The transition from student to resident: A survey about abilities expected fo first-year residents
- VernacularTitle:研修開始時に研修医が具有しているべき能力―卒前医学教育から卒後研修への移行についての考察―
- Author:
Masahiro TANABE
;
Atsushi HIRAIDE
;
Hirotaka ONISHI
;
Kazumasa UEMURA
;
Tadao OKADA
;
Kazuhiko KIKAWA
;
Hayato KUSAKA
;
Masamune SHIMO
;
Katsusada TAKAHASHI
;
Yujiro TANAKA
;
Tadashi MATSMURA
- Publication Type:Journal Article
- Keywords:
undergraduate medical education;
graduate medical education;
learning objectives;
objective structured clinical examination;
patient safety
- From:Medical Education
2008;39(6):387-396
- CountryJapan
- Language:Japanese
-
Abstract:
The interval between undergraduate medical education and graduate medical education causes residents to become disorganized when they start their first-year residency programs.This disorganized transition may be stressful for residents and preceptors and may cause resident to make medical errors.We performed a pilot study to examine the degree to which program directors agree about the abilities required for the start of the first of year residency.
1) We asked the residency directors at university hospitals and residency hospitals nationwide (343 institutions) to indicate what abilities residents were expected to have at various stages of the residency program.The data received were then analyzed.
2) A total of 134 residency directors (39%) returned the questionnaire.We calculated the percentage (expectation rate) of institutions that reported expected prerequisites at the start of the first year of residency and calculated the accumulated values (cumulative rate) of the percentages.
3) Only 43 (30%) of 141 abilities upon the completion of residency-preparatory programs had a cumulative rate of more than 50%.
4) Domains for which the expectation rate was more than 50% at the start of residency were medicine and related knowledge and practical skills for obtaining physical measurements.
5) Physical examination and practical skills for which the cumulative rate was less than 50% on completion of residency-preparatory programs were those for the reproductive and urinary systems and pediatrics and the insertion and maintenance of intravenous lines and indwelling urinary catheters.
6) Disparities are likely between the abilities of residents and the tasks expected of them upon entry into a residency program.This problem must be urgently addressed through medical education and graduate medical education.
