For provincial children's hospitals and children's hospitals affiliated to medical colleges and universities with a high level of the diagnosis and treatment

they are the center of referral and need to retain pediatricians and build a high-level team of pediatricians. With the authors' own experience in Cincinnati Children's Hospital Medical Center in the US

this article briefly introduces the current clinical operation mode in American children's hospitals

especially the consultation system mainly composed of attending physicians and the mode of continuing medical education based on both clinical and scientific research. Such experience provides a reference for pediatricians in China.