in US has some experiences in VA. To me it is
just
: like hospitals in China. It is federal Government. Government means
: bureaucracy, no other way around.
: I was tired of the system, tired of the personnel, tired of those boring,
: slowing and demanding nursing staff who seem to be always yawning from
: morning to evening. Man, I could not understand how USA has such a
: socialistic system. Of course we CMGs could work in a worse environment
but
: if there is a better opportunity, please do not consider VA.

: ...................


--

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Aplusplus
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发信人: Aplusplus (Hakuna Matata), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Fri Aug  2 00:00:34 2013, 美东)

I would not use the word " Laugh".  To me I respect all Docs who work in
Academic and VA simply because I could not do it.

【 在 kobejordan (baobao) 的大作中提到: 】
: People have different career development plans, life style preferences,
: interests. Academic physicians always laugh at private physicians that
they
: don't understand the disease in depth and can not manage complicated
: patients; private physicians always laugh at academicians that they live
in
: ivory towel and don't know the patients.
: To some people who remains ignorant, private practice in USA is the lowest
: tier of medicine practice that is even worse than the system in China. 
: just
: but



--
When I do something right, no one remembers;
When I do something wrong, no one forgets.


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bricircle
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发信人: bricircle (whatever), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Fri Aug  2 00:14:29 2013, 美东)

As I said, quality of care is very different between each VA hospital. There
maybe more than 150 VA hospitals in the nation. VA has their own ranking
system to rank all VA hospitals each year, based upon paitent satisfaction,
quality of care, empolyee's satisfactory, et, al. Such as one VA in NC is
very large, in which the facility and complexity of care are very competible
with any good university hospitals, and are also associated with Duke. One
VA in Hoston is also very good and have top class experts. One VA in Boston
is associated with HMS and one in San Francisco is associated with UCSF.
These kind of VA are very hard to get in. Of course there are ones like from
3rd world,in particularly those VA associated with states hospitals. Don't
summerize just based on few you see, there are good ones. It is just the
matter which one you belong. It is in common opinion that VA MDs are solid
middle class among physicians. As the above person said, it is just the
matter of choice, what kind of life you want. Be honest with you, those good
VAs are many people's dream to get in. 
--

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Aplusplus
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发信人: Aplusplus (Hakuna Matata), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Fri Aug  2 00:22:23 2013, 美东)

I totally agree with you on life style in VA.  More holidays at least.
People are different. There is no universal rule. Just like high school
graduates, someone like Ivy league, others are happy with State Univ.

【 在 bricircle (whatever) 的大作中提到: 】
: As I said, quality of care is very different between each VA hospital.
There
:  maybe more than 150 VA hospitals in the nation. VA has their own ranking
: system to rank all VA hospitals each year, based upon paitent satisfaction
,
: quality of care, empolyee's satisfactory, et, al. Such as one VA in NC is
: very large, in which the facility and complexity of care are very
competible
:  with any good university hospitals, and are also associated with Duke.
One
: VA in Hoston is also very good and have top class experts. One VA in
Boston
: is associated with HMS and one in San Francisco is associated with UCSF.
: These kind of VA are very hard to get in. Of course there are ones like
from
:  3rd world,in particularly those VA associated with states hospitals. Don'
t
: ...................



--
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When I do something wrong, no one forgets.


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smallstone
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发信人: smallstone (小丸子), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Fri Aug  2 00:41:42 2013, 美东)

VA has less holidays and vacation days than UC system!

【 在 Aplusplus (Hakuna Matata) 的大作中提到: 】
: I totally agree with you on life style in VA.  More holidays at least.
: People are different. There is no universal rule. Just like high school
: graduates, someone like Ivy league, others are happy with State Univ.
: There
: ,
: competible
: One
: Boston
: from
: t



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ChiUSMD
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发信人: ChiUSMD (治病治病), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Fri Aug  2 00:47:54 2013, 美东)

你对va有些成见。

从经济上来说,va 从小不适开始,一直不停改善,工资比一般大学医院只高不低,福
利也好,工作没有指标,所以不用担心rvu太低。出去度假还可弄个goverment rate旅
馆。工作稳定是双刃剑,所以良友不起。
va 是pension 制,进去就出不来了,否则太吃亏。va病种单调,有钱的老兵都不上va
,要做学术就更扯远了。
但想混饭吃,va绝对是好去处,熬过3个月,国家就拿你没办法了。
va对兼职可能是最松的,所以在va弄个parttime,旱涝保守,也不错。
private 和 academic 互相不买账较常见,但对va态度差不多。
va医生就算挂个assistant professor,一般很难再往上升。
总而言之,想找稳定收入工作,va首选,想做学术,还得去正规大学医院,想挣钱多更
自由,private。

【 在 Aplusplus (Hakuna Matata) 的大作中提到: 】
: Sorry I can't not agree with you.
: I believe every resident in US has some experiences in VA. To me it is
just
: like hospitals in China. It is federal Government. Government means
: bureaucracy, no other way around.
: I was tired of the system, tired of the personnel, tired of those boring,
: slowing and demanding nursing staff who seem to be always yawning from
: morning to evening. Man, I could not understand how USA has such a
: socialistic system. Of course we CMGs could work in a worse environment
but
: if there is a better opportunity, please do not consider VA.

: ...................



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hualianmao
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发信人: hualianmao (HM), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Fri Aug  2 01:14:44 2013, 美东)

VA的医生挂名的assistant professor,能否往上升和你的VA职务没有任何关系,主要
还是看你的学术和教学是否够资格往上升,和当地医学院的晋升标准有关。很多VA的医
生没有往上升主要是对科研不感兴趣,因为没有压力,所以大不了就不升了,反正升不
升和自己的工资没有关系,就是个称号而已,有很多VA的医生不在乎。但是我也见过很
多科研做的非常好的VA医生,我刚转到了VA,当地的VA医院有两个人曾经当过全美专业
协会的主席,比隔壁的那个牛逼哄哄的医学院的同专业医生学术水平都高。现在VA的医
生工资因为调整过几次,确实不比一般大学医学院的低多少,有的还能稍微高一点。VA
的医疗服务确实有其特殊性,有好处也有坏处,在某些方面VA的医疗服务要好过一些
大学医院,有很多可借鉴的地方,也有很多有钱的老兵非常满意VA的服务。



【 在 ChiUSMD (治病治病) 的大作中提到: 】
: 你对va有些成见。
: 从经济上来说,va 从小不适开始,一直不停改善,工资比一般大学医院只高不低,福
: 利也好,工作没有指标,所以不用担心rvu太低。出去度假还可弄个goverment rate旅
: 馆。工作稳定是双刃剑,所以良友不起。
: va 是pension 制,进去就出不来了,否则太吃亏。va病种单调,有钱的老兵都不上
va
: ,要做学术就更扯远了。
: 但想混饭吃,va绝对是好去处,熬过3个月,国家就拿你没办法了。
: va对兼职可能是最松的,所以在va弄个parttime,旱涝保守,也不错。
: private 和 academic 互相不买账较常见,但对va态度差不多。
: va医生就算挂个assistant professor,一般很难再往上升。
: ...................




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※ 修改:·hualianmao 於 Aug  2 01:16:59 2013 修改本文·[FROM: 76.]
※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 76.]

 
hualianmao
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发信人: hualianmao (HM), 信区: Medicalpractice
标  题: Re: VA 系统的优缺点
发信站: BBS 未名空间站 (Fri Aug  2 01:18:11 2013, 美东)

怪不得加州要破产。
【 在 smallstone (小丸子) 的大作中提到: 】
: VA has less holidays and vacation days than UC system!



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