职场竞争与政治
1.The department of surgery is like a boat at sea: I'm the captain and my responsibility is to steer.You are the oarsman; your responsibility is to furnish the power without rocking the boat too much.
—— Owen H.Wangensteen, 1898——1981
【译文】外科的一个科室就像海上的一艘船：我是船长，职责是掌舵。你是桨手，负责提供动力，但不要让船摇晃得太厉害。
2.It is simple system here: if you do not agree with the style or requirements of the man above you, you leave.
—— John C.Goligher, 1912——1998
【译文】这儿就这么简单：如果你不同意上司的风格或要求，你就离开。
3.There is a lot of room at the top of the profession, but it is a long, hard climb, and there is no elevator running above the lower elevators.Some people wait for life for an elevator to start, or take an attractive lift that only goes part of the way.Others sit down and complain and abuse all who toiled up the stairs.Many things come to him who waits, but seldom the thing he waits for.
—— J.Chalmers Da Costa, 1863——1933
【译文】在这个职业的顶端有很多空间，但这是一个漫长而艰难的爬升过程。低层电梯上来后，后面再没有电梯运行。有些人一辈子都在等生命的电梯启动，或者搭乘一部吸引人的电梯，但所能抵达的高度有限。还有些人干坐着，抱怨谩骂那些奋力往上爬楼梯的人。在那儿等待的人也会得到不少东西，但很少能得到他所想要的东西。
4.When you are certain of your knowledge you need neither letter nor seal,for the work praises the master.
—— Caspar Stromayr, 16th century
【译文】当你确信自己有足够学识时，不需要推荐信也不需要签名，工作表现就是最好的证明。
5.How to advance rapidly in a modern surgical academic career? Publish more about less.
—— Moshe Schein
【译文】现代外科学术生涯中，快速进步的秘诀是，在某个很小的学术领域多发表意见。
【点评】一个外科医生一辈子做精一点就足够牛的了。
6.There is only way to train capable university teachers-one way that has been practically tested- and that is to secure for the universities the most distinguished men of science, and to furnish them with the necessary equipment for their teaching.
—— Theodor Billroth, 1829——1894
【译文】培养有能力的大学教师只有一条路，一条被实践检验过的路——那就是为大学招揽到最杰出的科学人才，并为他们提供教学所必需的设备。
7.The makeup of the ideal surgical professor: certainly it requires teaching ability.But, in addition to proficiency in the art and ability to teach, a professor must be one who is also trying to improve the science and art in which he works.We have seen enough of successful practitioners of medicine and surgery who have utilized their teaching positions to increase their practices and who, when they are gone, have left neither pupils, nor work which have furthered the advancement of the field in which they labored.
—— Elliot Carr Cutler, 1888——1947
【译文】对一名理想外科教授的要求：当然需要教学能力。但是，除了娴熟的教学能力和艺术之外，一名教授还必须努力提升其所从事专业的科学和艺术。我们已经看到足够多成功的内外科医生利用其教学职位来增加实践，但他们离开时，既没有留下学生，也没有为他所在的专业领域带来进一步的发展。
【点评】不仅要利用教学职位丰富自己学术生涯的实践，更需要为你所在的专业培养后备人才，推动这个学科的发展。否则难说是一名真正成功的外科教授。
8.I know admirable whole-time professor.I know none who would not be improved by private practice … which would keep them human, for in it they would be dealing not with cases in a series but with human beings … it would keep them humble, for their work would have to stand comparison with that of their colleagues.
—— William Heneage Ogilivie, 1887——1971
【译文】我知道全职教授是令人羡慕的。但我不知道有谁不会通过私人执业来获得提高……这样他们才能保持其人性，因身在其中，他们所面对的不再是一系列抽象的病例，而是活生生的人……这能使他们保持谦卑，因为他们的工作不得不与同事进行比较。
【点评】医学是关于人的科学，离开患者，无法存在。从这个意义而言医学院的全职教授也是不完美的。
9.The surest way to be a chair … is to isolate oneself from teaching chores and become apprenticed to a scientist in a place such as the National Institute of Health where there are no medical students on whom one needs to waste one's precious climbing time.
—— Carl A.Moyer, 1908——1970
【译文】要想当主席……最可靠的办法就是把自己从教学杂事中解脱出来，去国家卫生研究院之类的地方给科学家的当学徒，那里没有会浪费你们宝贵攀登时间的医学生。
【点评】看来做学科带头人的路径都一样。
10.One reason why academic conflicts are so brutal is because the stakes are so low.
