In the UK, the life of a paediatric trainee has undoubtedly changed over three generations, spanning the last 70 years. LPB-L, who is retired, started training in the mid-1950s; his nephew IMB-L, a consultant, started in the mid-1980s; and his daughter REB-L, is a first-year trainee in the 2020s. It has certainly changed, but is it always for the better? Paediatric education starts at medical school and has not changed appreciably in the UK. It still plays second fiddle to adult medicine and surgery, placements generally being for 2 months only out of 3 clinical years, sometimes with optional extra time available in electives. In the 1950s, the huge majority of students were male, in 1980 60% were male, but currently 43% of the intake are male.1 2 ### 1950s Paediatric training was not formalised, one applied for jobs at a junior level, and then after a few years applied for a more senior post, until eventually becoming a consultant. One could apply for a post as soon as the next one came up if unsuccessful at a previous interview. Patronage from the consultant was most important, and references were critical, especially the phone call from your boss. The ‘old boy network’ was definitely in play. Training was essentially an apprenticeship learning on the job, formal teaching did not exist aside from the hospital grand rounds. Experience gained was huge due to the extremely long hours spent at work, although often unsupervised by a senior paediatrician; consequently, trainees were more confident and experienced sooner in their careers for decision-making. There was no concept of appraisals or assessments. Learning …

中文翻译：

---

三代儿科培训


在英国，过去 70 年里，儿科实习生的生活无疑已经经历了三代人的改变。已退役的LPB-L于20世纪50年代中期开始训练；他的侄子 IMB-L 于 20 世纪 80 年代中期开始担任顾问；他的女儿 REB-L 是 2020 年代的一年级练习生。它确实发生了变化，但它总是变得更好吗？儿科教育从医学院开始，在英国没有明显改变。它仍然仅次于成人医学和外科手术，通常在 3 个临床年中只进行 2 个月的实习，有时还可以选择额外的选修课时间。在 20 世纪 50 年代，绝大多数学生是男性，1980 年占 60%，但目前入学人数中有 43% 是男性。1 2 ### 1950 年代儿科培训尚未正式化，有人申请初级职位，几年后，他申请了更高级的职位，直到最终成为一名顾问。如果在上一次面试中未成功，则可以在下一个职位出现时立即申请该职位。顾问的赞助是最重要的，推荐信也很重要，尤其是老板的电话。 “老男孩网络”肯定在发挥作用。培训本质上是在工作中的学徒学习，除了医院的大查房之外，不存在正式的教学。由于工作时间极长，而且常常没有资深儿科医生的监督，因此获得了大量经验；因此，受训者在其职业生涯中更快地更有信心、更有决策经验。没有评估或评估的概念。学习 …