中外儿童精神科专科医师培训模式比较与启示

doi:10.3760/cma.j.cn115259-20240709-00721

中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (7): 553-557.DOI: 10.3760/cma.j.cn115259-20240709-00721

• 国外医学与比较医学教育 • 上一篇

中外儿童精神科专科医师培训模式比较与启示

闫佳仪¹, 王慧¹, 何凡², 程文红³, 高雪屏⁴, 黄颐⁵, 柯晓燕⁶, 卢建平⁷, 唐妮⁸, 曹庆久¹, 司天梅⁹

¹北京大学第六医院儿童科, 北京 100191;
²首都医科大学附属北京安定医院儿童精神病学科,北京 100088;
³上海交通大学医学院附属精神卫生中心儿少科,上海 200030;
⁴中南大学湘雅二医院精神病学科国家精神心理疾病临床医学研究中心国家精神疾病医学中心,长沙 410011;
⁵四川大学华西医院心理卫生中心, 成都 610041;
⁶南京医科大学附属脑科医院精神科,南京 210024;
⁷深圳市精神卫生中心(深圳康宁医院)儿少精神科,深圳 518118;
⁸北京大学第六医院教育处,北京 100191;
⁹北京大学第六医院精神药理研究室,北京 100191

收稿日期:2024-07-09 出版日期:2025-07-01 发布日期:2025-07-01
通讯作者: 司天梅, Email: si.tian-mei@163.com
基金资助:
美国中华医学基金会(#22-494,#23-537);2023年北京大学医学部专科医师培训与继续教育研究课题(2023ZP06)

Comparison of the current status of the training models for child and adolescent psychiatrists between China and foreign countries and its implications

Yan Jiayi¹, Wang Hui¹, He Fan², Cheng Wenhong³, Gao Xueping⁴, Huang Yi⁵, Ke Xiaoyan⁶, Lu Jianping⁷, Tang Ni⁸, Cao Qingjiu¹, Si Tianmei⁹

¹Children′s Department, Peking University Sixth Hospital, Beijing 100191, China;
²Department of Child Psychiatry, Beijng Anding Hospital, Capital Medical Uniersity, Beijing 100088, China;
³Pediatrics, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China;
⁴Department of Psychiatry, the Second Xiangya Hospital of Central South University & National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Changsha 410011, China;
⁵Mental Health Center, West China Hospital of Sichuan University, Chengdu 610041, China;
⁶Department of Psychiatry, Brain Hospital Affiliated to Nanjing Medical University, Nanjing 210024, China;
⁷Department of Child and Adolescent Psychiatry, Shenzhen Mental Health Center (Shenzhen Kangning Hospital), Shenzhen 518118, China;
⁸Department of Education, Peking University Sixth Hospital, Beijing 100191, China;
⁹Psychopharmacology Laboratory, Peking University Sixth Hospital, Beijing 100191, China

Received:2024-07-09 Online:2025-07-01 Published:2025-07-01
Contact: Si Tianmei, Email: si.tian-mei@163.com
Supported by:
China Medical Board (#22-494,#23-537); 2023 Postgraduate Medical Education Research Project of Peking University Health Science Center(2023ZP06)

摘要/Abstract

摘要： 完善专科医师培训模式是提升我国儿童精神疾病诊疗能力的重中之重。本文通过比较美国、英国和加拿大与我国儿童精神科专科医师培训招生要求、培训管理和内容的差异,分析我国儿童精神科专科医师培训在培训内容、评价体系、选拔机制等方面存在的不足。建议完善我国儿童精神科专科医师培训评价体系,优化培训制度,为专科医师提供必要的经济支持并予以相应的政策倾斜,以促进儿童精神科专科医师培训的规范化和可持续发展。

关键词: 儿童精神病学, 专科医师规范化培训, 比较, 启示

Abstract: Enhancing specialist training in child and adolescent psychiatry is essential for improving pediatric mental health care system in China. However, the training system remains underdeveloped and lacks a unified national standard. This study compares admission criteria, training management, and curricula across China, the UK, the US, and Canada, identifying domestic child and adolescent psychiatry specialist training gaps in training content, evaluation, and selection mechanisms. Based on international experience, we recommend refining evaluation systems, optimizing training programs, providing necessary financial support to specialists and give them corresponding policy preferences to standardize and sustain child and adolescent psychiatry specialist training.

