Umene-Nakano Wakako, Uchida Naoki, Kato Takahiro, Tateno Masaru, Matsumoto Ryohei, Nakamura Jun
Department of Psychiatry, School of Medicine, University of Occupational and Environmental Health.
Seishin Shinkeigaku Zasshi. 2011;113(3):271-6.
The psychiatric specialist certification system of the Japanese Society of Psychiatry and Neurology was established in 2005, with a transitional period that ran until 2008. A three-year postgraduate training scheme was started in connection with the new psychiatric specialist certification system, and the first formal examination under the new system was held in 2010. A resident desiring certification as a psychiatric specialist must purchase a psychiatric specialist certification handbook and present it when taking the examination. There are many differences between the new examination and the transitional period examination, in terms of both the handbook and the number of case reports to be submitted. Results of a survey conducted on 360 psychiatrists belonging to either university or national hospitals, all of whom had undergone psychiatric training within the past eight years, revealed that there was currently a lack of knowledge, and low rate of utilization, of the handbook. The primary author was in the first cohort of those who began postgraduate psychiatric training in a university hospital and subsequently took the first examination administered after the transition period. The author has maintained that, based on personal experience, a number of issues need improvement, such as the large number of grading items to be signed off on by supervising psychiatrists, and complications involving the outline of cases to be experienced. Additionally, it was thought to be difficult for supervisors who had obtained their specialist certification via the transitional period examination to have an adequate understanding of the outline of the new examination. Therefore, it is important that residents themselves take a more assertive attitude to becoming specialists. In the future, in order to establish a sound specialist certification system, the results of this survey of physicians who took the new examination should be taken into account.
日本精神神经学会的精神科专科医师认证制度于2005年建立，过渡期一直持续到2008年。与新的精神科专科医师认证制度相关的三年研究生培训计划启动，新制度下的首次正式考试于2010年举行。希望获得精神科专科医师认证的住院医师必须购买一本精神科专科医师认证手册，并在考试时出示。新考试与过渡期考试在手册以及需提交的病例报告数量方面存在许多差异。对360名隶属于大学医院或国立医院的精神科医生进行的一项调查结果显示，这些医生均在过去八年中接受过精神科培训，目前他们对手册的了解不足，使用率也很低。第一作者是在大学医院开始精神科研究生培训并随后参加过渡期后首次考试的第一批人员之一。作者坚持认为，根据个人经验，有许多问题需要改进，例如需要精神科督导医生签字的评分项目数量众多，以及涉及要经历的病例大纲的复杂情况。此外，人们认为通过过渡期考试获得专科医师认证的督导医生很难充分理解新考试的大纲。因此，住院医师自身采取更积极的态度成为专科医师很重要。未来，为了建立健全的专科医师认证制度，应该考虑这项对参加新考试的医生的调查结果。
