| 特集名 | 消化器内視鏡トレーニングのあり方 | |
|---|---|---|
| 題名 | 日仏米における内視鏡トレーニングの現状と課題 | |
| 発刊年月 | 2012年 11月 | |
| 著者 | 松井 謙明 | 独立行政法人国立病院機構福岡東医療センター消化器肝臓内科( |
| 著者 | 深見 悟生 | コロラド大学消化器肝臓内科 |
| 著者 | 久保 宏明 | 社会保険仲原病院内科 |
| 著者 | 中村 和彦 | 九州大学大学院医学研究院病態制御内科学 |
| 【 要旨 】 | 現在の日本の卒後内視鏡教育には学会主導による専門医制度が存在するが，その指導内容に関しては個々に任されてきた感がある．欧米の卒後内視鏡教育において，フランスでは，内視鏡医の育成，維持に関する厳密な規定はなく，対照的にアメリカにおいてはACGMEが認定した消化器内科プログラムに入る必要があり，資格更新に関しても，報告，試験を受ける義務が存在する． 日本における現状の卒後内視鏡教育は，医師の主体性によるところが多いフランスと，系統的に行われているアメリカとの中間に位置していると思われるが，とくに人事の流動化が起きている現在，内視鏡医の客観的評価による教育制度の確立により内視鏡医の質の維持・向上が重要である． |
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| Theme | Training System for Gastrointestinal Endoscopy | |
|---|---|---|
| Title | Postgraduate Education Endoscopists in Japan, France and the United States | |
| Author | Noriaki Matsui | Department of Gastroenterology and Hepatology, National Hospital Organization Fukuoka Higashi Medical Center |
| Author | Norio Fukami | Division of Gastroenterology and Hepatology, University of Colorado |
| Author | Hiroaki Kubo | Nakabaru Hospital |
| Author | Kazuhiko Nakamura | Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University |
| [ Summary ] | In Japan, a board certification system for gastrointestinal endoscopists is operated by the JSGE (Japanese Society of Gastrointestinal Endoscopy). All applicants are required to have five years of endoscopic training at certified facilities, and then to pass a certification examination. In France, many years of study and a great deal of medical training are required to be a physician as well as being a gastroenterologist. However, no strict certification program exists to be an endoscopist, despite French endoscopists being known to have excellent knowledge and sophisticated endoscopic skills. In contrast, a structured and systematic training program had been established in the United States. Training programs in the U.S. are supervised by the ACGME (Accreditation Council for Graduate Medical Education). Board certification is only granted after the completion of training in an ACGME certified training program ; which is supervised by the ABIM (American Board of Internal Medicine). Certification must be renewed every 10 years. Self-assessment of medical knowledge and practice performance improvement modules must be completed, and physicians must pass re-certification examination. The gastrointestinal endoscopy training system in Japan is situated between the training systems in France and those in the U.S.. The former depends on a great deal of individual physicianʼs effort and the latter is very systematic and controlled. Due to recent changes in the postgraduate medical education system in Japan, the training system for gastrointestinal endoscopy should be re-assessed and will need to be restructured. |
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