ケース・ウェスタン・リザーブ大学の臨床教育(<特集>特色ある大学教育支援プログラム「人間関係教育を包含するテュートリアル教育-温かい心を持ち問題解決能力を備えた医師の育成-」の総括)

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  • ケース ウェスタン リザーブ ダイガク ノ リンショウ キョウイク
  • The Clerkship at Case Western Reserve University(<Special Issues>Summary of the support program for distinctive university education by the ministry of education culture, sports, science and technology in the Tokyo Women's Medical University, School of Medicine)

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Abstract

We report the experience of clinical clerkships at Case Western Reserve University in the USA. In Japan, medical students are only observers, while those doing clerkships are considered important members of a ward team. Students doing a clerkship are expected to know about community medicine and to volunteer for social work, and to learn about medical ethics, economy and malpractice prevention, etc. This knowledge and experience allows them to become independent immediately after graduation. It is also characteristic to function within a team in which gradual change depends on individual knowledge and skill levels. The clerkship is useful for becoming aware of professionalism and responsibility, to a greater extent than gaining and skills. In the USA, the willingness to participate in medical education and instruction is also recognized as important for evaluating the abilities of doctors, and university committees give education high priority. Since patients in Japan are not accustomed to the participation of students, it would not be easy to introduce such a clerkship system. We must establish a management system in which patients accept the participation of students without anxiety. Above all, we must make efforts to change our initial perception, since both teachers and medical students have less enthusiasm for education and give lower evaluations than in the USA.

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