UNIT 1 Welcome to Insidermedicine In Depth.I\'m Dr.Susan Sharma.Focusing time and energy on the most personally meaningful aspects of their work may help physicians avoid burnout, according to a survey published in the Archives of Internal Medicine.Here are some consequences of physician burnout, published in the Annals of Internal Medicine: Increased risk for substance abuse Damage to personal relationships, and Increased risk for developing inappropriate prescribing patterns Researchers from the Mayo Clinic in Rochester surveyed over 550 physicians in the department of internal medicine at a large academic medical center.The survey included questions about job satisfaction, emotional well-being, and the aspects of the jobs that were the most meaningful.As many as 34% of respondents met the criteria for burnout, including emotional exhaustion, depersonalization, and a low sense of personal accomplishment.The 88% who said they spent at least 20% of their working time on activities they found to be the most meaningful had about half the burnout rate of those who did not.Today\'s research highlights the need to optimize career fit among physicians in order to reduce burnout rates.For Insidermedicine In Depth, I\'m Dr.Susan Sharma.
欢迎Depth.I到Insidermedicine 已年Dr.Susan Sharma.Focusing时间和精力放在自己的工作中最有意义的个人方面可帮助医生避免倦怠，根据发表在内科Medicine.Here档案馆的调查是一些后果医生的职业倦怠，发表在内科医学年鉴： 物质滥用风险增加 损害个人的关系
开发不当处方模式的风险增加
在罗切斯特的梅奥诊所的研究人员在一个大的学术医疗市中心的调查调查了550医生在内科的部门包括有关工作满意度的问题，情感幸福，那是最有意义的工作的各个方面。多达34％的受访者达到了标准倦怠，包括情绪耗竭，人格解体和个人accomplishment.The感低88％表示，他们谁花了他们的工作时间至少有20％的活动，他们认为是最有意义的有那些谁没有的一半燃尽率。
今天的研究突出了需要优化，以减少职业倦怠率职业生涯契合的医生之一。
UNIT 4 You know that old adage that laughter is the best medicine.Well, studies have long shown that laughter can have a positive effect both physically and emotionally.In South Korea, a nation more used to keeping its emotions in check, at least one hospital is encouraging patients to let loose on their regular basis.Here’s our digital reporter Joohee Cho.Laughing, for these cancer patients and their families, is a weekly exercise.It’s something that doesn’t come too easy for them, but an hour of laughter is all it takes to fight depreion that often follows chemotherapy.Lim Song Li, a therapist at Seoul National University hospital, was once a depreion patient herself.She now is a laughter therapist and says when you laugh, blood veels expand, and sugar levels drop, producing an abundance of hormones linked with happine and pleasure.But in Korean culture, where Confucian tradition dominates social behavior, laughing is not such a natural thing.Korean men are taught not to cry more than thrice in their lifetime.And the sound of a Korean woman’s laughter should not be heard outside the fence of her home. But inside this hospital, they’re letting it out.By the end of the seion, their make-belief laughs somehow become their own.If laughing requires effort, more natural to Koreans, it’s singing.The sing-song star guru, famous for her therapy seions to fight housewife depreion, Jeong Ji Song says singing is an easier way to expre inner feelings, especially for Korean women brought up in a conservative background.For some these claes can be a stre-management tool, but for many more who suffer from depreion, learning to sing out their heart can be a healing proce.It not only helped this woman to come out of severe depreion, but it also presented her with a new career.She swallowed 90 sleeping pills after her husband cheated on her, she says.But after taking up singing therapy, she found a talent in herself — cheer-leading.And now the new Ying Seung Woo is taking courses to become a certified therapist.And her dream to be up on that stage with her teacher, helping others once depreed like her may not be too far away.Joohee Cho, ABC News 你知道那句古老的格言，笑是最好的良药。那么，研究早就证明，笑能对身心产生积极作用。在韩国，一个民族更习惯于含蓄保持其情感，至少有一所医院会鼓励病人，释放自己的内心。下面是我们的数字记者Joohee卓。
