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againstwind: 说说academic vs. private endocrinology
作者:USMedEdu
发表时间:2010-01-17
更新时间:2010-01-17
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发信人: againstwind (逆风而行), 信区: MedicalCareer
标 题: 顺着导线的东风,说说academic vs. private
发信站: BBS 未名空间站 (Sun Jan 17 14:24:02 2010, 美东)

其他科我没啥发言权,只能说说内科系统,endo的,faculty对收入还是讳如莫深,大
多数是自己观察的。

我觉得其实就在academic setting里面,也因人而异的。
我们科里,很明显的几类。
一类是senior faculty, hard core科研的,自己有lab,拿funding,在某个领域做得全
国闻名。他们因为有funding,所以临床每年带一个月的endo fellow,半个月的gen
meds.一个礼拜看一次门诊,全是最复杂的他那个领域的病人。媳妇熬成婆,虽然身兼
数职很忙,但是压力其实已经不大了。

第二类是junior faculty,这类最苦。也是对research有兴趣,希望做一个领域的大牛
,但是还没有很多funding,在剥削fellow的同时,也被department残酷地剥削,每年
看好几个月的endo inpatient consult,和gen meds赚钱。同时还要不停地写paper,拿
grant.门诊一般一星期两到三次。

第三类,是全临床型的,全是女医生,家里娃3个,劳工也是医生或者赚得很不错,她
们就是看门诊,有的genernal endo, 有的还额外看dexa,radioactive iodine therapy
之类的。有的是全职门诊,有的是half time。他们都完全不做research了,只是会参
加学校组织的semnior之类的做一下lecture,带带医学生之类的。

就门诊来说,academic 和private一样,都是很忙得,还要follow up labs,给病人打
电话。但是前者门诊次数少很多。

如果真的是对科研有兴趣,希望在某个领域里做点东西的,只有academic可以给你提供
这个条件,你可以不看其他病人,就看这类病人,比如我们这里的endo,有的人光看甲
状腺癌,有的人光看骨质疏松,有的人光看垂体瘤,有的人光看糖尿病,这样的好处是
,术业专攻,有利于出大牛。

去了private,就由不得你了,什么都得看,而且大多数是常见病。在某些领域的知识
固然会滞后,然后碰到复杂的就要refer到academic。

说到后面,还是钱和职业成就感的平衡对你有多重要,如果比较有抱负的,那还是
academic的路,虽然起步薪水低,但是后面发展不可限量,我们这里一个年轻有为的
faculty跳槽到一个公司做顾问去了,他说fantastic pay,我也不敢想象多少,呵呵。
--

补充以下,对我来说,不选择academic的一个重要原因是,不想看gen med,实在不想
再和drug seeker或者multiple system complains的病人纠缠了。这是我做专科的一个
重要原因。i love when i can say" i don't know what's wrong with you, but i
can assure you it's not from endo side".:DDD
--

※ 来源:·WWW 未名空间站 海外: mitbbs.com 中国: mitbbs.cn·[FROM: 140.254.]

发信人: guidewire (guidewire), 信区: MedicalCareer
标 题: Re: 顺着导线的东风,说说academic vs. private
发信站: BBS 未名空间站 (Sun Jan 17 15:05:30 2010, 美东)

that is why I think it is important to get into good fellowship, you can see
with your own eye what is like to be a big cow, is this what you really
want, if not, that is by choice, you will not regret. otherwise, you may
always wondering what if...


--



发信人: hemocell (老军医), 信区: MedicalCareer
标 题: Re: 顺着导线的东风,说说academic vs. private
发信站: BBS 未名空间站 (Sun Jan 17 15:21:02 2010, 美东)

大学里面不是更容易做专科吗?大部分的group可能还是会让你看普内的病人吧。


发信人: againstwind (逆风而行), 信区: MedicalCareer
标 题: Re: 顺着导线的东风,说说academic vs. private
发信站: BBS 未名空间站 (Sun Jan 17 15:29:29 2010, 美东)

我已经做专科拉,private的话就是看专科的,但是都是专科里的常见病,大学里更容
易看专科里更专的科。

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共有1条评论
1   [DrNewbie 于 2010-11-05 02:00:27 提到] [FROM: 98.]
力刀评注:

这是个很有趣的案例,在住院医生面试时时有发生和遇到或类似的场景。这种情况
的应对常常是面试者有意无意地从你反应回答、面部和BODY语言来考察你的反应能
力和个性特点及成熟的素质。表现得好和应答从容合适到位可以让面试者大为开心
或对你留下深刻良好印象,你就得了高分;而相反,应答错误或不当,轻的引起对
方不快或疑虑,严重的,可以说立即被面试者在心里判了死刑--你出局了!

