Re-evaluating the Final Goal in the New Postgraduate Clinical Training System
- VernacularTitle:臨床研修の到達目標に関する研究―卒前医学教育への前倒し導入に関して―
- Author:
Masahiko ISHIKAWA
;
Hiroyoshi ENDO
;
Kenji HAYASHI
;
Hideo SHINOZAKI
- Publication Type:Journal Article
- Keywords:
undergraduate medical education;
new postgraduate clinical training system;
final goal
- From:Medical Education
2008;39(1):19-27
- CountryJapan
- Language:Japanese
-
Abstract:
More than 2 years have passed since the new postgraduate clinical training program was instituted in 2004 to improve the clinical ability of Japanese physicians. However, there have already been discussions about whether the undergraduate curriculum and the postgraduate program should be improved.
After the first physicians finished their training under the new program in the spring of 2006, questions were raised about whether the identical final goals of training could be achieved by transferring some items of postgraduate clinical training to the undergraduate period. Such a change might invigorate the undergraduate curriculum and enhance the effectiveness of the postgraduate program.
1) Are-evaluation of the final goals of postgraduate clinical training might allow some items to be taught during the undergraduate period.
2) Several questionnaires were sent to 211 supervising physicians and 184 first-year residents who had just completed the new internship program at 25 teaching hospitals (university hospitals and postgraduate training hospitals).
3) Both trainees and supervising physicians reacted positively about and expressed a willingness to participate in training items, including noninvasive diagnostic procedures and laboratory studies not harmful to patients, during advanced courses in the undergraduate period.
4) Both trainees and supervising physicians reacted negatively to participating in any invasive procedures that might affect a patient's welfare or sense of shame during the undergraduate period.
5) In the future, training with simulated procedures before actual patients are encountered and enlisting enough supervising physicians are essential for unifying the undergraduate medical school curriculum and postgraduate clinical training programs.
