Korean J Fam Med.
2023 Jul;44(4):215-223. 10.4082/kjfm.22.0189.
Association between Undergraduate Education for Community-Based Medicine and General Practice Majors: A Longitudinal Study in Japan
- Ishisaka M
1 - Hanamoto A2
- Kaneko M3
- Kato D4,5
- Motomura K6
- Kataoka Y7,8,9,10
- Affiliations
-
- 1Department of Family Medicine and Community Health, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
- 2Independent Researcher, Japan
- 3Department of Health Data Science, Yokohama City University, Yokohama, Japan
- 4Department of Family Medicine, Mie University Graduate School of Medicine, Tsu, Japan
- 5Department of Gerontological Evaluation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan
- 6Madoka Family Clinic, Ogori, Japan
- 7Department of Internal Medicine, Kyoto Min-Iren Asukai Hospital, Kyoto, Japan
- 8Scientific Research Works Peer Support Group (SRWS-PSG), Osaka, Japan
- 9Section of Clinical Epidemiology, Department of Community Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan
- 10Department of Healthcare Epidemiology, Kyoto University Graduate School of Medicine/School of Public Health, Kyoto, Japan
- KMID: 2544500
- DOI: http://doi.org/10.4082/kjfm.22.0189
Abstract
- Background
There is a shortage of general practitioners in Japan. With the revision of educational guidelines, general practice (GP) education has improved. However, the amount of education on GP in medical schools remains inconsistent. This study examined the relationship between medical students’ amount of GP-related education and their subsequent choice of GP majors.
Methods
A retrospective cohort study was conducted in a teaching hospital in Japan. Participants were residents in the hospital. The exposure comprised compulsory lectures and training time for community-based medicine in medical schools. The outcome included participants choosing GP majors after their initial 2-year junior residency.
Results
Fifty-one participants were included in the final analysis. Of these, 14 majored in GP and 37 in non-GP after their initial 2-year junior residency. Of the participants who took GP lectures for 18 hours or more, 11 chose GP majors, and 18 chose non-GP majors (risk ratio, 2.78; 95% confidence interval [CI], 0.88–8.79). Of the participants who underwent training for 12 days or more, 10 chose GP majors, and 16 chose non-GP majors (risk ratio, 2.40; 95% CI, 0.87–6.68).
Conclusion
The results do not support the association between the amount of compulsory undergraduate education for community-based medicine and the subsequent increase in the number of residents choosing GP majors in Japan. Educators would do well to explore different approaches, such as improving the quality of education to increase the number of GP residents. Further research is needed to reach more definitive conclusions.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Undergraduate Education in Forensic Medicine in Germany, Japan, and Korea
- Designing the Medical Education Program towards the Next Millennium in an Environment of the Higher Education Reform and Society Changes
- Current Issues and Future Considerations in Undergraduate Medical Education from the Perspective of the Korean Medical Doctor Development System
- Twin principles for need-based attendance policy in undergraduate medical education
- Acceptance and Understanding of the Evolutionary Theory in Medical Students, Interns and Residents: Comparison Between Medical Majors and Non-Medical Majors
