文章基本信息

标题：Lessons learned in developing family medicine residency training programs in Japan
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作者：Mitsuya Murai ; Kazuya Kitamura ; Michael D Fetters 等
期刊名称：BMC Medical Education
印刷版ISSN：1472-6920
出版年度：2005
卷号：5
期号：1
页码：1-6
DOI：10.1186/1472-6920-5-33
出版社：BioMed Central
摘要：While family medicine is not well established as a discipline in Japan, a growing number of Japanese medical schools and training hospitals have recently started sougoushinryoubu (general medicine departments). Some of these departments are incorporating a family medicine approach to residency training. We sought to learn from family medicine pioneers of these programs lessons for developing residency training. This qualitative project utilized a long interview research design. Questions focused on four topics: 1) circumstances when becoming chair/faculty member; 2) approach to starting the program; 3) how Western ideas of family medicine were incorporated; and 4) future directions. We analyzed the data using immersion/crystallization to identify recurring themes. From the transcribed data, we selected representative quotations to illustrate them. We verified the findings by emailing the participants and obtaining feedback. Participants included: five chairpersons, two program directors, and three faculty members. We identified five lessons: 1) few people understand the basic concepts of family medicine; 2) developing a core curriculum is difficult; 3) start with undergraduates; 4) emphasize clinical skills; and 5) train in the community. While organizational change is difficult, the identified lessons suggest issues that merit consideration when developing a family medicine training program. Lessons from complexity science could inform application of these insights in other countries and settings newly developing residency training.
关键词：Faculty Member;Family Medicine;Residency Training;Core Curriculum;Family Medicine Resident