Japanese medical graduates are recommended to receive clinical training for more than two years after graduation, because undergraduate clinical training is insuffiicient. In 1976 the committee of postgraduate clinical training proposed the objectives of basic clinical training after graduation of medical schoool and in 1981 the committee proposed the objectives for the first postgraduate year of training and the methods of clinical skill assessment. We here present the revised objectives of basic clinical training after graduation of medical school. It is emphasized that clinical trainees should have basic clinical skills of primary and emergency care during the two year training. These clinical skills include interviewing techniques, skills in physical examination and interpretation of physical findings, laboratory skills, skills relating to diagnosis and managements, communication skills to other doctors and to other medical co-workers and terminal care.
Followings are the proposal for the new system of the doctor course in clinical departments of Medical Schools. 1) Students should enter the doctor course of clinical departments after finishing the 2 years post-graduate clinical training. 2) Doctor course of clinical medicine should be 3 years instead of conventional 4 years. 3) Students should receive 1 year course of basic training for biological research with the students of the doctor course of basic medicine 4) Students should not commit the clinical duties unless those are essential for their research. Three years oF doctor course should not be included in the course for clinical training of the specialized field of medicine. 5) Grants for the students of doctor course should be increased.