笑，对癌症患者和他们的家庭，是每周必有的。这件事情，不来太容易，但笑一个小时是以对抗忧郁所需要的，常伴随化疗。林宋丽，首尔国立大学医院的治疗师，曾经是一个抑郁症病人。她现在是一个欢笑治疗师，当你笑，血管扩张说，和血糖水平下降，产生一系列与幸福和快乐相关的激素。
但在韩国文化中，儒家传统占主导地位的社会行为，笑不是这样一个自然的事情。韩国男人被教导在他们的一生不要哭超过三次。而一个韩国女人的笑声不应该在她家的围墙之外被听到。 但是，这家医院里，他们让笑声出来。在本届会议结束时，他们让笑声变成自己的。 如果笑需要努力，韩国人更自然的是歌声。卖唱星大师guru，因治疗主妇抑郁症而出名，Jeong Ji Song说唱歌是表达内心的感受，尤其是对韩国妇女在一个保守的背景下提出了一个更简单的方法。对于其中一些人来说，这是一个压力管理工具，但对更多的抑郁症患者，学唱对他们的心脏可能是一个治疗过程。
它不仅帮助这个女人摆脱严重的抑郁症，但开创了一个新的职业生涯。她的丈夫cheated 她之后，她吞下90片安眠药后。但唱歌治疗后，她发现了一个人才，她自己是一个cheer-leading。现在Ying Seung Woo 正在上课程，成为合格的治疗师。而她的梦想成为与她的老师那样帮助别人（像她那样郁闷的人）可能不会太遥远。 Joohee卓，美国广播公司新闻 UNIT 5 JENNIFER: I’m Jennifer Morris.We’d all like to live a healthier lifestyle, right? Whether that means getting more exercise, or kicking a nasty habit, or losing weight.But how do you get started, you know, what do you do? We’re back here with Trisha Calvo, executive editor of Shape Magazine with some more helpful hints.Hi.TRISHA: Hi.JENNIFER: How are you? TRISHA: Good.JENNIFER: So you have a half plate rule, can you tell me about what that is? TRISHA: Yes.I think for health or weight lo one of the most important things you can do is fill half of your plate with fruits or vegetables at every meal.What that does is it helps keep your calories under control.And it also ensures that you are getting plenty of fiber, phytochemicals, vitamins, and minerals in your diet, which help control all your risk factors for diseases like heart disease, cancer, and it can even keep your skin looking wrinkle free and smooth and healthy, and glowing.JENNIFER: So what about the medical piece.A lot of people don’t go to the doctor enough, or they make appointments and they break it.What do you think about that? TRISHA: I think that, you pick a day, you know, whether it’s your birthday, and I think that’s a great day for people to sort of take stock of their health now that you’re older, and I think that what you can do is you can sit down and you can say, ok, this week I’m going to make all of my doctor’s appointments.I’m going to schedule a screening with the dermatologist for my skin cancer check-up.I’m going to get a mammogram if I’m a woman.I’m going to schedule my gynecology appointment so I can get my Pap Smear and my check-up.I’m gonna schedule my physical, now you obviously don’t have to go to the doctor on that week.But if you take an hour one day, and you just sit down and you make all the appointments over the next couple of months, you’ll have it in your calendar.And you will make sure that you are getting the preventative care that you need to catch a problem before it becomes a real problem.JENNIFER: Uh-huh, uh-huh.And lastly what about down time? I mean, we all live such busy lifestyles, it’s so hard to find down time.TRISHA: We are so busy and stre increasingly — researches’ve shown that stre has become a factor in a lot of diseases.Everything from catching a cold, to developing cancer, to developing heart disease, even depreion.So it’s very important to take time for yourself during the