Shimo Masamune
Department of Clinical Pathology, Toukatsu Hospital, Nagareyama 270-0174.
Rinsho Byori. 2003 Oct;51(10):1010-5.
As clinical training has become a compulsory element of the training of physicians, all doctors are now required to undergo training in basic abilities of diagnosis and treatment. Clinical training has become possible in local medical organizations as well as university hospitals and large hospitals. There are full-time clinical pathologists in the laboratory staff of large hospitals, but they have little time for clinical trainees in the present educational system in the field of clinical laboratory. In mid-size and small hospitals, there is no clinical pathologist at the central diagnostic and treatment division, and clinical laboratory technicians are expected to play roles of trainers. It is important for the training administrator to prepare an environment in which clinical trainees can learn the selection of examinations, execution of examinations, interpretation of results, and actual handling of patients and, particularly in the execution of examinations, to cooperate with the director of the examination division and see that trainees can learn the necessary skills that they must acquire. The training administrator must also formulate a program to help clinical trainees to develop the abilities necessary for them to function as a member of team care. Such a program must not only be effective for the training of physicians but also contribute to the development of laboratory technicians and to improvements in the quality of medical care that is provided.
由于临床培训已成为医师培训的必修内容，现在所有医生都必须接受诊断和治疗基本能力的培训。临床培训在地方医疗机构以及大学医院和大型医院都已成为可能。大型医院的实验室工作人员中有全职临床病理学家，但在当前临床实验室领域的教育体系中，他们几乎没有时间指导临床实习生。在中小型医院，中央诊断和治疗部门没有临床病理学家，临床实验室技术人员被期望发挥培训人员的作用。培训管理人员营造一个环境很重要，在这个环境中临床实习生能够学习检查项目的选择、检查的执行、结果的解读以及对患者的实际护理，特别是在检查执行过程中，要与检查部门主任合作，确保实习生能够学到他们必须掌握的必要技能。培训管理人员还必须制定一个项目，帮助临床实习生培养作为团队护理成员所需的能力。这样一个项目不仅必须对医师培训有效，而且还必须有助于实验室技术人员的发展以及所提供医疗服务质量的提高。
