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Specialty choice and understanding of primary care among Japanese medical students

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Title: Specialty choice and understanding of primary care among Japanese medical students
Authors: Ohtaki, Junji Browse this author →KAKEN DB
Fujisaki, Kazuhiko Browse this author
Terasaki, Hitoshi Browse this author
Fukui, Tsuguya Browse this author
Okamoto, Yuichi Browse this author
Iwasaki, Sakai Browse this author
Tsuda, Tsukasa Browse this author
Keywords: Career choice
family practice
primary health care
students medical
Issue Date: Sep-1996
Publisher: Blackwell Publishing
Journal Title: Medical Education
Volume: 30
Issue: 5
Start Page: 378
End Page: 384
Publisher DOI: 10.1111/j.1365-2923.1996.tb00851.x
PMID: 08949479
Abstract: To assess specialty choice and understanding of primary care among Japanese medical students, all students from seven Japanese medical schools (three public and four private) were surveyed, using a written questionnaire. A total of 3377 students provided data for the study. Of the students surveyed, 89.8% wanted to become clinicians, and 79.3% wanted to have general clinical ability. About half of the respondents, 5494 replied that they had some, or great, interest in primary care, but it was found that their understanding of primary care was inadequate. Almost half (56.3%) of the students answered that they had some idea of what a general practitioner did. This proportion was nearly the same through all years of medical school. While 1245 (36.9%) students (most of them in the fifth or sixth year) replied that they had received some linical training while working in hospitals, only 203 (6.0%) students had worked in private clinics (the sites where most primary care is still provided), and 129 (3.8%) students had experience in providing home visits and home care. An even greater number, 64.3%, replied that they had inadequate information about the career options available to them. The study found that although many Japanese medical students want to obtain broad clinical competence, their understanding of primary care is insufficient. In order to increase the number of primary care providers the system of medical education in Japan must provide primary care doctors to act as role models, and must make available information about postgraduate primary care programmes. These programmes need to be increased, as do rewarding positions for programme graduates.
Rights: This is the pre-peer-reviewed version of the following article: Medical Education, 30(5), p.378-384(1996), which has been published in final form at
Type: article (author version)
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 大滝 純司

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