Postgraduate Ambulatory Care Training at Government-accredited Teaching Hospitals: Results of a Nationwide Survey in Japan
- VernacularTitle:臨床研修指定病院における外来診療の卒後教育の現状に関する調査研究－全国調査の結果より－
- Author:
Shinji MATSUMURA
;
Yuko TAKEDA
;
Junji OTAKI
;
Yoshikazu TASAKA
;
Toshio NAKAMURA
;
Tsuguya FUKUI
;
Sakai IWASAKI
- Publication Type:Journal Article
- Keywords:
ambulatory care teaching;
postgraduate training;
teaching hospitals;
primary care
- From:Medical Education
2003;34(5):289-295
- CountryJapan
- Language:Japanese
-
Abstract:
Although postgraduate training in an ambulatory care setting is recognized as beneficial in Japan, such training has not been widely implemented. In April 2001 we surveyed all 389 accredited teaching hospitals in Japan about their ambulatory care training. We asked 1) whether they provide a postgraduate training program in ambulatory care, particularly for problems commonly encountered in primary care settings, 2) if such a program was provided, how it was organized, and 3) if such a program was not provided, what the reasons were. One hundred eighty physicians responsible for the residency programs of 120 hospitals replied (response rate, 87%). Most residents at these hospitals see patients in outpatient clinics regularly during their training. Many faculty members supervise their residents at the outpatient clinic and also see their own patients. Sixty-eight percent of the respondents did not set teaching objectives for ambulatory care training. Frequently mentioned barriers to providing ambulatory care training were limited space and tight outpatient schedules. To promote postgraduate ambulatory care training in accredited teaching hospitals, adequate resource allocation and a national policy are needed.
