tag:blogger.com,1999:blog-21718855892598951252024-03-23T03:14:03.678-07:00郭錦龍醫師的分享部落格 (Dr. Kuo’s Blog)本部落格文章歡迎引用轉載,分享是一種福氣!郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.comBlogger165125tag:blogger.com,1999:blog-2171885589259895125.post-8278831091863960282022-12-30T23:46:00.007-08:002022-12-31T19:42:47.761-08:00受邀台大醫院耳鼻喉部演講<p style="text-align: justify;"><span style="font-size: large;">郭錦龍 醫師/博士</span></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEql9lA_SgbsFRBowUmGUvtGfUZHMXdy-0vQDe_fd5x7P7tSyayoseE0pbHxHH-jh9yWkY6Kp9EyHPK7UWvY77pC__8JJAssDr3JdVH0hWqFOV7GWrKT8vcWUru4FXTdqXOz2zGMj7_JUGRf4CPuZCPdOQPowfMP3NQs6rnS7FTYKISYEORCmWlec5/s2634/2022-03-23%2007.31.44.jpg" style="margin-left: 1em; margin-right: 1em;"><span style="font-size: large;"><img border="0" data-original-height="2634" data-original-width="2354" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEql9lA_SgbsFRBowUmGUvtGfUZHMXdy-0vQDe_fd5x7P7tSyayoseE0pbHxHH-jh9yWkY6Kp9EyHPK7UWvY77pC__8JJAssDr3JdVH0hWqFOV7GWrKT8vcWUru4FXTdqXOz2zGMj7_JUGRf4CPuZCPdOQPowfMP3NQs6rnS7FTYKISYEORCmWlec5/w286-h320/2022-03-23%2007.31.44.jpg" width="286" /></span></a></div><span style="font-size: large;"><div style="text-align: center;"><span style="text-align: left;">筆者與臺大醫院耳鼻喉部劉殿楨部主任合影</span></div><div style="text-align: justify;"><span style="text-align: left;"><br /></span></div></span><p style="text-align: justify;"><span style="font-size: large;">許久沒發文,赫然發現自從上次發文後,時間已超過一年。今年就以此文開始年度記事,也用這篇文章當作年終結尾,作為本年的發文紀錄。</span></p><p style="text-align: justify;"><span style="font-size: large;">今年稍早,承蒙臺大醫院耳鼻喉部劉殿楨部主任的邀請,有幸參加醫界龍頭的耳鼻喉部晨會,並將個人在臨床與學術研究上的一些心得,向諸位前輩先進請益,獲此機會,著實備感榮幸。以下是我此次演講的內容整理:</span></p><p style="text-align: justify;"><span style="color: #04ff00; font-size: large;">榮獲全球前2%頂尖科學家榜單之心得分析</span></p><p style="text-align: justify;"><span style="font-size: large;">2021年10月,史丹佛大學的研究團隊發布一份「2020年全球前2%頂尖科學家榜單(World’s Top 2% Scientists 2020)」,該團隊從全球176個領域近800萬名科學家中,遴選出論文引用指標世界排名前2%的科學家。台灣在臨床醫學領域,共有241名學者上榜。這對當時已經告別學術圈,快閃開業的我,可以說完全無感。</span></p><p style="text-align: justify;"><span style="font-size: large;">二周後經朋友LINE一張圖給我,發現我是台灣8位入榜的耳鼻喉科醫師之一,這個驚喜讓耍癈半年的無業榮民,開始懷疑人生。於是,我重新檢視過去短暫的學術生涯,想釐清這一切是怎麼發生的。</span></p><p style="text-align: justify;"><span style="font-size: large;">台灣8位入榜的耳鼻喉科醫師,台大醫師最多,占了3位,包括楊怡和教授、楊宗霖教授與康焜泰醫師。計算公式包含了6個因子,其中我被列入計分的年份只到2018年,因為這年我做了開業的決定,後續就沒有繼續發表SCI論文的計畫。雖然我的發表資歷不長,僅有9年,但由於這個公式在計分上,有很大的權重落在第一作者或單一作者,因而讓我有機會被納入這份榜單。</span></p><p style="text-align: justify;"><span style="font-size: large;">更重要的,這個公式不考慮投稿期刊的影響因子(Impact Factor),因為史丹佛大學研究團隊認為衡量一位學者研究成果的真實影響力,更客觀的標準就是取得同行的認可,也就是該文章真實被引用次數。研究團隊認為與他人被引用次數平均後的期刊影響因子,會導致嚴重偏差。就好比一個剛出社會的年輕人(若資產為0)與巴菲特(資產1000億美元)的平均資產有500億美元,也不能就此認定這位年輕人的資產有500億美元。這個嶄新的評定標準,說明了年輕學者無須執著於投稿高影響因子的雜誌,搶先發表研究,以取得更多同儕關注,或許將成為另類主流的學術共識。</span></p><p style="text-align: justify;"><span style="font-size: large;">值得一提的是,史丹佛大學研究團隊相當重視過高的自引率,他們認為自引率過高會使這個指標變得虛假和毫無意義。根據這個研究,自引率超過25%,該團隊會另外統計,許多學者因而被剔除這份榜單。</span></p><p style="text-align: justify;"><span style="font-size: large;">以我個人有限的經驗發現,年輕學者不要執著高影響因子的期刊,多以第一作者發表高品質的文章,假以時日也有機會入選「全球前2%頂尖科學家榜單」。當然如果考量教職升等,以目前教育部的計算方式,期刊影響因子與排名還是很重要,權衡與取捨,端賴個人的目標而定。</span></p><p style="text-align: justify;"><span style="color: #04ff00; font-size: large;">最佳住院醫師,青年杏林獎,總醫師講師,博士班榜眼</span></p><p style="text-align: justify;"><span style="font-size: large;">說起來汗顏,我在大學時期對研究完全沒興趣。記得在大七時,一位小兒科學長要我去圖書館幫他找一篇SCI論文,當時我不僅不知道如何找論文,甚至不知道的甚麼是SCI,被學長揶揄了許久。記此教訓之後,我陸續買了50本以上有關論文研究的書籍,花錢去上研究設計、SPSS統計軟體操作等相關課程,意外激發我對論文研究的興趣與火花。</span></p><p style="text-align: justify;"><span style="font-size: large;">住院醫師時期,我發表了11篇SCI論文,也因此獲得台北榮總耳鼻喉部最佳住院醫師獎。更因為論文發表積分贏過台北榮總全院住院醫師,台北榮總破例讓我以外訓醫師的身分,代表台北榮總獲得台北市青年杏林獎。</span></p><p style="text-align: justify;"><span style="font-size: large;">我在總醫師時期順利通過教育部部定講師資格,特別感謝楊怡和教授擔任外審委員時手下留情。更感謝楊教授無私的推薦,讓我有幸獲得限額2位的2015年國際耳鼻喉科推廣協會(Society for Promotion of International Otorhinolaryngology,SPIO)國際學者獎學金(2015 Hayashi SPIO Scholarship)。</span></p><p style="text-align: justify;"><span style="font-size: large;">論文發表的加權計分,讓我在總醫師時以榜眼錄取陽明腦科所博士班。以上例子顯示,住院醫師可以透過豐富的論文產值,在激烈的同儕競爭中,提高出線的機會。</span></p><p style="text-align: justify;"><span style="color: #04ff00; font-size: large;">十年磨一劍,還是一年磨十劍</span></p><p style="text-align: justify;"><span style="font-size: large;">這裡要討論一個頗具爭議的話題:發表論文,到底要十年磨一劍,還是一年磨十劍?或許有些人主張諾貝爾獎得主都是慢慢熬出頭的,把一支劍好好磨十年,才是正途。其實凡事並非二元對立,非黑即白,黑白之間存在著無限的灰色階,0與1之間也有無數的小數位。在瞬息萬變的時代,連人工智能都能創作文章,如果還停留在「十年磨一劍」的保守思維,只怕劍還沒磨利,敵人槍砲都打過來了。</span></p><p style="text-align: justify;"><span style="font-size: x-large;">然而,「一年磨十劍」不意味著囫圇吞棗、濫竽充數式的發表文章,不重視文章品質;而是透過大量寫作、巨量練習,熟能生巧之餘,必能靈感湧泉,下筆有如神助,信手拈來,不費工夫。</span></p><p style="text-align: justify;"><span style="color: #04ff00; font-size: large;">創造際遇</span></p><p style="text-align: justify;"><span style="font-size: large;">我喜歡出國參加會議,因為可以假出國之名,行旅遊之實,畢竟臨床業務繁重,經常請假出國,會把自身的業務轉嫁他人。會議場上我會鎖定有興趣的主題,聽大師演講,中場休息時間向他討教問題,遞有照片的名片,並與其合照。</span></p><p style="text-align: justify;"><span style="font-size: large;">對我而言,會議結束後,才真正開始要忙。回國後3天內我會寄問候信給我欣賞的大師,附上合照,幫助對方回憶我是誰。這一點凸顯與大師合照的重要性,不是要留念用的。還要附上自豪的論文,最好和他的研究有關,讓他對你印象深刻。</span></p><p style="text-align: justify;"><span style="font-size: large;">透過這樣的模式,屢次得到意想不到的效果,例如日本兵庫醫科大學附設醫院院長阪上雅史教授,每年都寄給我親手書寫的賀年卡。透過他的推薦,我受邀參加第30屆Politzer耳鼻喉科世界大會,擔任2場圓桌會議的講者與一場Symposium的座長。我也因為這場會議認識了英國Matthew Yung教授,他是2016年「世界膽脂瘤大會」大會會長,在日本Politzer會議因緣際會認識後,他特別來信邀請我擔任大會國際科學委員會成員,並以台灣為名義在2016年世界膽脂瘤大會,主辦一場研討會。</span></p><p style="text-align: justify;"><span style="font-size: large;">此外,於第30屆Politzer Society Meeting (波利澤醫學會議),我特地從台灣帶禮物送德國Holger Sudhoff教授,感謝他之前與我一起擔任國際期刊(BioMed Research International, IF 3.246)編輯委員。Holger Sudhoff教授是世界上「內視鏡耳咽管氣球擴張手術」的翹楚,發表一本「內視鏡耳咽管氣球擴張手術」的教科書,還邀請我協助翻譯成中文版教科書。我目前全職擔任副主編的美國期刊,就是由Holger Sudhoff教授擔任主編。</span></p><p style="text-align: justify;"><span style="font-size: large;">常言道,機會是留給準備好的人,但在許多人都有準備的競賽中,機會是留給臉皮厚的。我們常會拉不下臉去做一些事情,是因為總以為別人很看重我們的一言一行,其實別人真的沒有那麼在意,一切都是自己為難自己罷了。勇敢踏出第一步,積極為人生埋下伏筆,命運之神會給你意想不到的驚喜。</span></p><p style="text-align: justify;"><span style="color: #04ff00; font-size: large;">探索專一的研究主題</span></p><p style="text-align: justify;"><span style="font-size: large;">我在2012至2018年期間,針對膽脂瘤做一系列研究發表,包括7篇SCI原著論文與3篇SCI文獻回顧專論。這一系列的發表引起美國哥倫比亞大學醫學中心耳鼻喉外科部主任Anil K. Lalwani教授的注意,進而私信邀請我,為他主編的教科書《耳鼻喉頭頸外科最新進展(Recent Advances in Otolaryngology-Head and Neck Surgery)》撰寫專章。這本書每年發表耳鼻喉科最新發展,一般只邀請歐美學者,2016年第五版28個國家的學者,我是唯一的亞洲學者。此外,因為膽脂瘤系列的研究,我於2015年12月受邀於印度耳鼻喉科醫學年會擔任唯三國際Keynote Speaker之一。</span></p><p style="text-align: justify;"><span style="font-size: large;">就我有限的學術見解,單一主題的系列發表與文獻回顧專論的撰寫,可以大幅提升研究成果的能見度,讓年輕學者在高壓的同儕競爭中,提高殺出重圍的機會。</span></p><p style="text-align: justify;"><span style="color: #04ff00; font-size: large;">從模仿開始,發表多篇論文</span></p><p style="text-align: justify;"><span style="font-size: large;">最有效率的論文發表,就是站在巨人的肩膀,從模仿開始。也許某些人會嗤之以鼻,認為模仿就是沒創意,還可能四不像,但我的經驗告訴我事實並非如此。</span></p><p style="text-align: justify;"><span style="font-size: large;">過去台灣在耳硬化症(Otosclerosis)的研究發表上有很大的侷限,原因之一是國外耳硬化症的研究動輒數百到上千例,甚至上萬例。反觀台灣的研究樣本數多只有數十位,所以在投稿SCI期刊時,會有先天上的劣勢。2012年以前台灣只有4篇耳硬化症的SCI論文發表,分別是林口長庚醫院黃俊生教授2篇,台大醫院楊怡和教授1篇,與台北榮總蕭安穗部主任1篇。2008年我開始在台北榮總擔任住院醫師時,在蕭安穗部主任的指導下,重新建立耳硬化症資料庫,透過大量閱讀國外文獻,模仿國外研究設計,於2年內順利發表4篇SCI論文。</span></p><p style="text-align: justify;"><span style="font-size: large;">畫家畢卡索有句名言:Good Artists Copy; Great Artists Steal (好的藝術家懂複製,偉大的藝術家擅偷取)」。愛因斯坦也說過:創造力的祕密,就在於如何隱藏你的來源(The secret to creativity is knowing how to hide your sources)。賈伯斯甚至說:我們從來不覺得偷別人的點子有什麼好可恥的。這些大師不是要我們偷別人的作品,而是告訴我們:真正好的作品,是透過模仿、再內化的過程產出的。即使微創,也是創新,創新不必然打掉重練,全盤推翻舊科學。</span></p><p style="text-align: justify;"><span style="font-size: large;">尼古拉·特斯拉被稱為最接近神的科學家,他很多偉大發明據說都是腦中無中生有的。一般人雖沒有憑空創造的能力,但透過前人累積的經驗與成果,站在巨人的肩膀,我們將能看得更廣、更遠,獲得更多啟發,終能產出頗為豐盛的研究成果。</span></p><p style="text-align: justify;"><span style="color: #04ff00; font-size: large;">投稿的運氣</span></p><p style="text-align: justify;"><span style="font-size: large;">美國經濟學家George Akerlof在27歲時寫了一篇文章《檸檬市場:產品質量不確定性同市場機制》,當時被3本期刊拒稿,前兩本期刊的拒稿理由是文章太膚淺,第3本期刊的審稿者更不留情地批評作者整篇論文完全錯誤,還戲謔稱如果論文的觀點是正確的,整個經濟學都要改寫。</span></p><p style="text-align: justify;"><span style="font-size: large;">George Akerlof鍥而不捨投了第4本期刊,終於在文章完成後3年被刊登。George Akerlof在31年後,因為這篇文章而獲得2001年諾貝爾經濟學獎。George Akerlof的妻子就是現任美國財政部長Janet Louise Yellen。</span></p><p style="text-align: justify;"><span style="font-size: large;">記得當年在北榮住院醫師時期(R2),在朱本元部主任的指導下,投稿Journal of Surgical Oncology,這本期刊當時的主編Jatin P. Shah教授是朱主任在Memorial Sloan-Kettering Cancer Center進修時的舊識。審稿過程很順利,從Major revision(需大修)到Minor revision(僅需微修),從兩位審稿者有評論,到剩下一位有評論,眼看即將慶祝被接受時,突然被通知Rejection(拒稿),即使朱主任寫信問主編也無法改變被拒稿的殘忍事實。後來改投Acta Oto-Laryngologica,經過一個半月的審稿,一字不改地被接受。</span></p><p style="text-align: justify;"><span style="font-size: large;">作者辛苦完成一篇文章,總是希望No More Rejections,但往往得到的結果是No! More Rejections。一項研究發現,12篇已刊登論文改成其他作者名字,重新投稿同一家雜誌,結果只有3篇(25%)會再次被接受刊登。有人說,投稿一半靠運氣,經驗告訴我們:投稿全靠運氣。</span></p><p style="text-align: justify;"><span style="font-size: large;">文章被一本期刊拒稿,無須氣餒,這不代表自己的研究不夠好,或許只是與審稿者的磁場不合罷了,立即投下一本期刊,才是正解。房地產界有句名言:賣不掉,加價賣!投稿也是同樣的邏輯:投不上,找更高分的期刊投!</span></p><p style="text-align: justify;"><span style="color: #04ff00; font-size: large;">結論</span></p><p style="text-align: justify;"><span style="font-size: large;">最後以一句話做結尾:Publish or Perish。有人翻譯成不發表就出局,但是我喜歡反過來說,到死都要發表。</span></p>郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-13421051464973874392021-12-09T00:09:00.026-08:002022-03-19T01:00:13.501-07:00榮獲「全球前2%頂尖科學家榜單(World’s Top 2% Scientists 2020)」殊榮<p><span style="font-family: times; font-size: medium;"><span face="新細明體, serif">郭錦龍</span><span> </span><span face="新細明體, serif">醫師</span><span lang="EN-US">/</span><span face="新細明體, serif">博士<br /><br /></span></span></p><p class="MsoNormal"><span style="font-family: times; font-size: medium;"><span face="新細明體, serif">近日美國史丹佛大學的教授團隊發布一份<a href="https://elsevier.digitalcommonsdata.com/datasets/btchxktzyw/3?fbclid=IwAR2QnqxJjg89Svi9VVrk-CEbbAPS1Mihp-tz80X9xfo-AB10meIO6ukGMbs" target="_blank"><span style="color: #04ff00;">「全球前</span></a></span><a href="https://elsevier.digitalcommonsdata.com/datasets/btchxktzyw/3?fbclid=IwAR2QnqxJjg89Svi9VVrk-CEbbAPS1Mihp-tz80X9xfo-AB10meIO6ukGMbs" target="_blank"><span style="color: #04ff00;"><span lang="EN-US">2%</span><span face="新細明體, serif">頂尖科學家榜單</span><span lang="EN-US">(World’s Top 2%
