Modelo de formación de Médicos especialistas en la Atención Primaria de Salud de Chile / A model for training physicians specialized in primary health care in Chile i:en

Introducción: se presenta un análisis basado en las fortalezas del Programa de Formación de Médicos Especialistas Básicos para la Atención Primaria Urbana de Salud. El trabajo es hecho con la idea de guiar futuros procesos de Formación de especialistas en el campo médico. Este caso es relevante para países con un fuerte énfasis en la atención primaria de salud como es el caso de Chile. Objetivo: exponer la sistematización de un modelo para la formación de médicos especialistas. Métodos: fue utilizada una metodología cualitativa con el análisis de entrevistas y documentos. Resultados: muestran cinco diferentes pilares dentro del modelo de formación de especialistas. Conclusiones: se discute la integración de dichas áreas en los procesos de formación(AU)

Introduction: It is an analysis about the strength of Program for specialization of medical doctors in Urban Primary Attention of Health Care. This work focused on the idea of guided the futures process of the training in the medical field. This case is relevant for countries with a strong emphasis in the Primary Atention as is the case of Chile. Goals: To expose the systematization of a model for training to specialist medical doctors. Methods: It was used a qualitative methodology with analysis of interviews and documents. Results: It shows five different pillars into the model of training to specialized medical doctors. Conclusions: It discuss the integration of areas in the process of training(AU)

Outcome-based medical specialty training: Can it bridge the gap between theory and clinical practice? / 医学教育

　The Japanese Medical Specialty Board has been established with the collaboration of medical and medical care organizations. It ensures the quality of medical specialists and achieves accountability to the people by certifying medical specialists and authorizing training programs. Outcome-based education is characterized by an emphasis on the quality assurance of trained physicians. Therefore, the new medical specialty training system could be constructed through outcome-based education. I give a brief overview of the new medical specialty training system, and it is discussed in the context of the guideline for medical specialty training system published recently.

Career-planning problems faced by medical students in medically underserved areas of Kagoshima Prefecture / 医学教育

  The admission quota for medical students has increased rapidly from 2007 to the present in Japan. Medical students of selective admission for medically underserved areas （Chiiki-Waku） account for most of the increase. Becoming a medical specialist had been reported to be one of the necessary conditions to obtain employment in a medically underserved area. For the last three years, early admissions have occurred in the medically underserved areas in Kagoshima. Consequently, the graduates will start senior doctor training next year. It is very important to provide these individuals with a career plan so that they can become medical specialists. We investigated the information on the medical specialist system and the work system for medical students of selective admission for medically underserved areas in Kagoshima. According to these findings, it is difficult for them to become medical specialists in the current systems. Because medical students of selective admission for medically underserved areas will account for about 20% of the graduates of medical schools a few years later, these problems apply to not only Kagoshima prefecture but also Japan. Because it is difficult to become a medical specialist, the current systems need to be improved. To do so, the cooperation of all interested parties is needed.

Harmonization of the Medical Specialist Certification System and the New Postgraduate Clinical Training System in Japan / 医学教育

Each medical specialist certification system in internal medicine and its subspecialities was founded and controled byeach medical society, but not by the public. Thus, each system had not been harmonized each other, and not recognizedas the public system until the the Ministry of Health, Labour and Welfare (MHLW)'s declaration of permission for publicnotification of each certificated medical speciality when approved according to their criterion. Based on the longstandingdiscussion and negotiation in the special committee on internal medicine of the Japanese Board of MedicalSpecialist, on the other hand, the Japanese Society of Internal Medicine (JSIM) and the societies of subspecialities in theinternal medical fields agreed to build up the so-called 2 stair-system as the framework of medical specialist certificationsystem, where the Certified Member of the JSIM is inevitable for application or renewal of the Fellow of the JSIM andother certifications of medical specialist of the internal medical subspecialities. In face to the new compulsory postgraduateclinical training system with super-rotation for 2 years starting from 2004 fisical year, JSIM decided that 2 yearpostgraduate clinical training is included to the 3 year training period necessary for the application of the Board CertifiedMember of JSIM, because clinical training with super-rotaion system aimed to master the capability of primary medicalcare is recognized to be also an essential part of the training program for internists. For the better medical specialist certificationsystem in the future, the Japanese Board of Medical Specialist should be approved to be the public and independentorganization for quality control of Japanese medical specialist certification system as a whole to improve medicaland welfare quality which fit for the requirement of Japanese people in the 21th century.

The Current Status of the Medical Specialist Certification System in Japan / 医学教育

The postgraduate medical training system will officially start the initial clinical training this year, but the subsequenttraining of medical specialists is left, as a matter of fact, to the independence of medical scientific societies which certifiesmedical specialists. The Ministry of Health, Labour and Welfare has approved in spring 2002 the advertisement ofmedical specialists certified by societies under certain conditions as an alleviating measure of the medical advertisementregulations. The Japanese Board of Medical Specialties comprising from medical scientific societies that participate inthe Japanese Association of Medical Sciences and own a medical specialist certification system, is asking cooperationfrom medical societies in order to foster the respectable medical specialists and establish a medical specialist system.However, many problem awaiting solution have been pointed out in the current medical specialist certification system.For fostering high quality medical specialists, the Japanese Board of Medical Specialties needs to be functioning as athird party.

To explore educational reform of the Academy of Medicine under building a new socialist countryside / 中华医学教育探索杂志

With the development of the socialist new rural reconstruction,the contradiction between the demand for medical health care and the insufficiency in hygienic resources in the countryside is increasingly prominent. Training the practical medicine talented person who are willing to go to the countryside and are able to stay there and be used for the countryside community has already become the important mission for the medicine higher professional training school. Taking my school’s actual situation as the example,we make exploration on orientting accurately,deepen medical education reform,establish and raise practical talented persons with skills.