Characteristics of Symptoms and Diseases Experienced by Residents in General Ambulatory Clinical Training: Comparison with Emergency Ambulatory Training
10.14442/generalist.47.81
- VernacularTitle:一般外来研修において研修医が経験する症候・疾患の特徴―救急外来研修との比較から―
- Author:
Yusuke MATSUZAKA
;
Toru MICHITSUJI
;
Eriko OZONO
;
Masataka UMEDA
;
Hiroo IZUMINO
;
Kayoko MATSUSHIMA
;
Atsuko NAGATANI
;
Hisayuki HAMADA
- Keywords:
General ambulatory clinical training;
Postgraduate residency;
Mandatory symptoms and diseases;
Community-based clinical training
- From:An Official Journal of the Japan Primary Care Association
2024;47(3):81-88
- CountryJapan
- Language:Japanese
-
Abstract:
Introduction: Primary care includes general outpatient clinics and primary/secondary emergency outpatient clinics; however, the differences in treatment settings between these clinics may affect the development of educational programs for postgraduate clinical training. This study aimed to retrospectively investigate the content experienced by residents in community-based outpatient training, which includes general ambulatory training and primary/secondary emergency training, and to compare the differences between items that are more likely to be experienced in general outpatient clinics and those that are more likely to be experienced in the emergency department.Methods: The number of trainees who experienced symptoms and diseases specified in the national residency system was calculated during general ambulatory training and primary emergency training. These numbers were compared by the Fisher's exact test.Results: Items suitable for learning clinical reasoning, such as headache, and items suitable for continuous treatment of chronic diseases, such as dementia, were experienced significantly more frequently in general ambulatory training than emergency training.Conclusion: The symptoms and diseases that are likely to be experienced in general ambulatory training were extracted. These items were considered to be consistent with the purpose of general outpatient training.
