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Study committee concerning ideal way etc. of medical practice training system
Administrative divisions frame and the resident doctor is "Inducement" * Vol.6 in the provinces from the urban area.

Both reflecting of Ministry of Health, Labour and Welfare and Ministry of Education, Culture, Sports, Science and Technology sponsored, and the 6th meeting of "Study committee concerning the ideal way etc. of the medical practice training system" was held on February 18, and the report idea was acknowledged. The report idea is a contents of the last meeting and an almost similar contents ('"University valuing" is a key word, and a review idea dissemination' is seen).

The training period is assumed to be one substantial year, and offering capacity's according to administrative divisions upper limits are set at the same time as increasing the number of doctors who train by the special diagnosis and treatment department for two years after Sots. The number of doctors as "Man power" is increased, and it aims at the resident doctor from the urban area in the provinces, and "Inducement" Shite regional difference is decreased, and it aims at the cancellation of the doctor deficiency. This review is not connected directly with the solution though there is a problem of the diagnosis and treatment department maldistribution over the doctor deficiency, too.

The substance of the system review : as shown in the following description. In the meeting on this day, it becomes a report for the report idea through amendments of not the argument that changes the polarity but the objection, etc. though the objection went out in the itemized discussion. In the SC of the doctor of Medical Ethics Council doctor medical practice training departmental meeting that is scheduled to start on February 26, (1) listed below and (2) are deliberated. ｢The deliberation will not end by one time. However, the argument will be finished by the end of current year, and the ministerial ordinance and the notification are put out. ｣｡After the meeting, thickness Roushoui political situation medicine thing section chief's Mr. Sugino great physical strength corresponding to the question of reporters described so.

The system amendment : from the training that begins in April, 2010. There is not so much extra time for each hospital that discusses the program amendment etc. for the sixth Department of Medicine grader to do Era at the training destination in the summer of every year. A little late this year though the end of April is a deadline when the hospital changes the training program is expected in case of the ordinary year. Still, very limit timing. Therefore, "It flexibly does around here. " of the conclusion of council (Mr. Sugino) though it is a general schedule to usually put out the ministerial ordinance and the notification through the public comment.

【 substance of system review ]

(1)Making of training program flexible
1.The period of the medical practice training is a setback in three departments (the internal medicine department (six months or more), emergencies (three months or more), and the community medicines (one month or more)) from seven subjects sustaining two years as for requiring.
2.The selection requiring of two subjects (Almost decision in two subjects though 1-2 subjects in the report idea) among surgery, the anesthetizing department (One month or more in the emergency and the anesthetizing department conventionally), the pediatrics department, obstetrics and gynecology that was requiring conventionally, and psychiatry departments. The period of the selection requiring is not provided.
3. A conventional super-rotation method is possible the implementation.
4. The system to assess the receipt hospital system of guidance, the training contents, and the reach etc. of the resident doctor in the third party is constructed.

(2)Review of ideal way of offering capacity and receipt hospital
1.The setting of upper limits of the number of offering capacity (The population distribution and the doctor training dimension and geographical condition, etc. are considered) according to administrative divisions.
2.The offering capacity in each hospital is offering capacity's according to Hitoshidouf prefecture upper limit and a necessary implementation as for the adjustment. review it based on resident doctor's past receipt results etc.
3.The implementation of matching in the national scale is maintenance.
4.The plastic of the medical practice training hospital county that centered on strengthening and the university hospital etc. of a specified basis of the management type medical practice training hospital is promoted.
5.The treatment of the inappropriate resident doctor who unreasonably deviates from the gist of the training system (salary and other allowances) is implementations as for the countermeasure to induce the corrective action.

(3)Review of relating system etc.
1.Review of curriculum of medical education.
2.Enlargement of regional frame in Department of Medicine entrance.
3.The doctor dispatch function such as the university hospitals is restructured as an opened system in which the intention of the affiliate in the region is reflected enough. Minister of Health, Labour and Welfare Yoichi of photograph Masuzoe and Ta Shiotani and Minister of Education, Culture, Sports, Science and Technology's both ministers attend. It greets opening respectively, and both and it retires on the way.

