Amayasu Hideaki
Seishin Shinkeigaku Zasshi. 2016;118(5):326-332.
The Japanese Society of Psychiatry and Neurology has been discussing what a Psychiatric Specialist should be for a long time. Although the so-called 'Yamauchi Report' eventually determined the professional accreditation system in 1994, it was not until 2006 that the first Psychiatric Specialist was accredited. Recently, the system that has been operated for 10 years is markedly changing. The Ministry of Health, Labour and Welfare (MHLW) launched an explanatory committee to discuss what a Psychiatric Specialist ought to be, and published a report in April 2013, which led to the inauguration of The General Incorporated Association of Japanese Medical Specialty Board as a trusted third party in May 2014. Thereafter, it set up a new training and accreditation system for Psychiatric Specialists, which is starting in 2017. With such situation in mind, in this paper, I explore the qualities a Psychiatric Specialist needs to acquire and the sort of professional training they shall undertake. I discuss reforming educational programs in medical schools, a clearer picture of a Specialist that the Psychiatric Specialist Investigative Commission at the MHLW and the Japanese Medical Specialty Board suggested, and the way a Psychiatric Specialist ought to be, which the Japanese Society of Psy- chiatry and Neurology has been considering. I emphasize that the methodology to achieve the goal is changing markedly along with the globalization of medical education; however, the phi- losophy, mission, and outcome of the Psychiatric Specialist system should not change.
日本精神神经学会长期以来一直在探讨精神科专科医生应具备何种资质。尽管所谓的“山内报告”最终在1994年确定了专业认证制度,但直到2006年才首次认证精神科专科医生。最近,已运行了10年的该制度正在发生显著变化。厚生劳动省成立了一个解释委员会来讨论精神科专科医生应具备何种资质,并于2013年4月发布了一份报告,这导致日本医学专业委员会总会在2014年5月作为可信赖的第三方成立。此后,它为精神科专科医生建立了一个新的培训和认证制度,该制度于2017年开始实施。考虑到这种情况,在本文中,我探讨了精神科专科医生需要具备的素质以及他们应接受的专业培训类型。我讨论了医学院校教育项目的改革、厚生劳动省的精神科专科医生调查委员会和日本医学专业委员会所建议的专科医生的更清晰形象,以及日本精神神经学会一直在思考的精神科专科医生应有的样子。我强调,随着医学教育的全球化,实现目标的方法正在显著改变;然而,精神科专科医生制度的理念、使命和成果不应改变。