2023 Fiscal Year Final Research Report
Research on the methods of outpatient clinical training in the early clinical internship program
| Project/Area Number |
21K10274
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 58010:Medical management and medical sociology-related
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| Research Institution | Obihiro University of Agriculture and Veterinary Medicine |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
村上 学 北海道大学, 医学研究院, 准教授 (30617436)
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| Project Period (FY) |
2021-04-01 – 2024-03-31
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| Keywords | 初期臨床研修 / 外来診療 / 研修医教育 / インタビュー調査 / 探索的研究 / 臨床能力 / カリキュラム開発 / 医学教育 |
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| Outline of Final Research Achievements |
It is not well understood how junior residents are educated in general outpatient training, which became a requirement in 2020. This study aimed to explore the implementation of this mandatory training. Thirteen physicians specializing in pediatrics, internal medicine, and orthopedics were interviewed, focusing on training methods, challenges, and the skills required for supervising physicians. The recorded data were analyzed using content analysis.
The outpatient training methods included observation of the supervisor's patient care, actual patient care, presentations, and feedback. Emphasized content comprised severity assessment, clinical reasoning, communication, patient-centered care, and professionalism. The challenges included trainee motivation and the lack of sufficient time for instruction by the supervisors. Supervising physicians were found to require an educational attitude and techniques, clinical competence, and personal qualities to fulfill their role effectively.
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| Free Research Field |
医学教育、総合診療内科
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| Academic Significance and Societal Importance of the Research Achievements |
一般外来診療の研修方法と医師育成に関して、研修医教育に関わっている指導医と研修医の考えを明らかにした。
医師育成において医師が重視する3つの能力は、教育的態度（成人教育理論や指導方法を用いて、研修医の意欲を引き出しながら外来診療初学者にあった内容を効果的に指導する能力）、臨床能力（最新の医学的根拠と十分な経験に裏付けられた臨床能力）、人間性（良好な対人関係を築くことができ、職業意識と自らの医療観を認識して教育に反映させる能力）であることが分かった。
高齢・長寿化社会を支える本邦の医療は国内外で注目されており、その根幹となる人材育成や医師の能力に関するこれらの知見は社会的にも意義がある。
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