Inaba Tohru
Department of Molecular Genetics and Laboratory Medicine, Kyoto Prefectural University of Medicine.
Rinsho Byori. 2006 Jun;54(6):609-14.
To understand the role of the clinical laboratory in the era of mandatory postgraduate medical training, I carried out a questionnaire survey in April 2005 among both university hospitals and clinical teaching hospitals located in the Kinki area. As a result, eleven (84.6%) of the 13 responding laboratories participated in clinical laboratory medical education with an obligatory training program (5 laboratories), with an elective program (3 labs) or both (3 labs). Among the 8 laboratories with an obligatory program, educational lecture subjects included reversed clinicopathological conference (7 labs), blood transfusion (4 labs), laboratory microbiology (4 labs), and blood gas analysis (BGA) (3 labs). On the other hand, in the elective training programs among 6 laboratories, laboratory microbiology including infection control was most frequently held (4 labs) followed by blood transfusion, laboratory hematology and urinalysis (3 labs respectively). Concerning 4 areas, namely, blood transfusion, 12-lead electrocardiography at rest, BGA and ultrasonography, which have been defined as obligatory laboratory techniques for all trainees in mandatory postgraduate medical training, the majority (84.6%) of the responders in this survey replied that they were not sufficient, whereas, Gram's staining was most frequently (69.2%) recommended as an additional obligatory technique in mandatory postgraduate medical training.
为了解临床实验室在医学研究生强制培训时代所起的作用，我于2005年4月对位于近畿地区的大学医院和临床教学医院进行了问卷调查。结果，13家回复的实验室中有11家（84.6%）参与了临床实验室医学教育，其中5家有义务培训项目，3家有选修项目，3家两者皆有。在有义务培训项目的8家实验室中，教育讲座主题包括逆向临床病理讨论会（7家实验室）、输血（4家实验室）、实验室微生物学（4家实验室）和血气分析（BGA）（3家实验室）。另一方面，在6家实验室的选修培训项目中，最常开展的是包括感染控制的实验室微生物学（4家实验室），其次是输血、实验室血液学和尿液分析（各3家实验室）。对于输血、静息12导联心电图、BGA和超声检查这4个已被定义为医学研究生强制培训所有学员的必修实验室技术领域，本次调查的大多数回复者（84.6%）表示这些技术不充足，而革兰氏染色是医学研究生强制培训中最常被推荐（69.2%）作为额外必修技术的项目。