—— Arthur E.Baue
【译文】学术冲突之所以如此残酷，其中一个原因是赌注如此之低。
11.Try to change and keep up but politically it can be suicide to be up to date.
—— Phil Peverada
【译文】尝试改变并跟上潮流，但政治上，跟上潮流可能是自杀。
12.The feeling that the chairman isn't doing a satisfactory job in any of his several tasks is often shared by his dean, hospital doctors, patients, students, house staff, faculty, research fellows, spouses and children.
—— E.Braunwald
【译文】院长、医院的医生、患者、学生、院务人员、教工、研究员、配偶和子女等常常都会感到主席（一把手）没有一项工作是做得令人满意的。
【点评】裁判易当，选手难做！
13.In some hospitals there is a certain evil tendency ...that ...may be called"the system".It means that certain medical men improperly and unjustly acquire supreme power for selfish interests and not for the public welfare ...some of the staff get more than they deserve and most get less than they need.Those who speak the truth are regarded with fear and aversion.Abuses accumulate.Ignorant neglect is tolerated in some, the best effort is censored in others.
—— Chalmers Da Costa, 1863——1933
【译文】在一些医院有一种邪恶的倾向……这……可称之为“体制”。它是指某些医务人员为了一己私利而非公共利益，不正当、不公正地获取最高权力……一些员工所得比应得的要多，而大多数人所得少于所需。说真话的人被视为恐惧和厌恶。滥权行为不断积累。愚昧的疏漏得到容忍，尽职尽责者却遭到审查。
14.One of the highest functions of a board of managers of a hospital is to lure,ensnare and capture the shy and predatory rich.Every hospital and college is on the look-out for malefactors of great wealth.
—— Chalmers Da Costa, 1863——1933
【译文】医院管理委员会的最高职能之一就是诱引、设陷阱和抓捕见不得人的和贪婪的有钱人。每家医院和学院都在提防那些发横财的坏人。
【点评】在任何国家，任何时代来源不明的个人财产都是要受到追究和打击的。
15.It is poor judgment to take on the dean, no matter how poorly he seems to be functioning ...far better to wait for the next turnover of deans.
—— Isidore Cohn, Jr.
【译文】不管院长的表现有多糟糕，和他作对是不明智的……最好的办法就是等院长换届。
【点评】没想到路易斯安那州医学院的这位老兄也深谙官场之道！
16.If you want to be on the staff of a hospital, lad, pretend you're a fool till you're on it.
—— Lloyd Roberts, 1853——1920
【译文】如果你想成为医院的员工，小伙子，在未达目标前你要一直装傻。
【点评】无语！洋人也是这种思维。
17.A cowboy's guide to life: never miss a good chance to shut up.
—— Texas Bix Benden
【译文】《牛仔人生指南》：永远不要错过闭嘴的好机会。
【点评】祸从嘴出。
18.Sometimes cowardice, sometimes laziness, sometimes selfishness saves a man from being called irritable, combative, and cantankerous.What a man doesn't do is not always a sign of what he is and isn't.We must know why he doesn't do it in order to reach a conclusion.
—— J.Chalmers Da Costa, 1863——1933(https://www.daowen.com)
【译文】有时懦弱，有时懒惰，有时自私，可免于被人称为易怒、好斗和脾气暴躁。一个不做某事的人并不一定意味着他是什么或不是什么，在我们没搞清楚他为什么不那样做之前不要急于下结论。
【点评】这可不是大多数外科医生的性格，难道是职场竞争的需要吗？
19.Withdrawal gives opportunity for a man to develop powers within himself which otherwise may remain dormant in a life crowded with the pursuit of limited objectives.
—— Edward D.Churchill, 1895——1972
【译文】退出给了一个人发展自身内在力量的机会，否则，在周遭追求目标都不高的生活圈子中，这种力量可能维持在一种休眠状态。
20.Don't let the bastards get you down.
—— Jerrald Shaftan
【译文】不要因为那些混蛋坏了心情。
21.You are a nobody in surgery unless you have at least as many enemies as friends.
—— Karl Schein, 1911——1974
【译文】除非你的敌人至少和朋友一样多，否则你在外科就是个无名之辈。
【点评】有敌人说明你对别人造成了威胁。
22.Absolute political correctness suits administrators but not surgeons.It is a recipe for mediocrity.It is pretending to be what we are not.