Scientists 2020)</span></span></a><span face="新細明體, serif"><a href="https://elsevier.digitalcommonsdata.com/datasets/btchxktzyw/3?fbclid=IwAR2QnqxJjg89Svi9VVrk-CEbbAPS1Mihp-tz80X9xfo-AB10meIO6ukGMbs" target="_blank"><span style="color: #04ff00;">」</span></a>,該團隊從全球176個領域近</span><span lang="EN-US">800</span><span face="新細明體, serif">萬名科學家中,遴選出世界排名前</span><span lang="EN-US">2%</span><span face="新細明體, serif">的科學家。</span></span></p><p class="MsoNormal"><span style="font-family: times; font-size: medium;"><span><span face="新細明體, serif">最有影響力的前</span><span lang="EN-US">2%</span><span face="新細明體, serif">科學家中最多來自美國,其次為英國,德國排名第3,日本第</span><span lang="EN-US">5</span><span face="新細明體, serif">,韓國第</span><span lang="EN-US">17</span><span face="新細明體, serif">,台灣第</span><span lang="EN-US">19</span><span face="新細明體, serif">。雖然</span></span><span face="新細明體, serif">台灣排名第</span><span lang="EN-US">19,但</span><span face="新細明體, serif">韓國人口數約為台灣2倍,日本人口約台灣5倍,將人口數校正後,台灣表現其實優於韓國,與日本相當。此次台灣總共</span><span lang="EN-US">1479</span><span face="新細明體, serif">位學者上榜,其中耳鼻喉科醫師共有</span><span lang="EN-US">8</span><span face="新細明體, serif">位(表1)。</span></span></p><p class="MsoNormal"></p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-R85TihmPadQ/YbG3s7phxRI/AAAAAAAF1o0/CdJ-JmCtG-UgnkKn6mVwWilxGIdOy_6SQCNcBGAsYHQ/s2544/%25E8%25A1%25A81.jpg" style="margin-left: 1em; margin-right: 1em;"><span style="color: black; font-family: times; font-size: medium;"><img alt="台灣耳鼻喉科共8位醫師入選「全球前2%頂尖科學家榜單」" border="0" data-original-height="1236" data-original-width="2544" height="311" src="https://1.bp.blogspot.com/-R85TihmPadQ/YbG3s7phxRI/AAAAAAAF1o0/CdJ-JmCtG-UgnkKn6mVwWilxGIdOy_6SQCNcBGAsYHQ/w640-h311/%25E8%25A1%25A81.jpg" title="表1" width="640" /></span></a></div><p></p><p class="MsoNormal"><span face="新細明體, serif"><span style="font-family: times; font-size: medium;">本人很榮幸入選該榜單,這是錦龍人生中得到的最大肯定:來自美國史丹佛大學認證的「全球前2%頂尖科學家」。謹以這份榮耀,分享給每一位曾經指導錦龍的老師們,尤其給予錦龍最多協助的三位恩師,過去主要研究成果皆來自於這三位恩師的指導:<br /><br /></span></span></p>
<p class="MsoListParagraph" style="margin-left: 24pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -24pt;"><span style="color: #fcff01; font-family: times; font-size: medium;">台北榮總連江豐副院長</span></p><p class="MsoListParagraph" style="margin-left: 24pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -24pt;"><span style="font-family: times; text-indent: -24pt;"><span style="color: #fcff01; font-size: medium;">台北榮總林永煬副院長</span></span></p><p class="MsoListParagraph" style="margin-left: 24pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -24pt;"><span style="font-family: times; text-indent: -24pt;"><span style="color: #fcff01; font-size: medium;">台北榮總耳鼻喉部前部長蕭安穗教授</span></span></p>
<p class="MsoNormal"><span style="font-family: times; font-size: medium;"><span lang="EN-US"><o:p> </o:p></span><span> </span></span></p>
<p class="MsoNormal"><span style="font-family: times; font-size: medium;">參考資料</span></p><p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;"><span style="font-family: times; font-size: medium;"><!--[if !supportLists]--><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";">1.<span style="font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><span face=""新細明體",serif" style="mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: "Times New Roman";">「全球前</span><span lang="EN-US">2%</span><span face=""新細明體",serif" style="mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: "Times New Roman";">頂尖科學家榜單」下載連結:</span><span lang="EN-US"><a href="https://data.mendeley.com/public-files/datasets/btchxktzyw/files/b3e31af2-054c-4b3a-b9c5-6fd9bf10557a/file_downloaded">https://data.mendeley.com/public-files/datasets/btchxktzyw/files/b3e31af2-054c-4b3a-b9c5-6fd9bf10557a/file_downloaded</a><o:p></o:p></span></span></p><p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;"><span style="font-family: times; font-size: medium;"><!--[if !supportLists]--><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";">2.<span style="font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><span face=""新細明體",serif" style="mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: "Times New Roman";">「全球前</span><span lang="EN-US"> 2% </span><span face=""新細明體",serif" style="mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: "Times New Roman";">頂尖科學家」發布-臺灣千人上榜</span><span lang="EN-US"><a href="https://www.elsevier.com/zh-tw/solutions/scopus/worlds-top-2-percent-scientists-2020-taiwan">https://www.elsevier.com/zh-tw/solutions/scopus/worlds-top-2-percent-scientists-2020-taiwan</a><o:p></o:p></span></span></p><p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;"><span style="font-family: times; font-size: medium;"><!--[if !supportLists]--><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";">3.<span style="font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><span lang="EN-US">August
2021 data-update for "Updated science-wide author databases of
standardized citation indicators"</span><span face=""新細明體",serif" style="mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: "Times New Roman";"> </span><span lang="EN-US"><a href="https://elsevier.digitalcommonsdata.com/datasets/btchxktzyw/3?fbclid=IwAR2QnqxJjg89Svi9VVrk-CEbbAPS1Mihp-tz80X9xfo-AB10meIO6ukGMbs">https://elsevier.digitalcommonsdata.com/datasets/btchxktzyw/3?fbclid=IwAR2QnqxJjg89Svi9VVrk-CEbbAPS1Mihp-tz80X9xfo-AB10meIO6ukGMbs</a><o:p></o:p></span></span></p><p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;"><span style="font-family: times; font-size: medium;"><!--[if !supportLists]--><span class="MsoHyperlink"><span color="windowtext" lang="EN-US">4.<span style="font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span></span><span lang="EN-US">A
standardized citation metrics author database annotated for scientific field</span><span face=""新細明體",serif" style="mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: "Times New Roman";"> </span><span lang="EN-US"><a href="https://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.3000384">https://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.3000384</a><span class="MsoHyperlink"><span color="windowtext"><o:p></o:p></span></span></span></span></p><p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;">
</p><p class="MsoListParagraph" style="margin-left: 18pt; mso-list: l0 level1 lfo1; mso-para-margin-left: 0gd; text-indent: -18pt;"><span style="font-family: times; font-size: medium;"><!--[if !supportLists]--><span lang="EN-US" style="mso-fareast-font-family: "Times New Roman";">5.<span style="font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><span face=""新細明體",serif" style="mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: "Times New Roman";">全國前廿「科學家」臨床醫師榜行榜出爐</span><span> </span><span face=""新細明體",serif" style="mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: "Times New Roman";">台大無愧龍頭 <br /> </span><span lang="EN-US"><a href="https://udn.com/news/story/7266/5942265">https://udn.com/news/story/7266/5942265</a></span></span></p>郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com1tag:blogger.com,1999:blog-2171885589259895125.post-83535364583246100042020-10-27T08:13:00.001-07:002020-10-27T08:39:00.119-07:00診所試營運成功郭博士耳鼻喉科診所院長<br />陽明大學腦科醫學博士<br />台北榮總耳鼻喉部住院醫師、總醫師、主治醫師<br />台灣耳鳴學會副秘書長<br />美國耳鳴學會專家級會員<br />考選部特聘國家高考命題委員<br />教育部審定助理教授<br />英國期刊主編<br />美國期刊副主編<br /> <br /><br /><br /><span style="font-size: medium;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjUWpwLfdSHwXGZ2bK-PeHUc-JvGVSbI-ARP3mOn_8kPeT7uMCJp5Vxwzf-tn-e5FZCvYq1lKTk1mVIPrflaGV_eUFGDx7h803RcTelABEiCh30kn-e8FDJhJZ_XxQRF7OqD8gjSPtXgSg/s1280/2020-10-27+23.03.19.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1280" data-original-width="960" height="547" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjUWpwLfdSHwXGZ2bK-PeHUc-JvGVSbI-ARP3mOn_8kPeT7uMCJp5Vxwzf-tn-e5FZCvYq1lKTk1mVIPrflaGV_eUFGDx7h803RcTelABEiCh30kn-e8FDJhJZ_XxQRF7OqD8gjSPtXgSg/w411-h547/2020-10-27+23.03.19.jpg" width="411" /></a></div><div class="separator" style="clear: both; text-align: center;"><span style="text-align: start;">林口長庚國際醫療中心主任陳錦國教授(左)與筆者合照</span></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div>感謝大家的支持與肯定,郭博士耳鼻喉科診所今日試營運,兩個診次順利完成20位病人的診療。本院提供專業級的檢查設備與治療儀器,讓病患無須舟車勞頓到大醫院也可享有醫院等級的醫療服務,更有醫學博士提供專家級的醫療技術,讓病患接受高規格的診療服務。 </span><br /><br /><span style="font-size: medium;">令人備感溫馨的是,林口長庚國際醫療中心主任陳錦國教授在忙碌的門診後,特地從林口趕在晚上8點關診前到場給予祝賀,在此表達我們由衷的謝意。也要感謝所有同仁的努力,今日試營運才能圓滿達成任務。 </span><br /><br /><span style="font-size: medium;">本院目前已提供<a href="https://www.doctorkuo.com/" target="_blank"><span style="color: #fcff01;">預約掛號</span></a>,10/30(五)上午10:30正式開幕,期盼未來能為基層醫療提供更完善的服務,敬請大家繼續給予我們支持與鼓勵。</span><br /><div><span style="font-size: medium;"><br /></span></div><span style="font-size: medium;">官網:<img src="chrome-extension://ohhcpmplhhiiaoiddkfboafbhiknefdf/TMToolbar/image/tooltip/webicon_green.png" /><a href="https://www.doctorkuo.com/?fbclid=IwAR0qZXWAX684UcgkE2SK4s9XKB9C-o2rPZKzIm9nmN3yke_Zp-poewl3gJs">https://www.doctorkuo.com/</a><br />地址:新北市蘆洲區民族路41號<br />電話:02-22885993</span>郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-1491706670793240932020-10-07T06:26:00.001-07:002020-10-09T03:30:44.799-07:00創建自我品牌:郭博士耳鼻喉科診所<div><span style="font-family: inherit; font-size: x-small;">郭博士耳鼻喉科診所院長</span></div><div><span style="font-family: inherit; font-size: x-small;">陽明大學腦科醫學博士</span></div><div><span style="font-family: inherit; font-size: x-small;">台北榮總耳鼻喉部住院醫師、總醫師、主治醫師</span></div><div><span style="font-family: inherit; font-size: x-small;">台灣耳鳴學會副秘書長</span></div><div><span style="font-family: inherit; font-size: x-small;">美國耳鳴學會專家級會員</span></div><div><span style="font-family: inherit; font-size: x-small;">考選部特聘國家高考命題委員</span></div><div><span style="font-family: inherit; font-size: x-small;">教育部審定助理教授</span></div><div><span style="font-family: inherit; font-size: x-small;">英國期刊主編</span></div><span style="font-family: inherit; font-size: x-small;">美國期刊副主編</span><div><span style="font-family: inherit;"><br /></span></div><div><span style="font-family: inherit;"><br /></span></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-WKBHWB5NzbI/X33BeGrKEAI/AAAAAAAF0WQ/IWyvJxn6Tu8A32paxffDWuSL0pc8wDasACLcBGAsYHQ/s2048/%25E6%2593%25B7%25E5%258F%2596.JPG" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" data-original-height="1690" data-original-width="2048" height="401" src="https://1.bp.blogspot.com/-WKBHWB5NzbI/X33BeGrKEAI/AAAAAAAF0WQ/IWyvJxn6Tu8A32paxffDWuSL0pc8wDasACLcBGAsYHQ/w486-h401/%25E6%2593%25B7%25E5%258F%2596.JPG" width="486" /></span></a></div><span style="font-family: inherit;"><br /></span><div><span style="font-family: inherit;"><br /></span></div><div><span style="font-family: inherit; font-size: medium;">行醫15年來,筆者深感在推廣以病人為中心的優質醫療過程,實務上存在各種主客觀的束縛與窒礙難行之處。為了提供病患更高品質的醫療服務,筆者毅然決定創建自我品牌:郭博士耳鼻喉科診所。未來將結合多年的臨床經驗與學術成果,不斷以精進醫療品質為目標,從基層醫療開始,期望達到習醫初衷的抱負與不負病人的期望及信任。</span><div><span style="font-family: inherit; font-size: medium;"><br /></span></div><div><span style="font-family: inherit; font-size: medium;"><a href="https://www.doctorkuo.com/" target="_blank"><span style="color: #fcff01;">郭博士耳鼻喉科診所</span></a>密集籌備中,將於11月初開幕,敬請各位舊雨新知繼續給予錦龍指教與支持。