Clark D E, Igarashi M, Hiki Y, Okabe H
Department of Surgery, Kitasato University Hospital, Kanagawa, Japan.
J Clin Gastroenterol. 1988 Apr;10(2):205-9. doi: 10.1097/00004836-198804000-00021.
Admission to a standard 6-year university course in medicine is very competitive in Japan. Medical practice is dominated economically by a national health service and epidemiologically by diseases of the upper gastrointestinal tract. Gastric cancer is very common, although diseases familiar to Western society are increasing. A detailed examination of the educational program in gastroenterology at the Kitasato University Hospital, one of the newer private teaching hospitals in Japan, reflects the cultural and environmental differences from an American experience. A residency system on the American model has been developed at this hospital. The extensive training in gastroenterological diagnostic techniques, including contrast radiography and endoscopy, is most striking. The ability to describe pathological abnormalities with precision is given great emphasis. Subspecialty training in medical or surgical gastroenterology is not standardized and is oriented primarily toward research and the development of expertise in a limited academic area.
在日本，进入标准的6年制医学大学课程竞争非常激烈。医疗实践在经济上由国家医疗服务主导，在流行病学上以上消化道疾病为主。胃癌非常常见，尽管西方社会常见的疾病也在增加。对日本较新的私立教学医院之一北里大学医院的胃肠病学教育项目进行详细考察，反映出与美国经验的文化和环境差异。该医院已建立了美国模式的住院医师制度。在胃肠病诊断技术方面的广泛培训，包括造影X线摄影术和内窥镜检查，最为显著。精确描述病理异常的能力受到高度重视。医学或外科胃肠病学的亚专业培训并不标准化，主要侧重于研究和在有限学术领域发展专业技能。
