Kanisawa M, Iriki M, Ozawa T, Fukazawa T, Hayashi J, Matsuse K, Hakamada Y, Murakawa K
Yokohama City University, School of Medicine.
Nihon Ronen Igakkai Zasshi. 1996 Sep;33(9):686-91. doi: 10.3143/geriatrics.33.686.
The increase in the number and proportion of the elderly in Japan over the last 30 years has been faster than that in any other country. One of the measures we are compelled to take to deal with this drastic change in medicosocial circumstances is reform of the medical school curriculum. However, the necessary reforms are being implemented slowly and are still insufficient. We surveyed the present status of gerontology and geriatrics education in pathology, and the understanding, interest, and opinions on this matter among professors of pathology. Questionnaires were sent to 148 professors of pathology in 80 medical schools. Responses were received from 84 professors (57%) at 64 medical schools (80%). Of the 11 medical schools with a department of geriatrics 10(90%) included gerontology in the curriculum. In contrast, 43(80%) of the 53 remaining schools did not include gerontology in the curriculum, although education in geriatrics and gerontology has been given as part of pathology lectures in almost all medical schools. Many professors want to establish a department of geriatrics in their school, but feel it will be difficult because of lack of money and higher priority given to other fields. As other hindrances, most of the respondents noted the lack of money and higher priority given to other fields. As other hindrances, most of the respondents noted the lack of a good textbook of gerontology, ambiguity in the concept of the field, and the immaturity of gerontology as a science. Another major problem noted was uncertainty regarding the status of geriatrics as a clinical specialty. One professor mentioned that promotion of aging research would be the best way to solve these problems.
在过去30年里，日本老年人数量和比例的增长速度超过了其他任何国家。应对这种医学社会环境的急剧变化，我们不得不采取的一项措施是改革医学院课程。然而，必要的改革进展缓慢，仍不充分。我们调查了病理学中老年医学和老年病学教育的现状，以及病理学教授对这一问题的理解、兴趣和看法。向80所医学院的148名病理学教授发放了问卷。收到了来自64所医学院（80%）的84名教授（57%）的回复。在11所设有老年病学系的医学院中，有10所（90%）将老年医学纳入了课程。相比之下，其余53所学校中有43所（80%）未将老年医学纳入课程，尽管几乎所有医学院都将老年病学和老年医学教育作为病理学讲座的一部分。许多教授希望在他们的学校设立老年病学系，但由于资金短缺和其他领域优先级更高而感到困难。作为其他障碍，大多数受访者指出资金短缺和其他领域优先级更高。作为其他障碍，大多数受访者指出缺乏一本好的老年医学教科书、该领域概念的模糊性以及老年医学作为一门科学的不成熟。另一个主要问题是老年病学作为临床专科的地位不确定。一位教授提到，促进衰老研究将是解决这些问题的最佳方法。
