I-Subspecialties Yakha Amakhono Ezingane Zezingane
Kunezinhlobo eziningi zogqirha ezikhethekile ezimweni ezihlukahlukene zezingane. Ngaphezu kokusebenza njengengane yesazi jikelele, odokotela abafuna ukusebenza nezingane banezinketho eziningi ze-subspecialties ezinganeni okufanele zikhethwe kuzo.
Uma ingane yakho idinga ukunakekelwa okukhethekile, ungasesha udokotela wezidakamizwa ezingaphansi kwe-subspecialty efanelekile. Udokotela wakho wezingane anganikeza ukuthunyelwa noma ungabheka izitifiketi zakho zesibhedlela e-American Board of Pediatrics.
Indlela Yokuba Ngumhlengikazi Ochwepheshe Wezingane
Ukuze abe ngugqirha wezingane, umuntu kufanele aqede kuqala izidingo zokuba ngodokotela wezingane . Khona-ke, ngemva kokuba lezo zidingo zifinyelelwe futhi ukuqeqeshwa kokuhlala kwezokwelapha ku-pediatrics jikelele kuphelile ngempumelelo, umuntu ozobe esebenza nge-subspecialist wezingane kufanele aqede uhlelo olwengeziwe lokuqeqeshwa kobudlelwane endaweni ekhethekile afuna ukuyisebenzisa. Ukuqeqeshwa kobudlelwane be-subspecialty yezingane ngokuvamile kuvame iminyaka emithathu.
I-American Board of Pediatrics (ABM) inikeza lezi zitifiketi ze-subspecialty:
- Imithi Yama-Adolescent
- I-Cardiology yezingane
- Ukuhlukunyezwa kwabantwana kokuhlukunyezwa kwabantwana
- Umuthi Wokunakekelwa Okunakekelwa Kwezingane
- I-Pathoatrics Yokuthuthukiswa Kokuziphatha
- Imithi Ephuthumayo Yengane
- Endocrinology yezingane
- I-Gastroenterology yezingane
- I-Hematology-Oncology yezingane
- Imithi yesibhedlela yezingane
- Izifo ezithathelwanayo zezingane
- Imithi ye-Neonatal-Perinatal
- I-Nephrology yezingane
- Pulmonology yezingane
- I-Rheumatology yezingane
Ababambisene nabo be-ABM la ma-subspecialty aqondisa namanye amabhodi e-American Board of Medical Specialties amabhodi:
- I-Hospice ne-Palliative Medicine
- Toxicology yezokwelapha
- Imithi yokulala
- Imithi yezemidlalo
- I-Hepatology yokuThuthukiswa kwezingane
Abahlengikazi bezingane ngokuvamile bavame ukugcina phansi ohlwini lwazo izinxephezelo zodokotela. Isibonelo, abahlengikazi abangewona ochwepheshe bezingane babekhokhwa ngama-dollar angu-224,000 ngo-2016, kanti labo abasemagcekeni aphansi bahola okuningi kakhulu. Lokhu kungaba isikhuthazo sokuba udokotela wezingane aqinisekiswe njengengcweti. Ukuhlungwa okuqhubekayo kungenye ye-subspecialties ekhokhelwa kakhulu.
I-Gastroenterology yezingane
I- gastroenterologists yezingane (Ped GI) ziphatha izimo, izifo, kanye nokuphazamiseka kwesisu nesisu sokugaya izingane. Odokotela be-Ped GI babona iziguli endaweni yokubeka ihhovisi, kodwa futhi benza izinqubo ezinjengezinhlobo ezihlukahlukene (endoscopy, njll) esibhedlela noma esikhungweni sokuhlinzwa.
I-gastroenterologists yezingane ezidokotela bezokwelapha oye waba neminyaka emithathu yokuqeqeshwa okwengeziwe ekudleni kwezingane, isifo sofuba, nokudla okunomsoco, kuhlanganise nocwaningo lwezokwelapha nokwelashwa kwezinsana, izingane, kanye nentsha ngokugaya ukudla, isibindi, kanye nokuphazamiseka kokudla okunomsoco.
I-gastroenterologists yezingane ziphakathi kwezintatheli eziphezulu ezikhokhelwa izingane, ezilinganiselwa ku-$ 100,000 ngonyaka ngaphezu kwengane.
Ukunakekelwa Okubalulekile Kwezingane / Intensivist
Ukunakekelwa okubalulekile kwezingane (Ped CC) ochwepheshe baphatha izingane ezibucayi. Abadokotela be-Pedro CC bavame ukusebenza endaweni yezibhedlela futhi banakekele iziguli ezincane ezise-ICU (insizakalo enkulu yokunakekela). Laba odokotela kumele bakwazi ukusingatha ukubhekana nabantwana abagulayo kakhulu abangase basondele ekufeni ngenxa yokugula okungathí sina, ukuhlukunyezwa noma ingozi.
Ochwepheshe bezinsizakalo ezibalulekile zokunakekela izingane bahlinzeka ngokunakekelwa okulandelayo ezinganeni ezigula kakhulu:
- Ukuxilongwa kwezingane ezinesimo esingazinzile, esesongela ukuphila
- Ukuqapha ngokugcwele, imithi, nokwelashwa kwezingane ku-PICU
- Ukuqapha izingane eziphefumulayo
- Ukwelashwa kwabantwana abanesifo esinzima senhliziyo nesifo samaphaphu
- Ukubekwa kwama-catheter akhethekile emithanjeni yegazi nasenhliziyweni
- Ukuphathwa kwemithi kanye nokwelashwa kwabantwana abanokuhlukunyezwa kwengqondo
I-Cardiology yezingane
Izingane ze-cardiologists zengqondo ziphatha izifo nemibandela yenhliziyo nesistimu yenhliziyo ezinganeni. Ukuhlola nokwelashwa kungase kuqale nge-fetus kusukela izinkinga zenhliziyo manje zingatholakala ngaphambi kokuzalwa.
Bangase basebenze ehhovisi ngokuyinhloko, kodwa bangase benze nezinqubo esibhedlela.
I-Neurology yezingane
Izazi zezinzwa zezingane zenza izimo nezifo zobuchopho kanye nesistimu yezinzwa ezinganeni. Bangase baphathe iziguli ezincane eziye zabhekana nokugwinya, ikhanda elibi kakhulu, noma isifo sofuba, i-Tourette's syndrome, i-autism, i-multiple sclerosis, izicubu zobuchopho, ukuphazamiseka kokulala noma ezinye izinkinga eziningi zezinzwa.
Imithi Ephuthumayo Yengane
Ochwepheshe bezokwelapha eziphuthumayo zezingane baphatha iziguli esibhedlela esiphuthumayo esibhedlela. Babezobhekana nezimo ezihlukahlukene eziphuthumayo ezifana nokuwa, izingozi, izingozi zemoto, ubuthi obuyingozi, amathambo aphukile, ubuthi bokudla, njll.