Name: 想成為兒童神經科醫師？｜兒神住院醫師現身說法！[EP. 45] (So You Want to Be a PEDIATRIC NEUROLOGIST [Ep. 45])
Uploaded: 2025-11-07T18:35:10.000Z
Duration: 12 min 55 s

So you want to be a pediatric neurologist?

所以你想成為小兒神經科醫師嗎？

You're fascinated by the great unknown of the brain and are comfortable working with both children and their parents.

你對大腦這個浩瀚的未知領域感到著迷，而且也很習慣與兒童及他們的父母溝通。

Let's debunk the public perception myths and give it to you straight.

我們要來破除大眾的迷思，直接告訴你真實情況。

This is the reality of pediatric neurology.

這就是小兒神經學的真實面貌。

Dr. Jubbal medschoolinsiders.com welcome to our next installment in so youo Want to Be.

歡迎來到我們的「你想成為…」系列的下一集，我是 Dr. Jubbal，來自 medschoolinsiders.com。

In this series, we highlight a specific specialty within medicine to help you decide if it's a good fit for you.

在這個系列裡，我們會介紹醫學裡的特定專科，幫助你判斷它是否適合你。

You can find the other specialties on our so youo Want to Be playlist.

你可以在我們的「你想成為…」播放清單裡找到其他專科的介紹。

Pediatric neurology focuses on the diagn and treatment of conditions affecting the brain, spinal cord, nerves and muscles in infants, children and adolescents.

小兒神經學專注於診斷和治療影響嬰兒、兒童和青少年腦部、脊髓、神經及肌肉的疾病。

The bread and butter of the specialty includes headaches, seizures and epilepsy, cerebral palsy, brain injuries, and

這個專科的常見病症包括頭痛、癲癇發作和癲癇症、腦性麻痺、腦損傷，以及

The work can also include research or treatment of complex and unique cases such as strokes, tic disorders, sleep disorders, neuromuscular disorders, infectious or autoimmune encephalitis, neonatal encephalopathy, Guillain Barre nerve injuries, and

這個專科跟成人神經學很像，只是在接受成人神經學和兒童神經學訓練之外，還需要兩到三年的兒童一般訓練。

The specialty is much like adult neurology, except you receive two to three years of general pediatric training in addition to general neurology and child neurology training.

在兒童內科訓練中，住院醫師會學習從嬰兒到兒童再到青少年的各個發展階段，現在這個年齡範圍是到25歲。

In pediatrics training, residents learn about the various stages of development from babies to children to adolescents, which is now up until the age of 25.

在這個年齡範圍內，身體仍在發育，

In this age range, the body is still evolving, and

某些用於成人患者的治療和藥物，對兒童來說可能會產生危險的結果。

certain treatments and medications you would use for adults may have dangerous results for children.

而且因為兒童比成人更有韌性，他們可能看起來不受疾病過程影響，直到身體撐不住而突然崩潰。

And because children are more resilient than adults, they can seem unaffected by the disease process until their bodies give out and they crash abruptly.

這種突然的失代償需要立即介入。

This sudden decompensation requires prompt intervention.

神經學可能是一個情感上充滿挑戰的專科，因為你必須處理患有慢性且進行性疾病的嬰兒和兒童。

Neurology can be an emotionally challenging specialty since you're dealing with babies and children suffering from chronic and progressive diseases.

這個醫學領域更困難的是，儘管研究不斷演進和進步，但我們對大腦仍有許多不瞭解的地方。

And what's additionally difficult about this field of medicine is that although research continues to evolve and improve, there is still so much we don't understand about the brain.

It's common for people to confuse psychiatry and neurology because they both deal with the human brain.

很多人會把精神科和神經科搞混，因為它們都跟人腦有關。

Neurology focuses on the brain, meaning the nuts and bolts, such as physical dysfunctions and pathologies of the neural and glial cells or brain vessels.

神經學著重在腦部，也就是像是神經細胞、膠質細胞或腦血管的生理功能異常和病變等「硬底子」的部分。

In contrast, psychiatry deals with the mind, including emotional, cognitive, and

相對地，精神科處理的是心智，包括因大腦化學物質失衡、過去創傷或發育問題所引起的

behavioral symptoms caused by chemical imbalances in the brain, past trauma, or developmental issues.

Many child neurologists are associated with larger academic institutions, so they tend to practice in both inpatient and Outpatient settings In addition to having teaching opportunities, however, many child neurolog decide to have outpatient private practices only.

