医生选专业,面对将来 SeetoMD 改编

K
Kwseeto
楼主 (文学城)

 

 

在美国当了30年的神经科医生后,我仍然喜欢我这工作,但我可能会选择双重神经病学和精神病学,重点是脑部疾病以及心理疾病。我认为在不久的将来,很多医生的工作将被人工智能取代。随便举几个例子。美容医学很好,很难被人工智能取代,因为美容是很主观的。外科手术尤其心脏手术等高风险手术中容易失误,常常引起法律投诉,谁将负责?人工智能?还是医生?所以外科医生比较难以被AI取代,这主要是风险的问题。难以想象没有医生的手术室。外科专业有好有坏。当外科医生,你需要与一个团队在拥有先进设备的手术中心工作,你将涉及许多医院政治和收入的争斗。美国医生传统上是雇主不是雇员,所以医生还不能成立工会。如果您与同事相处不好,有人写你的条子,有一天你说错了什么,谈论的政治不正确,你就有被解雇的风险。我觉得普通内科很好,虽然可能会被人工智能取代,但如果社会还需要真正的医生,普通内科医生还是需要的。成为普通内科医生的好处是你可以在自己的诊所开业。如果医院不需要你,你可以回到自己的诊所,不需要太多资金。皮肤科除了美容项目,很容易被人工智能取代。放射学将被人工智能取代几乎是共识了。医师助理(PA)、护士执业者(NP)的许多职责很可能会被人工智能取代,因为如果我们能够让受教育程度低于医生的人士来完成工作,并且如果可以在预先编程的方式来完成,那么这些职位就不是必需的。人工智能就不难取代它们。这显然是我个人的偏见。

我倾向那些医生自己可以轻易开诊所的专业:精神科、睡眠医学、疼痛科、眼科、皮肤科,美容矫型科 眼科,过敏科都不需去医院,医生可以完全在诊所行医。 普通内科,家庭医生更是可以独立自主,不愁没有病人,病人从早到晚在等着。

 

医生工作会占用你75%以上的清醒时间,在这些时间里你最好能有快乐的体验。医生的收入是中上阶级,很难致富的。明白人会选择自己善长、喜欢,最好是热爱的工作,况且还可以帮到不少人。

 

你喜欢动手还是动脑,喜欢热闹刺激的医院或手术室环境还是安静的办公室环境,喜欢和人聊天还是喜欢跑到不同的大楼?工资是多少?您每周和每年工作多少小时?您想在周末和您的妻子参加音乐派对吗?你想看你儿子打棒球吗?你想开车送你女儿去钢琴老师家吗? 50岁后你还想上夜班吗?你有考虑过吗?如果您不能再在当地医院工作,您可以开设自己的诊所吗?这些都是需要考虑的因素。

 

对未来的医生,给予真诚的祝福。

 

 

 

 


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K
Kwseeto
英文版 SeetoMD

If I were asked to choose a medical specialty again, what would I choose?

 

After 30 years as a neurologist in the United States, I still enjoy my job, but I will probably choose dual neurology and psychiatry, focusing on brain diseases as well as mental illness. I think that in the near future, many doctors’ jobs will be replaced by artificial intelligence. Just give a few examples. Cosmetic medicine is good and difficult to be replaced by artificial intelligence because beauty is very subjective. Surgical operations, especially high-risk operations such as heart surgery, are prone to errors and often lead to legal complaints. Who will be responsible? AI? Or a doctor? Therefore, it is difficult for surgeons to be replaced by AI. This is mainly due to risks. It’s hard to imagine an operating room without a doctor. There are good and bad surgical specialties. As a surgeon, you work with a team in a surgery center with state-of-the-art equipment, and you'll be involved in a lot of hospital politics and revenue battles. Traditionally, American doctors are employers, not employees, so doctors cannot yet form unions. If you don't get along with your coworkers, someone writes a note about you, you say something wrong one day, talk about something politically incorrect, you risk getting fired. I think general internal medicine is very good. Although it may be replaced by artificial intelligence, if society still needs real doctors, general internal medicine is still needed. The benefit of becoming a general internist is that you can open your own practice. If the hospital doesn't need you, you can go back to your own clinic. In addition to cosmetic aspect, dermatology can easily be replaced by artificial intelligence. It is almost a consensus that radiology will be replaced by artificial intelligence. Many of the duties of Physician Assistants (PA), Nurse Practitioners (NP) will likely be replaced by AI if we can get people with less education than doctors to do the work, and if it can be done in a pre-programmed way , then these positions are not required. It will not be difficult for artificial intelligence to replace them. This is obviously my personal bias.

