Yanagisawa Nobuo
School of Health Sciences, Tokyo University of Technology.
Rinsho Shinkeigaku. 2010 Nov;50(11):1041-3. doi: 10.5692/clinicalneurol.50.1041.
Progress in basic neurosciences and advances in technology in the last decades have contributed to clarification of neural mechanisms in behavior or cognition in health and disease. They have elaborated diagnosis and treatment of nervous diseases remarkably. Needs in neurologists in both primary and specific medical services are rapidly increasing, with aging society and progresses in medical care in Japan. Attraction of neurology for students and junior residents is a great concern of Japanese Society of Neurology. In the undergraduate education, recent achievement in basic neurosciences including neurogenetics, molecular cytology, physio-pathology and imaging technique should be taught comprehensively. In the early postgraduate course for two years, neurology is either elective or obligatory depending on the curriculum of training institutions. Work at the stroke care unit is strongly recommended in the course of emergency service, which is mandatory. Experiences in acute infectious diseases, in various stages of neurodegenerative diseases, in collaboration with other specialist doctors for systemic diseases including metabolic or collagen diseases, in collaboration with other medical personnel in care of dementia are all included in advanced stages of postgraduate education before board examination. In summary, studies for practical services as well as clinical researches, teaching of symptoms and signs based on neural functions, and socio-economical issues for chronic nervous diseases in aged society are important in the education in neurology.
过去几十年间,基础神经科学的进展和技术的进步推动了对健康与疾病状态下行为或认知的神经机制的阐释。它们显著地完善了神经疾病的诊断与治疗。随着日本社会老龄化以及医疗保健的发展,初级医疗服务和专科医疗服务对神经科医生的需求都在迅速增长。神经学对学生和低年资住院医师的吸引力是日本神经学会极为关注的问题。在本科教育中,应全面教授包括神经遗传学、分子细胞学、生理病理学和成像技术在内的基础神经科学的最新成果。在研究生课程的头两年,神经学根据培训机构的课程安排,既可以是选修课程,也可以是必修课程。强烈建议在急诊服务课程中安排在卒中护理单元工作,这是强制性的。急性传染病、神经退行性疾病各个阶段、与包括代谢或胶原疾病在内的全身性疾病的其他专科医生合作、与痴呆护理中的其他医护人员合作的经历,都包含在专科医师资格考试前的研究生教育后期阶段。总之,神经学教育中,实用服务及临床研究、基于神经功能的症状和体征教学以及老年社会中慢性神经疾病的社会经济问题都很重要。