Chinese Journal of Medical Education

Chinese Journal of Medical Education >

2025 , Vol. 45 >Issue 7: 553 - 557

DOI: https://doi.org/10.3760/cma.j.cn115259-20240709-00721

Foreign and Comparative Medical Education

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

  • Yan Jiayi ,
  • Wang Hui ,
  • He Fan ,
  • Cheng Wenhong ,
  • Gao Xueping ,
  • Huang Yi ,
  • Ke Xiaoyan ,
  • Lu Jianping ,
  • Tang Ni ,
  • Cao Qingjiu ,
  • Si Tianmei
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  • 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 date: 2024-07-09

  Online published: 2025-07-01

Supported by

China Medical Board (#22-494,#23-537); 2023 Postgraduate Medical Education Research Project of Peking University Health Science Center(2023ZP06)

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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

Cite this article

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

References

[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.
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