</span></div></div><div><span style="font-family: inherit; font-size: medium;"><br /></span></div><div><span style="font-family: inherit; font-size: medium;">地點:新北市蘆洲區民族路41號</span></div><div><span style="font-family: inherit; font-size: medium;">電話:02-22885993</span></div>郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-75695614202651089202020-09-23T18:27:00.007-07:002020-09-25T05:56:08.933-07:00百大良醫熱門排行第二名 <div><span>陽明大學腦科醫學博士</span></div><div><span>台北榮總耳鼻喉部住院醫師、總醫師、主治醫師</span></div><div><span>台灣耳鳴學會副秘書長</span></div><div><span>考選部特聘國家高考命題委員</span></div><div><span>教育部審定助理教授</span></div><div><span>英國期刊主編及美國期刊副主編</span></div><div><span>國軍桃園總醫院耳鼻喉科主任</span></div><span style="font-size: medium;"><div><span style="font-size: medium;"><br /></span></div><div><span style="font-size: medium;"><br /></span></div></span><div style="text-align: center;"><img border="0" data-original-height="895" data-original-width="1738" height="330" src="https://1.bp.blogspot.com/-VQOdDUcQ-D8/X2vzFrOE76I/AAAAAAAFz4Y/l1D0cgz5UQkDLlvo0fYe2sysLjJKAk0uwCLcBGAsYHQ/w640-h330/NPC.JPG" width="640" /></div><span style="font-size: medium;"><div><span style="font-size: medium;"><br /></span></div><br /><br />筆者接受《<a href="https://drkuochinlung.blogspot.com/2016/02/blog-post_3.html?spref=fb"><span style="color: #04ff00;">商業周刊.名醫談養生</span></a>》專訪有關「耳鳴」的文章,日前成為<a href="https://health.businessweekly.com.tw/AArticle.aspx?id=ARTL000055881"><span style="color: #04ff00;">百大良醫熱門排行</span></a>第二名,這是對筆者在耳鳴研究上的一種肯定。 <br /><br />根據多年治療耳鳴病人的經驗,許多病人之所以長年被耳鳴所苦,很重要的原因是求助無門。儘管這些病人不願放棄一絲治療的機會,卻屢屢被傳達一個負面訊息:耳鳴沒藥可醫,只能終身和平相處。筆者經常感慨,或許這些病人不要四處求醫,減少反覆的情緒打擊,耳鳴的情形就不會持續惡化。 <br /><br />耳鳴的治療不難,難的是沒有得到正確的診斷。嚴格來說耳鳴不是一種病,是一種症狀的表現。躲在耳鳴背後的藏鏡人,可能只是單純的耳垢塞住,只要找耳鼻喉科醫師清除即可完全消除耳鳴。然而,耳鳴也可能是癌症的警訊,倘若自覺耳鳴沒藥可醫,終身與其和平相處,反而因此</span><span style="font-size: medium;"><span>錯過癌症治療的黃金時間。 <br /><br /><span style="color: #fcff01;">耳鳴治療的三大觀念誤區,其一是耳鳴被少數人定位成不會死人的小病,忽略它潛藏的嚴重病因,導致誤診。其二是許多人認為耳鳴沒藥可醫,只能與其共存,這樣的消極態度反而更容易遺漏潛在的癌症病因,延誤黃金治療時間。其三則為輕信充斥坊間的耳鳴秘方。</span><br /></span></span><div><span style="font-size: medium;"><span><br /></span></span></div><div><span style="font-size: medium;"><span>耳鳴病人應該在詳細檢查之後才開始進行治療。臨床上在理學檢查後,筆者對於每個耳鳴的病人,都會進行鼻咽內視鏡檢查,以排除鼻咽癌或其他腫瘤的可能性。雖然使用傳統小反射鏡也可以檢查鼻咽部,但難免會出現盲區,寧可錯殺一百,也不要放過任何一個癌症的可能,相信也沒有病患肯冒一絲誤診癌症的風險。除了鼻咽內視鏡檢查外,更重要的是一定要安排專業的聽力檢查,若有不對稱聽力檢查結果,必須進一步安排檢查以確認是否有聽神經瘤或其他相關病因。基於以上原因,不建議購買坊間的耳鳴秘方自行服用,除了花冤枉錢,還可能延誤病情。 </span></span><div><div><span style="font-size: medium;"><br />耳鳴在腦科學領域中,是很重要的一個主題。耳鳴的機轉很複雜,成因也很多,可參考筆者過去的一篇文章《<a href="https://drkuochinlung.blogspot.com/2016/12/blog-post_15.html?spref=fb"><span style="color: #04ff00;">耳鳴怎麼發生的:耳鳴</span></a></span><span style="font-size: medium;"><a href="https://drkuochinlung.blogspot.com/2016/12/blog-post_15.html?spref=fb"><span style="color: #04ff00;">最新理論</span></a>》。筆者過去對於利用「神經可塑性標靶治療(Neuroplasticity-targeted Interventions)」治療突發性耳聾有深入的研究。筆者相信未來在耳鳴的治療上,神經可塑性標靶治療應該會有其應用的場景。有興趣的人,可以參考筆者發表在美國期刊《神經內科學與神經科學研究(Neurology and Neuroscience Research)》的一篇<a href="https://scitemed.com/article/70/scitemed-nnr-2017-00014"><span style="color: #04ff00;">文獻回顧</span></a>。 <br /><br />在<a href="http://www.tinnitus.org.tw/"><span style="color: #04ff00;">台灣耳鳴學會</span></a>的努力下,有一群醫療人員與學者默默在為一個信念努力:耳鳴病患不應放棄治療。 </span><br /></div></div></div>郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-3280242044028533132020-09-10T06:24:00.007-07:002020-09-25T19:56:14.837-07:00P-hacking (P值駭客)<span style="font-family: inherit; font-size: medium;">耳鼻喉科 郭錦龍醫師<br /><br />陽明大學腦科醫學博士<br />台北榮總耳鼻喉部住院醫師、總醫師、主治醫師<br />教育部審定助理教授<br />考選部特聘國家高考命題委員<br />英國期刊主編及美國期刊副主編</span><div><span style="font-family: inherit; font-size: medium;">國軍桃園總醫院耳鼻喉科主任</span><div><span style="font-size: medium;"><br /></span><div><span style="font-family: inherit; font-size: medium;"><br /></span></div><div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-837gB1w6DuE/X1ooMHtEh9I/AAAAAAAFztA/CzMzqAz95YAc4fdZws7JtLWIuTdjsCr_wCLcBGAsYHQ/s848/Hack.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="565" data-original-width="848" height="333" src="https://1.bp.blogspot.com/-837gB1w6DuE/X1ooMHtEh9I/AAAAAAAFztA/CzMzqAz95YAc4fdZws7JtLWIuTdjsCr_wCLcBGAsYHQ/w500-h333/Hack.jpg" width="500" /></a></div><br /><span style="font-family: inherit; font-size: medium;"><br /><br /></span></div><div><span style="font-family: inherit; font-size: medium;">有些學者對於P值的濫用給予苛刻的批評,並嗤之以鼻,甚至給予一個稱號P-hacking (P值駭客),意思就是透過不斷的嘗試計算直到P值有顯著意義。批判者認為這是一種篡改或操縱P值的行為。這個批評觀點在某個角度而言是對的,立意也是良善的。然而,<span style="color: #fcff01;">統計方法就像一把兩面刃,永遠可能有極端的人,利用它來做偏激、錯誤的行為,為賦新詞強說愁,製造假陽生的結果</span>。為了避免這樣的行為,有信譽的期刊對於論文發表,就會以相當高的標準,要求作者在論文中詳細交代研究過程(可參考<a href="https://drkuochinlung.blogspot.com/2020/09/blog-post.html" target="_blank">上一篇</a>文章中的投影片第71到74張),以提高研究結果的可重複性與減少P-hacking的可能性。但即便如此,國際上依舊時有所聞不肖學者假造研究數據的新聞。 <br /><br />然而,我認為不能因此否定P值的內涵與價值,探求P值的統計顯著差異更不必然是一種原罪。<span style="color: #fcff01;">只要在科研誠信的基礎上,遵循科學方法作研究,在數據的不同面向,利用統計方法作深度與廣度的分析,反而會有意外的收穫</span>。科學上很多重大發現不也是誤打誤撞的意外嗎? <br /><br />傳統的研究設計思維,就是預設某個假設成立,為了驗證這個假設,著手開始收案、蒐集資料。經過少則數月、多則數年的資料蒐集後,終於可以進一步統計分析,卻可能發現統計結果與當初的假設截然不同。當然,沒有統計顯著差異的結果,也是一種發現,依舊能發表論文,只是這樣的研究結果,不見得容易吸引審稿者的目光,刊登在高分期刊的機會或許會低一點。 <br /><br />或許有些批判者會說,只要能刊登,為何要在意期刊是不是SCI,影響因子(impact factor)高不高呢?的確,對於期刊影響因子是否能客觀衡量科學研究品質,學界有不同的論戰,主要是因為期刊本身可以透過操作而衝高影響因子,例如多刊登不納入分母計算的文章類別,或者增加自我引用次數以提高分子計算。加上2016年湯森路透(Thomson Reuters)把旗下的期刊影響因子業務轉讓出售後,進一步引發學術界對影響因子公信力的質疑。美國微生物學會(American Society for Microbiology)期刊還因此宣布不再於官網上公布影響因子,而包括Nature期刊在內的出版界甚至於同年聯文呼籲出版商應重造期刊評分系統,另外Google更於同年公布基於谷歌學術指標的新期刊排名。遺憾的是,這些抗議與反撲並沒有讓SCI走下神壇。因此,<span style="color: #fcff01;">在更客觀、更具公信力的評分系統被學界接受之前,SCI仍是被學界採用的潛規則</span>。 <br /><br />雖然不是每個研究者都能一年磨十劍(年發10篇論文),但我相信沒有人願意十年磨一劍。為了兼顧科學精神與研發效率,我的心得是,在既定的研究議題框架下,可以有多個假設,並<span style="color: #fcff01;">盡可能羅列相關的變項,再開始收案或蒐集資料,並建立一個完整的資料庫(在我蒐集的資料庫中,變項少則數十個,多則上百個)。未來從這個資料庫中,可以衍伸出非常多個子主題</span>。在統計分析時,同樣的問題可以嘗試不同的統計方法,若結果不同,則要分析可能的原因。例如,有時候在做多變量分析時,納入不同變項時,有時候P值有統計差異,有時候卻又沒有,可能的原因包括樣本數不夠大,卻導入過多的變項;也可能是變相之間有重疊性或相似性,必須汰除這種重疊變項。<br /><br />在數據的不同面向,利用統計方法作深度與廣度的分析,反而更符合科學研究的精神。應受批判的不是經反覆驗證的統計結果,而是少數不肖學者的資料造假。<span style="color: #fcff01;">統計分析是一個客觀的工具,不客觀的往往是主觀的批判。</span></span></div></div></div>郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-20487103478837169422020-09-09T01:53:00.008-07:002020-09-11T06:56:19.767-07:00不藏私分享:我的研究心法 <div><span style="font-size: medium;">耳鼻喉科 郭錦龍醫師</span></div><div><span style="font-size: medium;"><br /></span></div><div><span style="font-size: medium;">陽明大學腦科醫學博士</span></div><div><span style="font-size: medium;">台北榮總耳鼻喉部住院醫師、總醫師、主治醫師</span></div><div><span style="font-size: medium;">教育部審定助理教授</span></div><div><span style="font-size: medium;">考選部特聘國家高考命題委員</span></div><div><span style="font-size: medium;">英國期刊主編及美國期刊副主編</span></div><span style="font-size: medium;">國軍桃園總醫院耳鼻喉科主任</span><br /><br /><br /><br /><div class="separator" style="clear: both; text-align: center;"><iframe allowfullscreen="" class="BLOG_video_class" height="266" src="https://www.youtube.com/embed/Tpa9LwXA-vI" width="320" youtube-src-id="Tpa9LwXA-vI"></iframe></div><br /><div><br /></div><div><br /></div><div><span style="font-family: inherit; font-size: medium;">在台北榮總住院醫師時期,對於學術研究,有著近乎瘋狂、癡迷的程度。談到論文寫作,更是廢寢忘食,即使在夢裡也在琢磨如何讓文句更精準地以英文表達出來。近年來更不吝於到許多醫院分享自己的研究心得。但這一年來,因臨床業務繁忙,不得不婉拒幾家醫院以及台灣耳鼻喉科醫學會的演講邀請,對此深感遺憾與抱歉。未來或許無暇再以演講的方式分享研究心法,但又覺得過去所累積的實戰經驗是十多年來到處碰壁後,所領悟出來的寶貴教訓,倘若就此打住,著實可惜,益顯藏私。 </span></div><div><span style="font-family: inherit; font-size: medium;"><br /></span></div><div><span style="font-family: inherit; font-size: medium;">以下把2019年受邀到彰化秀傳醫院演講的實況錄影與投影片(主題:年輕醫生如何耕耘學術研究),與大家分享。個人摸索出來的方法學,那怕只能幫到幾位後輩晚生,讓他們少走一些冤枉路,吾心足矣。必須強調一點,個人的研究方法與寫作技巧不是最好的,也不見得適合每個人,更多前輩有更好的心法值得學習。在此只是拋磚引玉,期待年輕學者能有效、迅速地累積學術研究的第一桶金。若有謬誤之處,敬請前輩不吝指教。</span></div><div><span style="font-family: inherit; font-size: medium;"><br /></span></div><div><span style="font-size: medium;">此外,在短時間的演講當中,有些研究法則可能因為沒說清楚導致誤會。例如,演講中我想表達"學會統計軟體操作"的重要性,而不是強調找有意義P值的重要性,所以千萬不要誤會而陷入P值的迷思。其實使用「虛無假設顯著性檢定」的統計方法所得到的P值,本來就不一定可以發現科學事實的真相。很多時候臨床小樣本研究結果沒有統計顯著差異,但利用大樣本(例如:數萬到數十萬的樣本)卻發現P<0.05,這就是P值的陷阱。近年來更有雜誌不再刊登含有P值的研究論文,例如心理學雜誌Basic and Applied Social Psychology在2015年就宣布該期刊不再發表包含P值的論文,因為他們認為統計數據經常被用來支持低質量的研究結果。研究方法學的課程在博士班可能要花上一個學期修課,我在短短的幾十分鐘或許會讓新手產生誤解,所以還是要強調,我的用意是鼓勵新手"學會統計軟體操作"的重要性。</span></div><div><span style="font-size: medium;"><br /></span></div><span style="font-family: inherit; font-size: medium;">不過,對於P值的迷思與爭議,可以參考我下一篇文章的分析:<a href="https://drkuochinlung.blogspot.com/2020/09/p-hacking-p.html" target="_blank"><span style="color: #fcff01;">P-hacking (P值駭客)</span></a></span><div><br /></div><div><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-YVM9kFhmo4M/X1iWQkX20KI/AAAAAAAFzi4/kTHuOW7wX3cn_HLVDqaZnqzE7QDXkpC-QCLcBGAsYHQ/s960/%25E6%258A%2595%25E5%25BD%25B1%25E7%2589%25871.JPG" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="960" src="https://1.bp.blogspot.com/-YVM9kFhmo4M/X1iWQkX20KI/AAAAAAAFzi4/kTHuOW7wX3cn_HLVDqaZnqzE7QDXkpC-QCLcBGAsYHQ/s320/%25E6%258A%2595%25E5%25BD%25B1%25E7%2589%25871.JPG" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-doIrNv1_Cjk/X1iWfmUKQyI/AAAAAAAFzl4/F5rbBV5QxREXldMfggsx7B3wuP5eWAU7QCLcBGAsYHQ/s960/%25E6%258A%2595%25E5%25BD%25B1%25E7%2589%25872.JPG" style="margin-left: 1em; 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text-align: center;"><a href="https://1.bp.blogspot.com/-sBiQ2DPSKts/X1iWeNxqJeI/AAAAAAAFzlc/FHOmNTIEplMxEjPufrrw2PPgHUmqvN0ZwCLcBGAsYHQ/s960/%25E6%258A%2595%25E5%25BD%25B1%25E7%2589%2587136.JPG" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="960" src="https://1.bp.blogspot.com/-sBiQ2DPSKts/X1iWeNxqJeI/AAAAAAAFzlc/FHOmNTIEplMxEjPufrrw2PPgHUmqvN0ZwCLcBGAsYHQ/s320/%25E6%258A%2595%25E5%25BD%25B1%25E7%2589%2587136.JPG" width="320" /></a></div><br /><div><br /></div><div><br /></div><div><br /></div>郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-8091360975303174072020-08-13T21:40:00.008-07:002020-08-15T07:31:34.207-07:00團隊默契<p><span style="font-family: courier; font-size: x-large;">耳鼻喉科 郭錦龍醫師</span></p><span style="font-family: courier; font-size: x-large;"><span face="">陽明大學腦科醫學博士</span><br /></span><div><span style="font-family: courier; font-size: x-large;">前台北榮總耳鼻喉部主治醫師</span></div><div><span style="font-family: courier; font-size: x-large;">教育部審定助理教授<br />考選部特聘國家高考命題委員</span></div><div><span style="font-family: courier; font-size: x-large;">英國期刊主編及美國期刊副主編</span></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-l3CkhZokSRE/XzdhQePf5_I/AAAAAAAFzX4/rGhlGFaJbVAYtIwIjtPaSOSCfl2gfwomACLcBGAsYHQ/s902/%25E5%259C%2598%25E9%259A%258A%25E9%25BB%2598%25E5%25A5%2591.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="531" data-original-width="902" src="https://1.bp.blogspot.com/-l3CkhZokSRE/XzdhQePf5_I/AAAAAAAFzX4/rGhlGFaJbVAYtIwIjtPaSOSCfl2gfwomACLcBGAsYHQ/s640/%25E5%259C%2598%25E9%259A%258A%25E9%25BB%2598%25E5%25A5%2591.jpg" width="640" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div>
