Igaku Kyoiku / Medical Education (Japan)
Online ISSN : 2185-0453
Print ISSN : 0386-9644
ISSN-L : 0386-9644
Volume 36, Issue 5
Displaying 1-11 of 11 articles from this issue
  • Osamu FUKUSHIMA
    2005 Volume 36 Issue 5 Pages 277-278
    Published: October 25, 2005
    Released on J-STAGE: February 07, 2011
    JOURNAL FREE ACCESS
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  • Takashi HORIE
    2005 Volume 36 Issue 5 Pages 279-282
    Published: October 25, 2005
    Released on J-STAGE: February 07, 2011
    JOURNAL FREE ACCESS
    1) Open of advertisement of qualified specialists belonging to medical societies that fulfill 9 formal criterions and recognition of the importance of qualified specialists.
    2) Significant reduction of clinical training doctors matched to the university hospitals and also predictions of reductions in the number of applicants to the clinical training system for specialists at the university hospitals or clinical course of postgraduate school.
    3) University hospitals have not satisfactorily established the system of status and economical indemnification for specialists under clinical training.
    4) Concern for reduction of clinical doctors involved to medical research.
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  • Yoshio YAZAKI
    2005 Volume 36 Issue 5 Pages 283-285
    Published: October 25, 2005
    Released on J-STAGE: February 07, 2011
    JOURNAL FREE ACCESS
    1) The National Hospital Organization has established a new clinical training system for the doctors who will finish the compulsory postgraduate clinical training in April 2006, to go forward into specialized fields in the future.
    2) The aim of this system is that a doctor is incorporated in a training program with contents to cultivate mainly clinical abilities in particular fields, whereas the present system is on the job training without any program.
    3) We hope that this new system will expand into the hospitals outside of the National Hospital Organization.
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  • Masahiro YAMAMOTO, Kazuhiro SUZUKI, Seiji SHIMIZU
    2005 Volume 36 Issue 5 Pages 287-289
    Published: October 25, 2005
    Released on J-STAGE: February 07, 2011
    JOURNAL FREE ACCESS
    1) Anjo Kosei Hospital has nearly 40 years of history of the post-primary clinical training course.
    2) More than 90% of the young doctors, passed through 2 years of the primary clinical training course, have chosen further training at Anjo Kosei Hospital. During this course they began to start the experience for their own career for specialist.
    3) This education program is closely coordinated with Medical Colleges such as Nagoya University and Nagoya City College of medicine. After 4 or 5 years of training at Anjo Kosei Hospital, they continued their training at Nagoya University Hospital or Nagoya City College Hospital for the further career.
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  • Ryuki KASSAI
    2005 Volume 36 Issue 5 Pages 291-296
    Published: October 25, 2005
    Released on J-STAGE: February 07, 2011
    JOURNAL FREE ACCESS
    1) “To live as a family physician” is the central value of the residency training program at the Hokkaido Centre for Family Medicine where the trainees practice specialty approaches of family practice everyday supervised by their family physician trainers in the communities in which they reside.
    2) Training at multiple facilities enables the trainees to experience family practice in different communities where their culture, social context, health resources, health issues and the age composition vary. The trainees can also enjoy their relationship with their trainers-role models for them who show the various practice and training styles.
    3) The definition-based curriculum in family practice is indispensable, enabling medical students and resident physicians in Japan wishing to become family physicians to understand that “family practice is a specialty in medicine that can be learned concretely.”
    4) Trainers can evaluate their trainees by using a “Core Component” curriculum, which is based on the new working definition of family practice, and a “Common Problems Component” curriculum, which covers all the specialties in clinical medicine.
    5) In addition to residency training programs in family practice, a residency review committee, an evaluation and certifying examination program, and programs for continuing professional development to allow certified family physicians to keep themselves up-to-date are needed.
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  • Takayuki HAINO, Yoshiharu AIZAWA
    2005 Volume 36 Issue 5 Pages 297-300
    Published: October 25, 2005
    Released on J-STAGE: February 07, 2011
    JOURNAL FREE ACCESS
    1) A field of preventive medicine is extremely wide. We focus on the post-primary clinical training courses executed in the departments of preventive medicine in medical schools, health administration offices in community and ministry, and occupational health.
    2) A physician is recommended to choose the department of medical schools after inquiry of the major field such as community health, occupational health, epidemiology or toxicology, etc.
    3) The Ministry of Health, Labour and Welfare qualifies physician no later than 5 years after graduation from medical school for employment as a technical officer of specialist.
    4) For community health officers, comprehensive knowledge is required.
    5) While about 2, 000 physicians are employed as occupational health physicians, a new style of physicians makes contract with several enterprises and sets oneself up as occupational health consultants.