許多小兒神經科醫師會隸屬於大型學術機構，所以他們通常會在住院和門診兩方面執業，除了有教學機會外，也有不少小兒神經科醫師選擇只做門診的私人執業。

The beauty of the specialty is you're free to choose the type of work and practice you enjoy most.

這個專科最棒的地方就是，你可以自由選擇最喜歡的工作類型和執業方式。

When working in an inpatient setting, you'll see more emergent or not well controlled conditions such as traumatic brain injuries, intractable headaches, status epilepticus, pediatric strokes, various cases of altered mental status, and

在住院環境工作時，你會看到更多緊急或控制不良的病況，例如腦損傷、頑固性頭痛、癲癇重積症、兒童中風、各種精神狀態改變的案例，

When working in an outpatient setting, you'll see follow ups for chronic issues.

在門診工作時，你會看到慢性病患的回診追蹤。

These can include medication, management of seizures or headaches, concerns about abnormal movements, myotonic dystrophy, spinal muscular atrophy, sensory changes, or a workup for behavioral disorders or developmental delays.

這些情況可能包括藥物治療、癲癇發作或頭痛的處理、異常動作的疑慮、強直性肌失養症、脊髓性肌萎縮症、感覺改變，或是針對行為障礙或發育遲緩的評估。

If you love the work of inpatient, you can also be a neurology hospitalist without having an outpatient clinic.

如果你喜歡住院工作，也可以成為神經內科住院醫師，而不需要看門診。

Call depends on how your practice is designed.

值班的安排取決於你的執業模式。

Doctors may take call for their own patients or rotate through an on call service.

醫師可能會為自己的病人值班，或是輪流參與值班服務。

Most pediatric neurologists will have to take call and occasionally work nights or weekends.

大多數小兒神經科醫師都需要值班，偶爾也需要在夜間或週末工作。

The biggest misconception about pediatric neurology is that career paths are limited and training is only geared toward children when there's actually a lot of freedom in choosing a career path after training.

關於小兒神經學最大的誤解是，職涯發展受限，而且訓練內容只針對兒童，但實際上在訓練之後，選擇職涯發展的自由度很高。

This is because pediatric neurologists all train for at least a year in adult neurology.

這是因為所有小兒神經科醫師都至少會接受一年的成人神經學訓練。

As a Pedes neurologist, you can take care of both children and adults with neurologic disorders, but

身為小兒神經科醫師，你可以照顧患有神經系統疾病的兒童和成人，但

only about 3% of pediatric neurologists provide general adult neurology care.

只有大約 3% 的小兒神經科醫師提供一般的成人神經學照護。

You also receive training in general pediatrics and have the option to take the pediatrics board exams, although most don't pursue this option.

你也會接受小兒科的訓練，並且可以選擇參加小兒科專科醫師考試，不過大多數人不會選擇這麼做。

If you are interested in any general pediatric management, you have the opportunity to incorporate it into your practice.

如果你對一般小兒科管理有興趣，你可以在執業中納入這部分。

Many people go into pediatric neurology because they are passionate about neurology and working with kids, so they stick with that path.

很多人選擇小兒神經學是因為他們對神經學和與兒童工作充滿熱情，所以他們會堅持這條路。

However, the option to change your direction is always there.

不過，改變方向的選擇一直都在。

The beauty of the training is that for those who are unsure about this path or worry about the commitment, it's very easy to make a switch to either pediatrics or adult neurology.

這個訓練的優點是，對於那些對這條路不確定或擔心投入的人來說，要轉向小兒科或成人神經學都非常容易。

Pediatric neurology is established as a five year residency training process.

小兒神經學是一個為期五年的住院醫師訓練過程。

However, there are two ways to enter this field.

不過，有兩種方式可以進入這個領域。

The first is to apply directly to a child neurology residency program for a total of five years.

第一種是直接申請兒童神經學住院醫師計畫，總共五年。

Two years of that time is general pediatrics with a list of specific rotations needing to be completed one year of adult neurology and two years of pediatric neurology.

其中兩年是小兒科總論，需要完成特定輪調，一年成人神經學，以及兩年小兒神經學。

There are currently over 70 child neurology residency programs.

目前有超過 70 個兒童神經學住院醫師計畫。

Note that the 12 months of adult neurology can be scattered throughout the final three years depending on the residency program.

請注意，這 12 個月的成人神經學訓練，可以根據住院醫師計畫分散在最後三年。

For example, you might have six months of adult neurology during PGY3 and the other six months scattered throughout PGY4 and PGY5.

舉例來說，你可能會在住院醫師第三年（PGY3）完成六個月的成人神經學訓練，另外六個月則分散在住院醫師第四年（PGY4）和第五年（PGY5）。

Your second option takes a little longer.

