The New Postgraduate Clinical Training System: Its Merits and Demerits(<SPECIAL ISSUE>Social Environment Surrounding Neurosurgery)

Abstract

Four years have passed since the new postgraduate clinical training become obligatory. A negative influence of this training system has been actualized in the from of an "uneven distribution of doctors and collapse of the community health". It is actually an educational system near the desk theory though the Ministry of Health, Labour and Welfare evaluated this system as going well only based on the results of a questionnaire for trainee doctors. In the past, medical education was mainly carried out by the university hospitals in Japan, and this has achieved one of the best medical treatment levels in the world so far. It is thought that a doctor's postgraduate clinical education can be most efficiently doing in the university hospital, and keep the quality of medical care high. In this paper, this new postgraduate clinical training system is verified, and the role that the university hospital should play in accomplishing an ideal clinical training program is considered.