这个CMG提出了个很好得问题,在我所印的下列讨论里,ChiUSMD和Dojo的发言非常
出色,值得大家认真思考和进一步充分讨论,学习提高自己的面试及对这样问题得
脑筋急转弯能力,以及自己的为人处事成熟能力培养。

值得指出的是:那个在麦地喋喋不休到处卖弄她的所谓“英语”并爱好给人改错的
蠢人的发言更充分地反映出其愚蠢和无知,她的所谓良好英语在她的愚蠢脑袋支配
下成了砸她自己脚的石头。此人在麦地已经贩卖了无数的垃圾和错误得东西。我实
在无法忍受这种蠢人无休无止地误导CMG,所以不惜大开杀戒痛砍此ID,得罪了麦地
版规和版主。

说来是坏事,但这也成就了俱乐部的诞生,这里不会再有这种苍蝇和垃圾的泛滥横
行而不受制止。

*****************************************************************************

发信人: kaye ([email protected][email protected]~埋底海豚~热爱游泳), 信区: MedicalCareer
标 题: [合集] 面试碰到的尴尬事
发信站: BBS 未名空间站 (Tue Nov 2 02:42:11 2010, 美东)


☆─────────────────────────────────────☆

ZXCVBNMWUJI (无极) 于 (Sun Oct 31 22:38:21 2010, 美东) 提到:

面试碰到的尴尬事:

我的第一个面试的一个面试官是一个看上去很和蔼的老先生,进去后他一上来就笑眯眯
的问,你是怎么认识Dr.XXX的?Dr.XXX是我到美国后的第一个老板。我说,您认识他?
他微笑地点头,说Dr.XXX跟他一起在XXX做的resident。我于是精神为之一振,把我当初
出国如何联系Dr.XXX到他那儿做POSTDOC给绘声绘色了一遍,末了还加了一句类似“He
is the nicest person I've ever met.”之类的评论。面试官耐心听我说完,然后仍
然笑眯眯地说:“Well, I was not getting along with him very well at that
time.”然后就是blah blah blah blah.我当场差点晕倒。

☆─────────────────────────────────────☆

DrNewbie (NN) 于 (Sun Oct 31 23:33:50 2010, 美东) 提到:

You could have said back, Ohh, he must have changed quite a bit.
Or he only gets along well with suck-ups. I jam him up real good.

【 在 ZXCVBNMWUJI (无极) 的大作中提到: 】

☆─────────────────────────────────────☆

fionaww (加州无鱼) 于 (Mon Nov 1 00:00:52 2010, 美东) 提到:

第一句还好,第二句就不行啦。万一人家说,感情你是suck-up阿,不然人家怎么看上
你,把你从国内招来呢?不更晕倒了?


【 在 DrNewbie (NN) 的大作中提到: 】
: You could have said, Ohh, he must have changed quite a bit.
: Or he only gets along well with suck-ups.

☆─────────────────────────────────────☆

DrNewbie (NN) 于 (Mon Nov 1 00:03:49 2010, 美东) 提到:

hehehehe.

Third one: Am I such a charming person that I get along so well with him? Or Am I personable that we get along so well.

Fourth one: You should be happy with my people skills now right? Since I can get along with this snob.

If you love my answers and you get my sick humor, please join my club:

Pre_resident_english_corner.

☆─────────────────────────────────────☆

DrNewbie (NN) 于 (Mon Nov 1 01:25:54 2010, 美东) 提到:

The rest are for professionals only. No imitation by amateurs.
The 1st is witty. The 2nd is humor.


☆─────────────────────────────────────☆

dojo (麦地里的豆角) 于 (Mon Nov 1 20:34:37 2010, 美东) 提到:

楼上大哥,你是来搞笑的还是来做广告的?你的这些自以为幽默的答案不是too judgemental ("he must"...lol) 就是自我吹捧。

这个情况下,面试官故意不在开始的时候就说合不来,而是在等楼主说了一大堆以后才
说,其实就是想看楼主遇到尴尬时的反应。象楼上大哥这种回答,把球踢回去,反让面
试官尴尬,我以为不好。我的建议是回答"oh, sorry to hear about that" 就行了,
最多再加一句"I don't know why he treats you and me differently",把这话题带
过就得了。Dr.XXX或者任何一个普通人都不可能跟所有人都合得来,这本是正常现象,
何须画蛇添足

☆─────────────────────────────────────☆

ChiUSMD (治病救热) 于 (Mon Nov 1 20:56:20 2010, 美东) 提到:

