Bobabili abachwepheshe bangaphatha izifo zesibindi
Kunezinhlobo ezahlukene zoodokotela abaphatha nokuhlola abantu abanezinkinga zesibindi. I-Gastroenterologists ne-hepatologists ingenye yazo. Kodwa, umehluko wabo? Ingabe bayakhokhwa amaholo afanayo?
I-Gastroenterologist
I-Gastroenterologists ngokuyinhloko i- internists eseqedile ukuqeqeshwa okukhethekile ekuphatheni izifo zokugaya , kuhlanganise nokukhathazeka kwesisu, isisu, i-gallbladder, i-pancreas, amathumbu amancane namakhulu, nesibindi.
Ukuze ube yi-gastroenterologist eqinisekisiwe e-US, umuntu kufanele abe yi-board board-certified yangaphakathi. Ukuze ufaneleke ku-gastroenterology, umuntu kufanele futhi agcwalise ukuhlangana okungaphezulu kweminyaka emibili kuya kweyithathu yokuhlangana komzimba.
Phakathi neminyaka engu-2-3 yokuqeqeshwa okungaphezulu kwe-gastroenterology, ama- gastroenterologists amaningana atholakale kancane kubantu abanezifo zesibindi. Ngokuphambene nalokho, amanye ama-gastroenterologists abe nokuhlushwa okukhulu kweziguli ezinezifo zesibindi ngesikhathi sokuqeqeshwa okukhethekile ku-gastroenterology. Ngakho-ke, izinga lobuchwepheshe kanye nesipiliyoni phakathi kwe-gastroenterologists ekwelapheni nasekuhloleni izifo zesibindi kuyahluka kakhulu. Kubalulekile ukuthi iziguli zithole izinga lobuchwepheshe be-gastroenterologist esibhedlela sesibindi ngaphambi kokuba nobuhlobo besikhathi eside bezokwelapha nalolu hlobo lodokotela.
I-hepatologists
I-hepatologists yilohlobo oludokotela olufanelekayo nolwazi olunolwazi kakhulu ekuphatheni abantu abanezifo zesibindi.
Kukhona nezinhlelo zokuqeqeshwa ezikhethekile kulabo abagxile kuphela esibhedlela sesibindi, esaziwa ngokuthi yi-hepatology ubudlelwane futhi ngokuvamile sihlala eminyakeni emibili kuya kweyesibili. Ngenkambo ye-hepatology yobudlelwane, udokotela uzothola ukuqeqeshwa okuphelele ekwelapheni nasekuxilongweni kwesifo sesibindi.
Ngokuvamile, ukuqeqeshwa okukhethekile kuhlanganisa ukuvezwa okubanzi kuzo zonke izinhlobo zezifo zesibindi njengalabo abonakala njalo noma abavamile. Lokhu ukuqeqeshwa kwezifo zesibindi akufani futhi akuvamile ukufanisana nokuhlanganyela kwe-gastroenterology.
Odokotela abaqedile ukugcwalisa ubudlelwane be-hepatology babizwa ngokuthi yi-hepatologists. Iningi lezilwane ze-hepatologists nazo ziyi-gastroenterologists. Lezi zonyango ziye zaqeda i-gastroenterology ne-hepatology ubudlelwane. Ngezinye izikhathi, ochwepheshe abangazange baqede ubudlelwane be-hepatology bagxila ekusebenzeni kwabo ngokuyinhloko ekwelapheni nasekuxilongweni kwabantu ababhekene nezifo zesibindi.
Ngenxa yezizathu zesayensi, kungcono ukuthi isiguli sikhethe isiguli se-hepatologist noma i-gastroenterologist ukuze siphathe isifo sakhe sesibindi. Iziguli zingaqiniseka ukuthi laba ochwepheshe bazoba nolwazi olwanele ekwelapheni nasekuhloleni izifo ezihlukahlukene zesibindi. Ngaphezu kwalokho, kuthiwa i-hepatologists yilabo abaqala ukwazi ngezindlela zokwelashwa zakamuva ezivunyiwe yi-FDA. Kodwa, kuye ngokukhetha kwakho, kubalulekile ukufuna udokotela ozinikezele futhi asebenze nawe njengomlingani olinganayo ohlelweni lokuphulukisa.
Isilinganiso Semiholo
I-Gastroenterologists ne-hepatologists yizokwelapha ezisebenza ngokukhethekile ekunakekeleni, ukuxilongwa, nokutadisha izifo nezifo ezithinta umgogodla wokudla njengobindi.