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  • Osamu MATSUO, Masayuki IKI
    2005 Volume 36 Issue 5 Pages 301-304
    Published: October 25, 2005
    Released on J-STAGE: February 07, 2011
    JOURNAL FREE ACCESS
    1) For the future selection after 2-year primary clinical training program, most of the doctor do not desire to be a researcher in basic medicine as well as in public medicine.
    2) In order to educate medical students to experience the research with joy, curriculum for integrated laboratory practice and/or assignment to basic medical department may be a good candidate in poor situation.
    3) If a benefit to give favorable conditions to basic medical researcher may be legally provided, many residents assume attractive life in basic medicine.
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  • Kintomo TAKAKURA
    2005 Volume 36 Issue 5 Pages 305-307
    Published: October 25, 2005
    Released on J-STAGE: February 07, 2011
    JOURNAL FREE ACCESS
    1) Clinical residency system (5 years) to study medical knowledge and technologies necessary in each field of specialty was established for young doctors who have finished their 2-year post-graduate clinical internship.
    2) Post-graduate course of Tokyo Women's Medical University consist of the following divisions: internal medicine and surgery divisions as clinical medicine, morphological, functional and socio-medical divisions as basic medicine and the advanced life-science divisions.
    3) Clinical residents can enter the post-graduate course of the university at the same period of their residency and engage in medical research works.
    4) Post-graduate courses of Tokyo Women's Medical University are open to peoples working in industrial companies or any enterprises and promote the joint research works with the university and industrial enterprises.
    5) The research works by clinical residents in the post-graduate school will encourage the research mind of young doctors and promote the progress of medical researches.
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  • Noritoshi TANIDA
    2005 Volume 36 Issue 5 Pages 315-321
    Published: October 25, 2005
    Released on J-STAGE: February 07, 2011
    JOURNAL FREE ACCESS
    The ethical views of 85 first-year medical students and 53 first-year nursing students were studied during a joint bioethics course. Questions used to examine their views included: “Would you treat a mentally ill man condemned to death so that he could be executed?” ; “Should a doctor inform a patient of the risk of an extremely rare but possibly fatal drug reaction?” ; “Is criminal prosecution of a surgeon responsible for a patient's death reasonable?” ; and “Should a surgeon responsible for a patient's death be prosecuted for manslaughter?” Students were also asked two open-ended questions about the beginning of human life and what they considered the single most important ethical issue. Medical students favored treating a condemned, mentally ill man more frequently than did nursing students. More than 85% of all students endorsed full disclosure of medical information. Although most students considered reasonable the criminal prosecution of a responsible surgeon, significantly fewer medical students than nursing students thought that the surgeon should be prosecuted for manslaughter. Most students believed that human life begins at conception. The ethical issue named as most important by medical students was brain death/organ transplant and that named by nursing students was assisted reproductive technology. Thus, medical and nursing students at the beginning of their professional education agree on some, and differ on other, ethical issues. The author hopes that joint student courses on medical ethics will foster ethical sensitivity and stimulate and enhance future dialogue among healthcare professionals.
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  • Follow-Up Study, 1999-2004
    Yuko TSURUOKA, Koki TSURUOKA, Eiji KAJII
    2005 Volume 36 Issue 5 Pages 323-328
    Published: October 25, 2005
    Released on J-STAGE: February 07, 2011
    JOURNAL FREE ACCESS
    This is a follow-up study to our 1999 telephone survey of education in complementary and alternative medicine (CAM) in Japanese medical schools. We surveyed the same workers in curriculum offices in all 80 Japanese medical schools in 2004. The number of medical schools that offer CAM education has increased significantly, from 16 schools (20%) in 1999 to 69 schools (86%) in 2004. Treatment with kampo is being taught in all 69 schools with CAM education. Fourteen (20%) of these 69 schools also teach a new framework of CAM and integrative medicine, and 7 schools teach evidence-based medicine in relation to CAM, although almost all schools (95%) taught kampo and acupuncture as types of traditional Asian medicine in 1999.
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  • Report of the 14th Workshop of Medical Education on Electronic Medical Recording Systems for Clinical Clerkships
    Ariyuki HORI, Yasuyuki SUZUKI, Yukiyoshi TSUKATA, Yoshiyasu TERASHIMA, ...
    2005 Volume 36 Issue 5 Pages 329-334
    Published: October 25, 2005
    Released on J-STAGE: February 07, 2011
    JOURNAL FREE ACCESS
    Medical recording is an important learning issue for the clerkship curriculum. Privacy laws require that medical students' access to patient information be managed by faculty members. The Workshop of Medical Education was convened at the Medical Education Development Center, Gifu University, in October 2004 to discuss the management of electronic medical recording systems for clinical clerkships. The purpose of this article is to propose management guidelines and rules for electronic medical recording systems for clinical clerkships in Japan.
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