Dunn H G, Tibbles J A
Department of Paediatrics, University of British Columbia, Canada.
Can J Neurol Sci. 1998 Nov;25(4):328-35. doi: 10.1017/s0317167100034375.
The Canadian Association for Child Neurology (CACN) was founded in June 1971 to combine neurologists interested in children and paediatricians interested in the nervous system into an organization which would promote the development of this subspecialty. Initially, the members of the Association mostly wished to have a training programme under the combined supervision of University Departments of Paediatrics and Neurology. However, under the influence of the Royal College of Physicians & Surgeons of Canada, and its Committee on Neurology, the training of child neurologists was organized in a manner analogous to that of neurologists for adults, though with an initial one or two years of paediatrics instead of medicine. By 1975, four years within a recognized neurological training programme could lead to the Certification Examination in Neurology, as modified for paediatric neurology. In 1981, the CACN also joined the Canadian Congress of Neurological Sciences. It has played an increasing part in child care and also in a academic studies. However, evidence will be presented to show that the present number of paediatric neurologists in Canada is insufficient. The number of trainees also appears inadequate, and increased funding for training positions is needed. Close cooperation between paediatric neurologists, rehabilitation experts, developmental paediatricians and related subspecialists is required.
加拿大儿童神经学协会(CACN)成立于1971年6月,旨在将关注儿童的神经科医生和关注神经系统的儿科医生联合起来,组成一个促进这一亚专业发展的组织。最初,协会成员大多希望在儿科学系和神经学系的联合监督下开展培训项目。然而,在加拿大皇家内科医师与外科医师学院及其神经学委员会的影响下,儿童神经科医生的培训方式与成人神经科医生类似,只是最初有一到两年的儿科培训而非医学培训。到1975年,在认可的神经学培训项目中学习四年后可参加经儿科神经学修改后的神经学认证考试。1981年,CACN还加入了加拿大神经科学大会。它在儿童护理以及学术研究中发挥着越来越重要的作用。然而,有证据表明加拿大目前的儿科神经科医生数量不足。培训学员的数量似乎也不够,需要增加培训职位的资金投入。儿科神经科医生、康复专家、发育儿科医生及相关亚专科医生之间需要密切合作。