Nomura Fumio, Nezu Masahiko, Tomonaga Takeshi, Sunaga Masahiko
Department of Molecular Diagnosis, Graduate of Medicine, Chiba University, Division of Laboratory Medicine, Chiba University Hospital, Chiba 260-8670.
Rinsho Byori. 2003 Oct;51(10):995-1000.
Compulsory postgraduate clinical training in laboratory medicine will start on a national basis in April 2004. It remains to be discussed how departments of laboratory medicine and/or divisions of clinical laboratory should contribute to the training program. I here summarize what we are planning to do in Chiba University Hospital together with my personal views on this topic. Two points are of note in our program. First, one-week training in the division of clinical laboratory is essential as a part of the 6-month training of internal medicine. The items in the program include Gram staining, white blood cell differential counting, urinary sediment study, and representative point-of-care testing. A program to follow the entire flow of laboratory tests(from withdrawal of blood to reporting of the test results) is also included to highlight a variety of pre-analytical errors. Furthermore, trainees are encouraged to learn how to work and co-operate with co-medical personnel. Second, our program aims at training postgraduate medical students to be clinical geneticists competent at genetic counseling. Genetic counseling is the process by which patients or relatives at risk of a disorder that may be hereditary are advised of the consequences of the disorder, the probability of developing or transmitting it and of the ways to test them. Thus, our final goal is to foster genetically oriented experts in laboratory medicine and clinical geneticists with a wide knowledge of laboratory medicine.
临床检验医学专业研究生的全国性强制临床培训将于2004年4月开始。检验医学科和/或临床检验部门应如何为培训计划做出贡献仍有待探讨。在此，我总结一下千叶大学医院的计划以及我个人对这个问题的看法。我们的计划中有两点值得注意。首先，作为内科6个月培训的一部分，在临床检验部门进行为期一周的培训至关重要。培训项目包括革兰氏染色、白细胞分类计数、尿沉渣检查以及典型的即时检验。还包括一个跟踪实验室检验全过程（从采血到报告检验结果）的项目，以突出各种分析前误差。此外，鼓励学员学习如何与其他医务人员合作。其次，我们的计划旨在培训医学研究生成为能够胜任遗传咨询的临床遗传学家。遗传咨询是一个向患有可能遗传疾病的患者或其亲属告知该疾病的后果、发病或遗传的可能性以及检测方法的过程。因此，我们的最终目标是培养在检验医学方面有遗传学方向的专家以及对检验医学有广泛知识的临床遗传学家。
