关键词: 神经科, 住院医师, 毕业后医学教育, 轮转设计

Abstract: Though China's national standardized neurology residency training has been initially established, there is still a need for improvement in the areas of design of clinical rotation and curriculum. Valuable lessons can be learned from post-graduate medical education in the United States. We reviewed relevant documents from the Accreditation Council for Graduate Medical Education (ACGME) as well as the neurology residents’ rotation schedule and teaching curriculum in the Department of Neurology at the University of Massachusetts Medical School (UMASS). Important points to note are: 1) Resident rotation schedule should meet the requirement of gradually increasing residents’ responsibilities in their training toward the goal of becoming independent practicing neurologists after their graduation. 2) Adding outpatient clinic rotations to enhance the resident learning experience. 3) In addition to daily clinical rotation and training, residency training program should design a robust curriculum based on 6 core competencies (medical knowledge; practice-based learning and improvement; interpersonal and communication skills; professionalism; and systems-based practice) to cover broad range of neurological diseases. 4) Using different lecture formats (morning report, journal club, noon conference…) to achieve different education goals.

Key words: neurology, residency, curriculum rotation, post-graduate medical education