大学病院リハビリテーション科/部における教育・研修に関するアンケート報告

Education and Clinical Training for Rehabilitation Medicine in University Hospitals : A Questionnaire Survey

要旨：日本全国の医学部医学科のある80大学のリハビリテーション（以下，リハ）科/部担当者を対象とした「大学病院リハ科/部における教育・研修に関するアンケート」を実施し，回答率は70％であった．リハ医学の系統講義は76.8％，必修の臨床実習は82.1％の大学で実施されていた．しかし，リハ科単独の実習が行われているのは35.7％，さらに1週間（5日間）行われているのは21.4％に過ぎなかった．リハ科臨床実習は，学生から概ね好意的に受け止められているが，将来，後期研修で選択する科として決定づけるほどの影響力はないという意見が少なくなかった．2006～2010年度にリハ科/部の教室に入った新人数は医学部医学科のある80大学の合計として年間平均約45人と推定された．教員数が多く，単独実習が行われ，教室が設置されている大学は，新人入局者が多い傾向があった．大学で後期研修にリハ科を選んでもらうには，卒前教育が重要であり，医学部医学科のある大学におけるリハ医学教室数が増加することが必須と考えられた．

Abstract : A questionnaire survey was undertaken to investigate the present state of education and clinical training for rehabilitation medicine in Japanese university hospitals. Seventy percent of the 80 university hospital rehabilitation departments or divisions responded to the questionnaire. The educational programs included systematic lectures on rehabilitation medicine and clinical clerkships in 76.8％ and 82.1％, respectively, of the schools of medicine. However, only 35.7％ of the medical schools surveyed have adopted rehabilitation medicine as an independent course in their clinical clerkships, for which 21.4％ spend a one-week program. Most medical students reported finding some small significance of rehabilitation medicine in their clinical clerkships, which would not contribute to their decision on the career to pursue after graduation. For the fiscal years of 2006 to 2010, about 45 new doctors per year entered the various departments of rehabilitation medicine. The factors that contributed to gathering more new doctors appeared to be the independence of the department or division of rehabilitation, the ample staffing for teaching, and the incusion of an independent course of rehabilitation medicine in clinical clerkships. The results of the present survey suggest that more departments of rehabilitation medicine should be set up to raise the level of education and clinical training for rehabilitation medicine to better attract the attention of young doctors.