Matsuo Shuji
Department of Clinical Pathology, Tenri Hospital, Tenri 632-8552.
Rinsho Byori. 2002 Apr;50(4):358-62.
It is meaningful to propose a postgraduate training program in pathology and laboratory medicine to select the course after graduation and promote recognition of the roles of pathologists(AP) and laboratory physicians(CP). It is desirable that the training program be common to both AP and CP, although this would be difficult in practice. So author proposes a practical training program that should involve making rounds with AP and CP. The desirable period of training is 3 or 4 years. In the program of laboratory medicine for AP, conferences and CPC are essential and other courses are elective. In the selective program, laboratory management is very important because it will be useful when the graduate becomes a laboratory manager. In the pathology program for CP, autopsy and CPC(as a pathologist) are essential. Training in surgical pathology and cytology are desirable to set limits in materials, for example, liver, kidney, bone marrow, and other tissues. Key points of successful training are good relationships chiefs of AP and CP, high level performance and give-and-take in routine work. It is very difficult to study and maintain the knowledge and technique necessary in all fields of pathology and laboratory medicine. So the author emphasizes that the training program should be constructed to focus on useful issues in routine work and management of laboratory.
提出一个病理学与检验医学的研究生培训项目,对于毕业后课程选择以及提高对病理学家(AP)和检验医师(CP)角色的认知具有重要意义。虽然在实践中很难做到,但理想情况下培训项目对AP和CP应具有通用性。因此,作者提出了一个切实可行的培训项目,该项目应包括AP和CP的查房。理想的培训期为3年或4年。在针对AP的检验医学项目中,研讨会和病例讨论会至关重要,其他课程为选修课。在选修课程中,实验室管理非常重要,因为当毕业生成为实验室管理人员时会很有用。在针对CP的病理学项目中,尸检和(作为病理学家的)病例讨论会是必不可少的。进行外科病理学和细胞学培训有助于限定取材范围,例如肝脏、肾脏、骨髓及其他组织。成功培训的关键点在于AP和CP负责人之间良好的关系、高水平的表现以及日常工作中的相互交流。要学习并掌握病理学与检验医学所有领域所需的知识和技术非常困难。因此,作者强调培训项目应围绕日常工作和实验室管理中的实用问题来构建。