追加発現：へき地診療における臨床検査の実施状況
河 野 幹 彦*1 久 保 信 彦*2 谷 口 信 行*3 大 原 智 子*4
中 村 みちる*5 渋 谷 泰 寛*6 尾 本 きよか*7 重 田 浩一朗*8
小 野 倫 子*9 鯉 渕 晴 美*10 伊 東 紘 一*11
Laboratory Examinations Performed in Rural Practice
Mikihiko KAWANO, MD*1, Nobuhiko KUBO, MD*2, Nobuyuki TANIGUCHI, MD*3,
Tomoko Oohara, MD*4, Michiru NAKAMURA, MD*5, Yasuhiro SHIBUYA, MD*6,
Kiyoka OMOTO, MD*7, Ko-ichirou SHIGETA, MD*8, Tomoko ONO, MD*9,
Harumi KOIBUCHI, MD*10 and Ko-ichi ITOH, MD*11
Graduates from Jichi Medical School are obligated to work at rural clinics
or hospitals, where most of them are the only medical doctor in the house.
To understand how these graduates actually use laboratory examinations,
what examinations they found most important in their practice, and when
they were confident of their laboratory techniques, we designed a questionnaire
to address these questions.
Many respondents reported that their institutions had electrocardiographs,
abdominal and/or cardiac ultrasonographs, urinalysis test paper, and portable
blood glucose meters, and more than half of them reported having used these
instruments without assistance in emergency situations. Moreover, a majority
of the respondents said that they considered it important that a physician
is able to use these instruments without the help of other staff members.
Proficiency in many laboratory techniques was obtained and physicians were
confident during their first postgraduate clinical practice.
These responses clearly show the importance and usefulness of covering examination techniques and the principles of laboratory medicine in medical education and the first postgraduate clinical practice.
[Rinsho Byori 51 : 375〜379, 2003]
*1Department of Clinical Laboratory Medicine, Jichi Medical School, Kawachi-gun, Tochigi-pref. 329-0489
【Key Words】laboratory medicine(臨床検査医学)，rural practice(へき地診療)，medical education(医学教育)，clinical learning(臨床実習)，postgraduate medical practice(卒後臨床研修)
*1〜11自治医科大学臨床検査医学(〒329-0498 栃木県河内郡南河内町薬師寺3311-1)
E-mail :mkkawano@jichi.ac.jp