BACKGROUND Paediatric Neurology (PN) is a discipline focused on diagnosis, comprehensive management and research into diseases of the central and peripheral nervous system from fetal life to transition into adulthood. The European Paediatric Neurology Society first designed and published the European PN training programme in the European Paediatric Neurology Syllabus in 2002. This was important in gaining recognition for the sub-specialty from the European Academy of Paediatrics and the European Academy of Neurology and in 2003 PN was recognized as a sub-specialty of paediatrics and neurology by the Board of the European Union of Medical Specialties. In 2004, the EPNS founded the Committee of National Advisors (CNA) that comprised representatives from national Paediatric Neurology societies, in order to further enhance Europe wide standards in training and practice., The EPNS Training Advisory Board (TAB) offers nation specific advice/support to PN societies on developing training and care systems. In 2019, the 2nd revision of the Paediatric Neurology Syllabus was approved by the EPNS Board and CNA. We aim to give an overview of the training of Paediatric Neurology (PN) specialists (i.e. Paediatric Neurologists), the relevant professional bodies and the current practice of Paediatric Neurology in Europe, as defined geographically by the World Health Organization. METHODS A structured online data collection form was completed by CNA representatives from European countries. The data included training routes and structure of training, epidemiological data, nature of professional societies, organization of Paediatric Neurology care, research, academic life and recognition of the specialty. RESULTS Data was collected from 43 European countries of which 38 have a national PN Society. In 10 (6 European Union (EU) and 4 non-EU countries) PN is recognized as a core specialty. In 26 countries PN is recognized as a sub-specialty of Paediatrics, Neurology or both (15 EU-11 non-EU). PN is not recognized as a core or sub-specialty in 7 countries (4 EU and 3 non-EU). In 35 countries paediatric neurologists begin their training from Paediatrics, but in 19 countries PN training from Neurology is also possible or the preferred route. Training in PN differs, but in over 50% of countries the three main training modules named in the 2019 2nd revision of the European PN Syllabus (PN, Paediatrics and adult Neurology) are included. Many countries have already adapted their curriculum to the suggestions in the European PN syllabus. CONCLUSIONS There is diversity among European countries in terms of professional organization and PN training. The European PN syllabus has had impact on the development of PN training throughout Europe, independent of duration of training or route from paediatrics or neurology. The syllabus provides a basis for the future development of PN training, the recognition of PN as a (sub) specialty in individual countries and for improving the care of children with neurological disorders in Europe.

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欧洲小儿神经病学的培训和组织：欧洲小儿神经病学学会和国家顾问委员会的特别报告

背景小儿神经病学（PN）是一门专注于从胎儿期到成年期的中枢和周围神经系统疾病的诊断、综合管理和研究的学科。欧洲小儿神经病学学会于 2002 年首次在欧洲小儿神经病学教学大纲中设计并发布了欧洲 PN 培训计划。这对于获得欧洲儿科学会和欧洲神经病学学会的子专业以及 2003 年 PN 的认可非常重要被欧盟医学专业委员会认可为儿科和神经病学的子专业。2004 年，EPNS 成立了国家顾问委员会 (CNA)，该委员会由来自国家小儿神经病学协会的代表组成，为了进一步提高欧洲范围内的培训和实践标准。EPNS 培训咨询委员会 (TAB) 向 PN 协会提供有关开发培训和护理系统的国家特定建议/支持。2019年，EPNS委员会和CNA批准了小儿神经病学大纲的第二次修订。我们的目标是概述小儿神经病学 (PN) 专家（即小儿神经病学家）的培训、相关专业机构以及世界卫生组织在地理上定义的欧洲小儿神经病学的当前实践。方法 来自欧洲国家的 CNA 代表填写了结构化的在线数据收集表。数据包括培训路线和培训结构、流行病学数据、专业协会的性质、小儿神经病学护理的组织、研究、学术生活和对专业的认可。结果 从 43 个欧洲国家收集数据，其中 38 个国家设有国家 PN 协会。在 10 个（6 个欧盟 (EU) 和 4 个非欧盟国家）中，PN 被公认为核心专业。在 26 个国家/地区，PN 被认为是儿科、神经病学或两者（15 个 EU-11 非欧盟）的子专业。PN 在 7 个国家（4 个欧盟和 3 个非欧盟）中不被承认为核心或子专业。在 35 个国家/地区，儿科神经科医生从儿科开始接受培训，但在 19 个国家/地区，神经病学的 PN 培训也是可能的或首选途径。PN 培训有所不同，但在超过 50% 的国家/地区，包括 2019 年第二版欧洲 PN 教学大纲（PN、儿科和成人神经病学）中指定的三个主要培训模块。许多国家已经根据欧洲 PN 教学大纲中的建议调整了他们的课程。结论 欧洲国家在专业组织和 PN 培训方面存在差异。欧洲 PN 教学大纲对整个欧洲 PN 培训的发展产生了影响，与培训的持续时间或儿科或神经病学的路线无关。该教学大纲为 PN 培训的未来发展、在个别国家将 PN 确认为（子）专业以及改善欧洲神经系统疾病儿童的护理提供了基础。与训练的持续时间或儿科或神经病学的路线无关。该教学大纲为 PN 培训的未来发展、在个别国家将 PN 确认为（子）专业以及改善欧洲神经系统疾病儿童的护理提供了基础。与训练的持续时间或儿科或神经病学的路线无关。该教学大纲为 PN 培训的未来发展、在个别国家将 PN 确认为（子）专业以及改善欧洲神经系统疾病儿童的护理提供了基础。