你的第二個選擇會稍微花費比較長的時間。

You first complete a general pediatrics residency of three years and and then apply for a child neurology fellowship, which takes one year of dedicated adult neurology and another two years of dedicated pediatric neurology.

你必須先完成為期三年的小兒科總醫師訓練，然後再申請兒童神經學進修，這需要一年專門的成人神經學訓練，以及另外兩年專門的小兒神經學訓練。

This route is one year longer than the first option, but

這條路徑比第一種選擇多花一年，但是

gives residents more time to decide whether pediatric neurology is the right fit.

讓住院醫師有更多時間決定小兒神經學是否適合自己。

No matter the path, you choose to become a pediatric neurologist.

無論你選擇哪條路，你都會成為一名小兒神經科醫師。

You also receive training in adult neurology and sit for general neurology boards.

你也會接受成人神經學的訓練，並參加一般神經學的資格考試。

Overall, pediatric neurology is not very competitive on our Med School Insiders Specialty Competitiveness Index, which takes into account match rate, step scores, publications, and

總體來說，根據我們的 Med School Insiders 專科競爭力指數，小兒神經學的競爭力並不是非常激烈，這個指數考量了配對率、考試分數、論文發表數量等等

Child neurology is ranked 18th out of 24 specialties.

兒童神經學在 24 個專科中排名第 18 名。

Child neurology is also on the lower end of step 2 CK score averages, ranking in the bottom seven with a 2022 average score of 247.

兒童神經學在 Step 2 CK 平均分數方面也偏低，在 2022 年平均分數為 247 分，排名在後段七名內。

To learn more about how child neurology compares to other specialties, check out our video on the top 10 least competitive specialties link in the Description Data from the NRMP match consistently shows unfilled spots for pediatric neurology, with three spots unfilled in 2023, 16 unfilled in 2022, and

想了解更多兒童神經學與其他專科的比較，請看看我們在說明欄連結的「競爭力最低的十大專科」影片。NRMP 的配對資料一貫顯示小兒神經學有未額滿的職位，2023 年有三個職位未額滿，2022 年有 16 個，

Since much of neurology, especially child neurology, is still unknown, the medical students who are most likely to thrive in this field are curious, not ego driven, teachable and hard working.

由於神經學，尤其是兒童神經學，還有許多未知領域，最有可能在這個領域蓬勃發展的醫學生，是那些充滿好奇心、不以自我為中心、樂於學習且勤奮的人。

And given your patient population, you have to be willing to be silly patient and not sweat the small stuff.

而且考量到你的病患群，你必須願意變得像個孩子一樣有耐心，並且不要斤斤計較小事。

Pediatric neurologists can differentiate themselves through subspecialization.

小兒神經科醫師可以透過次專科來區分自己。

For example, a PEDS neurologist could subspecialize in epilepsy, neurocritical care, or sleep medicine.

例如，小兒神經科醫師可以專攻癲癇症、神經重症照護或睡眠醫學。

About 93% of adult neurology residents will go on to complete a post residency fellowship compared to only 56% of PEDs neurologists.

大約有 93% 的成人神經學住院醫師會完成住院醫師後的進修，相比之下，只有 56% 的小兒神經科醫師會這樣做。

That's still a fairly significant number considering that training to become a pediatric neurologist already takes five to six years before a fellowship.

考量到要成為小兒神經科醫師的訓練本身就需要五到六年的時間，這仍然是一個相當可觀的數字。

Fellowship provides extra training in areas of neurology with the potential of establishing your own subspecialty practice within a larger institution.

進修提供在神經學領域的額外訓練，並有可能在大型機構內建立你自己的次專科執業。

Subspecialization can increase compensation which is lower than average.

次專科的進修可以增加薪資，因為小兒神經科醫師的平均薪資較低。

But whether you choose to pursue a fellowship or not, most pediatric neurologists will treat general neurology cases as well.

不過，無論你選擇是否進修，大多數小兒神經科醫師也會處理一般神經學的病例。

People who pursue epilepsy as a fellowship tend to be technical folks who like looking for patterns.

選擇進修癲癇症的人，通常是喜歡尋找模式的技術型人才。

Those who go into neurocritical care often enjoy acute treatment of complex and often unknown pathologies, and

那些選擇神經重症照護的人，則常享受處理複雜且常未知的病理的急性治療，

they may thrive in a high stress environment.

而且他們可能在壓力大的環境中蓬勃發展。

Headache medicine specialists are generally compassionate and patient physicians, many of whom have had personal experience with headaches themselves.

