Chifukwa Chiyani Ndikovuta Kwambiri Kuwona Wotopotinoloji?
Anthu nthawi zonse amadandaula kwa ine kuti kusowa kwakukulu kwa akatswiri otchedwa endocrinologists akusokoneza chisamaliro chawo. Mndandanda wa kuyembekezera kuwona katswiri wamaphunziro a m'maganizo m'madera ena ndi miyezi itatu, miyezi isanu ndi umodzi, nthawi zina ngakhale kwa miyezi isanu ndi iwiri kapena kuposerapo - ngati mungathe kufika pa mndandanda wodwala wodwalayo.
Ngakhale apo, mutakhala pa nthawi yanu, nthawi yanu yambiri imakhala ikudikira, kudzaza mafomu, kuwonedwa ndi namwino kapena wothandizira dokotala, kukhala ndi magazi, ndi zina zotero.
Muli ndi mwayi ngati mutapeza nthawi yochuluka yokhala ndi dokotala weniweni. Chikuchitika ndi chiani? Tikukumana ndi kusowa kwakukulu kwa akatswiri a zachipatala, omwe angakhale otchulidwa kwambiri.
Kulephera
Mu 2010, malinga ndi bungwe la American Internal Medicine, panali 5,811 bwalo lovomerezeka la sayansi yamakono m'mabuku atsopano a US omwe sanatulutsidwe, koma White Paper ya 2014 yotchedwa Endocrine Society inafotokoza kuti kuchepa kudzapitirizabe, zaka khumi. Akatswiri ena amaneneratu kuti kuchepa kwa chiwerengerochi chiyenera kuyembekezedwa mu 2025.
Pali ochepa atsopano okhulupirira zachipatala omwe amagwira ntchito, m'malo mwa iwo omwe achoka. Pakalipano, palinso mapulogalamu okwana 122 omwe akuvomerezedwa ku endocrinology ku United States, ndipo mapulogalamuwa amaphunzitsa ndikukonzekera zokha pafupifupi 160 zokha zachipatala. (Ndipo ena mwa akatswiri atsopano amapita ku kafukufuku kapena makampani ogulitsa mankhwala, osati chisamaliro cha kuchipatala ndi matenda.)
Ngakhale kugwiritsira ntchito chiwerengero cha 5,800, pafupifupi 2,000 mwa akatswiri otchedwa endocrinologists ndipamwamba maphunziro, ndi katundu wodwala wochepa. Ena amagwira ntchito ku boma la federal, kapena makampani opanga mankhwala. Panthaŵi imodzimodziyo, malinga ndi US News ndi World Report, pali zipatala 6,300 ku United States.Akatswiri ena amalingalira kuti pali zikwi 1,000 zokhazikitsidwa ndi bungwe la odwala matenda odwala matenda othetsera matenda opezeka m'matumba 6,000, komanso odwala, omwe, kuphatikizapo shuga, matenda opatsirana, matenda, chithokomiro, ndi mavuto ena a mahomoni, angakhale anthu pafupifupi 100 miliyoni.
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Nchifukwa Chiyani Ndikovuta Kwambiri Kuwona Wotchedwa Endocrinologist?
Mwachidule - ndi vuto lothandizira komanso lofunika. Malinga ndi ndemanga mu Journal of Clinical Endocrinology ndi Metabolism :
"... kusowa kwa matenda odwala matenda a shuga, kusowa kwa thupi, matenda a chiwindi, khansa ya chithokomiro, matenda a mitsempha, matenda a adrenal, zizindikiro za mimba, ndi matenda obala. kukumana kukuyembekezera kwa miyezi 3 mpaka 9, ndipo njira zambiri zokhudzana ndi matenda opita kuchipatala zimatsekedwa kwa odwala atsopano. "
Panthawi imodzimodzi yomwe ife tiri ndi kusowa kwa matenda a endocrinologist, matenda a endocrine okhawo akukwera. Chiwerengero cha shuga - makamaka, moyo ndi kunenepa kwa mtundu wa mtundu wa shuga 2 - ukufikira mliri. Pamene anthu amakhala motalika, anthu ambiri amakula ndikusowa chithandizo cha matenda odwala matenda odwala matendawa. Azimayi oposa 40 miliyoni a ku America ali panthawi yopuma. Matenda a chithokomiro amayamba kukula.
