Establishment of an Outpatient Pediatrician Training System by Objective Evaluation

Research Project

Project/Area Number	07672446
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Single-year Grants
Section	一般
Research Field	Medical sociology
Research Institution	Kurume University
Principal Investigator	USHIJIMA Kosuke Kurume University, School of medicine, Reseach Associate, 医学部, 助手 (00213413)
Co-Investigator(Kenkyū-buntansha)	YOSHIDA Ichiro Kurume University, School of medicine, Associate Professor, 医学部, 助教授 (20182751) SAKATA Yasutaka Kurume University, School of medicine, Assistant Professor, 医学部, 講師 (50183364) ITO Yuhei Kurume University, School of medicine, Associate Professor, 医学部, 助教授 (90203182)
Project Period (FY)	1995 – 1997
Project Status	Completed (Fiscal Year 1997)
Budget Amount *help	¥1,900,000 (Direct Cost: ¥1,900,000) Fiscal Year 1997: ¥500,000 (Direct Cost: ¥500,000) Fiscal Year 1996: ¥600,000 (Direct Cost: ¥600,000) Fiscal Year 1995: ¥800,000 (Direct Cost: ¥800,000)
Keywords	RESIDENT EDUCATION / GENERAL PEDIATRICS / RESIDENT / TRAINING CURRICULUM
Research Abstract	In a survey of front-line pediatricians (members of the Society of Ambulatory and General Pediatrics of Japan), the percentage of doctors who had no memory of receiving special training for outpatient pediatric practice was as high as 67.0% Among those who had received such training, only 50.8% were satisfied with it. In a response to the question if the existing training is adequate for a young pediatrician to begin his or her own practice, only 7.6% considered such training as adequate, while 70.4% considered it inadequate. The kinds of training considered absolutely necessary were those of general practice, such as diagnostic techniques, fundamental techniques, and interviewing skills, those which give knowledge of borderline diseases, and those of clinic management, such as personnel management, business management, and business administration. We devised a training curriculum with emphasis on outpatient general pediatric practice, taking into consideration the results of the survey of university pediatricians and front-line pediatricians, curriculums and views of other institutions and other relevant information. We followed this curriculum to train young pediatricians, and evaluated it. It was found that more focus was required on the doctor's method of dealing with patients (education for medical attitude) and paramedical staff (communication), learning methods and processes to solve problems (degree of learning), and trainee education than on techniques and knowledge. This system was also received well by the trainees. They could objectively evaluate their knowledge and techniques gained from the training program for outpatient pediatric practice, and could perform mutual evaluation of colleagues and paramedical staff. Further studies are required to improve this system with respect to the methods of education and details of training, including emotional educxation, attitude learning, education for dealing with patients, and medical ethics.