医学教育Update : 医学・医療における基礎的・汎用的能力の育成

The major kinds of basic and generic skills include skills for communication and problem solving, attitudes for team work, leadership, ethics, social responsibility and continuing learning, as well as non-technical skills for medical safety such as situation awareness, decision-making and stress management. “The practice of medicine is an art, based on science.” is a famous quote of Dr. William Osler. Basic and generic skills as well as professionalism are major parts of the “art”. However, it is becoming difficult for residents to learn these skills naturally after graduation of medical school in Japan because they receive clinical training by rotating the specialized department in a short period. Therefore, in the undergraduate education, medical students should learn basic and generic skills as “Does” level in Miller’s pyramid of clinical competence. On-the-job training such as a clinical clerkship in a health care facility or a research work in a laboratory is expected to be effective for the education for basic and generic skills.