On-the-Job Training for surgical procedures based on Toyota Producing System

基于丰田生产方式的外科手术在职培训

• 批准号: 24659803
• 负责人: ISHII Hiromoto
• 金额: $ 0.92万
• 依托单位: Nippon Medical School
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Challenging Exploratory Research
• 财政年份: 2012
• 资助国家: 日本
• 起止时间: 2012-04-01 至 2014-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-24659803/
• 关键词: 外傷外科学; 国際情報交換; トヨタ生産方式; 医学教育; 外科教育; オンザジョブトレーニング; surgical education, USA; 胸腔ドレナージ

In this study, an on-the-job training method based on Toyota Producing System was applied to our resident training for chest tube insertions. After the standardization of the procedure, we taught, evaluated and fed back to our residents according to the standard method.The first achievement is that we could improve the procedure through the standardization. We could notice needles movements in the procedure, put some methods into the standard method for patient safe. The second achievement is improving motivations for the procedure of each resident. The third achievement is that we could reveal the ethical unsolved problems in clinical on-the-job trainings. We cognized the need of establishing conservation of ethics in designing of medical educational clinical researches. We also cognized the need of established objective evaluation methods for the effect of educations.

本研究将以丰田生产系统为基础的在职培训方法应用于住院医师胸管插入术的培训。在规范化的过程中，我们按照规范的方法进行教学、评估和反馈，第一个成果是通过规范化改进了程序。我们可以注意到手术中的针头移动，将一些方法纳入标准方法中，以确保患者安全。第二项成就是提高了每位住院医师的手术动机。第三，揭示了临床在职培训中伦理学尚未解决的问题。我们认识到在医学教育临床研究设计中建立伦理守恒的必要性。我们也认识到，需要建立客观的评价方法，教育的效果。

项目成果

標準化教育としてのトヨタ生産方式の応用

丰田生产方式在标准化教育中的应用

• 发表时间: 2012
• 作者: kuro Maruyama;Takashi Ito;Shigo Yamada;石井浩統
• 通讯作者: 石井浩統