<p class="MsoNormal"><span style="font-family: courier; font-size: x-large;">在有如戰場的門診中,醫護人員經常面對突如其來的各種挑戰,有病患的不耐等待,也有家屬等待報告的心急如焚,面對排山倒海的情緒衝擊,沒有默契的醫護團隊,在慌亂無措之後,除了疲憊,更多了埋怨。<span lang=""><o:p></o:p></span></span></p>
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<p class="MsoNormal"><span style="font-family: courier; font-size: x-large;">這樣的窘境,在我們的團隊,未曾見過。不用多餘的對話,也無須透過眼神交會,同仁總能精準抓住我的需求、預判我的動向。有句話說,一個人,走得比較快,一起走,走得比較遠;但我們的團隊不只走得快又遠,腳步的穩健更讓我覺得,即使挑戰再大,也無須擔心,因為我有強有力的夥伴作後盾。<span lang=""><o:p></o:p></span></span></p>
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<p class="MsoNormal"><span style="font-family: courier; font-size: x-large;">值此離別時刻,同仁給我的驚喜很特別,一個我正準備更換的高級聽診器,這的確是個會讓醫師時刻記住你的禮物。每當我為病人看診時,看到這個禮物,都會回想起送禮的人。<span lang=""><o:p></o:p></span></span></p>
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<p class="MsoNormal"><span style="font-family: courier; font-size: x-large;">雖然不捨,然人生沒有不散的筵席。謝謝夥伴們,珍重再見!</span></p><div><span style="text-align: left;"><span style="color: #04ff00; font-family: courier; font-size: x-large;"><br /></span></span></div><p class="MsoNormal"></p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-XC6JhnGw514/XzXzGDh2lOI/AAAAAAAFzVQ/kAhKfCeTiRc3z6yL6JRoA_i6pEqCEj5LgCLcBGAsYHQ/s2048/%25E6%2593%25B7%25E5%258F%2596.JPG" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: courier; font-size: x-large;"><img border="0" data-original-height="1125" data-original-width="2048" src="https://1.bp.blogspot.com/-XC6JhnGw514/XzXzGDh2lOI/AAAAAAAFzVQ/kAhKfCeTiRc3z6yL6JRoA_i6pEqCEj5LgCLcBGAsYHQ/s640/%25E6%2593%25B7%25E5%258F%2596.JPG" width="640" /></span></a></div><div class="separator" style="clear: both; text-align: center;"><span style="text-align: left;"><span style="color: #04ff00; font-family: courier; font-size: x-large;">聽診器的確是個會讓醫師時刻記住你的禮物</span></span></div><div class="separator" style="clear: both; text-align: center;"><br /></div><p></p>郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-76272152257860354472020-07-12T18:36:00.000-07:002020-07-12T18:54:24.610-07:00轉換跑道,續創巔峰 <div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">耳鼻喉科 郭錦龍醫師<br />陽明大學腦科醫學博士</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">台北榮總耳鼻喉部前主治醫師</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br />躊躇許久,這恐怕是這輩子最難以抉擇的時刻!告別,不是結束,而是開始揮灑人生的新一頁,以新面貌迎接舊雨新知;離開,更不是逃避,而是擺脫寄人籬下的諸多束縛,運用多年習得的一身好功夫與國際研究成果,施展抱負,為病友提供更高品質的醫療服務。 <br /><br />感謝幾年來給予錦龍大力支持的病友們。令人最深刻的是,多位病友為了找錦龍看診,天還沒亮就遠從花蓮及屏東長途跋涉來到桃園龍潭;更有病患為了成功掛號,清晨四點就來醫院排隊。病患的肯定與支持,是錦龍持續前進的唯一動力。 <br /><br />錦龍於2020年8月13日以後,不續在國軍桃園總醫院耳鼻喉科看診,不便之處,敬請見諒。<span style="color: yellow;">後續的發展進度,將第一時間通知大家。</span></span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com3tag:blogger.com,1999:blog-2171885589259895125.post-40306941251960761792019-09-21T17:05:00.000-07:002019-09-21T17:31:59.885-07:00受邀雙和醫院演講: 如何快速累積學術研究的第一桶金 <div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">郭錦龍 耳鼻喉科醫師 陽明腦科博士</span><br />
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<a href="https://1.bp.blogspot.com/-YmoSeCBZsfU/XYa5swCA1LI/AAAAAAAFxL0/4ZRdtPEKiww8A0z-mN4fOb5MW9xGuvL5QCLcBGAsYHQ/s1600/2019-09-21%2B13.01.03.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><img border="0" data-original-height="900" data-original-width="1600" height="360" src="https://1.bp.blogspot.com/-YmoSeCBZsfU/XYa5swCA1LI/AAAAAAAFxL0/4ZRdtPEKiww8A0z-mN4fOb5MW9xGuvL5QCLcBGAsYHQ/s640/2019-09-21%2B13.01.03.jpg" width="640" /></span></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /><br />昨天受邀到雙和醫院演講,教住院醫師「如何快速累積學術研究的第一桶金」。一路走來,十分了解住院醫師為研究所苦,讀別人的論文,看似簡單,等到自己要下筆時,腦袋卻又一片空白,不知如何下筆。我相信在座的住院醫師若能反覆聽我字字珠璣的70分鐘演講,不敢說讓人「一年磨十劍」的高產值,但絕不會「十年磨一劍」的寒窗無人問,年發一篇論文絕對是輕而易舉、家常便飯。 </span></div>
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<span style="color: lime; font-family: "georgia" , "times new roman" , serif; font-size: large;">開業何必寫論文?</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">許多人問我,未來準備開業,何須多此一舉寫論文,浪費時間發表論文?的確,人生的抉擇無所謂好壞,自行創業所承擔的風險與遭遇的挑戰,遠遠勝過安逸的留在醫院發展。如果你是這種勇於冒險、高瞻遠矚、永遠比別人早一步準備的性格,就應該不難理解,開業醫師如果還有時間提筆創作,可能表示診所業績不好,才會有閒空寫文章。換句話說,開業的忙碌,壓到你喘不過來,遑論寫論文。所以,留在醫院短暫幾年,就成為唯一能研究、寫論文的人生空檔了,豈不更應珍惜、把握?數十年後,才不會徒留遺憾。這樣的遺憾,讓數十年後白髮蒼蒼的你,驀然回首,總覺得在行醫旅程的版圖中,留下一片未填滿的空白。 </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">周六下午還要留下來參加研究課程,現場的住院醫師非常認真聽講,精神可嘉。</span></div>
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<span style="color: lime; font-family: "georgia" , "times new roman" , serif; font-size: large;">學術的虛擬貨幣</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">對於續留醫院發展的醫師或學者,發表論文能力代表著自身的競爭力。或許有人不以為然,認為一派胡言。這些人認為只要開刀能力強、臨床績效好、又獲選優良教師,哪裡沒有競爭力?確實,如果一輩子只想留在一家醫院,當然上述三種能力,能保自己安度晚年,受人肯定,搞不好還可以得到「奉獻30年終身成就獎」。</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">遺憾的是,人生不如意,十之八九。懷才不遇、伯樂難遇,抑或「道不同不相為謀」的場景,總是不停地出現在年輕醫師、青年才俊身上。隱忍留下來,只會鬱鬱寡歡,不如求去。</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">但是,在原先醫院工作數年甚至十數年後,決定離開單位、走出醫院或轉向國際發展,如果沒有顯赫背景或足以縱橫沙場的人脈,一切只能重新耕耘,豈不懊惱、捶胸頓足。聰明的你,或許看出來我想表達的意思。沒有貴人,就當自己的貴人,沒有伯樂鞭策,千里馬的尾巴就是鞭策自己的皮鞭。辦法是人想出來的,路是人走出來的。還好,上天是公平的,祂為每個人準備了「量化競爭力的學術貨幣」,論文,一種你可以帶著它,到任何地方的虛擬資產,需要的時候,可以隨時拿出來用,透過它,立即展現自身價值。 </span></div>
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<span style="color: lime; font-family: "georgia" , "times new roman" , serif; font-size: large;">欠債還債,海闊天空</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">舉我為例,明年我終於還完欠國家15年的綁身約,因為這個約,我在人生學術研究創作力最頂峰的時候(年發表逾十篇論文,9年間共60餘篇;受邀撰寫兩篇英文書籍專章;總醫師期間以第二名考取陽明腦科所博士班,僅兩年即取得博士學位;擔任英美國家雜誌社的主編及副主編;第一年主治醫師時便受邀至印度耳鼻喉科醫學會擔任Keynote speaker及多場國際會議的round table speakers;獲選陽明醫學院優良教師),錯過了續留醫學中心發展的機會。曾經我為此終日鬱悶,難以釋懷。然而,江湖路上講道義,出來混的,該還的還是要還。明年以後,轉換跑道,我滿口袋虛擬學術資產,是沒有人可以扣住的,可以馬上讓新東家了解我的底子有多深。有了大量的學術貨幣,離開原本醫院,沒什好怕,因為是我選醫院,不是醫院選擇我。 </span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">以上純以自身的經歷,說明平時累積學術虛擬資產是多重要。到底,我很感謝國軍桃園總醫院的一切。記得去印度演講的那一年,搭飛機前我一直做墜機的惡夢,後來寫了遺囑,萬一出事,把全部的身家財產捐給國軍桃園總醫院。這張遺囑到現在都還留著,因為我覺得取之醫院,回饋醫院。 </span></div>
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<span style="color: lime; font-family: "georgia" , "times new roman" , serif; font-size: large;">結論</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">年輕醫師或青年學者要趁年輕有活力的時候,全力累積學術研究的第一桶金,有了第一桶金,第二桶、第三桶,累積的速度會越來越快。讓自己成為被低估的便宜好股票,努力之後,會很快遇到自己的「巴菲特」。相信自己,成功可能會遲到,但絕不缺席。</span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-60648928627252490242019-08-25T05:44:00.000-07:002019-09-09T23:58:58.089-07:00以陽明腦科所為榮<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">陽明大學腦科博士 耳鼻喉科 郭錦龍 醫師</span><br />
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<span style="font-family: georgia, "times new roman", serif; font-size: large;">本人(左一)及陽明的校友們</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br />感謝「邱正宏美學教育基金會」董事長邱正宏醫師與執行長翁若密醫師的邀請,參加該基金會舉辦的慈善音樂會。意外發現許多陽明大學的師長們與會參加,包括校長郭旭崧教授(右七),醫學院副院長郭博昭教授(左三)。 <br /><br />這次最大的收穫是得知郭博昭副院長,也是我們陽明腦科所前所長,早與台灣業界合作研發出助聽器。過去錯誤訊息讓我以為,台灣沒有能力研發精密助聽器輔具,需有賴進口,結果最近一直在為找國外合作廠商而煩惱。原來陽明的師長們,早就突破精密工業的瓶頸,自創品牌。 <br /><br />陽明腦科所真是臥龍藏虎,現任的副校長謝仁俊教授,也是腦科所的前所長。真心以陽明腦科所為榮,盼有朝一日能讓腦科所以己為榮。</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">董事長邱正宏醫師(右一)與執行長翁若密醫師(中)</span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-80851591928964707992019-08-08T06:13:00.000-07:002019-08-08T06:13:04.869-07:00牽手<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;">陽明大學腦科博士 耳鼻喉科 郭錦龍 醫師 </span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">一位</span>80<span lang="ZH-TW">歲的老伯伯,在強颱利奇馬即將來襲的清晨,騎著摩托車載著</span>75<span lang="ZH-TW">歲的牽手,風塵僕僕地從新竹芎林出發,費勁騎了一個多小時,來到龍潭找我診治惱人的耳鳴。只見那老伯伯拖著些許不穩的步伐,向我微鞠個躬說</span>:<span lang="ZH-TW">「郭主任,我們已經在</span>XX<span lang="ZH-TW">大醫院看過,因為治療兩個月沒有改善,剛好一位被您治好耳鳴的朋友介紹,所以特地來找您。」</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">這是再熟悉不過的一段話,許多病人也會這樣訴說,以表達內心對最好治療的殷切期盼。但此番景象,卻讓我內心五味雜陳</span>!<span lang="ZH-TW">兩位加起來</span>155<span lang="ZH-TW">歲的老夫妻,尤其老伯伯行動尚且不穩,如何在風雨交加的準颱風天中,來回騎近</span>3<span lang="ZH-TW">個小時的摩托車,只為了看</span>10<span lang="ZH-TW">分鐘的門診</span>?<span lang="ZH-TW">為了讓老夫婦不虛此行,立即幫老太太安排了詳盡的檢查。但檢查結束已是下午,深恐狂風大作、雷雨交加,增添兩佬回家路上的風險。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">在七夕情人節的隔天,見證如此悸動人心的堅貞愛情,倘能牽手一世如此,夫復何求。但願此時,兩佬已平安回到家裡。</span></span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-63169677475452933072019-07-23T01:43:00.000-07:002019-07-24T00:36:18.207-07:00「十年磨一劍」,還是「一年磨十劍」?<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="color: lime; font-family: "georgia" , "times new roman" , serif; font-size: large;">國軍台中總醫院院長王智弘將軍與筆者</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">承蒙友軍熱情邀請,南下到國軍台中總醫院演講,分享最自豪的「寫作七心法」。會後討論熱烈,一位醫師問我如何在短時間內,有巨量的論文發表,包括兩篇英文書籍專章。我有信心,只要熟稔我列舉的「寫作七心法」,再把獨創的「區塊鏈寫作法」練到爐火純青,不敢說「一年磨十劍」,但絕對不會「十年磨一劍」。保守估計,年發一篇</span><span style="mso-fareast-font-family: 標楷體; mso-fareast-language: ZH-TW;">SCI</span><span lang="ZH-TW">文章絕對游刃有餘。記得最瘋狂時,連夢境中都能振筆疾書,夜深乍醒,旋即下床記錄稍縱即逝的靈感。</span><span style="mso-fareast-font-family: 標楷體; mso-fareast-language: ZH-TW;"><o:p></o:p></span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">在瞬息萬變的時代,連人工智能都能創作文章,如果還停留在「十年磨一劍」的舊思維,只怕劍還沒磨利,敵人槍砲都打過來了。「一年磨十劍」不意味著寫作囫圇吞棗、濫竽充數,不重視文章品質;而是透過大量寫作、巨量練習,熟能生巧之餘,必能靈感湧泉,下筆有如神助,信手拈來,不費工夫。</span><span style="mso-fareast-font-family: 標楷體; mso-fareast-language: ZH-TW;"><o:p></o:p></span></span></div>
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<span style="color: lime; font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif;"><span lang="ZH-TW">演講中分享我的</span></span><span style="font-family: "georgia" , "times new roman" , serif;">「寫作七心法」,尤其獨創的「區塊鏈寫作法」</span></span></div>
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<span style="color: lime; font-size: large;">兩篇受邀撰寫的英文書籍專章</span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-18065979589850044882019-06-05T02:07:00.000-07:002019-06-05T02:12:56.470-07:00全力準備人生第二樂章<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: x-large;">2008年,我的學術訓練始於台北榮總耳鼻喉部;幾年來,於各醫院無私地分享我的研究寫作心法,於2019年結束於台北榮總新竹分院,為我的研究分享之旅,畫下完美的句點。我是榮民子弟,明年也即將成為榮民,始於榮總,亦終於榮總,生命的安排真巧妙。接下來要為人生第二樂章的開啟,全力準備與衝刺!</span></div>
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<span style="color: lime; font-family: "georgia" , "times new roman" , serif; font-size: x-large;">前排左起為院長彭家勛醫師、外科部主任莫凡慶醫師、本人及副院長陳炫達醫師</span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-13233633376844021212019-05-19T02:11:00.000-07:002019-05-19T02:14:23.942-07:00受邀日本演講<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">陽明腦科所博士</span></span></div>