I agree. I assume you are a cute girl, and probably got a high remark from
him, otherwise he won't say this political incorrect thing. Go back ask your
boss whatever he said is true or not, then Send him a nice followup email
and make up something 拍一下马屁.

if your boss can send him a short email, 100% you are in or prematched.
My personal experience you will be ranked very high by that program. 美国人的尊师是骨子里的

☆─────────────────────────────────────☆

sfkitty (meow) 于 (Mon Nov 1 21:12:16 2010, 美东) 提到:

这真的是个需要脑筋急转弯的问题,我觉得理想的答案是结合NN和豆角的智慧。“sorry to hear that" ,加上适当的表情(让面试官觉得你的确 feel sorry about it, 而不是随口说说),再加上 “well, I guess he must have changed a lot“, 然后以一个beautiful smile to wrap it up。



☆─────────────────────────────────────☆

dojo (麦地里的豆角) 于 (Mon Nov 1 21:28:20 2010, 美东) 提到:

对的,表情要搭上。但这个must就免了,我对NN第一个答案不满意的就是这个must,显
得好象你多知道Dr.XXX的过去似的。你用"I guess"就对了。

说到底,我觉得这个回马枪问题固然尴尬,但老实应对,或者就是尴尬在那儿傻笑没有
答案,也比表现出自大和judgmental要好,这些性格可是要命的。尤其在正式面试问答
的时候,玩幽默是玩火。

☆─────────────────────────────────────☆

kaye ([email protected][email protected]~埋底海豚~热爱游泳) 于 (Mon Nov 1 23:09:01 2010, 美东) 提到:


dojo(豆角)和chiusmd的分析都很有道理,谢谢!
个人认为是这个问题的正解吧。

☆─────────────────────────────────────☆

ChiUSMD (治病救热) 于 (Mon Nov 1 23:45:44 2010, 美东) 提到:

The old people always have some 童心,he tried to say "got you", just be his
way and do something satisfy his joke. Now matter how smart you are, just
pretend "he got you".

"oops" then smile, or slightly 夸张一下,any other words might turn the
table completely opposite.
American would anwer: "you are good" or "you got me".

在中国,就自罚杯酒。
中美情况差不多,就是不能充大拿。
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共有5条评论
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1 [DrNewbie 于 2010-11-02 14:27:31 提到][删除][修改]
============================================================
Does it matter whether he has changed or not? NO! The best way is to switch gears right away with a neutral, courteous comment. 'Sorry to hear that' is NOT nice at all. Either is 'u got me'. You really have no idea what happened between these two. Could be something nasty. Or his reply could be just a joke. Either way, it is best not to get involved. Along this line, there is no reason to be 'SINCERELY' sorry for it. The 'sorry' line can be interpreted in a bad way: 'You are sorry because I am an ass?'. Better say something neutral without offending either side. 'You got it' works only when he was really joking. What if he was serious? It would be even more awkward.

There isnt any good answer for this awkward situation. Only an immature person would give you a hard time like this. If a person reply in a courteous way, he wins votes. My answer shows integrity, honor and wit. It wins respects from others. The best dealing with this situation is a polite short answer and a quick switch to other topics.

The beauty of my reply is that it does NOT offend either party. Of course, the tone and your body language determines how the msg is delivered and how it will be received. It is saying I dont know his past. All I know he is the nicest person. If what you said about him is true that he was hard to get along, he is very nice now.

'"I don't know why he treats you and me differently" could be taken as very offensive. Right? 'It is because I am an ass?'


2-4 are for laughs only. Hope everyone here knows when to chuckle on a joke. For the people who cant figure out when a joke is told. Here are some clues: suck-ups, jam-up, snob.

All you can brag is how other people drooling over your job. How pathetic.

------------------------------------------------------------------
4 [DrNewbie 于 2010-11-02 13:44:06 提到]
Ur foul mouth cost your job already. You just never learn. You will lose
your job again if you dont know when to hold back your filthy mouth.


You can only take pleasure in getting even by your bragging how the wife of
the boss who fired you left him. You are just plain sick.


BECAUSE YOU HAVE WRITTEN ABOUT THESE FACTS ON PUBLIC WEB SITES, YOU HAVE FORFEITED YOUR PRIVACY.

You are nobody compared with your peers.

Even a monkey can get a score of 50 by throwing darts on a board. So you
think you are smart with scores of 70s? You just got lucky. Period.
Nothing to be proud of.

Talk to anyone who got scores of 70s and ask them whether you just got lucky
or it just doesnt matter. Dont use one case to counter me. Lets talk
about trend or stats.

