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−
研修指定病院の立場から
松 尾 収 二*
Postgraduate Training Program in Laboratory Medicine
at a Clinical Teaching Hospital
Shuji MATSUO, MD*
The Tenri Hospital resident system was introduced in 1976 and the training program for laboratory medicine began in 1982. Thus, the author proposes goals for the future on the basis of experience.
It is appropriate that trainees study emergency tests, blood transfusion
and microbiology(particularly Gram's stain and sputum culture) as practical
matters, and in addition to these, learn how to reply to consultations
from physicians, learn the laboratory flow(so-called laboratory system),
and announce interpretations of laboratory data at reversed clinical pathological
conference(R-CPC). The objectives of these training programs are to gain
skills for appropriate laboratory utilization and interpretation, and develop
communications and consultations with clinical pathologists and medical
technologists.
The key points of success in the training are close cooperation of the laboratory and teaching divisions. Particularly, cooperation with medical technologists is necessary, and it is essential medical practice for trainees because they will have to work with them in future.
Finally it should be emphasized that there training has a limited effect because of the short duration. It is thus important to communicate and discuss clinical matters regularly in medicine.
[Rinsho Byori 51 : 370〜374, 2003]
*Department of Clinical Pathology, Tenri Hospital, Tenri 632-8552
【Key Words】postgraduate training(卒後研修)，clinical pathology(臨床病理学)，laboratory medicine(臨床検査医学)，clinical teaching hospital(臨床研修病院)
*天理よろづ相談所病院臨床病理部(〒632-8552 天理市三島町200)