頭痛醫學的專科醫師通常是富有同情心且有耐心的醫師，其中許多人自己也曾有頭痛的經驗。

Other subspecialization options include, but

are not limited to, clinical neurophysiology, sleep medicine, neurogenetics, movement disorders, neuroimmunology, autonomic disorders, cognitive disorders, neuro, oncology, and

不限於，臨床神經生理學、睡眠醫學、神經遺傳學、動作障礙、神經免疫學、自主神經系統障礙、認知障礙、神經腫瘤學，以及

Most fellowships are one to two years, depending on fellowship and research requirements.

大部分的進修課程為期一到兩年，這取決於進修和研究的要求。

This puts training at a total of six to eight years after medical school.

這讓總共的訓練時間在醫學院畢業後，長達六到八年。

There's a lot to love about pediatric neurology.

小兒神經學有很多值得喜愛的地方。

You get to work with children while focusing on the most complex and fascinating organ system in the human body.

你可以和兒童一起工作，同時專注於人體最複雜、最迷人的器官系統。

And because it's a specialty in such high demand, there is plenty of freedom to design your practice as you see fit.

而且因為這是個需求量很大的專科，你有很大的自由度可以隨心所欲地設計你的執業方式。

For the somewhat medically indecisive, pediatric neurology gives you a ton of flexibility and options to alter your career path should you choose to.

對於那些在醫學上有點猶豫不決的人來說，小兒神經學提供了大量的彈性和選擇，讓你可以在日後選擇改變職涯方向。

Since you're trained in both adult and child neurology and sit for general neurology boards, you can see both of these patient populations.

由於你同時受過成人神經學和兒童神經學的訓練，並且通過了神經學的總體資格考試，你可以看這兩類病患。

You can also focus your practice exclusively on adults or children, or adults and children, which may occur in more suburban or rural settings.

你也可以將你的執業範圍專注於成人或兒童，或是成人與兒童，這在郊區或鄉村地區可能更常見。

Neurology is a field that's far from stagnant since we continue to learn more about how the human brain works.

神經學是一個絕不會停滯不前的領域，因為我們持續地學習更多關於人腦如何運作的知識。

With a lot of treatment research coming down the pipeline.

還有許多治療研究正在進行中。

What were once thought incurable diseases now have great treatment options.

過去曾被認為無法治癒的疾病，現在都有很棒的治療選擇了。

For example, our knowledge and treatment of epilepsy has greatly improved thanks to new anti seizure medications and implantable devices called vagus nerve stimulators and advances in epilepsy surgery.

舉例來說，因為有新的抗癲癇藥物、稱為「迷走神經刺激器」的植入式裝置，以及癲癇手術的進步，我們對癲癇的認識和治療都有了很大的改善。

Your work will be far from dull and you'll have a career that's filled with lifelong learning.

你的工作絕對不會枯燥乏味，而且你會有一份充滿終身學習的職業生涯。

New developments in neurology will continue as neurologic diseases are consistently in the top three most funded diseases by the NIH each year.

神經學的新發展會持續不斷，因為神經系統疾病每年都持續是美國國家衛生研究院（NIH）資助最多的前三大疾病之一。

It's also a chance to build strong longitudinal relationships with your patients and their parents.

這也是一個與病患及其家屬建立深厚長期關係的機會。

Most neurology pathologies are chronic, so you'll often see patients and their families for many years.

大多數神經學的病症都是慢性病，所以你通常會與病患及其家屬長期相處好幾年。

In addition to your patients, you'll be working with other physicians who are very passionate about what they do.

除了你的病患之外，你還會與其他對自己的工作充滿熱情的醫師共事。

That said, seeing the whole family can have its downsides.

話雖如此，照護全家有時也會有不盡人意的地方。

Working in any pediatric specialty, including pea's neurology, means you'll essentially have two patients with different needs and demands, the child and their parents.

從事任何小兒專科，包括小兒神經學，意味著你基本上會有兩個病患，他們的需求和要求都不同：一個是孩子，另一個是他們的父母。

If you didn't enjoy your pediatric rotation in medical school because of the parents or because you dislike working with children, adult neurology is better suited to you.

如果你在醫學院的小兒科輪訓時，因為家長的問題或不喜歡和小朋友互動而感到不適，那麼成人神經學會更適合你。

Check out so youo Want to Be a Neurologist Link in the Description Compensation for the specialty is lower than average, typically ranging between $127,000 and $392,000, with an average salary of around $224,000.

請查看說明欄中的「你想成為神經科醫師嗎？」連結。這個專科的薪資低於平均，通常落在 127,000 美元到 392,000 美元之間，平均年薪約為 224,000 美元。