Key words: Child psychiatry, Standardized fellowship training, Comparison, Implications

中图分类号:

闫佳仪, 王慧, 何凡, 程文红, 高雪屏, 黄颐, 柯晓燕, 卢建平, 唐妮, 曹庆久, 司天梅. 中外儿童精神科专科医师培训模式比较与启示[J]. 中华医学教育杂志, 2025, 45(7): 553-557.

Yan Jiayi, Wang Hui, He Fan, Cheng Wenhong, Gao Xueping, Huang Yi, Ke Xiaoyan, Lu Jianping, Tang Ni, Cao Qingjiu, Si Tianmei. Comparison of the current status of the training models for child and adolescent psychiatrists between China and foreign countries and its implications[J]. Chinese Journal of Medical Education, 2025, 45(7): 553-557.

参考文献

[1] Racine N, Mcarthur BA, Cooke JE, et al.Global prevalence of depressive and anxiety symptoms in children and adolescents during COVID-19: a meta-analysis[J].JAMA Pediatrics,2021,175 (11):1142-1150. DOI:10.1001/jamapediatrics.2021.2482.
[2] Wang S, Li Q, Lu J, et al. Treatment rates for mental disorders among children and adolescents: a systematic review and Meta-Analysis[J].JAMA Netw Open, 2023,6(10):e2338174. DOI:10.1001/jamanetworkopen.2023.38174.
[3] Li F, Cui Y, Li Y, et al. Prevalence of mental disorders in school children and adolescents in China: diagnostic data from detailed clinical assessments of 17,524 individuals[J].J Child Psychol Psychiatry, 2022,63(1):34-46. DOI:10.1111/jcpp.13445.
[4] He F, Chen S, Ke X, et al. Training status of child and adolescent psychiatrists in China[J].Eur Child Adolesc Psychiatry, 2020,29(1):83-88. DOI:10.1007/s00787-019-01453-y.
[5] Faulkner L, Juul D, Pascuzzi R, et al.Trends in American Board of Psychiatry and Neurology specialties and neurologic subspecialties[J].Neurology,2010,75(12): 1110-1117.
[6] Sargent J, Sexson S, Cuffe S, et al. Assessment of competency in child and adolescent psychiatry training[J].Acad Psychiatry, 2004,28(1):18-26. DOI:10.1176/appi.ap.28.1.18.
[7] Mian AI, Milavić G, Skokauskas N. Child and adolescent psychiatry training:a global perspective[J].Child Adolesc Psychiatr Clin N Am, 2015,24(4):699-714. DOI:10.1016/j.chc.2015.06.011.
[8] Carney S, Bhugra DK. Education and training in psychiatry in the U.K[J].Acad Psychiatry, 2013,37(4):243-247. DOI:10.1176/appi.ap.12060109.
[9] Saperson K. Psychiatry residency education in Canada: past, present and future[J].Acad Psychiatry, 2013,37(4):238-242. DOI:10.1176/appi.ap.12060108.
[10] Li HC, Wang C.Reform direction of medical education in China: implementing "competency-based" medical education[J].Chin Med J (Engl),2013,126(17):3203-3204.DOI:10.3760/cma.j.issn.0366-6999.20132148.
[11] Conference of Postgraduate Medical Deans (UK). A reference guide for postgraduate foundation and specialty training in the UK[EB/OL].( 2022-06-28) [2024-11-21].https://www.copmed.org.uk/images/docs/gold-guide-9th-edition/Gold-Guide-9th-Edition-August-2022.pdf.
[12] Calhoun A, Bloch MH, Stubbe D, et al. Integrating clinical and research training in child psychiatry: fifteen-year outcomes of a federally supported program[J].Child Adolesc Psychiatry Ment Health, 2020,14:21. DOI:10.1186/s13034-020-00328-4.
[13] Royal College of Psychiatrists. Child and adolescent psychiatry, Royal College of Psychiatrists higher specialty curriculum (ST4-ST6)[EB/OL].( 2021-07-03)[2024-12-28].https://www.rcpsych.ac.uk/docs/default-source/training/curricula-and-guidance/curricula-review-consultation-2021/4-cap-psychiatry-curriculum.pdf.
[14] 张莹, 唐妮.精神科医师规范化培训内容与模式探讨[J].医院管理论坛,2021,38 (3): 81-83. DOI:10.3969/j.issn.1671-9069.2021.03.022.
[15] Findling RL, Stepanova E. The workforce shortage of child and adolescent psychiatrists: is it time for a different approach?[J].J Am Acad Child Adolesc Psychiatry, 2018,57(5):300-301.

