Comparative analysis of standardized training systems for pediatric neurologists in China and the United States

Zhang Jie; Chang Xingzhi; Jiang Yuwu; Qi Jianguang; Wu Ye

doi:10.3760/cma.j.cn116021-20241225-02036

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Comparative analysis of standardized training systems for pediatric neurologists in China and the United States

Educational Research | 更新时间：2025-12-18

- Comparative analysis of standardized training systems for pediatric neurologists in China and the United States
- Chinese Journal of Medical Education Research Vol. 24, Issue 12, Pages: 1600-1606(2025)
- 作者机构：
  
  北京大学第一医院儿童医学中心，北京 102627
- 作者简介：
  
  Wu Ye, Email: dryewu@263.net
- 基金信息：
  
  2023 Teaching Project of Peking University First Hospital(2023YJ23);Key Research Project of Peking University Health Science Center for Specialized Physician Standardization Training(2022ZP02)
- DOI：10.3760/cma.j.cn116021-20241225-02036
  CLC： R72;R-05
- Received：25 December 2024，
  
  Published：20 December 2025
- 稿件说明：
移动端阅览
张捷, 常杏芝, 姜玉武, 等. 中美儿童神经专科医师规范化培训现状对比分析[J]. 中华医学教育探索杂志, 2025, 24(12): 1600-1606.

Zhang Jie, Chang Xingzhi, Jiang Yuwu, et al. Comparative analysis of standardized training systems for pediatric neurologists in China and the United States[J]. Chinese Journal of Medical Education Research, 2025, 24(12): 1600-1606.
张捷, 常杏芝, 姜玉武, 等. 中美儿童神经专科医师规范化培训现状对比分析[J]. 中华医学教育探索杂志, 2025, 24(12): 1600-1606. DOI： 10.3760/cma.j.cn116021-20241225-02036.

Zhang Jie, Chang Xingzhi, Jiang Yuwu, et al. Comparative analysis of standardized training systems for pediatric neurologists in China and the United States[J]. Chinese Journal of Medical Education Research, 2025, 24(12): 1600-1606. DOI： 10.3760/cma.j.cn116021-20241225-02036.

摘要

美国儿童神经专科医师规范化培训历史悠久，为期3年，是在完成3年住院医师规范化培训之后进行的儿科神经亚专科培训，且获得美国毕业后医学教育认证委员会（Accreditation Council for Graduate Medical Education，ACGME）认证。我国儿童神经专科医师规范化培训尚处于起步和探索阶段。本研究采用既往文献分析与实际案例对比相结合的方法，系统梳理并对比中美两国儿童神经专科医师规范化培训体系的现状及差异。研究结果显示，美国以“4+4+3+3”医师规范化培养模式为核心，依托ACGME认证框架，构建了涵盖多个亚专业、注重成人神经科轮转及持续认证的标准化培训路径。而我国目前已形成“5+3+X”医师规范化培训框架，但在儿童神经专科培训方面仍面临专科培训周期不足、课程精细化程度较低，以及国家级认证体系缺失等核心问题。鉴于此，建议我国借鉴美国的成功经验，通过延长专科培训周期、增设成人神经科轮转环节、开发统一教材并建立全国统一的考核标准及认证机制，逐步推进儿童神经专科医师专业能力的标准化培训，为我国儿童神经专科医师培养体系的完善提供坚实的基础依据。

Abstract

The standardized training system for pediatric neurologists in the United States has a long-established history

spanning three years as a pediatric neurology subspecialty training program following the completion of a three-year residency. This system has been accredited by the Accreditation Council for Graduate Medical Education (ACGME). China's standardized training for pediatric neurologists remains in its early exploratory stages. This study employs a combination of historical literature analysis and comparative case study to systematically examine the current status and differences in the standardized training systems for pediatric neurologists in China and the United States. The findings reveal that the United States follows a "4+4+3+3" standardized physician training model supported by the ACGME accreditation system. A standardized training pathway has been established

encompassing multiple subspecialties

emphasizing adult neurology rotations

and incorporating continuous certification. China has developed a "5+3+X" standardized physician training framework. However

challenges remain in pediatric neurologist training

including insufficient training duration

limited curriculum specialization

and the absence of a national accreditation system. Based on these findings

the study proposes that China can draw from the successful experiences of the United States by extending subspecialty training duration

integrating adult neurology rotations

developing unified teaching materials

and establishing national examination standards and accreditation mechanisms. These measures aim to advance the standardized training of professional competency for pediatric neurologists

thereby laying a solid foundation for improving China's pediatric neurologist training system.

关键词

Keywords

references

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Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College

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