Ministry of Health, Labour and Welfare with "Plan arrangement" leverage of doctor

The concern for the cutback at the training period and the reduction in the required course is high, and as for this review, the study committee on the 18th and the power that pays attention any more is offering capacity's according to administrative divisions high limit settings though the opinion of the relation come one after another, too. might

Mechanism where offering capacity of urban area with high popularity is decreased to resident doctor, and resident doctor is made to flow to the amount and the provinces to be brief. The offering capacity is 11,292 people every 8416 people in total in the whole country in the attendee who hit the 1.3 times for matching in 2008. It is inevitable that the reduction of the offering capacity is done through necessity though the rule of the high limit setting will be decided in Medical Ethics Council in the future in Tokyo where a lot of numbers of resident doctors exist by the personal entrance proportion etc.When the total of the offering capacity in each training facilities in Tokyo exceeds the upper limit, the adjustment will be done.

Mr. Sugino : about this high limit setting. ｢There was a mechanism that the capacity etc. of Department of Medicine controlled conventionally. In putting the idea "Constant" in the person who has the medical licence, this time is the first time. ｣It talks. You may say that Ministry of Health, Labour and Welfare had the means for doctor's "Plan arrangement". Moreover, to do by the ministerial ordinance and notification level, the limit setting need not revise the law further.

However, the medical practice training after Sots is security Hanai of whom the doctor remains in the provinces only for two years because of the training afterwards at latter half of the year no matter how these two years are controlled. Mr. Sugino : on this point. ｢In 'End' of the report idea, the action on the doctor deficiency problem is insufficient only in the review of the medical practice training system. It is when further strengthening of the relating countermeasure is strongly hoped. ｣It described, and content was left.

"Arrival target" changes neither the contents nor the quality of training to deserting.

On the other hand, a substantial cutback at the training period that aims at an increase in the number of doctors that becomes "Man power" has what to the doctor's assignment to the special each diagnosis and treatment department between two years from fiscal year 2004 of the training start vanishes in the backdrop. The voice put in question was strong , saying that "It is the same as gone of about 15,000 doctors every two years".

｢As usual, it is made to train by the super-rotation. Are the group that insists that it is necessary to sustain the regimen and the hospital the insistence streets, and Hanai ..the super-rotation..?Therefore, it is said making the program flexible. ｣(Mr. Sugino)｡

In the assessment of the super-rotation, the postgraduate education hospital, one side, and anti-nukes are diagrams of abounding in the university hospital. The number of staff increases of "Man power" is substantially controlled which of the program of "New program" of one year and conventional super-rotation for each hospital and the resident doctor to select by it for the training period.

In the introduction of the super-rotation method in the regimen, the training of the doctor who had the wide, basic diagnosis and treatment ability was an aim. On the other hand, training｢The resident doctor is merely a customer, and it is not significant in the rotation of the unit for one month. Is the basic diagnosis and treatment ability to So help me acquired?｣There is a criticism, too. In this review, not from the angle of the quality of such a training of doctors but the doctor deficiency is the beginning. The amendment is not done as for "Arrival target" to measure the ability of an actual training contents and the resident doctor.

In the meeting on the 18th,｢The part of the shadow of the medical practice training system is not only a doctor deficiency. There is decay of an advanced medical treatment and the medical education, too. It falls into an unexpected consequence when in view of only respect that is, the system is reformed. No speculation of each hospital right and interest and the group, it stands in patient's aspect, and a diversified argument is necessary. ｣(For the study committee commissioner, Mr. Takamasa, Jiashan head of Yamagata University, School of Medicine. )The indication was had, too. However, even the verification of right or wrong of the super-rotation to say nothing of a diversified argument is not done, and the clever-handed will be revised.