RESUMO
Nijiiro Doctors offered a six-month LGBTQ healthcare training course for physicians in their third year of post-graduate studies or above, with the goal of implementing practice at their institutions. In addition to lectures, the course included dialogues with LGBTQ individuals, role-plays in which the LGBTQ individuals played the role of mock patients and reviews in small groups in each session.
RESUMO
La especialización médica es un gran desafío porque necesita preparar un profesional recién egresado en el especialista que la po-blación quiere y necesita para asegurar mejores condiciones de atención a la salud. La construcción de un sistema para la capacitación de estos profesionales es un gran desafío dada la característica de la formación en servicio, es decir, los profesionales en formación trabajan directamente en la asistencia, dependiendo de instalaciones adecuadas, aparatos, tutores médicos y un programa teórico que garantice el desarrollo del aprendizaje según los parámetros técnicos más actuales. Un desafío adicional es la cantidad y diversidad de instituciones involucradas, desde hospitales universitarios con tradición docente hasta hospitales privados donde el desempeño se limita a la prestación de servicios. En este artículo, buscamos mostrar la trayectoria de la construcción de este sistema en Brasil, que desde hace cerca de 40 años se ha mejorado y ampliado ante la creciente demanda de atención de calidad por parte de la población.
Medical specialization is a challenge because it needs to prepare a newly graduated professional as the specialist that the population wants to ensure better conditions in health care. The construction of a system for training these professionals is a challenging given the characteristic of in-service training where professionals work directly with patients, depending on adequate facilities, equipment, medical tutors, and theoretical programs that guarantee the development of learning within the most current technical parameters. An additional challenge is the number and diversity of institutions involved, including university hospitals that have a tradition of teaching and private hospitals where the performance is based on practice. We seek to show in this article the trajectory of the construction of this system in Brazil, which for about 40 years has been improving and expanding to fulfill the population Ìs growing demand for quality care.
RESUMO
"The Ordinance of Ministry of Health, Labor and Welfare on Japanese Postgraduate Medical Training System" from 2020 was announced to each prefectural governor on July 3rd, 2018. This Medical Training system has been reviewed once every five years, and has been strongly aware of the consistency between the model core curriculum of the undergraduate medical education and the continuing professional development of Japan Medical Association. In this journal, Postgraduate Education Committee in Japan Society for Medical Education has published six installments of a series entitled "Japanese Medical Training System and Medical Education" . We reviewed the series and discussed medical education trends surrounding the postgraduate medical training system and issues in the committee. We will be reporting the information as part of the seventh installment of the series.
RESUMO
México tiene una gran historia y tradición en la formación de médicos residentes. Pero ¿qué encontramos detrás de este proceso? Relaciones de poder implícitas y explícitas, inadvertidas o ignoradas por conveniencia por parte de las instituciones universitarias y de salud, con el agravante de olvidar su compromiso en la formación de mujeres y hombres profesionales. Los residentes son reducidos a un indicador más de recursos humanos para la salud. El médico residente en formación académico-científica está sumergido en esta vorágine deshumanizada y termina por convertirse en un individuo para el cual el dominio del conocimiento es un instrumento de poder. En este proceso olvida que su actuar y su razón de ser radican en el principio de primun non nocere y de servir. El artículo describe la realidad actual de los residentes en México y propone algunas medidas para mejorar las condiciones en las cuales se desempeñan.
Mexico has a great history and tradition in relation to the training of resident physicians, but what we find behind this process?, Power relations implied and not implied, unnoticed or ignored for convenience by the academic and health institutions, with the aggravation of forgetting its commitment to the training of men and women "professionals" and limited to meet another indicator of "human resources for health." The resident physician in academic and scientific training is immersed in this dehumanized maelstrom and ends up becoming a character for the domain of knowledge as power, forgetting that his act and its rationale lies in the principle of "primum non nocere" to that we would add: nor your person, nor your fellowman, much less whom you have the moral, ethical and civic responsibility to convey some of your knowledge and your experience, that is, part of your essence.
Assuntos
Educação de Pós-Graduação em Medicina , Internato e Residência , Especialização , MéxicoRESUMO
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.
RESUMO
Most medical interns in Japan start working in a specific department at their medical school after graduation and are trained without experiencing medical practices in other departments. At the United States Naval Hospital in Okinawa, Japan, the postgraduate medical training program includes various disciplines in several departments. To emphasize the importance of primary care and to improve the postgraduate medical education system, I propose that practical experience in general medicine be required.
RESUMO
When serious emergency patients come to a 3rd-level emergency hospital, they are able to obtain optimal medical treatment for their condition. However, the emergency room of general hospitals are extremely crowded with many kinds of patients, ranging from 1st-to 3rd-level emergencies. Thus, a good training program in triage is necessary for emergency medicine doctors because of the risk of inappropriate management of patients.<BR>In this study, we examined the number of 2nd-and 3rd-level emergency patients who came to our emergency room initially as walk-in 1st-level emergency patients in 1991 and 1992. Our results indicate that the education for emergency medicine doctors needs to cover a wide range of medical fields dealing with 1st-to 3rd-level emergency patients, and that ideal training in emergency medicine must be organized in hospitals that accept 1st-to 3rd-level emergency patients.