中外儿童精神科专科医师培训模式比较与启示

Comparison of the current status of the training models for child and adolescent psychiatrists between China and foreign countries and its implications

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	叶珊, 刘向一, 赵晨, 马新然, 宋红松, 张英爽, 刘晓鲁, 赵海燕, 刘小璇, 孙阿萍, 傅瑜, 李艾为, 李颜, 韩江莉, 沈宁, 樊东升. 基于里程碑式胜任力评价的评估反馈模式在神经内科专科医师规范化培训中的应用[J]. 中华医学教育杂志, 2025, 45(7): 530-536.
[2]	孙婧雯, 刘婧, 李力, 王颖, 方才妹, 吴振龙, 王建六. 基于对比分析的我国住院医师规范化培训专业目录优化研究[J]. 中华医学教育杂志, 2025, 45(6): 438-443.
[3]	陈晓彤, 俞方, 沈雁, 凌剑蓉, 刘英超. 美国布朗大学MLMS项目对我国医学院校实践叙事医学的启示[J]. 中华医学教育杂志, 2025, 45(6): 476-480.
[4]	胡亮, 向科, 许赟, 厉岩. 德国公立高校医学专业招生方式改革及其启示[J]. 中华医学教育杂志, 2025, 45(5): 390-395.
[5]	潘姝丞, 尚少梅, 周伟娇, 刘涵予, 奉世聪, 江哲涵. 五国护士执业资格考试比较及对我国的启示[J]. 中华医学教育杂志, 2025, 45(4): 315-320.
[6]	俞徐菊, 余佳, 宋建人. 同济大学临床医学“5+3+X”博士研究生的培养现状与问题分析[J]. 中华医学教育杂志, 2025, 45(1): 60-64.
[7]	叶卓俊, 沈艳丽, 江晓, 范抒磊, 冯智英, 孟超, 袁蕙芸. 中英文文献中全科住院医师规范化培训研究热点比较分析[J]. 中华医学教育杂志, 2025, 45(1): 66-71.
[8]	符隆文, 胡新宇, 周殷华, 鞠牛, 张常华, 程瑜, 何裕隆. 美国医学教育中的结构胜任力课程及其启示[J]. 中华医学教育杂志, 2025, 45(1): 72-77.
[9]	林国中, 刘彬, 马长城, 王冠, 李艾为, 常青, 庞超楠, 杨军. 胜任力导向的神经外科专科医师规范化培训结业评价指标体系的构建[J]. 中华医学教育杂志, 2024, 44(9): 707-712.
[10]	陈永怡, 苏承音, 孟彦辰. 澳大利亚卫生法治人才培养体系与启示[J]. 中华医学教育杂志, 2024, 44(7): 554-558.
[11]	田红, 韩琳, 许海燕, 沈宗娣, 顾怡沁, 赵院院. 上海市专科医师规范化培训实施现状分析与对策研究[J]. 中华医学教育杂志, 2024, 44(6): 444-449.
[12]	朱留宝, 晁爽, 陈旭岩. 杜克-新加坡国立大学医学院临床医学博士专业学位项目培养模式的概述与启示[J]. 中华医学教育杂志, 2024, 44(6): 471-475.
[13]	徐小明, 周艳, 吴红斌, 陈伟英. 荷兰格罗宁根大学医学人才培养模式及其启示[J]. 中华医学教育杂志, 2024, 44(12): 957-960.
[14]	鲁曼, 王景超, 袁丽佳, 刘虹. 哈佛大学医学院与北京大学医学部医学整合课程的比较与分析[J]. 中华医学教育杂志, 2024, 44(11): 876-880.
[15]	宋芳芳, 陈阳, 蔡威, 沈秀华. 韩国临床营养人才培养现状及其启示[J]. 中华医学教育杂志, 2024, 44(10): 796-800.