Rinsho byori. The Japanese journal of clinical pathology
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A model core curriculum for medical education is proposed to serve as the essential basis of material to be mastered at present and as a reference for curricula to be constructed by individual universities. The author carried out a questionnaire in departments of clinical laboratory medicine in the national universities in order to clarify the actual conditions of countermeasures of this education program for clinical laboratory medicine. As a result, 50% of universities satisfied this program's objectives and the remainder were insufficient. ⋯ In the Toyama Medical and Pharmaceutical University, general clinical laboratory education is administered in the first semester of the 4th year. In clinical training, all the members should study compulsory fundamental laboratory technique in first semester of the 5th year and, in addition, 6th graders in the last 2 months should be able to choose an advanced clinical training course. To this basic curriculum addition of an elective curriculum will be required, providing individual or unique training programs based on student needs and the educational principles of each university.
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This is a time of considerable uncertainty about the future of the postgraduate medical education policy of the Japanese government. Strong and visionary academic leadership of laboratory physicians in private medical schools is needed. The medical schools must not only adapt to a changing health care system, but also maintain excellence in education, patient care, and clinical research. ⋯ For continuity of care and containment of costs, a year or two of general professional training after graduation preceded by a broad medical education is an invaluable investment. All medical graduates, whatever their intended or unintended final destination (even if not clinical), should spend more than six months in medicine and four or five months in surgery, at least half of each to be spent in the general disciplines, including responsibilities for acute emergency admissions. As certified laboratory physicians we must attempt to attract graduates into laboratory medicine by developing imaginative training programs including common laboratory procedures such as Gram's stain, Wright-Giemsa stain and point of care testing at the patient's bedside or in ambulatory clinics, not only in central clinical laboratories.
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A model core curriculum for medical education was proposed in March 2001. Medical schools have to revise their curriculum according to the guideline. ⋯ The GIO of the clinical practice at 5th grade was for the post-graduate clinical training. This revision is expected to improve education and result in better doctors.
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Along with the rapid advances in the fields of life science and technology, the knowledge that the medical students are expected to acquire has expanded in many areas, and also many subjects have been subdivided into special fields, thus resulting in a situation in which the knowledge that doctors obtain at medical school is quickly becoming less uniform. Therefore, the introduction of a standardized medical school curriculum and postgraduate training systems has been discussed over the past several years. ⋯ This workshop has been organized to introduce the findings of both original and advanced trials being performed by medical schools and educational hospitals with different backgrounds. At first, the progress of these reforms is summarized in order for the participants to obtain a better understanding of the undergoing reforms.