国際医療福祉の最新情報ルーム

The country has the policy in the university hospital to the restriction resident doctor and the maldistribution cancellation in the region of each hospital of the offering frame from the coming year give preferential treatment. (1)

Both the public welfare labor and the education science reflecting to receive the doctor deficiency problem and to discuss the review of the medical practice training system decided the policy of limiting the offering frame of the hospital at the training destination of all of resident doctor's capacity after fiscal year 2009 of the 17th in addition to the new establishment of the upper limit of each administrative divisions.

Because the resident doctor concentrates on a large-scale hospital of the Prefectural government site etc. , and doctor's maldistribution in the region might not eliminate only providing the upper limit of each administrative divisions.

However, the offering frame gives preferential treatment, is distributed, and the reinforcement as the core hospital that bears the community medicine is aimed at about the university hospital etc. that dispatch the doctor to the hospital in the remote place etc.

The full complement is assumed to be about 9500 of the preceding fiscal year proportion 16% decreases at first, and about 1700 people assume preferential treatment to the university hospital etc.

The crack of a lot of capacity though each hospital is good to the liberty at the regimen according to the number etc. of sickbeds at the setting of resident doctor's offering capacity. It calculates based on the past performance like the number etc. of average adoptions during Naoticacaz year, and it will be assumed the capacity setting that suits the realities in the future.

Even if the hospital where capacity is filled increases the number etc. of sickbeds further, the offering frame is left untouched. The frame return for the vacancy is requested about the hospital of the capacity crack.

Grouping with the regional internal core hospital that accepts a lot of resident doctors is requested to the hospital where adopter 0 follows. An original offering is guided not to do though the function as the training hospital is sustained.

The adjustment like falling below of the total of capacity in each hospital on that than the number of upper limits newly established by the unit of administrative divisions. It is assumed that "Excess" of the offering frame is invented in each administrative divisions, and the university hospital etc. that bear the doctor dispatch function distribute it.

The study committee of both reflecting is discussing the proposal idea centering on making - the program by large reductions of the number of offering upper limits of each (1) administrative divisions of new establishment (2) requiring diagnosis and treatment departments flexible etc. over the medical practice training system review now.

- Doctor's medical practice training system

System to obligate training in hospital to doctor after purchase of license start in medical practice training system fiscal year 2004 of doctor. Seven diagnosis and treatment department like the internal medicine department and surgery, the pediatrics department, and obstetrics and gynecology, etc. will be experienced in two years, and a basic ability is acquired. The number of cases to choose a private hospital of the urban area increases though it made can the choice of the training destination by "Matching" etc. to collate the request of both the doctor and the hospital with the computer a liberty. It is assumed that movement to repatriate the doctor whom the university hospital that had come not to secure the resident doctor easily was dispatching to a local municipality hospital etc. comes one after another, and the doctor deficiency was accelerated.

Providing on February 18, 2009: Kyodo News Service