胡小伟 陆叶婷 朱翔毅 王怡青 李佳音

[摘要]目的分析国内外神经内科住院医师脑电图教学与培训的现状。方法检索中国知网和Pubmed数据库中神经内科住院医师脑电图教学与培训的文献，至2021年8月16日。同时检索中国和美国官方网站，查找神经内科住院医师培训中脑电图的内容。结果最终纳入20篇文献，分析国内外脑电图教学与培训的要求、目标、评估和效果;新冠疫情下的脑电图培训。参考中国住院医师规范化培训内容与标准以及美国医学毕业生教育评审委员会神经内科住院医师培训里程碑计划，比较两国脑电图培训之异同。结论随着技术的进步，脑电图教学模式的变革取得较好效果。但即使在美国，住院医师脑电图教学与培训也仍然存在问题，有待改进。

[关键词]神经内科;住院医师;脑电图;教学;培训

[中图分类号] R246.6;C975  [文献标识码] A   [文章编号]2095-0616（2021）24-0011-04

Analysis of the current situation of electroencephalogram teaching and training for neurology residents

HU  Xiaowei    LU  Yeting    ZHU  Xiangyi    WANG  Yiqing    LI  Jiayin

Department of Neurology， the First Affiliated Hospital of Soochow University， Jiangsu， Suzhou 215000， China

[Abstract] Objective To analyze the current situation of electroencephalogram （EEG） teaching and training for domestic and foreign neurology residents. Methods The pieces of literature on EEG teaching and training of neurology residents in CNKI and PubMed database were searched， with the date of search results up to August 16， 2021. Moreover， the official websites of China and the United States were searched to obtain the contents of EEG training for neurology residents. Results A total of 20 pieces of literature were included to analyze the requirements， objectives， evaluation and effects of domestic and foreign EEG teaching and training. EEG training was studied under the COVID-19. The contents and standards of standardized resident training in China and the milestone plan of neurology resident training of the American Medical Graduate Education Review Committee were referred and the similarities and differences of EEG training between the two countries were compared. Conclusion With the progress of technology， the reform of EEG teaching mode has achieved good results . However， even in the United States， there are still some problems in EEG teaching and training for residents， which need to be improved.

[Key words] Neurology; Resident physician; Electroencephalogram; Teaching; training

中國于2014年启动住院医师规范化培训制度建设工作，实现与国际医学教育模式接轨[1]。中国医师协会于2015年发布住院医师规范化培训内容与标准（试行）[2]。因为神经内科的疾病具有临床表现多样、病情复杂和预后不佳等特点，辅助检查的专业性强，包括脑电图;所以神经内科住院医师培训对于神经电生理轮转时间，学习目的、基本要求都有相应的规定[2]。脑电图教学与培训在实践中存在不足之处。研究显示经过正规脑电图培训，神经内科住院医师对于脑电图阅读的正确率仍不高，近半数住院医师即使在指导下也无法正确阅读脑电图[3]。……