Gilbert Donald L, Patterson Marc C, Pugh John A, Ridel Keith R, Reynolds Thomas Q, Valencia Ignacio
Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45230, USA.
J Child Neurol. 2013 Mar;28(3):332-9. doi: 10.1177/0883073812473644. Epub 2013 Jan 28.
We surveyed child neurologists first certified in "Neurology with Special Qualification in Child Neurology" by the American Board of Psychiatry and Neurology (ABPN) between 2001 and 2010 using a 24-item questionnaire. Respondents (n = 204, 54% response rate) were between the ages of 30 and 59 years (54% male), and 68% completed adult neurology training in a 10- to 12-month, primarily inpatient block. Sixty-two percent of the sample completed subspecialty fellowship training and 82% currently reported practicing within a hospital or hospital-based/owned clinic. Current practice data showed just 3% provide general neurology services to adults. A majority reported using adult neurology residency training "less than weekly" and believed the ideal model for residency training in diagnosis and management of both common and rare neurologic conditions would involve less time in adult neurology and more time (mean 6 months) in child neurology, most prominently in genetics and developmental and behavioral areas.
我们使用一份包含24个条目的问卷，对2001年至2010年间首次获得美国精神病学和神经病学委员会（ABPN）颁发的“儿童神经病学特殊资质神经病学”认证的儿童神经科医生进行了调查。受访者（n = 204，回复率54%）年龄在30至59岁之间（54%为男性），68%在为期10至12个月、主要为住院轮转的培训中完成了成人神经病学培训。62%的样本完成了亚专科 fellowship 培训，82%目前报告在医院或医院附属/拥有的诊所执业。目前的执业数据显示，只有3%的人向成人提供普通神经病学服务。大多数人报告称使用成人神经病学住院医师培训“少于每周一次”，并认为针对常见和罕见神经系统疾病诊断与管理的住院医师培训理想模式应减少成人神经病学培训时间，增加儿童神经病学培训时间（平均6个月），最主要是在遗传学以及发育和行为领域。
