診療参加型臨床実習についての一般市民の認識と今後の課題 : 一般市民の医学教育への協力を得るために(医学教育)  [in Japanese] The Recognition of the General Public in Clinical Clerkship and Our Challenge  [in Japanese]

臨床実習においては学生が診療チームの一員として参加し学ぶ診療参加型臨床実習が導入されている.しかし,医療安全の確保,指導医不足,教育技法および一般社会の受け入れなどの問題が指摘されている.本研究では産業医科大学病院外来患者とその家族100名を対象とし,医学生の診療参加についてアンケート調査を行い,臨床実習における医学生の診療参加のあり方について検討した結果,医学生が診療に参加することが認められていることはあまり知られていなかった(n=24).医学生の診療参加には問題があるとする回答があった(n=43).その問題点として,医療安全や医療情報の取り扱い方また医療の質などがあげられた.一方,医学生が診療に参加することは学習する上で必要であるとする意見が多く,医療の充実のために医学教育に協力したいという積極的な意見が多くみられた(n=63).今後は医療安全教育を充実させるとともに,一般社会へ医学教育への協力をアピールして行く必要がある.

Medical students are expected to learn not only academic knowledge but also other kinds of behavior, such as ethics, cooperativeness, and communication skills. Clinical clerkship has recently become increasingly important, but there are several problems in the standardized educational system, human resources of medical education, and recognition of the general public. A questionnaire survey was performed concerning clinical clerkship and medical education. A total of 100 responses were received from patients and their families. The results clearly showed that the general public had a lower-than-expected awareness of clinical clerkship (n=24). Some patients and their families expressed anxiety over the students' medical care (n=43). There are some problems of patient safety and the quality of medical care, and personal medical information. However, the remarks of the general public indicated that they desired to participate actively in medical education because they had high expectations of medical students (n=63). It is necessary to promote the understanding of the clinical clerkship among the general public and to share medical education with society, as well as impro vement of patient safety education for medical students.