Developing a General Medicine Residency Curriculum: Lessons Learned from Family Practice Residency Training in the United States
- VernacularTitle:総合診療部での研修カリキュラムを考える 米国家庭医療レジデンシーから学ぶもの
- Author:
Wendy S. BIGGS
;
Kazuya KITAMURA
;
Michael D. FETTERS
;
Nobutaro BAN
- Publication Type:Journal Article
- Keywords:
department of general medicine;
family medicine;
resident education;
outpatient training;
precepting
- From:Medical Education
2003;34(4):239-244
- CountryJapan
- Language:Japanese
-
Abstract:
Systematic residency education curricula can provide students and residents opportunities to learn a broad range of clinical skills. One curricular model for Japanese general medicine departments (sogoshinryo-bu) is family-practice residencies in the United States. The values of family practice include first-contact care, continuity, comprehensiveness, coordination, community health, and care of the person. The precepting system is the pillar of resident education and provides the structure for physician-teachers to guide a medical school graduate to become a competent family physician by the end of 3 years of clinical training. Family-practice centers, community-based clinics where university faculty and residents provide care, have a proven record in the United States as clinical classrooms for teaching the values and skills needed for high-quality primary care and could greatly facilitate practice-focused training in Japan.