国際医療福祉の最新情報ルーム

Movement that the doctor deficiency reviews the medical practice training system of the new figure doctor to whom cause Tomoi cracks has expanded the ripple in situ.
In Ministry of Health, Labour and Welfare and Ministry of Education, Culture, Sports, Science and Technology, the substance at the training period will perceive the cutback for one year, and brings the conclusion together at the specialist study committee for the people securing on the 18th at ten fiscal years. However, the doctor who worries has been raising the voice to doubt the effect to a lot of doctor deficiency cancellations that are the purposes of the review , saying that "Can you learn enough in one year?".

"The training of the department to which it is not had a mind to major in is volition. " (doctor of the university hospital) "I may spoil an unmotivated resident doctor and change the system?"(representative of patient group)

The study committee on the second this month was intensely faced of the each commissioner's insistence. The focus : by all means about the regimen that turns round seven diagnosis and treatment department in two years. As for the agreement sect of the cutback, the argument traced parallel lines to "You should decrease the required course, and learn the remainder in the particular field" and anti-nukes for one year , saying that "Reverse to the idea of the diagnosis and treatment upgrading".

Many of new figure doctors were situations in which it belonged to the dispensary of the alma mater (diagnosis and treatment department) before, and it was chased, and the diagnosis and treatment abilities other than the specialty did not grow up easily in the chore either. To correct this, the regimen was introduced. In the investigation of the Ministry of Health, Labour and Welfare study group, as for the number of cases, that the resident doctor experiences in two years, it increases gradually, and the majority is satisfied with the contents.

However, Ministry of Health, Labour and Welfare was without probat the effect the training cutback and started coming review. Health Minister Yoichi Masuzoe spoke from early time with "One year of two years", and the dissenting opinion such as four hospital group councils that about 60 percent of hospitals across the country joined was not reflected in "Basic plan" of the secretariat making.

It is a doctor of the diagnosis and treatment department removed from requiring to hold a strong sense of crisis in the period cutback. President Takuya Kojima of Japanese Society of Psychiatry and Neurology stresses, "As for the risk for an internal medicine department and a surgical patient to complicate the mood depression etc. , it is high, and the training of the psychiatry department is necessary for any specialty".

On the other hand, the young man doctor returns to the university hospital of the core in the region early, and the voice of the doubt comes out to the speculation of Ministry of Health, Labour and Welfare if training shortens. The pediatrics department lecturer at the university in Kanto｢Resident doctor's trend that chooses the serious illness academy of the urban area is strong, and it doesn't remain in the university hospital in period and capacity's amendments. The education that raises the pride that supports the community medicine is important. ｣
With the indication. President Akira of the brook of Iwate Medical University also predicts agreeing with the review, "The doctor deficiency of the diagnosis and treatment department with which the working environment like the obstetrics department etc. is severe continues if it doesn't depress it to the capacity setting according to the diagnosis and treatment department".

Graduates of university Department of Medicine are about 8000 people every year. It doesn't become a root solution of the doctor deficiency even if new figure doctor of the number is put in to the worker, and sub-director Hiroshi Honda in the saitama prefecture Saiseikai Kurihashi hospital appeals, "It is necessary to expand doctor's absolute number, and to take a detailed countermeasure corresponding to the fact in the region".

- Language doctor medical practice training
The regimen starts in fiscal year 2004 on the basis of the medical practitioners law, the internal medicine department (six months or more) and surgery and the emergency and the anesthetizing departments are studied in the year first of the principle, and the pediatrics department, obstetrics and gynecology, the psychiatry department, and the regional health care and the medical treatment (one month or more for each) are studied in year second.
Only the internal medicine department (six months or more), emergencies (three months or more), and the community medicines of the review idea (one month or more) were requiring. It is assumed that the resident doctor who chooses the provinces and the university hospital is few, and the offering capacity of each administrative divisions is provided in the review idea though the training destination can be requested to the liberty.

The source
http://mainichi.jp/select/science/news/20090217k0000e040059000c.html

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