Nishikawa Yoko
Clinical Laboratory, Osaka General Medical Center.
Rinsho Byori. 2006 Jun;54(6):638-42.
According to a new system for postgraduate clinical training, 33 medical trainees have been accepted for the past two years at Osaka General Medical Center. Before practicing clinical medicine in each division by a super-rotated table, orientation is scheduled for 5 days to master the basic systems indispensable to the hospital. In this orientation, training in laboratory medicine is performed for 7 hours (3.5 hours for 2 days). Trainees are divided into 4 groups and learn emergency tests of chemistry, hematology and urinalysis, blood transfusion, physiology and microbiology for 60 min each. Laboratory technologists instruct the trainees to gain the basic skills. The main contents are blood gas measuring in chemistry, sample preparation in hematology and urinalysis, taking each other's ECG, ordering blood products for transfusion, serologic study of infectious diseases, and Gram stain in microbiology. Although it is difficult to find time for routine analysis and instructing trainees in the clinical laboratory, it is a suitable opportunity for revision, also for laboratory technologists, and for communication to discuss clinical matters.
根据一项新的研究生临床培训体系，在过去两年里，大阪综合医疗中心共接收了33名医学实习生。在通过超级轮转表在各个科室进行临床医学实习之前，安排了为期5天的入职培训，以掌握医院不可或缺的基本系统。在这次入职培训中，检验医学培训时长为7小时（分2天，每天3.5小时）。实习生被分成4组，分别学习化学、血液学和尿液分析的急诊检验、输血、生理学和微生物学，每组学习60分钟。实验室技术人员指导实习生掌握基本技能。主要内容包括化学中的血气测量、血液学和尿液分析中的样本制备、互相进行心电图检查、订购输血用血制品、传染病血清学研究以及微生物学中的革兰氏染色。虽然在临床实验室很难抽出时间进行常规分析并指导实习生，但这对实验室技术人员来说也是一个复习的好机会，同时也是讨论临床问题的交流契机。
