Education in Primary Care in a Specific Functional Hospital: Postgraduate Medical Training in the Department of Emergency Medicine Covering a Wide Range of Medical Fields Dealing With Patients With First- to Third-Level Emergencies.
- VernacularTitle:特定機能病院におけるプライマリ・ケア教育 特に１次から３次救急患者を受け入れる救急部における卒後研修について
- Author:
Hiroyuki KATO
;
Seimyo YOSHIDA
;
Nobuo BABA
;
Hisashi KAWABUCHI
;
Takachika ITOH
;
Kazuhisa OOGUSHI
;
Kenji HIRAHARA
;
Kenji TAKI
;
Katsuji HORI
;
Takeharu HISATSUGU
- Publication Type:Journal Article
- Keywords:
university hospital;
specific functional hospital;
primary care;
emergency
- From:Medical Education
1999;30(6):419-423
- CountryJapan
- Language:Japanese
-
Abstract:
A university hospital plays roles as a specific functional hospital and as a teaching hospital in primary care because most medical school graduates receive basic clinical training in this area. An important objective of primary care education for all residents is the initial treatment of patients with first-to third-level emergencies. We examined the number of patients, the level of emergency (first, second, and third level) and the diagnoses that each resident encountered. Subjects included 29 residents (3 in the first year, 4 in the second year, and 2 in the third year) who had undergone clinical training for 3 months in the department of emergency medicine at the Saga Medical School Hospital which treats 7, 000 to 8, 000 patients per year with first-to third-level emergencies. Residents were involved with 214.6 emergency cases, which included approximately 59 types of first-level emergency, 31 types of second-level emergency, and 15 types of third-level emergencies. These results were largely compatible with the Objectives of Postgraduate Basic Clinical Training proposed by the Japan Society for Medical Education. These results show that university hospitals as specific functional hospitals should accept numerous emergency patients and that residents must receive clinical training in emergency medicine to achieve the objectives of primary care education.
