Medical school choice and quality of undergraduate education
Medical school choice and quality of undergraduate education
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医学院选择和本科教育质量
DOI：
10.1080/0142159x.2018.1465538
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发表时间：
2018
期刊：
影响因子：
4.7
通讯作者：
Suzuki Yasuyuki
中科院分区：
文献类型：
--
作者：
Saiki Takuya;Imafuku Rintaro;Suzuki Yasuyuki
我们饶有兴趣地阅读了Heist和Torok的文章《日本国际医学毕业生（IMG）的非典型路径的定性探索》（Heist和Torok 2018），该文章对日本IMG的观点进行了深入分析。该文件包括显着的调查结果，即在美国的培训的选择是由在日本的本科临床教育质量低的看法的影响。诚然，日本人的这些路径是“非典型的”，因为日本被认为是一个高资源的国家，本文讨论。然而，在我们的观点中，他们并不总是被认为是非典型的，因为日本人往往觉得他们生活在一个边缘的环境中，中心位于世界的其他地方（Saiki et al. 2017）。这种倾向传统上刺激了日本人出国学习新东西，这是我们比较“典型的路径”。此外，我们想报告的是，这种国际选择实际上在日本得到了观察，甚至在选择医学院方面。我们看到新闻报道说，一些日本顶尖高中的毕业生申请进入美国的大学或欧洲的医学院，而不是参加日本顶尖医学院的入学考试。这些现象被认为是“学生实现卓越医学生涯的新途径”。我们赞赏海斯特和Torok的论文，它揭示了隐藏的，但在日本医学教育的危机接近。虽然我们欢迎医学教育全球化，追求更高的标准，但我们认识到，日本的医学教育者也需要认真思考如何改造我们自己的医学院校，以吸引高中毕业生。否则，具有国际化思维和成为医生的愿望的高中毕业生将越来越多地流出日本，这将导致日本人才短缺。
Dear Sir We read with interest Heist and Torok’s article,“A qualitative exploration of the atypical path of Japanese international medical graduates (IMGs)”(Heist and Torok 2018), which provided an in-depth analysis of Japanese IMGs’ perspectives. The paper includes notable findings, namely, that the choice of training in the USA was influenced by perceptions of undergraduate clinical education in Japan being of low quality. It is true that these pathways among Japanese are “atypical”, given that Japan is regarded as a highresource country, as this paper discusses. However, they are not always considered atypical in our perspective, because Japanese tend to feel that they are living in a peripheral situation and that the center is located somewhere else in the world (Saiki et al. 2017). Such a tendency has traditionally stimulated Japanese to go abroad to learn something new, and this is a relatively “typical pathway” for us. Furthermore, we want to report that such international choices are actually observed in Japan, even in the selection of medical school. We have read news reporting that some graduates from one of the top high schools in Japan have applied for admission to colleges in the USA or medical schools in Europe rather than taking the examination for entry to the top medical school in Japan. These phenomena are regarded as “students’ new pathways for achieving an excellent medical career”. We appreciate Heist and Torok’s paper, which sheds light on the hidden but approaching crisis in Japanese medical education. Although we embrace globalization of medical education towards seeking a higher standard, we realize that Japanese medical educators also need to think seriously about how to transform our own medical schools in order to attract high school graduates. Otherwise, there will be an increased flow out of Japan of motivated high school graduates who have a global mind-set and a desire to become physicians, and this will lead to a shortage of talented medical staff in Japan.