鉴于儿童青少年精神障碍的高患病率及其带来的沉重社会负担,加强儿童青少年精神卫生服务资源建设尤为迫切,其中培养儿科住院医师在儿童青少年精神病学(child and adolescent psychiatry,CAP)领域的专业知识与技能是关键途径。在国际范围内,在儿科住院医师中扩展CAP培训已积累了一系列经验,为我国相关工作开展提供了借鉴。本文全面梳理了国际儿科住院医师CAP培训拓展的实践和研究进展,并基于我国儿科住院医师培训现状、基础及保障,就在我国儿科医师中扩展CAP培训提出了可行性实施路径,包括开展系统性调研、制定培训方案、完善考核认证等。通过一系列举措,推动我国儿科住院医师CAP培训的系统开展,为扩展我国儿童青少年精神卫生服务资源、推进分级诊疗提供有力的人才保障,进而促进人才培养体系的完善与医疗资源的优化配置。
The high prevalence and significant social burden of mental disorders among children and adolescents underscore the importance of expanding child and adolescent mental health services (CAMHS) resources. To attain this objective, enhancing the knowledge and skills of pediatric residents in child and adolescent psychiatry (CAP) is paramount. Expansion of CAP training among pediatric residents has amassed a solid foundation overseas, offering invaluable experience for its implementation in China. This article systematically reviews the practice and research of the CAP training among pediatric residents on an international scale, and, based on this, proposes actionable implementation pathways on how to expand CAP training among pediatric residents in our country by integrating China's specific contextual needs, foundation, and support. These include conducting systematic investigations, formulating structured training programs, and refining assessment and certification mechanisms, etc. The study aims to promote the systematic development of CAP training programs among pediatric residents in China through the above series of measures. It is expected to provide robust workforce support for expanding CAMHS resources and achieving hierarchical diagnosis and treatment. Ultimately, this effort will contribute to building a comprehensive workforce cultivation system and optimizing the allocation of healthcare resources.
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