To explore the reflection and enlightenment of standardized training of neurology residents in the post-epidemic era.

The trainees who underwent standardized residency training in the Department of Neurology, Peking University Third Hospital, from 2020 to 2023 were included and divided into the social normative training group and the graduate student group according to their educational experience. Questionnaire surveys were conducted from three aspects: "attitudes and actions to fight the epidemic", "psychological state during and after the epidemic", and "attitudes and enlightenment for future work", and the differences between the two groups were compared by Fisher test.

Totally 22 trainees were enrolled, including 13 graduate students and 9 social trainees. There were 9 (69.2%) and 8 (88.9%) who were interested in signing up for support to Hubei, mainly because of "respecting life and saving life", 9 (69.2%) and 7 (77.8%), and the main concern was "lack of medical knowledge", 9 (69.2%) and 6 (66.7%). During the epidemic, most trainees had different degrees of psychological reactions, and they all recovered to varying degrees after the epidemic ended. After the epidemic, 11 (84.6%) and 8 (88.9%) were still willing to engage in clinical practice. The main reason was that "clinical practice is one's own profession", with 8 (61.5%) and 6 (66.7%). The main concern of graduate students was "high pressure on scientific research" (11 students, 84.6%), and the main concern of trainees was "intense work and high work intensity" (6 students, 66.7%). The participants identified the most intensive training they need is "management of acute and critical illness", with 10 (76.9%) and 6 (66.7%). Comparing the two groups, there was a statistical difference between only participating in the "community nucleic acid collection and vaccination" anti-epidemic activities [4 graduate students (30.8%) vs 8 trainees (88.9%), P=0.011].

During the epidemic, the trainees were willing to support and were active. Despite psychological problems, they have recovered to some extent after the epidemic. In the post-epidemic era, training on "acute and critical care" should be strengthened.