海外の専門医制度 - mhlw.go.jp

1 1 2 (Medical Service Act) [ ] [ 9386 , , ] 77 ( ) < > 1 , < , > [ 9386 ( ) 3 5 2013 12 31 , 2009 12 31 ] 3 USMLE Step 1 CBT Step 2 (CK) CBT Step 2 (CS) Step 3 CBT State Medical Board LCME FSMB nbme 4 3-6 1-3 AAMC MCAT 4 ABMS member ACGME ACGME 4 ABMS 1.

2 ABOP 1917 * 2. ABOTO 1924 * 3. ABGO 1930 * 4. ABDERM 1932 * 5. ABOS 1935 6. ABP 1935 7. ABPN 1935 8. ABR 1935 9. ABU 1935 10. ABIM 1936 11. ABPATH 1936 12. ABS 1937 13. ABNS 1940 14. ABA 1941 15. ABPS 1941 16. ABPMR 1947 17. ABCRS 1949 18. ABPM 1949 19. ABFM 1969 20. ABAI 1971 21. ABMN 1971 22. ABTS 1971 23. ABEM 1979 24. ABMG 1991 LCSB ABMS * ABMS 5 ABMS ACGME RRC ABOto Residency Program Medicare ACGME 57 (2008) AAOS, AAO-HSN AMA ABGO ABDERM 24 ABP RRC RRC RRC Residency Program Residency Program Residency Program 4 2600 (2007) ACGME PGY-3 27 (2008) AHA CMSS AAMC 6 7 Geographical Distribution of the Number of Medical Residents per 100,000 States Residents 8 National Health Service (NHS) Department of Health (DoH )

3 NHS NHS Private practice PP NHS PP PP NHS Consultant PP General Medical Council (GMC) GMC GMC NHS GMC Specialist General practitioner NHS GMC 5 Re-validation 9 PMETB Postgraduate Medical Education and Training Board England, Scotland, Wales, North Ireland 4 2005 PMETB PMETB PMETB Certificate for completion of training (CCT) Consultant Consultant PMETB PMETB Consultant GMC 10 Core Medical Training ( ) 5 6 ( ) Undergraduate Medical School 2 GP Consultant GP Foundation Training F1 F2 Specialty Training Higher Specialty Training 4 Certificate for Completion of Training CCT) GMC PMETB Specialist Registration 11 (2003 5 )

4 12 250 51 13 Allgemeinmedizin ( ) 14 2 50,000 7,300 4 tudiant hospitalier externat) 2 1,536/ 3 2,980/ 4 3,300/ (ECN) 6,300 5 4 GP 3 Internat 6 16,505 18,273/ (2 200/ = 15 EU EU 5 1 1 7,300 2010 16 3 4 (Etudiant Hospitalier ) 2 4 6 (ECN Examen Classant National) 5 4 GP 3 3 17 (DES.)

5 Dipl me d Etudes Sup cialis es Post-internat 2 (CCA: Chef de Clinique-Assistant) CCA DES 18 6 GP ECN GP 33 D partment 4 2 19 GP Gate Keeper GP 20 300 50 1 2 3 1 GP 2 GP 1 CCA 3 21 7 GP

6 70 80 60 70 22 Medicine du Travail 235 Medicine Interne 183 Nucleaire 53 Nephrologie 112 Neurochirurgie 66 Neurologie 136 Oncologie 172 Opthalmologie 322 Oto-Rhino-Laryngologie <5 Pathologies Cardio-Vasculaire <5 Biologie Medicale 1015 Pediatrie 918 Pneumologie 104 Psychiatrie 1324 Rariolodiagnostic et Imagie Medicale 454 Rheumatologie 90 Sante Publique 245 Stomatologie <5 Chirurgie Generale 1153 Genetique Medicale 8 Physique de Readaptation 52 Cardiologie et Maladie Vasculaires 322 Gastro-Enterologie et Hepatologie 153 Anesthesie Reanimation 1309 Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale 206 Gynecologie Medical 62 Medicine Generale 8229 Dipl ma d Etudes Sup cialise s DES 2010 23 1.

7 KMA) 2. KHA ABMS (American Board of Medical Specialty) ACGME (Accreditation Council for Graduate Medical Education) National Health Service; NHS) Post graduate Medical Education and Training Board Local deanery ECN) 5 4 GP 3 ABMS 2008 560 ACGME (2008 3,000 (Medicare) 27 57 General Medical Association (GME) 410 Royal College 410 Certificate of Completion of Training CCT) 850 4 GP 24 ACGME Site Visit Site Visit 100 110 14 Site Visit Site Visit 6 8 Program Information Form (PIF)

8 Site Visit 14 Site Visit Site Visit 1 6 RRC 25 Site Visit 10 11 10 12 Resident Review Committee 26 Site Visit RRC 27 The Methodist Hospital site visit 28 <General Surgery> ACGME 5 29 The Methodist Hospital 30 5 750 major surgery (chief resident) 150 31 2 1 1 1 32