為何在美國醫生誤診誤醫時有發生, 但醫患關係絕對不像中國那樣緊張?
避開其它的不談, 就以醫生的培訓, 收入也可看出些其所以然。 醫生是美國所有職業中學曆與經驗要求最高的: 四年本科學位再加四年醫學院畢業。所以在美國,醫生都是具有博士學位的人。就像英文中的"DOCTOR" 既是博士,也是醫生的專用名詞 (外國醫學院畢業並曾經在國外行醫的美國醫生除外) 。就學曆來說,就已是所有職業中要求最高的。就是美國律師,最多也就本科畢業後, 再讀讀3年法學院,考過律師執照也就成為律師了。
不僅如此,醫學院學生就是有了相當於博士學位的4年醫學院畢業證書,也還是不能成為在美國行醫的醫生!必須再加上起碼3年的培訓,既長時間低工資的在醫院以住院醫生的名義工作三年,並在培訓期間最後通過醫生執照考試才能正式的,獨立的給病人看病。
正因為美國的醫生是所有美國職業中學曆要求最高的。理所當然的其工資也是在美國所有職業中最高的。 甚至比公司行政總裁還高 。
根據美國勞工部的統計,截至2012年5月美國的10個收入最高的職業為:
1. 麻醉醫師 Anesthesiologists $232,830
2. 外科醫生 Surgeons $230,540
3. 產科和婦科醫生 Obstetricians and Gynecologists $216,760
4. 口腔麵頜外科醫生Oral and maxillofacial Surgeons $216,440
5. 一般內科 Internists, General $191,520
6. 牙齒矯正 Orthodontists $186,320
7. 內科兼外科醫生Physicians and Surgeons, All Other $184,820
8. 家庭和全科醫生Family and General Practitioners $180,850
9. 精神科醫生Psychiatrists $177,520
10.行政總裁 Chief Executives $176,840
由上可看到醫生的收入占了全美排名前十最高收入職業中的9位!
除了醫生外, 美國的10個收入最高的職業為:
1. 行政總裁 Chief Executives $176840
2. 石油工程師 Petroleum Engineers $147470
3. 建築和工程經理 Architectural and Engineering Managers $133240
4. 律師 Lawyers $130880
5. 自然科學經理 Natural Sciences Managers $130400
6. 營銷經理 Marketing Managers $129870
7. 計算機和信息係統經理 Computer and Information Systems Managers $129130
8. 航空公司飛行員,副駕駛員和飛行工程師Airline Pilots, Copilots, and Flight Engineers $128760
9. 金融經理Financial Managers $123260
10. 銷售經理Sales Managers $119980
注: 美國人在這方麵的統計數據一般都不用平均數。
既50%的相同職業收入低於此數, 50%的相同職業收入高於此數。一般低於此數的為資曆淺,工作在地區消費低的地方;高於此數的為資曆深,工作在地區消費高的地方。
綜上所述,美國醫生在美國是一個受人尊重的職業。
科普一下:
Difference Between MD and Phd
MD and Phd are both higher degrees. MD stands for Doctor of Medicine, and Phd stands for Doctor of philosophy.
The first difference that can be mentioned of the two, is that MD is associated with treating patients, and Phd is related to a doctor’s degree in other fields.
While MD pertains to a higher degree in medicine, a Phd can be obtained in various fields, like arts and the sciences. A person that has a MD degree can prescribe medicines, where as a person with a Phd cannot prescribe medicines. Phd is completely research oriented.
When discussing the origin of MD and Phd, the former was launched first. The origin of Doctor of Medicine is traced to the ninth century, when it was introduced in the medieval Arabic universities. The Doctor of Philosophy is known to have originated in the Middle Ages, in the European universities.
There is also the difference of time when studying for the degrees. While a person gets a MD after about four years, a person will only get a Phd in four to seven years. Getting a Phd also depends on the submission of the thesis paper.
Doctor of Philosophy comes from Latin philosophi?? doctor, which means ‘teacher of philosophy’. The Doctor of Medicine also comes from Latin, and means ‘teacher of medicine’.
