「卒後研修を受けた医師のほうがより質のよい救急医療を提供できる」
このことは普通に考えればあたりまえのことですが、
研修無用（有害？）論を唱えるひとたちに対応するにはエビデンスが必要です。
今回は、この
「卒後研修を受けた医師のほうがより質のよい救急医療を提供できる」
ことを証明する研究を発表しました。以下が抄録です。
J Emerg Med. 2011 Mar 11. [Epub ahead of print]
The New Japanese Postgraduate Medical Education and Quality of Emergency Medical
Care.
Tokuda Y, Goto E, Otaki J, Omata F, Shapiro M, Soejima K, Ishida Y, Ohde S,
Takahashi O, Fukui T.
Mito Medical Center, University of Tsukuba Hospital, Institute of Clinical
Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba,
Ibaraki, Japan.
BACKGROUND: The new postgraduate medical education (PGME) was recently introduced
to improve quality of emergency care in Japan. OBJECTIVES: To compare the quality
of care and confidence in provision of emergency medicine between physicians who
completed the old and new PGME programs. METHODS: A cross-sectional survey was
sent to 279 physicians of postgraduate years 4-9, and 208 responses (75%) were
received. Quality of care in emergency medicine was measured using 26 questions
on treatment choices for various clinical conditions. Each question had six
responses, including a single correct choice. Effect size was obtained by
dividing the total difference in score by the standard deviation of the score
distribution. Confidence in emergency medicine was rated using four self-reported
items on the level of confidence in treating acute illnesses in various emergency
medicine settings. RESULTS: The mean score for quality of care was significantly
higher in the new PGME group (15.3) compared to the old PGME group (12.8). The
difference in scores was 2.5 (p < 0.01) and the effect size (0.47) indicated a
moderate difference. Linear regression of total scores adjusted for physician
covariates produced similar results of an adjusted score difference of 2.5 (p <
0.01) and an adjusted effect size of 0.47. The new PGME group also had
significantly greater confidence in provision of emergency medicine based on
significant differences between the groups for all four self-reported items (all
p < 0.05). CONCLUSIONS: Japanese physicians who complete the new PGME program are
likely to provide higher quality of care and have greater confidence in emergency
medicine compared to those who completed the old PGME program.
PMID: 21397433
http://www.ncbi.nlm.nih.gov/pubmed/21397433
このことは普通に考えればあたりまえのことですが、
研修無用（有害？）論を唱えるひとたちに対応するにはエビデンスが必要です。
今回は、この
「卒後研修を受けた医師のほうがより質のよい救急医療を提供できる」
ことを証明する研究を発表しました。以下が抄録です。
J Emerg Med. 2011 Mar 11. [Epub ahead of print]
The New Japanese Postgraduate Medical Education and Quality of Emergency Medical
Care.
Tokuda Y, Goto E, Otaki J, Omata F, Shapiro M, Soejima K, Ishida Y, Ohde S,
Takahashi O, Fukui T.
Mito Medical Center, University of Tsukuba Hospital, Institute of Clinical
Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba,
Ibaraki, Japan.
BACKGROUND: The new postgraduate medical education (PGME) was recently introduced
to improve quality of emergency care in Japan. OBJECTIVES: To compare the quality
of care and confidence in provision of emergency medicine between physicians who
completed the old and new PGME programs. METHODS: A cross-sectional survey was
sent to 279 physicians of postgraduate years 4-9, and 208 responses (75%) were
received. Quality of care in emergency medicine was measured using 26 questions
on treatment choices for various clinical conditions. Each question had six
responses, including a single correct choice. Effect size was obtained by
dividing the total difference in score by the standard deviation of the score
distribution. Confidence in emergency medicine was rated using four self-reported
items on the level of confidence in treating acute illnesses in various emergency
medicine settings. RESULTS: The mean score for quality of care was significantly
higher in the new PGME group (15.3) compared to the old PGME group (12.8). The
difference in scores was 2.5 (p < 0.01) and the effect size (0.47) indicated a
moderate difference. Linear regression of total scores adjusted for physician
covariates produced similar results of an adjusted score difference of 2.5 (p <
0.01) and an adjusted effect size of 0.47. The new PGME group also had
significantly greater confidence in provision of emergency medicine based on
significant differences between the groups for all four self-reported items (all
p < 0.05). CONCLUSIONS: Japanese physicians who complete the new PGME program are
likely to provide higher quality of care and have greater confidence in emergency
medicine compared to those who completed the old PGME program.
PMID: 21397433
http://www.ncbi.nlm.nih.gov/pubmed/21397433
