Laureta E, Moshé S L
Department of Pediatrics, Lincoln Medical and Mental Health Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Neurology. 2004 Mar 23;62(6):864-9. doi: 10.1212/01.wnl.0000118646.34143.4a.
To track growth of child neurology training programs during the past 7 years and to assess changes in resident demographics, use of different pathways for completion of training, and chosen careers after residency.
Two surveys were sent: one in June 2000 (response rate = 92% of active programs) and one in May 2001 (response rate = 98%) to the directors of all Accreditation Council for Graduate Medical Education-listed child neurology programs. Fifty-eight programs were consistently active through the survey period.
From 1997 through 2002 there was an average of 80 positions per year with a fill rate of 65% and an average of 1.4 positions per program. Fifty-five percent of programs completely filled their first-year positions. An average of 47% of residents were international medical graduates. In 2001 and 2002, 51.5% of trainees were men, and 48.5% were women. Sixteen percent entered their programs through an alternative pathway. An equal number of residents entered academic and fellowship positions after graduation (41%), and 18% of residents went into private practice. Twenty-three percent went into basic research. Residents wrote papers in 48% of the programs.
The number of child neurology positions and trainees has been stable through recent years but may not meet the growing demand for services. The increasing number of international medical graduates and women in training programs predicts a change in the demographic characteristics of the future child neurology workforce. Many residents are pursuing academic careers, and continued support for programs that provide avenues for training in research is needed.
追踪过去7年儿童神经病学培训项目的发展情况，并评估住院医师人口统计学特征的变化、完成培训的不同途径的使用情况以及住院医师培训结束后选择的职业。
向所有经毕业后医学教育认证委员会列出的儿童神经病学项目的主任发送了两份调查问卷：一份于2000年6月发送（回复率为活跃项目的92%），另一份于2001年5月发送（回复率为98%）。在调查期间，有58个项目一直处于活跃状态。
从1997年到2002年，每年平均有80个职位，填补率为65%，每个项目平均有1.4个职位。55%的项目第一年职位全部填满。平均47%的住院医师是国际医学毕业生。在2001年和2002年，51.5%的受训者为男性，48.5%为女性。16%的人通过其他途径进入项目。毕业后进入学术和专科培训职位的住院医师人数相等（41%），18%的住院医师进入私人执业领域。23%进入基础研究领域。48%的项目中的住院医师发表了论文。
近年来儿童神经病学职位和受训者数量一直稳定，但可能无法满足不断增长的服务需求。培训项目中国际医学毕业生和女性数量的增加预示着未来儿童神经病学劳动力人口统计学特征的变化。许多住院医师追求学术职业，需要持续支持那些提供研究培训途径的项目。