A person gets a MD degree after two years of course work, and two years of rotational work, in some hospital or clinic. On the other hand, a person gets a Phd after he submits his thesis paper. The thesis is examined by a group of experts, and the person may also be called to defend his work.
Read more: Difference Between MD and Phd | Difference Between | MD vs Phd http://www.differencebetween.net/miscellaneous/difference-between-md-and-phd/#ixzz37AJ5usjc
數據能創造?當然是抄來的。
http://www.forbes.com/pictures/fjle45fikh/the-10-best-paying-jobs-in-america/
I was filling out a government form that included a section about 'highest level of education achieved' which listed levels of education starting with elementary school and ending with a doctoral degree.
Anyway, I was surprised to that the MD was not listed at the same rank of 'doctoral degree' and was instead listed after 'masters' degrees along with the JD (lawyers), OD (optometrists), M.Div (ministers) and some other degrees... some of which were 'M' (masters) and others which were 'D.'
I always thought that the 'D' in MD meant that it was a 'doctorate' degree, but this questionnaire seemed to rank the MD as lower than a doctorate degree. So my question is, is the MD a doctorate degree and/or is someone with an MD considered as having a 'doctorate'?
答複:
The short answer to your question is that the MD is not a doctorate degree nor is it equivalent to a PhD. That said, it's still certainly a prestigious degree and, at least in the US, it is customary to still address someone with an MD as Dr. (although the history behind that is somewhat interesting). And, of course, some MDs do go on to complete the additional work required to also receive a PhD (eg MD/PhD).
The reason that the MD and those other degrees were listed as lower than a doctorate in the questionnaire in terms of level of education achieved is that these degrees do not meet the traditional definition of what is required to receive a 'doctorate' level degree. In particular, where they fall short is the requirement for the generation and defense of the production of 'new' knowledge - generally in the form of an extensive research project, thesis and defense of the thesis.
The MD, JD and other similar degrees are classified as 'first-professional' degrees. These degrees generally contain 'masters degree' level coursework along with extensive 'apprenticeship' style training of the trade in question (medicine, law, religion, etc.). Most of these professional schools used to issue masters degrees to their graduates, although some schools eventually started issuing specialized doctoral degrees even though they didn't actually complete the requirements necessary for a doctorate. This practice is generally limited to the US.
As a result, the 'first-professional' degree classification was created in the US to identify those degrees that represented highly advanced training in a particular subject beyond what is normally required for a masters degree but falling short of what is required to be awarded a doctorate.
The US Department of Education states (on a website defining the different classes of degrees one can obtain in the US education system):
"Holders of first-professional degrees are considered to have an entry-level qualification and may undertake graduate study in these professional fields following the award of the first-professional degree. Several of these degrees use the term “doctor” in the title, but these degrees do not contain an independent research component or require a dissertation (thesis) and should not be confused with PhD degrees"
All that said, it shouldn't take anything away from the MD, JD, or other first-professional degrees. They are all very prestigious and require several years of hard study to obtain, but they are not equivalent to a PhD.
As I write this, there are possibly only about 1500 to 1600 practicing retinal surgeons in the United states in an overall pool of over 830,000 practicing MDs - that makes them fairly exclusive, and exclusivity in the health arena means huge dollars in income.
You will agree when I say high dollars, when you know that average yearly incomes these guys make hovers around $500,000 to $600,000 and can climb upto $800,000 a year on the higher end.
As I went through various online physician salary survey sites, the minimum for a Retinal Physician was about 250,000$, which climbs up quickly with incentives and production bonuses, pulling from the competition with higher offers and so on...
A 2010 Survey by Allied physicians quotes a minimum of $280,000 a year, an average of $469,000 a year and a Maximum of $716,000 a year for retinal physicians
Another survey on DrJobs.com quotes a minimum of $275,000 a year and a maximum of $711,000 a year.
美國醫患關係不像中國那樣緊張,和你說的有關係嗎? 醫生學曆要求高,患者就更能理解醫生的誤診誤醫?不懂你的邏輯。