Arai Makoto, Arai Ayako, Izumi Shun-ichiro
Department of Oriental Medicine, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
Tokai J Exp Clin Med. 2014 Dec 20;39(4):186-92.
There is no precise survey of postgraduate Kampo education in Japan. We aimed to survey the current status of postgraduate Kampo education and to identify major problems and suggest solutions to promote Kampo education during internship.
The questionnaire, for the 58 training hospitals, including the 4 university hospitals, in Kanagawa prefecture, was mailed to the director of each hospital and the instructors responsible for clinical training.
There were 49 responses (84%): 84% of the instructors recognized clinicians' need to prescribe Kampo medicine; 63% thought Kampo education should be introduced into the clinical training; 55% thought a standardized form of education was necessary; 14% had Kampo education programs; 69%, 13%, and 9% of instructors at hospitals without Kampo educational programs noted the lack of Kampo instructors, time, and need to teach Kampo medicine, respectively; 82% had no plans for Kampo education; 44%, 29%, 24%, and 5% of hospitals permitted future Kampo instruction through voluntary study, lectures sponsored by Kampo manufacturers, study sessions with other hospitals, and independent study, respectively.
Kampo education should be introduced into large training hospitals, where qualified Kampo instructors are more easily found, and where many interns and residents work.
日本尚无针对研究生汉方医学教育的精确调查。我们旨在调查研究生汉方医学教育的现状,找出主要问题,并提出在实习期间促进汉方医学教育的解决方案。
向神奈川县的58家培训医院(包括4所大学医院)的院长及负责临床培训的教员邮寄了调查问卷。
共收到49份回复(84%):84%的教员认识到临床医生开具汉方药物的必要性;63%认为应将汉方医学教育引入临床培训;55%认为有必要采用标准化的教育形式;14%设有汉方医学教育项目;在没有汉方医学教育项目的医院中,69%、13%和9%的教员分别指出缺乏汉方医学教员、时间以及教授汉方药物的必要性;82%没有汉方医学教育计划;44%、29%、24%和5%的医院分别允许未来通过自主学习、汉方药物制造商赞助的讲座、与其他医院的学习交流以及独立研究进行汉方医学教学。
应将汉方医学教育引入大型培训医院,在这些医院更容易找到合格的汉方医学教员,且有许多实习生和住院医师。