Izi zikutanthauza kuti ndizovuta, ndipo nthawi zina zimakhala zosatheka, kuti alowemo kukawona katswiri wamagetsi. Ndipo imachoka m'madera ambiri akumidzi ndi akumidzi kumalo osakhala ndi mwayi wopita kwa akatswiri a zachipatala.
Vutoli likuipiraipira, kupatula ngati kusintha kwakukulu kumapangidwira momwe njira zowonjezereka zimaphunzitsidwa.
Magazini ya ndemanga inafotokoza mndandanda wa zinthu zomwe zingathandize:
- Kupititsa patsogolo kuzindikira, kufulumizitsa ndi kuwoneka kwa vuto ndi anthu ndi boma
- Kufuna zipatala ndi mapulogalamu ophunzitsira zachipatala kuti azipereke ndalama zothandizana nawo
- Mabungwe oyenerera kuti athetsere kuvomerezedwa ndi kusamalira maubwenzi a endocrine
- Kuwonjezera pa malipiro a federal ndi apadera omwe amapereka mphoto kwa olemba mapulogalamu apamwamba kuti apange mpikisano wothamanga kwambiri ndi zina zapadera
- Kupereka ma visa omvera kwa omaliza maphunziro a zachipatala omwe akufuna kuti azichita masewera olimbitsa thupi ku United States
- Kupititsa patsogolo maphunziro othandizira anthu ogwira ntchito komanso ogwira ntchito zachipatala ku matenda a shuga komanso kutetezeka kwambiri komanso kupewa
- Kukulitsa manambala, maphunziro, ndi kutumizidwa kwa asing'anga, othandizira madokotala, ndi aphunzitsi ogwira shuga odziwika bwino
- Kupereka chithandizo chachitatu kwa maselo a telemedicine m'malo osasungidwa omwe alibe katswiri wamagetsi
- Njira zambiri zaumoyo komanso njira zowonetsera matenda a shuga komanso mapulogalamu oletsa kunenepa kwambiri
Ndemanga Yochokera kwa Mary Shomon
Chochititsa chidwi n'chakuti Journal of Clinical Endocrinology & Metabolism amalimbikitsa chilichonse chokhudza chithandizo cha chithokomiro . Amayankhula za matenda a shuga ndi kuphunzitsa kunenepa kwambiri, koma bwanji za matenda a chithokomiro? Nchifukwa chiyani palibe chidwi choonjezera maphunziro a internists ndi achipatala omwe amadziŵa / kuchiza vuto la chithokomiro? Nchifukwa chiyani sitikuyang'ana kukulitsa manambala, maphunziro, ndi kutumizidwa kwa asing'anga ndi othandizira dokotala pa matenda a chithokomiro ndi chithandizo? Ndipo bwanji tilibe pulogalamu yophunzitsa aphunzitsi a chithokomiro ovomerezeka, ofanana ndi aphunzitsi a shuga ?
Mwamwayi, zikuwoneka kuti matenda a chithokomiro ndi odwala chithokomiro akuwonekeranso ngakhale ntchito yamagwiritsidwe ntchito kachipatala ngati yosafunika poyerekeza ndi shuga. Ndipo chifukwa cha kusowa kwa akatswiri odziwa zachipatala kumayambiriro, izi sizikumveka bwino kwa odwala chithokomiro, pamene tikuyesetsa kuti tizilombo toyambitsa matenda komanso chithandizo chathu chikhale bwino.
Kodi Mukufunikira Katswiri wa Endocrinologist?
Mungakhulupirire kuti katswiri wina wamagetsi ndi dokotala wodziwa bwino kuti adziwe ndi kuchiza matenda onse a chithokomiro. Choonadi ndi chakuti, sizinali choncho nthawi zonse.
Kaya mukufunikira katswiri wa matenda a chithokomiro kwenikweni zimadalira mtundu wa vuto la chithokomiro chomwe mukukumana nacho, chikhalidwe cha zizindikiro zanu, ndi kumene mukuchita.
Werengani zambiri za nkhaniyi, Chifukwa Chake Matenda a Chithokomiro Sonse Sasowa Wotchedwa Endocrinologist kapena Katswiri wa Tizilombo .
Zotsatira:
Stewart, Andrew, "Ogwira Ntchito ku United States Endocrinology: A Supply-Demand Mismatch," Journal ya Clinical Endocrinology & Metabolism Vol. 93, No. 4 1164-1166.
Endocrine Masiku ano