Laba bezokwelapha bavame ukuba abahola kakhulu ngisho noma umholo wabo wonyaka uhluka ngokuhlobo lomkhuba, umphakathi, kanye nendawo.
Ukuvuselelwa Kwezwe
Ngokusekelwe kulolu cwaningo olwenziwa, izazi ze-hepatologists kanye ne-gastroenterologists zabika umholo ophakathi wama-dollar angu-300 000. Amaholo aphansi kunawo wonke abikwa ngamanye ama-gastroenterologists angama- $ 100,000 noma angaphansi, kepha imali ephezulu ebikiwe i-$ 500,000 noma ngaphezulu. Ngokwezinye izinhlolovo, odokotela besilisa bathola imali engaphezu kwezingu-$ 100,000 uma kuqhathaniswa nabalingani besifazane.
I-Gastroenterologists ne-Hepatologists I-Salary yiNgxenye
I-Gastroenterologists kanye ne-hepatologists e-US North Central ibike umholo ophakathi kwama-$ 540,500 njalo ngonyaka, okushiwo ukuthi uphakathi kwezikhulu eziphezulu kwezokwelapha.
Labo abaqashwe eNorthwestern babika umholo wezingu-dollar ezingu-500 000. Esikhathini esiseNingizimu-ntshonalanga, umholo ophakathi lalabaqeqeshi ngu-$ 370,000 njalo ngonyaka. Esikhathini esempumalanga, umholo we-hepatologist kanye ne-gastroenterologist uvame ukuba kancane kancane, kodwa emibikweni yamuva, labo abasebenza esifundeni esenyakatho-ntshonalanga ye-US bathola umholo ophansi kakhulu, okungama $ 248,000 kuphela.
Umholo ngokulingana komphakathi
I-hepatologists kanye ne-gastroenterologists emadolobheni amancane abike imali yokuhola phakathi kuka-$ 350,000 no-$ 400,000 ngonyaka. Labo abasemadolobheni asezingeni eliphakathi bathola okungaphezulu kwamaRandi 350,000. Labo abasebenza ezindaweni zasemaphandleni nasemadolobheni amancane bathola kancane kancane. Kodwa-ke, kunezinhlolovo eziveza ukuthi labo abahlala ezindaweni ezinkulu babika ukuthi babe nemali ephansi kunazo zonke ezithola imali engaba ngu-$ 275,000 njalo ngonyaka.
Ukuxhaswa nguMkhakha wezeMisebenzi
I-hepatologists kanye ne-gastroenterologists njengamanje abalingani emkhakheni wangasese babike imali eyinzuzo kakhulu ($ 400,000 nangaphezulu). Labo abasebenzisa umkhuba we-solo bathola u-$ 300,000 nangaphezulu. Labo abaqashwe izibhedlela eziningana bathola u-$ 300,000- $ 400,000 njalo ngonyaka. I-hepatologists kanye ne-gastroenterologists emise e-academia banamadola ayizinkulungwane ezingu-200 ngonyaka njalo labo abasebenza emisebenzini yangasese bathola u-$ 100,000. Labo abasebenza ngokuzimela bathola umholo ophansi kakhulu, obalelwa ku-$ 100,000 ngonyaka.
Ngaphandle kweholo labo, i-gastroenterologists ne-hepatologists nayo inezinzuzo ezikhangayo. Lokhu kufaka phakathi izimpesheni zesikhathi esizayo, imali yokuphepha kwezenhlalakahle, izinhlelo ezingama-401K, izinzuzo zezempilo, isikhathi sokukhokha kanye namabhonasi. Ngokuvamile, umholo we-hepatologist kanye ne-gastroenterologist kubhekwa njengenye yezindawo eziphakeme kakhulu emhlabeni wezempilo.
Imithombo:
Dev AT, Kauf TL, Zekry A, et. al. Izinto ezithonya ukubamba iqhaza kwama-gastroenterologists kanye ne-hepatologists ocwaningweni lwezokwelapha. I-BMC Health Serv Res. 2008 Okthoba 8; 8: 208.
I-Bass NM, i-Feagan B. Izimpikiswano ezivelayo kwi-gastroenterology ne-hepatology. I-Gastroenterol Hepatol (NY). Aug 2009; 5 (8 Isamba 17): 3-20.