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<span style="color: lime; font-family: "georgia" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">圖1. 左一為</span><span style="text-align: justify;">台大耳鼻喉部楊宗霖教授,中間是座長</span><span style="text-align: justify;">Takashi Nakagawa</span><span lang="ZH-TW" style="text-align: justify;">教授。</span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">特別感謝台大耳鼻喉部楊宗霖教授的推薦,很榮幸受邀於大阪舉行的</span><span lang="ZH-TW">「</span><span lang="ZH-TW">第</span>120<span lang="ZH-TW">屆日本耳鼻喉科全國醫學會</span><span lang="ZH-TW">」</span><span lang="ZH-TW">發表演說</span>(<span lang="ZH-TW">圖1</span>)<span lang="ZH-TW">。這次日本只邀請台灣</span>(6<span lang="ZH-TW">位,圖2</span>)<span lang="ZH-TW">及南韓</span>(6<span lang="ZH-TW">位</span>)<span lang="ZH-TW">的學者,加上日本</span>6<span lang="ZH-TW">位學者,共同舉辦</span>6<span lang="ZH-TW">個國際演講場次。相對於人口是台灣兩倍的南韓,台灣有</span>6<span lang="ZH-TW">位學者受邀,足見日本對台灣學者的肯定與重視。</span><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">令我感到驚訝與感動的是,認識9</span><span lang="ZH-TW">年的日本老友,阪上雅史</span>(Masafumi
Sakagami)<span lang="ZH-TW">教授特別到場聆聽我的演講</span>(<span lang="ZH-TW">圖3</span>)<span lang="ZH-TW">。他目前是兵庫醫科大學附設醫院院長,人很客氣,完全沒有架子,每年還會寄全家福的親筆賀年卡。對於一個小國家、小醫師的我,能有這樣的國際友人,深感萬幸。</span></span></div>
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<span style="color: lime; font-family: "georgia" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">圖2. 本次受邀的6位台灣學者。左起為本人、高雄榮總喉科主任蘇性豪醫師、台大楊宗霖教授、高雄長庚羅盛典醫師、台北榮總鼻科主任藍敏瑛醫師及台北榮總鄭彥甫醫師。</span></span></div>
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<span style="color: lime;"><span lang="ZH-TW" style="font-family: "georgia" , "times new roman" , serif; font-size: large;">圖3. 認識9</span><span lang="ZH-TW" style="font-family: "georgia" , "times new roman" , serif; font-size: large;">年的日本老友,阪上雅史</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(Masafumi Sakagami)</span><span lang="ZH-TW" style="font-family: "georgia" , "times new roman" , serif; font-size: large;">教授。</span></span></div>
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<span style="color: lime;"><span lang="ZH-TW" style="font-family: "georgia" , "times new roman" , serif; font-size: large;">演講實錄</span></span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-26867187058343978742019-03-22T20:35:00.000-07:002019-03-23T00:05:06.521-07:00400公里路的兩場演講<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: , serif; font-size: large;">郭錦龍醫師</span></div>
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<span style="font-family: , serif; font-size: large;">陽明腦科所博士</span></div>
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<span style="color: lime; font-size: large;">感謝彰化秀傳醫院小兒科主任楊樹文醫師(左二)邀請</span></div>
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<span style="font-size: large;"><span lang="ZH-TW" style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">昨天是個既忙碌又充實的一天。早上先趕到彰化秀傳醫院演講,下午又趕到台北榮總耳鼻喉部演講,一天內開了逾</span><span style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">400<span lang="ZH-TW">公里的路。緊繃了一天,在演講完後頓覺虛脫。這次演講主題是</span></span><span lang="ZH-TW" style="font-family: 標楷體; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">「</span><span lang="ZH-TW" style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">年輕醫生如何耕耘學術研究</span><span lang="ZH-TW" style="font-family: 標楷體; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">」</span><span lang="ZH-TW" style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">,演講內容引起大家熱烈迴響與討論,辛苦總算沒有白費。到底如何定義年輕醫師呢?</span><span style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;"><span lang="ZH-TW">我覺得<span style="color: yellow;">心態保持年輕,願意接受新事物、拓展新眼界,就是年輕醫師</span>。</span></span></span></div>
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<span style="font-family: , serif; font-size: large;">有些住院醫師會覺得,<span style="color: yellow;">我之後要開業,還寫甚麼論文?</span>但反過來說,就是因為之後要開業,所以只有住院醫師時期的短短數年,有機會接觸研究,有時間寫論文。辛苦當了一輩子的醫生,卻來不及完成一篇論文,那怕是一篇簡單的案例報告,等到退休後,驀然回首,或許會覺得行醫路上,有一塊空白處沒有填滿,徒增遺憾。</span></div>
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<span lang="ZH-TW" style="font-family: , serif; font-size: large;">如果是想續留醫院發展的住院醫師,必須體認到發表論文能力,代表自身的競爭力。或許有人會說,<span style="color: yellow;">我很會開刀,臨床績效好,又當選優良教師,難道我沒有競爭力嗎</span></span><span style="font-family: , serif; font-size: large;"><span style="color: yellow;">?</span><span lang="ZH-TW">確實,除了研究外,衡量一位醫師的競爭力,還包括醫術、績效、醫病關係及教學成果等。然而這些優勢,在你轉換新單位、換家醫院服務或在國際舞台上,恐怕因為沒人了解你有多厲害,以致於每到一個新地方,你必須重新耕耘,假以時日,大家才會「慢慢地」知道你的厲害。</span></span></div>
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<span style="font-size: large;"><span lang="ZH-TW" style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">說了這麼多,不知道您看出來了嗎</span><span style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">?<span lang="ZH-TW">論文發表其實是一種<span style="color: yellow;">「量化競爭力」的學術貨幣</span>。你所累積的學術財富,是</span></span></span><span style="font-family: , serif; font-size: large;"><span style="color: yellow;">「</span></span><span style="font-family: , serif; font-size: large;"><span style="color: yellow;">去中心化」</span>的,世界上的學者在網路上都可以查詢到你發表的論文。但是像臨床業績這種資料,只有目前服務單位知道你一個月的業績有多少。如果換家醫院工作,你無法</span><span style="font-size: large;">「</span><span style="font-size: large;">立即</span><span style="font-size: large;">」</span><span style="font-size: large;">證明過去輝煌的績效,新的績效又有賴時間來積累。</span></div>
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<span style="font-size: large;"><span style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;"><span lang="ZH-TW"><br /></span></span></span></div>
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<span style="font-size: large;"><span style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;"><span lang="ZH-TW">此外,論文發表又具有<span style="color: yellow;">「不可竄改性」</span><span style="color: yellow;">與</span><span style="color: yellow;">「透明化」</span>。曾經有醫界的朋友告訴我,他們科的臨床績效比別科好,但領獎金的時候,卻比別科差很多。詢問醫院相關單位,得到的結果是他們科的成本比較高,利潤比較低,獎金當然比較少。但醫院又不願公開全院科別的財務分析,以作澄清,讓他們長期以來覺得作白工。這裡不是說他們科的業績被動手腳,我要強調的是,發表的論文是公開的、透明化的,論文發表的內容及數量都是不可竄改,時時刻刻都可以被檢視,清楚證明一位醫師的實際競爭力。</span></span></span></div>
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<span style="font-size: large;"><span style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;"><span lang="ZH-TW"><br /></span></span></span></div>
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<span style="font-size: large;"><span style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;"><span lang="ZH-TW">發表的論文又具備<span style="color: yellow;">「分散式儲存</span></span></span></span><span style="color: yellow; font-family: , serif; font-size: large;">」</span><span lang="ZH-TW" style="font-family: , serif; font-size: large;">的特性。一般而言,論文除了會儲存在雜誌社的資料庫以外,也會被不同的資料庫所收錄,自己也可以將自己的文章上傳到免費的資料庫,例如號稱「科學家臉書」的</span><a href="https://www.researchgate.net/" style="font-family: 新細明體, serif; font-size: x-large;"><span style="color: yellow;">ResearchGate</span></a><span lang="ZH-TW" style="font-family: , serif; font-size: large;">。這種「分散式儲存</span><span style="font-size: large;">」</span><span style="font-size: large;">的特性,讓學者不用擔心哪天出版社倒了,辛苦發表的論文就無法被讀取了。</span></div>
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<span style="font-size: large;"><span lang="ZH-TW" style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">綜上所述,論文發表確實是一種「量化競爭力」的學術貨幣,具備「去中心化」、「不可竄改性」、「透明化」、「分散式儲存</span></span><span style="font-family: , serif; font-size: large;">」</span><span style="font-family: , serif; font-size: large;">等諸多特性。時時刻刻、世界各地、永世不滅地證明你的競爭力與學術價值。如此完美的學術貨幣,難道不值得投資嗎?</span></div>
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<span style="color: lime; font-size: large;"><span lang="ZH-TW" style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">我畢生的寫作心法</span></span></div>
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<span style="font-size: large;"><span lang="ZH-TW" style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">在演講中,我將過去論文寫作的心得,以新手痛點的角度,總結成</span><span style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">7<span lang="ZH-TW">個心法。其中我覺得最重要的就是<span style="color: yellow;">「區塊鏈寫作法」</span>。這裡所說的區塊鏈,與之前很夯的「比特幣區塊鏈」有異曲同工之妙。利用這個區塊鏈寫作法,可以迅速有效完成一篇論文。其實真正的高手,在搜尋資料、閱讀文獻的過程,就同時在動筆寫作。待<span style="color: yellow;">文獻讀完,初稿也完成</span>了。</span></span></span></div>
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<span style="font-size: large;"><span lang="ZH-TW" style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">沒聽過我多年所得心法的人曾對我說,你講的不就是「那一套」,讓我有點不服氣。每個人都有自己的一套寫作邏輯,在書局也可以買到很多教你寫作的書籍,但為何還是很多人因寫作枯竭而苦惱</span><span style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">?<span lang="ZH-TW">這說明了<span style="color: yellow;">寫作方法人人有,但好壞高下立判</span>。</span><o:p></o:p></span></span></div>
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<span style="color: lime; font-size: large;"><span style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;"><span lang="ZH-TW">我最自豪的區塊鏈寫作法</span></span></span></div>
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<span style="font-size: large;"><span style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;"><span lang="ZH-TW"><br /></span></span></span></div>
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<span style="font-size: large;"><span lang="ZH-TW" style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;">我的寫作心法,不一定是最好的,也不見得適合每個人。然而就是這套心法,讓我在<span style="color: yellow;">近</span></span><span style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;"><span style="color: yellow;">8<span lang="ZH-TW">年內完成</span>76</span><span lang="ZH-TW"><span style="color: yellow;">篇論文</span>,其中</span>58<span lang="ZH-TW">篇我是第一作者,也就是不靠別人的文章掛名充數的,包括</span>40<span lang="ZH-TW">篇</span>SCI<span lang="ZH-TW">論文、</span>2<span lang="ZH-TW">篇受邀國際書刊的專書章節</span>(Book Chapter)<span lang="ZH-TW">,以及</span>2<span lang="ZH-TW">個月內完成的</span>300頁<span lang="ZH-TW">博士論文。</span><o:p></o:p></span></span></div>
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<span style="font-size: large;"><span style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;"><span lang="ZH-TW"><br /></span></span></span></div>
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<span lang="ZH-TW" style="font-family: "新細明體" , serif; mso-bidi-font-family: 新細明體; mso-fareast-language: ZH-TW;"><span style="font-size: large;">過去我的演講都是免費付出,純粹想幫助後進學子。「那一套」之後,曾讓我考慮從此封筆,不再分享我潛心專研的寫作心法,畢竟舟車勞頓的演講,既吃力又不討好。相對於坊間有些寫作課程,<span style="color: yellow;">一天的課程就要台幣三萬六千元</span>,我無償付出的分享(除了有些醫院會給點車馬費補助),真的是佛心來也!</span></span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com3tag:blogger.com,1999:blog-2171885589259895125.post-42089615284448131222018-12-28T19:39:00.000-08:002018-12-28T19:49:43.996-08:00錯把幻聽當耳鳴,延誤治療!<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">郭錦龍醫師</span><br />
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;">陽明腦科所博士</span><br />
