医学教育の近年の動向 : 医療倫理教育を中心に
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概要
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The medical education program in Japan has recently undergone significant revisions. Since 2004 doctors have been under a legal obligation to continue postgraduate clinical training for two years. In order to reform undergraduate medical education, the Ministry of Education, Science, Sports and Culture former a committee for that purpose in 1985. The committee proposed a careful selection of content designed to improve the medical education curriculum, problem based teaching and bed side teaching. The University Chartering Standards Law was implemented in 1991 to generalize the education program and to impose an obligation of self-evaluation on each university. In 1999, the Task Force Committee on Innovation of Medical Education for the 21st Century proposed an integrated medical curriculum, early exposure, small group learning, a tutorial education system, a core curriculum, a medical student evaluation system for entering to a clinical clerkship, and an evaluation system of educational and faculty development. In 2001, the Model Core Curriculum of medical education was announced, in which the teaching of medical ethics became part of the core material and was taught at the same time as liberal arts and basic and clinical instruction. However, the Model Core Curriculum of pre-medical education does not include human and social sciences. Since 2002, a trial of a nation-wide medical student evaluation system for entering to clinical clerkship has conducted. Many medical schools have recently established a department of medical education and have held workshops on medical education for faculty development. The Japan Society for Medical Education Working Group of Education of Medical Ethics proposed a medical ethics education curriculum and presented a manual for each of six strategies of medical ethics education. The Japanese Association for Philosophical and Ethical Researches in Medicine has begun to study the Model Core Curriculum in an attempt to standardize medical ethics education, and has proposed a program consisting of lectures for qualifying instructors of medical ethics education.
- 日本医学哲学・倫理学会の論文
- 2004-10-18