評論
打印
Reputation is a fragile and valuable commodity, as valuable to the clinician as his or her education or certification.
名譽既貴重又脆弱，對臨床醫生來說同教育和證書一樣珍貴。
All health care professionals have a reputation, and it works either for or against them in achieving their patient care and professional goals.
所有醫護工作者都有聲譽，它既可以幫助醫生治病救人，實現職業夢想，也可以讓這一切毀于一旦。
Careful adherence to professional behavior in dress, speech, manners, and conflict resolution will create the most advantageous professional reputation for the surgeon.
在穿著，言談舉止，解決糾紛上恪守職業規范，這對于外科醫生“揚名”極為有利。
With a positive reputation, the surgeon's behavior in ambiguous situations will be interpreted in a benevolent way.
由于有了好名聲，當情況模糊不定時，人們對醫生的所作所為也就有了更加積極的定義。
SYSTEMS-BASED PRACTICE
以系統為基礎的實踐
Systems-based practice is one of the core competencies defined by the ACGME as a necessary skill to be developed by graduate medical trainees.
美國畢業后醫學教育認證委員會將“系統基礎實踐”定義為畢業生必須要掌握的核心技能。
Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide optimal care.
住院醫生要有集體觀念，對醫院和整個醫療系統負責，善于運用系統資源為患者提供最佳的健康護理。
The process of teaching and learning systems-based practice has been in place for many years.
對于“系統基礎實踐”的講授和學習已持續多年。
It is what might be considered the practical part of graduate medical training.
人們把它看成是畢業生實習的實踐科目。
However, only fairly recently has it become a focus and metric for performance by training programs.
然而，直到最近實習項目才把它看成是衡量表現的重點。
As a part of training, then, residents must learn how different types of medical practice and health care delivery systems differ from one another, including methods for controlling health care costs and allocating resources.
作為培訓的一部分，住院醫必須要對各種醫療實踐，醫療服務體系加以區分，包括控制醫療費用，分派資源等。
They must use this knowledge to practice cost-effective health care and resource allocation that limits the compromise of quality of care.
通過對知識的掌握，住院醫需要執行成本劃算的醫療服務，以及影響醫療質量的資源配置。
They must advocate for quality patient care and assist patients in dealing with complexities of the health care delivery system.
呼吁醫院對病人提供優越的救治服務，因醫療服務體系過于龐雜，他們需要對病患提供幫助。
They must also understand how to work with health care managers and other collaborating health care providers to assess, coordinate, and improve health care for patients.
他們還需要懂得如何與醫療體系負責人，醫療協助人員進行合作，評估，改善醫療服務。
The role of the resident in identifying both the health care needs of the patient and the capability of the system to meet those needs is well established.
對于住院醫來講，在明確病患醫療需求，以及醫療系統是否能夠滿足需求上做得非常完善。
Surgery residents in their senior years are often important resources for hospital systems because they understand how to manipulate the system to meet the needs of the patient.
通常，高年級外科住院醫總是醫院系統的“頂梁柱”，因為他們知道如何為滿足病患需求而對系統進行調配。
Medical students and surgical trainees must also recognize their role as a part of these complex systems.
不論是學院學生還是外科實習生，他們都應該認識到自己在龐雜系統中所發揮的作用。
譯文屬可可英語原創，未經允許，不得轉載。