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><o:p> </o:p><span style="text-align: left;"><span style="color: lime;">如果聽到的是「講話聲」或「音樂演奏聲」,是「幻聽」,是精神分裂症或重度憂鬱症的前兆。</span></span></span><br />
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">耳鳴在臨床上並不少見,依據年齡層不同,大概</span>10%<span lang="ZH-TW">到</span>30%<span lang="ZH-TW">的人有耳鳴的情形</span>[1]<span lang="ZH-TW">。在專門的耳科門診,甚至有三分之一的病患是因為耳鳴來就醫的,可見耳鳴造成病患相當大的困擾。在過去,病患一直被人暗示甚至明示,耳鳴不會好,要把它當成天籟之音,與其和平共處一輩子。但對病人而言,這就像要他把不到十坪的小套房,想像成上百坪的帝寶,真的不容易。在台灣耳鳴學會</span>(http://www.tinnitus.org.tw/)<span lang="ZH-TW">的努力下,臨床醫師逐漸了解耳鳴是可以治療的,甚至有機會治癒的。</span><o:p></o:p></span></div>
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">耳鳴的發生是多因素的,透過耳鼻喉科醫師詳細的檢查,逐一解決導致耳鳴的病因後,很多病患的耳鳴是會改善、甚至痊癒的。根據國外兩個大型研究,耳鳴病人追蹤</span>5<span lang="ZH-TW">年後,有</span>5<span lang="ZH-TW">成至</span>7<span lang="ZH-TW">成的病人耳鳴會改善、甚至完全消失</span>[2,3]<span lang="ZH-TW">。換言之,耳鳴的預後是不錯的。</span><o:p></o:p></span></div>
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">一位病人因為耳鳴來看我的門診,他主訴因為耳鳴好幾年,看過好多醫師,每位醫師都叫他與耳鳴和平相處,不用再回診了。當我問他是怎樣的耳鳴聲,他回答</span>:<span lang="ZH-TW">「<span style="color: yellow;">就是一直聽到有人在誦經,偏偏我不是佛教徒,真的很困擾</span></span><span style="color: yellow;">!</span><span lang="ZH-TW">」聽完後,我跟他說</span>:<span lang="ZH-TW">「你的問題和精神科有關,我幫你轉到精神科。」</span><o:p></o:p></span></div>
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">耳鳴是指沒有外在聲源下,自己感受到「純音」的聲響。如果聽到的是「講話聲」或「音樂演奏聲」,則稱之為「幻聽」,可能是精神分裂症或重度憂鬱症的前兆</span>[4]<span lang="ZH-TW">。在耳鼻喉科醫師排除耳鳴及相關問題後,一定要轉介到精神科,做進一步檢查與處置。</span><o:p></o:p></span></div>
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">脈動性耳鳴是不可輕忽的耳鳴型態,它是像心跳一樣有規律地脈動聲響。在</span>70%<span lang="ZH-TW">的脈動性耳鳴案例中,經檢查後是可以確定其病因的</span>[5]<span lang="ZH-TW">。脈動性耳鳴可能是血管病變導致的,例如動脈瘤,硬腦膜動靜脈廔管,動靜脈畸形,頸內動脈狹窄等</span><span lang="ZH-TW"> </span>[ 6,7 ] <span lang="ZH-TW">。</span><span style="color: yellow;">2016<span lang="ZH-TW">年伊林名模王亭又就是因為大腦動脈瘤破裂病逝,享年</span>41</span><span lang="ZH-TW"><span style="color: yellow;">歲,相當遺憾</span>。</span><o:p></o:p></span></div>
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">脈動性耳鳴也可能是非血管的病因造成,例如副神經節瘤</span>(paraganglioma)<span lang="ZH-TW">、顱內高壓和貧血等</span>[8-11]<span lang="ZH-TW">。此外,一項英國的研究指出,<span style="color: yellow;">脈動性耳鳴的患者,肇因於第八對腦神經的血管環壓迫,其機會是非脈動性耳鳴患者的</span></span><span style="color: yellow;">80<span lang="ZH-TW">倍</span></span>[12]<span lang="ZH-TW">。綜上所述,臨床醫師對於脈動性耳鳴的病患,首要處置是排除致命性的病因,絕不可輕忽。根據文獻的建議,對於脈動性耳鳴患者,可以安排腦部核磁共振進一步檢查。</span><o:p></o:p></span></div>
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">此外,單側耳鳴也不能放任不管。記得在台北榮總耳鼻喉部擔任住院醫師期間,遇過幾位單側耳鳴的病人,對於單側耳鳴置之不理,直到症狀惡化方至門診就醫,經鼻內視鏡檢查發現鼻咽癌。其實,只要是<span style="color: yellow;">單側耳朵的問題,包括耳鳴、耳悶、聽力變差或耳痛等,一定要找耳鼻喉科醫師詳細檢查</span>,包括內視鏡及聽神經學檢查,以排除腫瘤或其他致命性病因。</span><o:p></o:p></span></div>
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">有耳鳴一定要看耳鼻喉科醫師,耳鳴是可以治療的,甚至有機會治癒的。</span><o:p></o:p></span><br />
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<span lang="ZH-TW" style="line-height: 107%;"><span style="color: lime; font-family: "times" , "times new roman" , serif; font-size: large;">接受商業週刊採訪的文章,在其官方臉書發佈。</span></span><span style="font-family: "times new roman" , serif; font-size: 12.0pt; line-height: 107%;"><o:p></o:p></span></div>
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">參考文獻</span></span></div>
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<!--[if !supportLists]--><span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span style="mso-list: Ignore;">1.<span style="font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Bogo
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Heritability for Tinnitus: A Longitudinal Twin study. Ear & Hearing 2017;
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<!--[if !supportLists]--><span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span style="mso-list: Ignore;">2.<span style="font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Nondahl
DM, Cruickshanks KJ, Wiley TL, Klein R, Klein BE, Tweed TS. Prevalence and
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<!--[if !supportLists]--><span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span style="mso-list: Ignore;">3.<span style="font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
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B, McMahon CM, Rochtchina E, Karpa MJ, Mitchell P. Incidence, persistence, and
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<!--[if !supportLists]--><span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span style="mso-list: Ignore;">4.<span style="font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
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RM, Sanchez TG, Bento RF, Lucia MC. Auditory hallucinations in tinnitus
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<!--[if !supportLists]--><span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span style="mso-list: Ignore;">5.<span style="font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Mattox
DE, Hudgins P. Algorithm for evaluation of pulsatile tinnitus. Acta
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<!--[if !supportLists]--><span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span style="mso-list: Ignore;">6.<span style="font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Jungreis
CA. Pulsatile tinnitus from a dural arteriovenous fistula. Ann Otol Rhinol
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<!--[if !supportLists]--><span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span style="mso-list: Ignore;">7.<span style="font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Yardley
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<!--[if !supportLists]--><span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span style="mso-list: Ignore;">8.<span style="font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Sismanis
A. Pulsatile tinnitus. A 15-year experience. Am J Otol. 1998;19:472–477.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span style="mso-list: Ignore;">9.<span style="font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Cochran
JH, Jr, Kosmicki PW. Tinnitus as a presenting symptom in pernicious anemia. Ann
Otol Rhinol Laryngol. 1979;88:297. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span style="mso-list: Ignore;">10.<span style="font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Remley
KB, Coit WE, Harnsberger HR, et al. Pulsatile tinnitus and the vascular
tympanic membrane: CT, MR, and angiographic findings. Radiology.
1990;174:383–389.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "times" , "times new roman" , serif; font-size: large;"><span style="mso-list: Ignore;">11.<span style="font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">
</span></span><!--[endif]-->Pegge
SAH, Steens SCA, Kunst HPM, Meijer FJA. Pulsatile Tinnitus: Differential
Diagnosis and Radiological Work-Up. Curr Radiol Rep. 2017;5(1):5.<o:p></o:p></span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-12549132973953757802018-12-25T00:06:00.000-08:002018-12-25T21:53:34.225-08:00教育部定「助理教授證書」<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW" style="font-family: "新細明體" , serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">郭錦龍</span><span lang="ZH-TW" style="font-family: "新細明體" , serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">醫師</span></span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">陽明腦科所博士</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="font-family: "新細明體" , serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">不管在公家或私人單位,科研人員如果想繼續往上升等,取得教育部定教職是存活下來最基本卻也是唯一的方式。國內獨特的升等制度,不合理地突顯教職的稀缺性,讓科研人員即使搶破頭,也不一定能順利取得教職資格。</span></span><br />
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<span style="font-family: "新細明體" , serif; font-size: large;">在所有申請的職業別中,臨床醫師因為養成教育時間相當長,加以學校能釋放給醫師的教職缺額十分有限,導致醫師申請教職過程,難上加難。一般非醫科的研究人員,可能</span><span lang="EN-US" style="font-family: "georgia" , "times new roman" , serif; font-size: large;">26-28</span><span style="font-family: "新細明體" , serif; font-size: large;">歲可以拿到博士學位,</span><span lang="EN-US" style="font-family: "georgia" , "times new roman" , serif; font-size: large;">30</span><span style="font-family: "新細明體" , serif; font-size: large;">歲以前可能有辦法以博士學位申請教育部定助理教授。然而臨床醫師就沒辦法了。以我的例子,我以兩年一個月取得陽明腦科所博士學位,這已經是極限中的極限,因為現在研究所會把應修學分「刻意」分散到</span><span lang="EN-US" style="font-family: "georgia" , "times new roman" , serif; font-size: large;">2</span><span style="font-family: "新細明體" , serif; font-size: large;">個學年,所以要取得博士學位,至少要超過兩年。即便如此,我拿到教育部定「助理教授證書」都已經</span><span lang="EN-US" style="font-family: "georgia" , "times new roman" , serif; font-size: large;">40</span><span style="font-family: "新細明體" , serif; font-size: large;">歲了,比起一般非醫科的研究人員,晚了</span><span lang="EN-US" style="font-family: "georgia" , "times new roman" , serif; font-size: large;">10</span><span style="font-family: "新細明體" , serif; font-size: large;">年。</span><br />
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<span lang="ZH-TW" style="font-family: , serif; font-size: large;">主要原因是過去住院醫師訓練需時多年</span><span style="font-family: , serif; font-size: large;">(</span><span lang="ZH-TW" style="font-family: , serif; font-size: large;">內科</span><span style="font-family: , serif; font-size: large;">1</span><span lang="ZH-TW" style="font-family: , serif; font-size: large;">年及耳鼻喉科</span><span style="font-family: , serif; font-size: large;">5</span><span lang="ZH-TW" style="font-family: , serif; font-size: large;">年,共</span><span style="font-family: , serif; font-size: large;">6</span><span lang="ZH-TW" style="font-family: , serif; font-size: large;">年</span><span style="font-family: , serif; font-size: large;">)</span><span lang="ZH-TW" style="font-family: , serif; font-size: large;">,另外曾在部隊醫務所服務</span><span style="font-family: , serif; font-size: large;">3</span><span lang="ZH-TW" style="font-family: , serif; font-size: large;">年</span><span style="font-family: , serif; font-size: large;">(</span><span lang="ZH-TW" style="font-family: , serif; font-size: large;">其他類別公費生則須到偏鄉服務數年</span><span style="font-family: , serif; font-size: large;">)</span><span lang="ZH-TW" style="font-family: , serif; font-size: large;">,加上醫學系</span><span style="font-family: , serif; font-size: large;">7</span><span lang="ZH-TW" style="font-family: , serif; font-size: large;">年。冗長的醫師養成教育,復以繁重臨床業務,還要兼顧研究與教學,讓諸多熱愛教研的年輕醫師,多年下來蠟燭多頭燒,最終卻可能因為教職的稀缺性,無法順利升等。如此無奈的升等制度,讓許多有志教研的臨床醫師,對於申請教職望而卻步,終至放棄,著實可惜。</span><br />
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<span style="font-family: "新細明體" , serif; font-size: large;">更諷刺的是,雖然我之前以博士學位獲聘國防醫學院及國立臺北護理健康大學的助理教授,但這種</span><span style="font-family: "新細明體" , serif; font-size: large;">「</span><span style="font-family: "新細明體" , serif; font-size: large;">臨床」教職,對教育部而言,是假的,自己喊爽的,不是官方認證的教職頭銜。這種難以理解的升等制度,只有身歷其境的苦主才能體會。</span><br />
