Advertisement第120回日本精神神経学会学術総会

Abstract

第112巻第4号

Issues and the Current Situation of the New Compulsory Residency Training Program in Japan : The Results of an Attitude Survey for Young Career Psychiatrists
Wakako UMENE-NAKANO, Takahiro KATO, Masaru TATENO, Tsutomu HOSHUYAMA, Jun NAKAMURA
Department of Psychiatry, School of Medicine, University of Occupational and Environmental Health
Department of Neuropsychiatry, Graduate school of Medical Sciences, Kyushu University
Department of Neuropsychiatry Sapporo Medical University, School of Medicine
Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health
Ushibuka City Hospital, Amakusa
A Nonprofit Organization, the Japan Young Psychiatrists Organization
Psychiatria et Neurologia Japonica 112: 325-335, 2010
Accepted in revised form: 9 March 2010.

 The new 2 year compulsory residency training program,which includes rotation to each department and requires 1 month of psychiatric training for all residents,started in April 2004 in Japan. In August to September belonging 2008, we conducted an attitude survey of psychiatrists with 10 or fewer years of experience to 15 institutions to clarify the problems and present condition of primary psychiatric training.Psychiatrists(92%)who experienced the new residency program were satisfied with it, and 41% decided to become a psychiatrist after the primary psychiatric training. We compared the training periods and training institutions. Psychiatrists who experienced training for 3 months or more rate themselves higher with regard to pharmacotherapy, and those who underwent training in private psychiatric hospitals rate themselves higher with regard to their understanding of psychiatric disorders. It was suggested that the introduction of primary psychiatric training has promoted motivation to become a psychiatrist and that the length of the training period and type of institution lead to differences in the acquisition of psychiatric skills. Psychiatrists who train residents thought that the skill that residents most needed to acquire was intervention for suicidal patients, but, for residents, this was the least useful item in their training. It was suggested that, in the current situation, there is an insufficient acquisition of learning items. In 2010, psychiatric rotation will change from a required to an elective subject, but residents will still have the opportunity to select it. We need to consider how to devise a shortterm but effective primary psychiatric training program in which residents can acquire the basics of primary care psychiatry.

Keywords:postgraduate training, compulsory residency training program, psychiatric training, primary care, resident>
Advertisement

ページの先頭へ

Copyright © The Japanese Society of Psychiatry and Neurology