根据华人医生数据库不完全统计，在美行医的中国大陆医学毕业生有6千多人，这里也包括了一些正在做住院医的同胞。随着中美交流越来越多的大势之下，想要赴美行医的中国医生人数也在不断增加。
通过美国医师执照考试(United States Medical Licensing Examination)是赴美从医的必经的途径，大多数中国考生通过努力也能拿到不错的成绩，最后的一关是申请住院医的过程，在match申请和面试很多技巧都是有迹可循的。例如住院医面试，每个人去面试的program都不尽相同，但是有些面试的问题和回答都是可相互参考的，下面我们邀请Dr Huang老师从自身的Match回答经验分享出来供大家参考，可收藏，也可转发给身边需要的朋友。
Why Medicine?
为什么选择医学?
There was once a time that our train was delayed, and before long we finally set off, we had an emergency broadcasting that a passenger needs help. As the only medical personnel around, I signed up and it was an old lady in her 70s, with history of diabetes, presented as lethargy, fainted with moderate dyspnea. She hadn’t eat anything in the last 8 hours, and she had 2 episodes of vomiting. With all the device at hand, I check her vitals, and did the physicals. As there was no further workup at that time, my best guess was electrolyte disturbance due to dehydration and vomits, but also cannot exclude a DKA. So I established a IV access and the patient was sent to hospital in the next stop.
Actually, I do not have a dramatic story that direct me into medicine. You see, there are a string of experiences, small things just like this that makes my choice seems so nature. Also, the outstanding doctors that I’ve worked with; the patients that I learned so much from; and the simple joy learning the knowledge, the thinking process, differential diagnosis and so on. I just never feel tired and enjoy it, so why not turn my interest into my career.
有一次我跟朋友坐的火车晚点了，在出发之前，我们听到紧急广播说有乘客需要帮助，作为周围唯一的医务人员，我站出来了。患者是一位有糖尿病病史的70多岁的老太太，表现为嗜睡，因中度呼吸困难晕倒。她在过去的8个小时里什么都没吃，并且呕吐了2次。拿到所有需要的仪器后，我检查了她的生命体征，做了体检。由于当时没法进一步检查，我觉得最接近的判断是由于脱水和呕吐引起的电解质紊乱，但也不能排除DKA。所以我建立了静脉置管，然后病人在下一站被送到医院了。
其实把我带向医学的并不是什么戏剧化的故事。你看，在经历了一系列像这样的小事后，我的选择是自然而然的。当然也包括我一起共事过的优秀的医生，可以让我学到很多知识的患者等等；学习知识、思考的过程、鉴别诊断这些，对我来说都是简单的快乐。我感受到的从来都是享受而不是疲累，所以我觉得为什么不把我的兴趣变成我的事业呢。
专有名词释义：Diabetes：糖尿病、Lethargy：嗜睡、Dyspnea：呼吸困难、electrolyte disturbance：电解质紊乱、DKA：Diabetic Ketoacidosis 糖尿病酮症酸中毒 、IV：Intravenous therapy 静脉治疗
Computer skill for the medical system?
医疗系统的计算机水平
Of course, I’m quite sophisticated with the basic software like words and PowerPoint. As I’m working as an USMLE instructor, so I’m expected to be able to present an interesting and organized PowerPoint every of my lessons. With the previous clinical experiences of US, I took the courses and am very handy at using the Epic system. I also working on statistical analysis software like SPSS, so I can take the advantage of the data base and make some progress on my research.
当然没有问题，我对Words和PowerPoint这样的基本办公软件相当精通。由于我现在是一名USMLE讲师，所以我希望在我的每堂课上都能够展示一个有趣且而且条理清晰的课件。我之前有过在美国的临床经验，我有学习过相关课程并且现在非常擅长使用Epic系统。我还在继续研究像SPSS这样的统计分析软件，让我充分利用数据库的优势，可以在研究上取得一些进步。
专有名词释义：Epic sys