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<span style="font-family: "新細明體" , serif; font-size: large;">這次順利取得教育部定助理教授證書,特別要感謝三總蔡建松院長</span><span lang="EN-US" style="font-family: "georgia" , "times new roman" , serif; font-size: large;">(</span><span style="font-family: "新細明體" , serif; font-size: large;">本院前院長</span><span lang="EN-US" style="font-family: "georgia" , "times new roman" , serif; font-size: large;">)</span><span style="font-family: "新細明體" , serif; font-size: large;">、本院前副院長徐漢業教授、三總耳鼻喉部李日清主任,以及諸位國防醫學院的老師們。因為他們的全力相挺、無私的協助,讓身處區域醫院的醫療人員,在努力之後,有幸獲得教育部定的教職頭銜。</span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-4475066762687210042018-11-04T18:58:00.000-08:002018-11-03T18:59:42.845-07:00擔任醫學會座長甘苦談<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; text-align: justify;">郭錦龍 醫師</span><br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; text-align: justify;">陽明腦科所博士</span><br />
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<span style="color: lime; font-family: "georgia" , "times new roman" , serif; font-size: large;">圖一 講者與座長合照,本人為左一,劉殿楨教授為右二。</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">感謝國軍台中總醫院院長王智弘將軍推薦,三總耳鼻喉部主任李日清教授邀請,吾人有幸擔任</span>105<span lang="ZH-TW">屆台灣耳鼻喉科醫學會其中一場研討會座長。該場研討會是本次大會中,少數幾場國際場次之一,其中一位講者來自日本,三位韓國講者</span>(<span lang="ZH-TW">圖一</span>)<span lang="ZH-TW">。這次與台灣耳鳴醫學會理事長台大劉殿楨教授共同主持研討會,學到以不同高度與心態來看如何主持一場成功的研討會。</span><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">2015<span lang="ZH-TW">年曾參加於日本新潟</span>(Niigata)<span lang="ZH-TW">舉辦的第</span>30<span lang="ZH-TW">屆波利澤醫學會議</span>(Politzer
Society Meeting)<span lang="ZH-TW">,當時也是擔任一場研討會的座長</span>(<span lang="ZH-TW">圖二</span>)<span lang="ZH-TW">。當時的心情雖然緊張,但沒有任何不自在感。相較於上次座長的經驗,這次台上台下都是國內的大老、國際的大師,一旁更是台灣耳鳴醫學會理事長,那種壓迫感真的會讓人有點喘不過氣來。幸好我早預想到如此窘境,會議前做足了功課,調查講者的學經歷,也下載講者發表過的論文來閱讀,並列出數個問題,以防萬一台下沒人提問時,這些問題即可派上用場。劉理事長果然是見過大場面的國際大師,主持會議談笑風生,一派輕鬆,是值得吾生晚輩學習的標竿。</span><o:p></o:p></span></div>
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<span style="color: lime; font-family: "georgia" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">圖二 </span><span lang="ZH-TW" style="text-align: justify;">參加</span><span lang="ZH-TW" style="text-align: justify;">第</span><span style="text-align: justify;">30</span><span lang="ZH-TW" style="text-align: justify;">屆波利澤醫學會議</span><span lang="ZH-TW" style="text-align: justify;">,當時也是擔任一場研討會的座長</span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span lang="ZH-TW">想起早年還是住院醫師時,每次參加國際會議皆興奮不已,喜歡抓住提問機會,試圖多問講者幾個問題,深怕失去與大師對話的機會。後來開始受邀擔任</span>SCI<span lang="ZH-TW">雜誌審稿</span>(<span lang="ZH-TW">如</span>:Laryngoscope)<span lang="ZH-TW">,參加會議時,更是仔細聆聽演講,心態上把聽講當成審稿,專找報告內容中矛盾、缺失或研究設計不完整的地方,提出問題與台上講者切磋。隨著擔任幾次研討會的座長,心態上有所轉變。現在的我發覺,舉辦研討會除了讓學者齊聚一堂,舊雨新知,很重要的目的之一,是鼓勵學者發表最新研究成果。既然是最新,難免有所缺漏,抑或在短短的</span>5-10<span lang="ZH-TW">分鐘的報告,要講者將研究精要戲說從頭,實在強人所難。聽眾真想了解研究精髓,不妨會後與講者互換名片,向其索取研究成果報告或相關論文,甚至討論合作可能。</span><o:p></o:p></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="color: yellow;"><span lang="ZH-TW">在會議中向台上講者提出</span><span lang="ZH-TW">「</span><span lang="ZH-TW">可答性問題</span>(answerable question)<span lang="ZH-TW">」,是對講者的肯定;於會後找講者切磋「爭議性議題</span>(controversial
issue)<span lang="ZH-TW">」,對講者而言,是一種尊敬。</span></span><o:p></o:p></span></div>
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<span style="color: lime; font-family: "georgia" , "times new roman" , serif; font-size: large;">圖三 大會感謝狀</span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-59420860426862896042018-08-29T01:19:00.000-07:002018-08-29T01:19:01.155-07:00年輕醫師如何突破國際會議口頭發表障礙<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: Georgia, "Times New Roman", serif; font-size: large;">陽明大學腦科學博士</span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">國軍桃園總醫院耳鼻喉科主任</span><o:p></o:p></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhxdTPeAToDoRgcCLrLl61Sc-PRDq-RQ52e9yq_W0vCbetd-mz4QmfbV3Zz44-jLaS1elMsQzgB96Nk-AyXTf_bZPuuhuEDIvZlaWNoanMVcT3IvQHWHg-RwkFbZ4tS0WfnV_5yGEqWAK8/s1600/1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1125" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhxdTPeAToDoRgcCLrLl61Sc-PRDq-RQ52e9yq_W0vCbetd-mz4QmfbV3Zz44-jLaS1elMsQzgB96Nk-AyXTf_bZPuuhuEDIvZlaWNoanMVcT3IvQHWHg-RwkFbZ4tS0WfnV_5yGEqWAK8/s640/1.jpg" width="450" /></a></div>
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<span lang="ZH-TW" style="font-family: "新細明體",serif; mso-ascii-theme-font: major-fareast; mso-fareast-theme-font: major-fareast; mso-hansi-theme-font: major-fareast;"><span style="color: yellow;">承蒙本期耳鼻喉科會訊主編袁建漢醫師的熱情邀稿,讓錦龍有這個機會分享過去參加國際會議的小小心得。我的方法不必然是對的,也不見得適用每個人,相信許多前輩有更好的方法值得錦龍學習。最後,感謝台北榮總耳鼻喉部的老師們多年栽培與訓練,培養錦龍學術研究的紮實底子,終身受益,惠我良多。(<a href="https://www.dropbox.com/s/dzdlmbp0s3mq5qg/%E5%85%A8%E6%96%87PDF.pdf?dl=0">全文PDF下載</a>)</span></span><span style="font-family: "新細明體",serif; mso-ascii-theme-font: major-fareast; mso-fareast-theme-font: major-fareast; mso-hansi-theme-font: major-fareast;"><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">在醫學院時期,就不斷耳聞或目睹許多學長姊在國際上的豐功偉業,在世界上發光散熱,但在斐然成就的背後,殊不知他們下了多少苦工,也不知他們走了多少冤枉路,終達他們設立的目標。身為年輕醫師的我,在羨慕之餘,更希望知道他們是如何突破萬難融入國際學術圈。這套方法學,學校沒教,教授也不一定會告訴你,頗多年輕醫師在孤軍奮戰下,火力不繼而終至放棄,實至可惜。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">錦龍感謝許多前輩及貴人的提攜,尤其台北榮總連江豐副院長及耳鼻喉部蕭安穗部主任,加以過往與國際友人互動的經驗,深刻了解到融入國際學術圈很重要的一環就是多參加國際會議。希冀透過分享自身的體驗與甘苦談,引發後進晚輩的共鳴,激起有志之士熱情,倘益於年輕醫師與國際接軌、躍上國際舞台,吾志足已!</span><o:p></o:p></span></div>
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<b style="font-family: Georgia, "Times New Roman", serif; font-size: x-large;"><span lang="ZH-TW"><span style="color: lime;">參加會議並口頭發表</span></span></b></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">參加會議並口頭發表是推銷自己、打出知名度最有效的捷徑。自己從小就怯於在公開場合發表自己的意見,但在台北榮總耳鼻喉部住院醫師</span>5<span lang="ZH-TW">年期間,經多位老師的鼓勵,國內外會議口頭發表場次將近</span>40<span lang="ZH-TW">場,於一場會議中口頭發表</span>2<span lang="ZH-TW">篇論文是家常便飯的事,因而逐漸練就公開發言的膽量,台風亦日趨穩健。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">依據自身的經驗,我建議年輕醫師一開始先從國內會議開始練習,因為國內會議多以中文發表,比較容易上手,內心的壓力也較小。國內耳鼻喉科醫學會每年舉辦兩場會議,至少選擇一場會議練習口頭發表。材料部份可以先從案例報告開始,內容較為簡單,需要研讀的文獻也少很多</span>(10<span lang="ZH-TW">篇左右</span>)<span lang="ZH-TW">,上手後再選擇原著論文發表。一般而言發表原著論文前的準備功夫必須十分紮實,至少要研讀</span>20-30<span lang="ZH-TW">篇以上的文獻,通盤了解該主題各個面向的論點,上台才有能力應付台下觀眾的提問。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">許多年輕醫師由於臨床經驗不足,面對台下資深醫師的提問往往招架不住,不知所措。根據我過往的做法,在口頭發表之前,先完成論文初稿的撰寫,發表時只要照稿演說即可,內心完全無負擔。經過完整的文獻回顧後,面對台下觀眾會問甚麼刁鑽問題,早已了然於心、胸有成竹,回答也能四平八穩,甚至能以文獻數據佐證自己的觀點,讓提問者心服口服。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW"><span style="color: lime;">英文障礙解套方法</span></span></b><b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">許多年輕醫師怯怕參加國際會議的原因之一是語言障礙,這確實是非英語系學者很大的致命傷。英語是母語的學者,能夠以英文邏輯思考,在國際會議上侃侃而談,令人好不羨慕。若和這些國家的學者在國際會議上辯論,常常啞巴吃黃蓮,有苦說不出,明知道自己的論點是對的,卻因為「老想把英文講得標準、說得完美」,臨場反而無法流暢地表達想法,只能漠然以對,讓對方佔上風、吃豆腐。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">吃了幾場悶虧後,發現在自己不熟悉的戰場與敵人廝殺,是非常不智的作法。決定徹底改變戰略,在準備資料時,我會把文獻中重要的觀點羅列出來,並推想可能被提出來的問題,根據自己的研究資料以及詢問老師、前輩們的想法後,以英文統整成簡潔的重點,熟記並反覆預演,直到琅琅上口。一般而言,在口頭發表之前,至少要預演</span>10-20<span lang="ZH-TW">次以上,熟練到不需要看簡報,直接面對觀眾也能輕鬆背誦內容。總而言之,簡報裡字越少、圖越多越好,面對觀眾要從容演出,口氣要抑揚頓挫,不要像機器人一般唸稿,搭配適度的肢體動作,最重的是著正式服裝,給人專業的感受。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW"><span style="color: lime;">如何解決「聽不懂觀眾提問」的尷尬局面</span></span></b><b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">在國際會議口頭發表時,最怕的一種情境是聽不懂觀眾的提問,遇到這種情形如果僵在台上,可能會讓觀眾產生錯覺,認為你對該主題的研究不夠深入,致使研究結果的說服力不足。「聽不懂觀眾的提問」分成兩種,一種是觀眾對問題的描述不夠清楚,搞不清楚觀眾想探討的議題是甚麼,這種情形只要請觀眾以另外一種方式說明</span>(rephrasing)<span lang="ZH-TW">,通常可以順利解決。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">另外一種「聽不懂觀眾的提問」的情形,是由於觀眾英語口音過重,完全聽不懂他在說甚麼,最典型的例子就是印度人的提問。印度人是個很有趣的民族,印度人很聰明,非常好學,在國際舞台上十分活躍,經常發表高論、喜好提問,但口音相當重,講話速度又很快,往往不知道他們在說甚麼。我曾在韓國參加會議時,目睹一位日本教授在台上被印度人提問,但該位日本教授完全聽不懂印度人的口音,於是求救於美國座長協助「以英文翻譯」。糗的是美國座長也聽不懂該位印度人的口音,當時場面非常尷尬,最後印度人無奈摸摸鼻子回座。聽不懂聽眾的英語口音相當正常,不必然是自己英文聽力不好,也可能是對方英文口語能力不佳。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">面對上述第二種「聽不懂觀眾提問」的場面剛尬,千萬不要與觀眾僵持不下,最有效的解決方式就是「他問東、你答西」或者「他有問、你有答」就好,待時間到了,座長會出面制止,也就安全下庄。舉辦國際會議就是要台上、台下有互動、看起來熱鬧就好,不必太嚴肅。參加國際會議可以從他國學者獲取最新資訊,但無法在對方短短的</span>10<span lang="ZH-TW">分鐘口頭發表,徹底了解所有問題,最後還是必須自己查文獻、做功課。因此,面對「聽不懂觀眾提問」的挑戰,不須過度擔心,真的會死纏爛打的觀眾不多,如果觀眾對你的主題相當有興趣,中場休息時間自然會向你討教。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW"><span style="color: lime;">善用會議中場休息時間</span></span></b><b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">在會議中場休息時間,大會提供許多精緻小點心,供與會學者享用。有些人可能覺得國際會議的註冊費動輒數萬元,一定要吃個夠本,以免虧大了。殊不知在中場休息時間,才是年輕醫師獵取大咖的好機會。我會在開會前瀏覽大會手冊的時程表,瞄準同領域的大師,並參加該大師的演講,在休息時間時緊跟著他,向其討教問題。面對重要的學者,一定要互遞名片,與其合照。名片必須印上大頭照,因為這些國際大師收到的名片,可能比你當時身上的鈔票還多,多了大頭照或許可以引起他的注意,未來可能有機會透過名片記得你。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW"><span style="color: lime;">與大師合照僅為留念</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="color: lime;">?</span><o:p></o:p></b></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">年輕醫師必須瞭解一項殘酷的事實:會議結束後,沒有人會記得你!因此我經常邀請他國學者合照,目的就是要讓對方對你有印象。我在會議結束後</span>3<span lang="ZH-TW">天內會寄問候信給每位認識的國外學者,附上合照提醒對方記得你是誰,可以附上過去發表過的論文,如果和他的研究相關,定會讓對方印象深刻。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span style="color: lime;"><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW">會議</span></b><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW">「</span></b><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW">結束</span></b><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW">」</span></b><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW">才是</span></b><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW">「</span></b><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW">開始</span></b><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW">」</span></b></span><b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">加入國際學術圈最直接的方法是參加會議並口頭發表自己的研究成果,但真正能讓你融入學術圈並獲得同儕矚目的作法,是將成果撰寫成論文並刊登於期刊。世界上的會議如此多,沒有人能夠參加所有會議,研究成果如果只在會議發表,無法達到最佳的宣傳效果。惟有透過論文發表才能在網路的虛擬世界中,讓同儕專家認識你。台灣不乏技藝高超、創造力十足的醫學大師,可惜這些大師臨床業務繁重,致使許多創新無法刊登發表,諸多台灣第一無法宣揚於世,甚至被國外學者後來居上,著實可惜。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span style="color: lime;"><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW">論文寫作「先求有、再求好」,</span></b><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW">「</span></b><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW">先求量、再求質</span></b><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW">」</span></b></span><b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">論文就像古代的八股文,有一定的格式,常使用的英文語句也很類似,極為簡單。建議年輕醫師大量練習論文寫作,開始時</span><span lang="ZH-TW">「</span><span lang="ZH-TW">先求有、再求好</span><span lang="ZH-TW">」。</span><span lang="ZH-TW">若一味追求高影響因子期刊,在屢次被拒稿的打擊下,將加速撲滅寫作的熱情,得不償失。