[最低要求:精神科专科医生培训的优势]。

Hideaki Amayasu
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摘要

长期以来,日本精神病学和神经病学协会一直在讨论什么是精神病学专家。虽然所谓的“山内报告”最终在1994年确定了专业认证制度,但直到2006年才有第一位精神病学专家获得认证。最近,运行了10年的体制发生了明显的变化。卫生、劳动和福利部(MHLW)成立了一个解释委员会,讨论精神科专家应该是什么,并于2013年4月发表了一份报告,这导致日本医学专业委员会综合法人协会于2014年5月成立,成为可信赖的第三方。此后,它建立了一个新的精神病学专家培训和认证系统,将于2017年开始。鉴于这种情况,本文探讨了精神病学专家需要获得的素质以及他们应该接受的专业培训。我讨论了改革医学院的教育计划,MHLW的精神病学专家调查委员会和日本医学专业委员会建议的更清晰的专家形象,以及日本精神病学和神经病学协会一直在考虑的精神病学专家应该是什么样子。我强调,随着医学教育的全球化,实现这一目标的方法正在发生显著变化;然而,精神科专家系统的哲学、使命和结果不应改变。
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[Minimum Requirement : The Advantage of Psychiatric Specialist Training].

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.

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