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The position of primary care in medical education: The situation and the subject for future

Research Project

Project/Area Number 13672366
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionJichi Medical School

Principal Investigator

KAJII Eiji  Professor, 医学部, 教授 (40204391)

Co-Investigator(Kenkyū-buntansha) HAMASAKI Keizo  Research Associate, 医学部, 助手 (90306142)
ISHIKAWA Shizukiyo  Research Associate, 医学部, 助手 (70306140)
MISE Junichi  Assistant Professor, 医学部, 講師 (30291636)
Project Period (FY) 2001 – 2002
Project Status Completed (Fiscal Year 2002)
Budget Amount *help
¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 2002: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 2001: ¥2,100,000 (Direct Cost: ¥2,100,000)
KeywordsMedical education / curriculum / primary care / community practice / career preference / medical students / 卒前医学教育 / 進路選択 / 地域包括医療
Research Abstract

I. Nationwide Survey on the Primary Care (PC) Curriculum for Undergraduate Medical Students
We conducted a nationwide survey to examine the PC curricula of medical schools for undergraduates in Japan. Seventy (88%) of all medical schools in Japan responded. The number of schools that have lectures and experience programs in the PC field has increased three-fold or more in the past decade, but many medical school presidents (more than 60%) recognize that the present state of PC education should be improved.
II. Nationwide Survey on interest in PC and career preference of medical students in Japan
We conducted a nationwide survey to examine interest in PC and career preference of medical students (1st, 4th, and 6th-year). Fourteen thousands and four hundreds sixty-eight medical students in 73 medical schools responded to the questionnaire (respond rate 74%). Seventy-five percents answered being interested in PC and 36% had career preference in PC. Students' characteristics significantly associated with the preference were having been interested in PC at matriculation, rural backgrounds, female, having parent(s) who is (are) physicians in clinic, and having a previous or intercalated degree.
III. Students' experience about comprehensive community care and their perception of its necessity
Questionnaire survey was conducted to 6th-year students in 10 medical schools. Six hundreds and seventy-six students responded (respond rate 70%). Seventy-five percents had visited the outpatient clinic in the community and 93% thought all students should experience it. There were significant differences in perception of the necessity between students who had experienced in the curriculum course and who had not about communication with patients in their home, understanding of the role of nurse in outpatient clinic, studying of referring the patients to other physicians, visiting the out-patient clinic.

Report

(3 results)
  • 2002 Annual Research Report   Final Research Report Summary
  • 2001 Annual Research Report

Research Products

(5 results)

All Other

All Publications (5 results)

  • [Publications] 高屋敷明由美, 岡山雅信, 梶井英治: "プライマリ・ケアに関する卒前医学教育カリキュラムの現状"医学教育. (in press). (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 梶井英治 他: "地域医療白書"自治医科大学・地域社会振興財団 刊. 200 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Ayumi Takayashiki, Masanobu Okayama, Eiji Kajii: "National Survey on the Primary Care Curriculum for Undergraduate Medical Students in Japan"Medical Education (Japan) 2003, in press.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] 高屋敷明由美, 岡山雅信, 梶井英治他: "プライマリ・ケアに関する卒前医学教育カリキュラムの現状"医学教育. (in press).

    • Related Report
      2002 Annual Research Report
  • [Publications] 梶井英治 他: "地域医療白書"自治医科大学・地域社会振興財団 刊. 200 (2002)

    • Related Report
      2001 Annual Research Report

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Published: 2001-03-31   Modified: 2016-04-21  

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