凡是循序漸進,切勿操之過急,過去我經常找影響因子非常低的雜誌投稿,甚至沒有影響因子的雜誌,因為投稿這類雜誌,文章被接受的機會高很多。刊登的文章多了,信心逐漸增加,寫作興趣自然益發濃厚。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">除了</span><span lang="ZH-TW">「</span><span lang="ZH-TW">先求有、再求好</span><span lang="ZH-TW">」</span><span lang="ZH-TW">,我覺得</span><span lang="ZH-TW">「</span><span lang="ZH-TW">先求量、再求質</span><span lang="ZH-TW">」</span><span lang="ZH-TW">也相當重要。</span><span lang="ZH-TW">「</span><span lang="ZH-TW">先求量</span><span lang="ZH-TW">」</span><span lang="ZH-TW">是指大量寫作、巨量練習,有朝一日熟能生巧,寫作必能隨手拈來,不費工夫。</span><span lang="ZH-TW">「</span><span lang="ZH-TW">再求質</span><span lang="ZH-TW">」</span><span lang="ZH-TW">並不意味開始寫作時不必重視文章品質。寫作當然要重視內容品質,這裡的質是指很多高深的研究必須花費昂貴的研究成本,也可能需要堅強的研究團隊以及機構的資源,更有賴充足的研究經費來源,這些都不是年輕醫師一開始就可以獲得的。倘若一開始就立志要做偉大的研究,完成了不起的研究成果,無異於緣木求魚、不切實際。</span><o:p></o:p></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><b style="mso-bidi-font-weight: normal;"><span lang="ZH-TW"><span style="color: lime;">結語</span></span></b><b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: large;"><span lang="ZH-TW">承蒙本期耳鼻喉科會訊主編袁建漢醫師的熱情邀稿,讓錦龍有這個機會分享過去參加國際會議的小小心得。我的方法不必然是對的,也不見得適用每個人,相信許多前輩有更好的方法值得錦龍學習。最後,感謝台北榮總耳鼻喉部的老師們多年栽培與訓練,培養錦龍學術研究的紮實底子,終身受益,惠我良多。</span><o:p></o:p></span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-21634351481746705752018-07-15T05:42:00.000-07:002018-07-16T22:26:00.938-07:00該是接棒的時候了<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "georgia" , "times new roman" , serif;"><span style="color: lime; font-size: large;">限掛之後,我擔心的問題出現了</span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">在台北榮總耳鼻喉科住院醫師時期,認識一位開業醫學長,他每週都到北榮兼一節教學門診,數十年如一日,從不間斷,教學熱誠讓錦龍自嘆不如。在一次跟他門診的空檔時,他跟我提到年輕時的傻勁與開業的無奈。年輕時他自恃身強體壯,看病人時不懂節制,一個接一個看下去,從早上看到晚上從不停歇。直到一天看診時,胃痛到不行,但仍硬撐把病人看完,再趕去醫院掛急診,<span style="color: yellow;">結果作胃鏡檢查才發現嚴重胃出血,差點休克</span>。<span lang="EN-US"><o:p></o:p></span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">我一直把這個故事當作一個趣事,不以為意。<span style="color: yellow;">過去我最自豪的就是我的鐵胃</span>,不管工作再怎麼累,壓力再怎麼大,每天咖啡<span lang="EN-US">QID</span>地喝<span lang="EN-US">(</span>一天四大杯<span lang="EN-US">)</span>,胃依然健壯,從不喊痛。直到半年前,平日看診期間,</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">腹部</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">時常出現悶痛的情形,頻率日益增加,強度也益發嚴重,最後甚至經常在半夜痛到醒來。由於家族裡有大腸癌及胰臟癌的過去史,內心開始擔心自己會不會罹患癌症!終於下定決心,挪出時間安排胃鏡、大腸鏡及腹部超音波檢查。幸好最後只是<span style="color: yellow;">腸道潰瘍,還沒到出血程度</span>,相關檢查也沒發現癌症情形,才鬆了一大口氣。</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">回頭檢視自己,恍然大悟自己就是走了開業醫學長的老路。人經常會有鴕鳥心態,非得到大難臨頭,才驚覺事態嚴重。國軍桃園總醫院耳鼻喉科在歷任主任的努力下,建立相當不錯的口碑。記得<span lang="EN-US">2</span>年前剛到總院時,一個門診就實看<span lang="EN-US">40</span>人左右,當時病人甚至都還不認識我。這<span lang="EN-US">2</span>年來,在各級長官及醫院同仁的努力下,各科門診量大為增加,<span style="color: yellow;">耳鼻喉科最多一個診實看<span lang="EN-US">130</span>人,實看<span lang="EN-US">90</span>多人是家常便飯的事</span>。</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">為了減少病人等待的時間,我提早半個小時看診,但仍從早上<span lang="EN-US">8</span>點看到下午<span lang="EN-US">3-4</span>點,看診中間還要處理住院、開刀及會診的病人。我中午從不吃午餐,因為一想到病人在候診區等看診,我這頓飯吃得一點都不安心,所以我索性在<span style="color: yellow;">桌上放瓶米漿,隨時補充糖分,以免低血糖昏倒</span>。</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">此外,平時還有許多公文、開會等雜事,因為耳鼻喉科是單人科,和尚兼撞鐘也是沒辦法的事。由於本科沒有住院醫師值班,只要有收住院病人的時候,晚上值班就自己來,半夜如果病人有事,護理師處理不來的事,只能打電話找你。雖然<span style="color: yellow;">耳鼻喉科在本院是小科,但要做的事一點都不小</span>。</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">有些人勸我不要那麼拚,可以試圖門診限掛。但礙於當時本院只有一位耳鼻喉科主治醫師,深怕限掛後,病人掛不進來,跑去掛急診,急診反過來還是要會診我。這樣只是徒增病人的麻煩,病人又要多花掛急診的費用。所以長久以來,我都是當天掛號超過<span lang="EN-US">100</span>號才限掛,直到最近身體出現了問題,從<span lang="EN-US">5</span>月份開始每診限掛<span lang="EN-US">50</span>人。然而最近幾位<span style="color: yellow;">病人常向我抱怨,為了順利掛號,非得清晨<span lang="EN-US">2-3</span>點就來醫院排隊</span>,令人著實感到無奈。幸好本科<span lang="EN-US">7</span>月以後,多了一位生力軍,新科主治醫師紀慈航醫師可以提供臨床服務,大幅減輕我臨床上的負擔與壓力。<span lang="EN-US"><o:p></o:p></span></span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">紀慈航醫師在國軍高雄總醫院耳鼻喉部接受紮實的住院醫師訓練,是一位相當優秀的學弟,學術上也發表多篇SCI論文,在國軍醫院及耳鼻喉科新生代中,表現相當出色。</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">掐指一算,<span style="color: yellow;">待在國軍醫療體系也逾<span lang="EN-US">15</span>年了</span>,包括三總實習醫師<span lang="EN-US">2</span>年、部隊醫官<span lang="EN-US">3</span>年<span lang="EN-US">(</span>台南白河醫務所<span lang="EN-US">2</span>年、高雄旗山衛生營<span lang="EN-US">1</span>年<span lang="EN-US">)</span>、內科住院醫師<span lang="EN-US">1</span>年、耳鼻喉科住院醫師<span lang="EN-US">5</span>年、主治醫師<span lang="EN-US">4</span>年<span lang="EN-US">(</span>新竹<span lang="EN-US">2</span>年、桃園<span lang="EN-US">2</span>年<span lang="EN-US">)</span>,不知怎地,看到新的學弟歸隊、接棒,內心除了充滿欣慰,更多的是瞬生的疲憊感。</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="color: yellow;">是老了嗎<span lang="EN-US">? </span>還是累了<span lang="EN-US">? </span>還是該善待自己的時候了!</span><span lang="EN-US"><o:p></o:p></span></span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com4tag:blogger.com,1999:blog-2171885589259895125.post-2304747151655622162018-07-01T06:16:00.001-07:002018-07-01T14:33:31.879-07:00台灣耳鳴學會演講<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: x-large;">今天在學會的演講順利結束了,雖然身經百戰,上台前還是忐忑不安,畢竟台下都是耳鼻喉科的老前輩。感謝劉殿楨理事長、賴仁淙前理事長及台灣耳鳴學會對台灣耳內科的貢獻!</span><br />
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: x-large;"> 台灣耳鳴學會: <a data-ft="{"tn":"-U"}" data-lynx-mode="asynclazy" data-lynx-uri="https://l.facebook.com/l.php?u=http%3A%2F%2Fwww.tinnitus.org.tw%2F&h=AT3NiiGOzt9k_T24zO4RrmK-UjIb5WQmFc-JXcXcdgc8LMbT40Q6RSt2BAOmEyW0dCTSq8jmXpSihfh_YNGlCeUA7LuKodwgr7_T81FJV9YDsfzspTyH0dE45Evf1Czi3hHz551TgOc0MyeOvCFMhWQQ" href="http://www.tinnitus.org.tw/" rel="nofollow" target="_blank"><span style="color: yellow;">http://www.tinnitus.org.tw/</span></a></span><br />
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-40180012039097779562018-03-15T03:13:00.001-07:002018-03-19T07:50:47.495-07:00嘉義長庚醫院全院性演講<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="color: yellow; font-family: "georgia" , "times new roman" , serif; font-size: large;"><span lang="EN-US"><o:p>左起</o:p></span><span style="font-family: , serif;">蔡耀德醫師、</span><span style="font-family: , serif;">徐正明主任、本人、</span><span style="font-family: , serif;">蘇仁亮教授、</span><span style="font-family: , serif;">葉瑞銘主任及</span><span style="font-family: , serif;">蔡明劭醫師</span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="font-family: "新細明體" , serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">早上順利完成了嘉義長庚的演講,把我所知道的研究及寫作心得,不藏私地與在場聽眾分享。所幸獲得全院約兩百位聽眾的熱烈迴響,內心總算鬆了一口氣。原本還擔心這個主題多數人沒興趣,結果發現嘉義長庚極富學術氣氛,多數與會人員撐到最後一分鐘才急忙趕至工作崗位,開始一天的工作。</span><span lang="EN-US"><o:p></o:p></span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="font-family: "新細明體" , serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">這幾年我於多家醫院分享個人研究心得,見過大小場合,演說經驗還算豐富,但還是第一次遇到院長邀請共進早餐,前一晚醫院還提供招待所解決住宿問題,長庚高禮遇的接待演講外賓,足顯長庚對學術交流的重視。林志鴻院長本身就是整形外科界的國際大師,每年發表的文章多則</span><span lang="EN-US">5-6</span><span style="font-family: "新細明體" , serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">篇,其他幾位副院長的論文數量也是多得驚人,該院耳鼻喉科的研究成果亦是斐然,這次到嘉義長庚與其說是演講,我覺得交流切磋更為妥適。</span><span lang="EN-US"><o:p></o:p></span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="font-family: "新細明體" , serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">謝謝嘉義長庚耳鼻喉科徐正明主任、蔡明劭醫師、蔡耀德醫師昨晚的熱情款待,尤其老前輩蘇仁亮教授</span><span lang="EN-US">(</span><span style="font-family: "新細明體" , serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">前林口長庚部長</span><span lang="EN-US">)</span><span style="font-family: "新細明體" , serif; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">及葉瑞銘主任也出席共進晚餐,令人備感窩心。</span><span lang="EN-US"><o:p></o:p></span></span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><span lang="EN-US" style="color: yellow; text-align: center;"><o:p>左起</o:p></span></span><span style="color: yellow; font-family: georgia, "times new roman", serif; font-size: large; text-align: center;">葉瑞銘主任、</span><span style="color: yellow; font-family: georgia, "times new roman", serif; font-size: large; text-align: center;">蘇仁亮教授、林志鴻院長、本人、</span><span style="font-family: "georgia" , "times new roman" , serif; font-size: large; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"><span style="color: yellow; text-align: center;">徐正明主任、</span></span><span style="color: yellow; font-family: georgia, "times new roman", serif; font-size: large; text-align: center;">蔡耀德醫師、</span><span style="color: yellow; font-family: georgia, "times new roman", serif; font-size: large; text-align: center;">及</span><span style="color: yellow; font-family: georgia, "times new roman", serif; font-size: large; text-align: center;">蔡明劭醫師</span></div>
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<span style="color: yellow; font-family: "georgia" , "times new roman" , serif; font-size: large;">演講題目:<span style="text-align: left;">七招!教你寫出專家級的論文</span></span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-61750132377162844552017-07-04T02:35:00.001-07:002017-07-04T02:36:26.020-07:00部落格文章獲刊登於「早安健康網站」<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "georgia" , "times new roman" , serif;">陽明大學腦科學博士</span><span lang="EN-US" style="font-family: "georgia" , "times new roman" , serif;">/</span><span style="font-family: "georgia" , "times new roman" , serif;">國軍桃園總醫院耳鼻喉科主任</span><span lang="EN-US" style="font-family: "georgia" , "times new roman" , serif;"> </span><span style="font-family: "georgia" , "times new roman" , serif;">郭錦龍醫師</span></div>
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<a href="https://www.everydayhealth.com.tw/article/14058"><span style="color: yellow;">文章連結</span></a></div>
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<span style="font-family: "georgia" , "times new roman" , serif;">感謝「早安健康網站」於該官網原文引用本人部落格文章『更年期女性服用荷爾蒙,小心耳鳴更嚴重!』。「早安健康網站」從<span lang="EN-US">2016</span>年<span lang="EN-US">3</span>月起與<span lang="EN-US">Yahoo!</span>奇摩合作,獨家經營<span lang="EN-US">Yahoo!</span>健康頻道,並成為台灣第一大健康網站。請點選下圖連結以閱讀完整文章。</span><span lang="EN-US"><o:p></o:p></span><br />
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0tag:blogger.com,1999:blog-2171885589259895125.post-12180427555091887552017-06-22T20:50:00.001-07:002017-06-22T20:50:28.709-07:00榮獲陽明傑出教師<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "georgia" , "times new roman" , serif;">陽明大學腦科學博士<span lang="EN-US">/</span>國軍桃園總醫院耳鼻喉科主任<span lang="EN-US"> </span>郭錦龍醫師</span></div>
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<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">感謝陽明醫學系四年級學生的支持,學生的支持是老師繼續前進的動力</span><span lang="EN-US"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">!</span><o:p></o:p></span></div>
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郭錦龍醫師http://www.blogger.com/profile/09051788143781565561noreply@blogger.com0