day.And it can be just anything that you enjoy.Uh, you know, it doesn’t have to be, like “oh I need to get a maage, I need to officially relax”.It can just be, you know, I love my dog.I’m gonna play with my dog for ten minutes; I’m just gonna make that my coming home ritual.Or, I love… you know, historical fiction; I’m just gonna carve out fifteen minutes a day to read something that I really really enjoy.I personally, I am not happy if I am not reading a novel that I’m really engroed in.And I just make sure that I have one in my bag at all times.And whenever I have a couple of minutes I just pull it open and it makes me happy.And it relieves the stre.And I think that everybody has something special like that that they love.JENNIFER: I mean it’s nice to think of it in small increments because I think we get overwhelmed looking at the whole picture when there are just small things that you can do throughout the day.TRISHA: Absolutely.JENNIFER: So what about exercise? Is that… is there similar things? TRISHA: Walking is one of the best exercises and you can do it anywhere, and it’s easy to do.And it does… you don’t have to be a super athlete to be able to do it.Ten minutes, just take ten minutes.JENNIFER: How many calories do you burn in ten minutes? TRISHA: A hundred forty-five pound woman, if she is walking briskly, about a hundred.JENNIFER: Amazing.TRISHA: Yeah, so you really, you got to kick it up a little bit to burn that many but brisk walking is great for your heart.Even slow walking is good for you, its good for your health; it’s good for your weight control.You know, obviously the more you can walk; take the stairs instead of the elevator.Uh… Walk to appointments, get off, you know, park your car a little bit further away from the entrance to your office, or the mall.And walk, even those little things during the course of the day add up.JENNIFER: Thanks, more great advice from Trisha Calvo, executive editor of Shape Magazine.珍妮佛：我是珍妮弗·莫里斯。我们都希望生活更健康的生活方式，对不对？这是否意味着获得更多的锻炼，或去除坏习惯，或减肥。但你如何开始，你知道，你会怎么做？我们回到这里与特丽莎卡尔沃（特丽莎卡尔沃），形体杂志的主编。你好。 TRISHA：你好。 珍妮佛：你好吗？ TRISHA：良好。
珍妮花：所以，你有一个 half plate rule，你能告诉我是什么吗？
TRISHA：是的。我想对于健康或减肥的最重要的事情你可以做的是填补一半的板水果或蔬菜，每餐。这是什么做的是它有助于保持控制你的卡路里。而且它还可以确保你得到你的饮食，这有助于控制所有的风险因素，如心脏疾病，癌症等疾病大量纤维，植物化学物质，维生素和矿物质，而且它甚至可以让你的皮肤看上去无皱纹，光滑，健康，容光焕发。 珍妮花：那么，关于医疗事件。很多人不去看医生，或者预约后又失约。你怎么想的？ TRISHA：我认为，你挑一个日子，要知道，无论是你的生日，我想这对样的人拿他们的健康的股票，现在你长大伟大的一天，我认为你可以做的是，你可以坐下来，你可以说，OK，这周我打算让我所有的医生的约会。我将安排与皮肤科医生对我的皮肤癌体检筛查。我要得到一个乳房X光检查，如果我是一个女人。我要安排我的妇科约会，所以我可以得到我的子宫颈抹片检查，我的检查。我要安排我的身体，现在你显然不具备去上一周的医生。但是，如果你需要一个小时一天，你刚刚坐下来，你让所有的约会，在未来几个月内，你必须在你的日历。你会确保你得到你需要赶上一个问题就成了一个真正的问题之前，预防保健。 珍妮佛：嗯，嗯。而最后怎么样停机时间？我的意思是，我们都住这样的忙碌的生活方式，这是很难找到的停机时间。
TRISHA：我们是这么忙，压力越来越 - 表明，压力已成为很多疾病的一个因素researches\'ve。从感冒到癌症的发展，发展心脏疾病，甚至发生抑郁症的一切。所以这是非常重要的，白天把自己的时间。而且它可以只是你喜欢什么。呃，你知道的，它并没有被，如“哦，我需要得到一个按摩，我要正式放松”。它可以只是，你知道，我爱我的狗。我要玩我的狗十分钟;我只是想要用我的回家仪式。或者说，我爱...你知道，历史小说;我只是要去开拓出花上15分钟的一天读的东西，我真的很喜欢。我个人而言，我不开心，如果我不读了我真的全神贯注于一本小说。我只是要确保我在我的包里有一个在任何时候。每当我有一两分钟，我只是把它打开，这让我很开心。它减轻了压力。我认为，每个人都有一些特别喜欢的，他们的爱。 珍妮佛：我的意思是这是很好的想起来小的增量，因为我觉得我们变得不知所措，在整个画面看，当有只小东西，你可以在一天做。 TRISHA：当然。
珍妮花：那么，关于运动？那是...是否有类似的事情？
TRISHA：散步是最好的运动之一，你可以在任何地方，这是很容易做到。而且它......你不必成为一个超级运动员能够做到这一点。十分钟，只需要十分钟。 JENNIFER：有多少卡路里，你在十分钟内烧？
TRISHA：一百45磅的女人，如果她步履轻快，大约一百。 JENNIFER：惊人的。
TRISHA：是啊，所以你真的，你必须踢了一点点刻录很多，但快走是对你的心脏。即使慢走是对你有好处，它有益于身体健康;这是很好的为你的体重控制。你知道，很明显的越多，你可以走;走楼梯代替电梯。呃...步行到约会，下车，你知道的，把车停得远一点离高考到你的办公室或商场。而一天的课程加起来在走路，甚至是那些小东西。 珍妮佛：从特丽莎卡尔沃，形体杂志执行主编感谢，更伟大的意见。
