Centre for Community Child Health, Royal Children's Hospital Melbourne, Murdoch Children's Research Institute, Melbourne, Australia.
Isr J Health Policy Res. 2021 Dec 2;10(1):70. doi: 10.1186/s13584-021-00504-7.
The quality of pediatric clinical practice is dependent on the training received during residency. It is assumed that the content of the training will adequately prepare pediatricians for the sorts of problems and issues they will be asked to manage in community settings. While over the past several decades there have been major changes in pediatric morbidity, there is evidence that training and service delivery models have not evolved; there is a significant mismatch between training and evidence-based clinical practice. A recent paper published in this journal (1) drew attention to the inadequacy of pediatricians' training in child development. The reality of major gaps in the content and experiences of pediatric training in Israel are widely held, and there have been repeated calls for an increased focus on community child health and developmental and behavioural pediatrics. While it appears that finally there are some small initial steps to this end, it is strongly recommended that there be a long overdue, radical rethink of pediatric training programs.
儿科临床实践的质量取决于住院医师培训期间的培训。人们认为，培训的内容将充分使儿科医生为在社区环境中遇到的各种问题做好准备。尽管在过去几十年中，儿科发病率发生了重大变化，但有证据表明，培训和服务提供模式并未发展；培训与基于证据的临床实践之间存在很大差距。最近在该杂志上发表的一篇论文（1）引起了人们对儿科医生在儿童发展方面培训不足的关注。以色列儿科培训内容和经验方面存在重大差距是众所周知的，人们一再呼吁更加关注社区儿童健康以及发展和行为儿科学。虽然这似乎是朝着这个方向迈出的一小步，但强烈建议对儿科培训计划进行早就应该进行的彻底重新思考。
