Re-evaluating the Final Goal in the New Postgraduate Clinical Training System

• Published in: Igaku Kyoiku / Medical Education (Japan) Vol. 39; no. 1; pp. 19 - 27
• Main Authors: ISHIKAWA, Masahiko, ENDO, Hiroyoshi, HAYASHI, Kenji, SHINOZAKI, Hideo
• Format: Journal Article
• Language: Japanese
• Published: Japan Society for Medical Education 25.02.2008
• Subjects: final goal; new postgraduate clinical training system; undergraduate medical education
• ISSN: 0386-9644; 2185-0453
• DOI: 10.11307/mededjapan1970.39.19

More than 2 years have passed since the new postgraduate clinical training program was instituted in 2004 to improve the clinical ability of Japanese physicians. However, there have already been discussions about whether the undergraduate curriculum and the postgraduate program should be improved. After the first physicians finished their training under the new program in the spring of 2006, questions were raised about whether the identical final goals of training could be achieved by transferring some items of postgraduate clinical training to the undergraduate period. Such a change might invigorate the undergraduate curriculum and enhance the effectiveness of the postgraduate program. 1) Are-evaluation of the final goals of postgraduate clinical training might allow some items to be taught during the undergraduate period. 2) Several questionnaires were sent to 211 supervising physicians and 184 first-year residents who had just completed the new internship program at 25 teaching hospitals (university hospitals and postgraduate training hospitals). 3) Both trainees and supervising physicians reacted positively about and expressed a willingness to participate in training items, including noninvasive diagnostic procedures and laboratory studies not harmful to patients, during advanced courses in the undergraduate period. 4) Both trainees and supervising physicians reacted negatively to participating in any invasive procedures that might affect a patient's welfare or sense of shame during the undergraduate period. 5) In the future, training with simulated procedures before actual patients are encountered and enlisting enough supervising physicians are essential for unifying the undergraduate medical school curriculum and postgraduate clinical training programs.