Medical education system. Incentives to improve postgraduate clinical training.
- VernacularTitle:医学教育制度 卒後臨床研修改善へのインセンティブ
- Author:
Shigekoto KAIBARA
- Publication Type:Journal Article
- Keywords:
postgraduate clinical training;
incentive to improve
- From:Medical Education
1998;29(3):181-184
- CountryJapan
- Language:Japanese
-
Abstract:
Many recommendations have been publicized for the improvement of postgraduate clinical training, which were mostly amendment of the present legislative frameworks. I believe, however, that no improvement can be achieved, unless the people involved with the clinical training have incentive for the improvement.
In the present situation, the trainees cannot get good position even when they have good clinical training; the trainers are not appreciated in their career, even when they spend a lot of time for the clinical training; and hospitals cannot receive any financial feedback for good clinical training. This means that there is a negative incentive for the improvement.
To change this situation, we have to reverse the incentives from negative to positive. In practice, all the people in medical community must recognize the value of clinical training and treat favorably in their career the people who have enthusiasm to give good clinical training. If this is done, the improvement of clinical training will be automatically achieved.
