RESUMO
Over the past several decades, the practice of radiology has undergone substantial change primarily related to advances in imaging technology, changes in the infrastructure of healthcare delivery, and evolution of reimbursement systems. Yet to a large extent, the educational system has not substantially changed. In this perspective, we discuss the need for radiology education to adapt and address these essential systems-based skills (business, quality, informatics, leadership, population-based medicine, and interprofessional teamwork) to ensure that future radiology graduates will thrive in this evolving healthcare environment.
Assuntos
Atenção à Saúde/organização & administração , Radiologia/educação , Humanos , Radiologia/tendências , Estados UnidosRESUMO
1) The following issues were discussed in relation to population-based medicine (PBM) education in Japan: a. requirements of physicians under current laws, b. socioeconomic factors and health/illness, c. variations of health among communities, and d. effective and efficient PBM education programs.<BR>2) The author pointed out the following key issues: a. responsibilities of physicians to maintain and promote a population's health, b. attention to the association between socioeconomic factors and illness, c. development of research methods to elucidate characteristics of population health, and d. collaboration between undergraduate and postgraduate education.<BR>3) To improve quality of medical care, to meet people's various needs, to prevent disease, and to provide appropriate care services, taking the view point of PBM is considered to be indispensable.<BR>4) Education in population-based medicine is a requirement in a physician's education in Japan. Accumulation of evidence from the view point of PBM and medical education programs to help develop public-health-minded physicians are important.
RESUMO
1) Japanese clinical research and population-based medicine have different origins and have lived separate lives. After 100 years of mutual isolation, their paths are about to cross.<BR>2) Clinical research is not confined to clinical trials and translational research, but covers a wider area that includes outcomes research, economic evaluation, and studies of the quality of care.<BR>3) Government policymakers very recently turned their attention to clinical research, and set up administrative schemes to provide large-scale funding.<BR>4) However, unlike the US, Japan cannot catch this wave because it does not have the necessary intellectual infrastructure of trained clinical investigators.<BR>5) Population-based medicine and clinical research have similar emphases and core values. Both are concerned with measuring frequencies, with socially relevant outcomes, and with the impact of research on clinical practice and health policy.
RESUMO
1) Symptom-based Medicine: The essential characteristic of the western medicine, of which father is Hippocrates, is that it has emphasized the importance of observation of symptoms. Medicine in Japan has depended until today on the observation of symptoms of patients.<BR>2) Hygiene-based Medicine: In the medicine of Hippocrates, they have thought that the cause of the isease is the miasma.The bases of hygiene-based medicine to eradicate the miasma were established by P. Frank, E. Chadwi k and M.v. Pettenkofer and in Japan those have been succeeded.<BR>3) Population-based Medicine: The society with the record of the longest life-expectancy is the socety with the most various kind of health conditions of people. In such a society, the population-based medicine to focus on the health of people has to be established.<BR>4) Foundation of School of Hygiene and Public Health: In Japan, where the record of longest life-exectancy has been attained, the foundation of graduate school of hygiene and public health is strictly requested to develop the population-based medicine and educate doctors and professionals to support it.
