検査医学教育(5)

卒後臨床研修必修化への検査医学・臨床病理の対応
−各施設での卒後研修プログラムの実際−
私立大学医学部付属病院の立場から

熊　坂　一　成*
　　　　　　　　　　　　　　　　　　　　　　
Mandatory Postgraduate Medical Training in Japan
−Present State of Nihon University as a Private Medical School−

Kazunari KUMASAKA, MD*

This is a time of considerable uncertainty about the future of the postgraduate medical education policy of the Japanese government. Strong and visionary academic leadership of laboratory physicians in private medical schools is needed. The medical schools must not only adapt to a changing health care system, but also maintain excellence in education, patient care, and clinical research.
In Japan, tradition has it that the comparatively few faculty members at national medical schools are mostly promoted only on the basis of research in experimental medicine, therefore, young medical graduates are increasingly drawn to bench work or molecular medicine, not to clinical practice. Single-minded specialization tends to produce single track minds, which may lack balanced judgment in approaching the appropriateness of both investigation and management. For continuity of care and containment of costs, a year or two of general professional training after graduation preceded by a broad medical education is an invaluable investment. All medical graduates, whatever their intended or unintended final destination (even if not clinical), should spend more than six months in medicine and four or five months in surgery, at least half of each to be spent in the general disciplines, including responsibilities for acute emergency admissions. As certified laboratory physicians we must attempt to attract graduates into laboratory medicine by developing imaginative training programs including common laboratory procedures such as Gram's stain, Wright-Giemsa stain and point of care testing at the patient's bedside or in ambulatory clinics, not only in central clinical laboratories.
[Rinsho Byori 51 : 362〜366, 2003]

*Department of Laboratory Medicine, Nihon University School of Medicine, Itabashi-ku, Tokyo 173-8610

【Key Words】postgraduate medical education(卒後医学教育)，laboratory physician(臨床検査専門医)，mandatory postgraduate medical training(卒後臨床研修必修化)，Japan(日本)，laboratory medicine(臨床検査医学)

*日本大学医学部臨床検査医学講座(〒173-8610 東京都板橋区大谷口上町30-1)

E-mail :kumasaka@med.nihon-u.ac.jp