Yokoyama Kazumasa
Department of Neurology, Juntendo University School of Medicine.
Rinsho Shinkeigaku. 2010 Nov;50(11):1059-62. doi: 10.5692/clinicalneurol.50.1059.
The increase in the aging population, the drastic change to a new system for postgraduate clinical training, and the lack of medical doctors have all become objects of national concern. Medical divide and melt down of the medical system brought stress especially to rural areas. Other types of stress are also found in urban University hospitals where doctors are forced to accomplish tons of paper work, while struggling on research, education, and clinical work. In this symposium, I would like to show some background and reasons for the shortage of the doctors in Japan. I also present our daily clinical practice and approach for new residents. I will also discuss the future improvement of our medical system especially in the field of Neurology. We need to show strong leadership and appeal to our comrades with medical ethics, one's dignity or self-esteem as a doctor.
人口老龄化加剧、研究生临床培训新体系的巨大变革以及医生短缺等问题都已成为国家关注的焦点。医疗资源分配不均和医疗体系的崩溃给农村地区带来了尤其沉重的压力。在城市的大学医院也存在其他类型的压力，医生们在忙于研究、教学和临床工作的同时，还被迫完成大量的文书工作。在本次研讨会上，我想阐述一下日本医生短缺的一些背景和原因。我还将介绍我们日常的临床实践以及对新入职住院医生的培养方法。我也会探讨我们医疗体系未来的改进方向，尤其是在神经病学领域。我们需要展现出强大的领导力，并以医德、医生的尊严或自尊来呼吁我们的同行。
