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THE MAKING OF A SURGEON
作者:-leisure- 提交日期:2005-4-8 18:57:00 | 分类: | 访问量:4121

A famous surgeon tells about the importance of self-confidence from his own experience.
THE MAKING OF A SURGEON
How does a doctor recognize the point in time when he is finally a “surgeon”? As my year as chief resident drew to a close I asked myself this question on more occasion.
The answer, I concluded, was self-confidence. When you can say to yourself, “There is no surgical patient I cannot treat competently, treat just as well as or better than any other surgeon”—then, and not until then, you are indeed a surgeon. I was nearing that point.
Take, for example, the emergency situations that we encountered almost every night. The first few months of the year I had dreaded the ringing of the telephone. I knew it meant another critical decision to be made. Often, after I had told Walt or Larry what to do in a particular situation, I’d have trouble getting back to sleep. I’d review all the facts of the case and, not infrequently, wonder if I hadn’t made a poor decision. More than once at two or three in the morning, after laying awake for an hour, I’d get out of bed, dress and drive to the hospital to see the patient myself. It was the only way I could find the peace of mind I needed to relax.
著名外科医生通过自身经验向我们讲述自信的重要性。
外科医生的成功之道
医生如何才能及时认识到自己已经成为一名“外科医生”?在我作为首席住院医师的这一年即将临近尾声时,我不止一次问自己这个问题。
据我的总结,这个答案应该是“自信”。当你敢对自己说“所有外科病人我都完全可以胜任,就像其他医生一样,或者能做得比他们更好”时,直到那时,你才是一名真正的外科医生。我正临近这一点。
就以我们几乎每天晚上都能遇见的紧急情况为例吧。前几个月里,我非常害怕电话铃响,因为它意味着必须又要做一个极具关键性的决定。通常,我告诉沃特或拉里在这种特殊情况下该怎么办之后,自己却很难重新入睡。我会一遍遍回想整个事件的细节,常常怀疑自己是否做了错误的决定。我曾经不止一次在清醒地躺着一个小时之后,凌晨2、3点钟会起床穿衣,驱车来到医院亲自观察病人的情况。这是唯一能让我精神放松的做法。

#日志日期:2005-4-8 星期五(Friday) 小雨 送小红花 推荐指数:复制链接 举报

评论人:-leisure- 评论日期:2005-4-9 0:27
Now, in the last month of my residency, sleeping was no longer a problem. There were still situations in which I couldn’t be certain my decision and had been the right one, but I had learned to accept this as a constant problem for a surgeon, one that could never be completely resolved—and I could live with it. So, once I had made a considered decision, I no longer dwelt on it. Reviewing it wasn’t going to help and I knew that with my knowledge and experience, any decision I’d made was bound to be a sound one. It was a nice feeling.
In the operating room I was equally confident. I knew I had the knowledge, the skill, the experience to handle any surgical situation I’d ever encounter in practice. There were no more butteflies in my stomach when I opened up an abdomen or a chest. I knew that even if the case was one in which it was impossible to anticipate the problem in advance, I could handle whatever I found. I’d sweated through my share of stab wounds of the belly, of punctured lungs, of compound fractures. I had sweated over them for five years. I didn’t need to sweat any more.
现在,在这住院实习的最后三个月里,睡眠已经不再构成困扰了。虽然不确定自己的决定是否准确的情况依然存在,但我已经学会将它当做外科医生的常见问题——一个不可能完全解决的问题,并且已经对此习惯了。所以,一旦我做出一个深思熟虑的决定之后,就不会再一直纠缠于此。回想于事无补,而且以我的知识和经验,我想我做出的任何一个决定应该都是正确的。这种感觉非常好。
在手术室中我相当自信,我确信以自己的知识、技术以及经验完全可以处理好实际中遇到的任何情况。我在切开腹部或胸膛时再也不会感到忐忑不安。我知道即使一个完全无法事先预知的情况,我也能够就我所掌握的情况做得很好。我曾经为做腹部或肺的穿刺或是复合性骨折手术流汗。为这些我已被困扰了五年,以后将再不会因此紧张。

评论人:-leisure- 评论日期:2005-4-9 1:08
Nor was I afraid of making mistakes. I knew that when I was out in practice I would inevitably err at one time or another and operate on someone who didn’t need surgery or sit on someone who did. Five years earlier—even one year earlier—I wouldn’t have been able to live with myself if I had had to take sole responsibility for a mistake in judgment. Now I could. I still dreaded errors—would do my best to avoid them—but I knew they were part of a surgeon’s life. I could accept this fact with calmness because I knew that if I wasn’t able to avoid a mistake, chances were that no other surgeon could have, either.
This all sounds conceited and I guess it is—but a surgeon needs conceit. He needs it to encourage him in trying moments when he’s bothered by the doubts and uncertainties that are part of the practice of medicine. He has to feel that he’s as good as and probably better than any other surgeon in the world. Call it conceit—call it self-confidence; whatever it was, I had it.
这并不是说我不担心犯错。我知道在实践当中时不时的犯错误是在所难免的,可能会给并不需要手术的人动了手术,却耽误了那些其实需要这样治疗的病人。五年前——甚至是一年前我可能还无法适应必须得为一个错误的决定独自承担责任,但现在我就可以。我仍然害怕错误——当然我会尽最大努力来避免——但我知道它们其实就是外科医生生活的一部分。我可以平静地接受这一事实,因为我知道,如果我无法避免这个错误,那么对于其他医生来说也是一样的道理。
这听起来确实有点自负,但是作为一名外科医生,这却是必备的。在被医疗操作中无可避免所产生的困惑和疑虑困扰的时刻,他需要以此来鼓励自己。他必须认为他能够做得和世界上任何一名其他医生一样好或是比他们更强。把它称做自负——或者自信,不管它是什么,现在,我已经具备这一点了。

评论人:和尚(游客) 评论日期:2006-6-20 12:41
成功对于每个人都是很难的,但是首先要相信自己的能力与实力,那样相信自己做的比别人更好就能够做的更好。如果不相信自己,即使自己有希望,那么也不会成功。自信最为重要!




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