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第29回 東京大学医学教育セミナー |
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| 東大医学教育国際協力研究センターより、第29回東京大学医学教育セミナーについてご案内させていただきます。 今回は、９月から当センターに客員教員として来日しているマクマーン先生（ハーバード大学）に、研修医教育について、米国の研修医労働時間制限の話なども絡めながら、医学教育研究の結果なども引用しつつ、お話しいただきます。 マクマーン先生はNew England Journal of MedicineのEditorとして同誌の生涯教育プログラム（Interactive Medical Casesなど）の開発などにも取り組んでおられる、医学教育研究者＆糖尿病内分泌内科医です。 ご都合のつく先生方は、ぜひお越しください。 |
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| 日 時： | 2010年12月3日（金） 18：00〜19：30 |
| 場 所： | 東京大学医学部図書館３階 ３３３会議室 →アクセスマップを開く |
| 講 師： | グレアム・マクマーン先生 東京大学医学教育国際協力研究センター特任准教授（招聘期間：2010.9.21-12.16） Graham T. McMahon, M.D., M.M.Sc. Division of Endocrinology, Diabetes & Hypertension, Brigham and Women's Hospital Assistant Professor, Harvard Medical School |
| 演 題： | "Optimizing Resident Education: Strategies and Evidence" |
| 概 要： | Changes in clinical practice have rendered inadequate the century-old, inpatient-based education model. Financial pressures on teaching hospitals have intensified, encouraging the pursuit of clinical and grant revenue at the expense of trainee education. Patients who are hospitalized today are more complex than previously, less representative of the diversity of diseases seen in the community, require greater involvement of specialists, and stay for a shorter time. These changes have increasingly limited the participation of trainees and affectedtheir therapeutic relationships with their patients and their supervisors. In the United States, regulations limiting resident duty hours and patient load have had the unintended consequence of worsening this situation.In focus groups and surveys, our trainees sought to reverse this decline, and sought greater bedside teaching, more attending time and supervision, greater feedback, and a reduction in workload. An experiment that addressed these concerns on one service and compared it to a standard service demonstrated that attention to quality education improved both resident and attending satisfaction, but also positively impacted the quality and safety of patient care. Redesign of training programs is greatly needed. The changes should prioritize education over service; emphasize quality, patient safety, and systems-based practice; and provide graded and greater supervision of our trainees. In this session we will review how redesign of the structure and format of post-graduate clinical education can reduce cost, improve efficiency, improve quality, and save lives. |
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