Your numerous scum filled posts have been deleted by BanZhu. You were so
out of line that even BanZhu was ashamed of you and deleted your mean post
about your ex-boss right after you posted it.

There are many precedents of accomplished people turning into monsters in
their senior years When you were biting every bystander on the street, I
suddenly realized its not me, it is you.

Yes, there are plenty of very smart yet generous, decent people here.

They shoot for much higher goal than you. With your lousy 70s score, no
wonder the best advice you gave to them is to take the less satisfying
prematch. Because you could only get lucky once.

So stop misleading people by using you as an example.

To exclude me from getting info on the medi board, you tried to drag
everyone into ur private club. It just shows how childish you are. Only a
sick person would devise such an evil plan. Even your buddies think you
have gone too far and opened ur private club for public viewing.

You are just a plain sick old man.

--------------------------------------------------------------------

4 [snowfox01 于 2010-11-02 17:25:32 提到] [FROM: 134.74.]
Dr.Newbie:Please be nice to this old man。
难道你没看见你把他生命中唯一的支柱----收集各种贴子,然后大言不惭的copy&post 到自己的网页。给打碎了。同时,他在麦地的“一手遮天” 用那二十年前的狗屁经验来误导新人,也让你给揭穿了。我能理解他的恼羞成怒。他也没几天了,就让他乐呵乐呵吧。

他的英语很好。中国人特别是我们河南人一听就懂。 像“welcome u join my club" 和his is a very unique 8-gua I enjoy to read”还有“I'm sure there you will get more benefits=我坚信在这里你将得到更多的好处。”多么容易的“直”译呀
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5 [DrNewbie 于 2010-11-02 23:00:52 提到]

His best English is:

Bless the God. No wonder people call him the GodFather.
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共有2条评论
1 [DrNewbie 于 2010-11-03 23:04:34 提到][删除][修改] [FROM: 98.119.]
REPLY TO THE ATTACHED COMMENT.

"Must" is perfect here. "May" is NOT.

Would anyone use suck-ups, jam-up in a formal interview as in Joke #2? Would this be a clue that it is a joke? Would anyone use snob in Joke #4? A good joke teller does not start with Hey, I am telling you a joke?

The 'Sorry' line could be interpreted in the wrong way. It is Not like you say sorry when some1 is sick.

Your 'I dont know why he treats us differently' is clearly very OFFENSIVE. It insinuated that the interviewer is an ass cause the Boss is the nicest person in the whole world, right? It is so pathetic that your answer is so appreciated by the MadDoc and put on the front page for people to spit at. Have u noticed that Not a single person responded to the MadDoc's comment? Why? So many people hate me to their guts. Why nobody jumped out and LOLed like you? Simple! Cause your answer is offensive.

Read my reply please before you comment. MadDoc initially made the club private. Only under the protests from some righteous people who think he has gone too far, he made it public a few days later.

Because I use 'real world' examples for English writing practice, a private English club is best suited for this purpose. If you didnt know, a couple of thugs on medi routinely harassed me for correcting their English. Btw, your English is superb. Thats why I thought you would want to help us. But you refused. I am truly sorry for this.

Some people get dark humors. Some dont. It is just a matter of personal tastes. Yes, many did think it was funny.

Clearly, you have got the bad influence from MadDoc. You had a very lousy attitude with your LOLs towards my posts. You are smart enough to have got into a medical school. But your lack of manners will hurt your personal and professional life. Doc is a prime example. Hope you dont follow his path.
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2 [dojo 于 2010-11-03 22:31:32 提到][删除] [FROM: 71.163.]
Okay, now you say #2-4 are for laughs only, why didn't you say that in your originial post? You could see that fionaww challenged your #2 answer, but you did not tell her you were kidding. Instead you gave two more answers "for laughs", but did any one actually laugh in that thread, before I responded? Your humor is really sick.

I made it clear that your #1 answer is fine except that you shall not say "must". "Maybe he has changed a lot" is an okay answer, but how could you use "must"?

Your comment on my "sorry to hear that" shows that you don't even understand what "sorry" means here. It is a very common, sympathetic response to any kind of misfortune. If you ever tried to describe something unfortunate in your life to an American, you should have heard this sentence before. The sympathetic American saying this would never ever think that he is sorry because you are an ass. Your thinking is ridiculous.

Finally, your conspiracy theory "To exclude me ... you tried to drag everyone into ur private club" really makes me sick, even though I was never a fan of Lao Dao. Lao Dao's club is PUBLIC, everyone in the world can read it, and I joined it on my own without Lao Dao's any email. YOUR club is PRIVATE, and YOU sent me email twice to try to drag me into ur club.
 
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