I prefer those specialties where doctors can easily open clinics themselves: psychiatry, sleep medicine, pain medicine, ophthalmology, dermatology, cosmetic and plastic surgery, ophthalmology, and allergy medicine all do not need to go to the hospital. Doctors can practice medicine entirely in clinics. In general internal medicine, family doctors can be independent and do not have to worry about having no patients. Patients are waiting from morning to night.

 

Working as a doctor will take up more than 75% of your waking hours, and you'd better have a happy experience during these hours. Doctors' incomes are upper-middle class and it is difficult to get rich. Understand that people will choose jobs that they are good at, like, and preferably passionate about, and can also help many people.

 

Do you prefer to use your hands or your brain, do you prefer a lively and exciting hospital or operating room environment or a quiet office environment, do you prefer to chat with people or do you prefer to run to different buildings? What's the salary? How many hours do you work per week and per year? Do you want to attend a music party with your wife on the weekend? Do you want to watch your son play baseball? Do you want to drive your daughter to the piano teacher's house? Do you still want to work night shifts after you turn 50? Have you considered it? If you could no longer work at a local hospital, could you open your own practice? These are all factors to consider.

 

My sincere blessings to future doctors.

废话多多
人工智肯定可以取代一部分医疗工作,但绝对代替不了医生和护士。最简单的例子就是,从前人们用马车,有了汽车后马车夫被取代了,

但是汽车司机的需求上升。

基于当时社会的局限性,马车夫很难改行做司机,但现代的教育水平为我们提供了优越的条件,提升自己顺应时代的发展就不会被AI淘汰。

您是医生,好奇有病会听SeetoMD所说吗?

K
Kwseeto
不会完全替代医生护士 但会改变各科的职能 医生要再受训
K
Kwseeto
仅是一己之见 学习中 欢迎讨论
废话多多
对。这是时代进展的一部分,从前学会一门技术,可以吃一辈子的老本,现在的科技飞速的发展,我们也只有跟着更新知识。
K
Kwseeto
由于市场竞争,大医院系统在逐渐取代小组医生和个人诊所 ,这是走向,尤其在美国
深山何处钟
反正巳没啥人看得到,希望版主别介意我的异见:马车夫是可以变成司机的。 亚洲政府淘汰人力车时大都仿效欧美

反正巳没啥人看得到,希望版主别介意我的异见:马车夫是可以变成司机的。
 亚洲政府淘汰人力车时大都仿效欧美,投资培训及拟定教育计划,以使马车驾驶员,马车修理及马匹饲养者等转型到新的职业,如汽车驾驶员、汽车维修技师等。
 亚洲国家的人力车,如三轮车淘汰时,政府播出大量预算,辅导转业,包括培训,高价收购三轮车,提供低息购汽车贷款,让这些三轮车夫,转业成计程车司机,以免造成社会问题。
 欧美国家马车在先,人力车在后,亚洲国家刚好相反,很多国家并没有马车(不是指古时候 运嫁庄 的马车)。 我之所以对这方面有点了解,我想台湾来的外省人,都有些穷亲戚在拉三轮车,1960左右台北不少叔伯们忽开起计程车来了,还会免费到家里带父母出去拜年。

废话多多
没关系,你的异见正好说明了我的论点:AI 取代不了人类,我们只是要不断更新知识/技术而已 。