The usefulness and necessity of postgraduate community-based training program in Saku Central Hospital : Impact of implementation of the New Postgraduate Training System for Physicians / 日本プライマリ・ケア連合学会誌

ABSTRACT

<b>Introduction</b> : The objective of this research was to evaluate and to seek out factors that affect the usefulness and necessity of postgraduate community-based training programs in Saku Central Hospital (SCH) after the implementation of the New Postgraduate Training System for Physicians (NPTSP) <br><b>Methods</b> : A questionnaire survey of physicians who entered the residency program of SCH between 1996 and 2007 was conducted.<br><b>Results</b> : The questionnaire was sent to 111 physicians, and responses were received from 73 (65.8%). Of the reasons for selecting SCH for residency training, three showed significant increases after the implementation of NPTSP : the training system, the general medicine department/general outpatient clinic, and the overall ambience of the SCH staff. The usefulness of the community-based training program showed a 3.77 times higher odds ratio (OR) in male residents (95% CI, 1.31-10.9). Necessity was decreased after the implementation of NPTSP, showing an OR (95% CI) of 2.99 (1.05-8.55).<br><b>Conclusion</b> : Of the reasons why residents selected SCH, the management system for the residency program and the environment for general practice in the hospital became more important after the implementation of NPTSP. The need for a community-based training program in SGH was decreased after NPTSP emphasized primary care.