—— Moshe Schein
【译文】绝对的政治正确适合行政人员，但不适合外科医生。平庸的秘诀就是假装我们啥也不是。
【点评】做官与做专业压根就不是一条道上跑的车。
23.In the old days, if you were black and with some IQ and ambition, you were "Chairman material" ——today it is true if you are a woman.
【译文】以前，如果你是黑人，有点智商和野心，那么你就是“做主任的料”——今天，如果你是女人，此话也不假。
【点评】看来在任何国家都有讲政治带来的福利。
24.Only a sailor, not a clerk, should be running the ship.
—— Ivor Lewis, 1895——1982
【译文】只有水手能够驾驭好这条船，办事员不行。
【点评】不能让外行领导内行。
25.Popular people do not make good leaders.Decisive people with judgment,who are not afraid to tell other people who don't have such good judgment that their judgment isn't very good, make good leaders.
—— Bobby Knight
【译文】受欢迎的人成不了好领导。具有判断力的果敢之人，不害怕指出缺乏判断力的某些人他们的判断有问题，这样的人才是好领导。
【点评】老好人，不敢直面问题的领导不是好领导。
26.Life as surgery, is like a dog sled.If you ain't top dog the view does not change.
【译文】外科生涯，就像狗拉雪橇，如果你不是头犬，风景就不会改变。
27.The American Surgical Association (ASA) has talent, the American College of Surgery (ACS) has both talent and muscle, but the American Medical Association (AMA) has access to the voters.
—— James D.Hardy
【译文】美国外科协会（ASA）人才济济，美国外科学院（ACS）有人才也有实力，但美国医学会（AMA）可以接触到选民。
【点评】不清楚这三个学术组织的真材实料，但从这句调侃的话中能嗅到其各自的江湖地位。
28.If you want to be seen you must stand up.If you want to be respected you must sit down.
【译文】如果你想被人看见，你必须站起来。如果你想要被人尊重，你必须坐下来。
29.A cowboy's guide to life: if you get to think in you're a person of some influence, try order in somebody else's dog around.
—— Texas Bix Bender
【译文】《牛仔生活指南》：如果你认为你是个有些影响力的人，试试看能不能使唤别人的狗。
【点评】不要过分相信自己的影响力。
30.Current chiefs of surgery are CEOs not chief educational officers.
—— Leo A.Gordon
【译文】当下的外科主任是首席执行官（CEOs），而不是首席教官（chief educational officers）。
【点评】身体力行，方能带出好队伍。
31.Sometimes when a doctor becomes too lazy to work he becomes a politician.
—— Chalmers Da Costa, 1863——1933
【译文】有时，当一名医生开始偷懒，拒绝工作时，他就成了一个政治家。
【点评】身边真还有这种医生。
32.The New England Journal of Medicine reports that 9 out of 10 doctors agree that 1 out of 10 doctors is an idiot.
—— Jay Leno
【译文】《新英格兰医学杂志》报道，十个医生中有九个同意十个医生中有一个是白痴。
【点评】希望你我都不是那一个。
33.There are few more humiliating things than to see a capable and intelligent physician bowing and scraping to some miserable lunkhead millionaire who holds the strong hand of influence in the community.
—— J.Chalmers Da Costa, 1863——1933
【译文】几乎没有什么比这更丢人的了——一位能干又聪明的医生向一些在社会上呼风唤雨的百万富翁卑躬屈膝、百般殷勤。
34.The problems of today are our own.Devised to us by the teeming, pushing,often scrambling world we were born into without our knowledge or consent, and we ourselves must solve them, often in fear and trembling, but always with truth,valour and clean conscience.
—— Bacon Saunders, 1855——1925
【译文】今天的问题是我们自己的。毫不知情、未经同意，我们就这样脱胎到了一个拥挤不堪、相互推搡，且常常是杂乱无章的世界。尽管常置身于恐惧和颤抖中，我们还必须自己去解决这些问题，并且永远坚守真理、鼓足勇气并保持纯洁的良心。
【点评】黑夜给了我黑色的眼睛，我却用它寻找光明。
35.I had no place to go; I only knew where not to remain.
—— Thomas Starz
【译文】我曾无处可去，我只知道何处不该留。
【点评】大名鼎鼎的器官移植鼻祖其跳槽的决心也那么坚定。据史料记载，Starz教授最初的几个肝移植是在Colorado做的，都不成功，手术室和麻醉科都拒绝与他合作，后来去了匹茨堡才逐渐有了改善。猜想这句话应该是他在跳槽去匹茨堡前的心情。