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「定額制使いたい放題」女医は過労死寸前 (筒井 冨美) (3/4) | プレジデントオンライン
"2004年に厚生労働省が創設した新研修医療制度は、いわば「医大卒業後2年間は数カ月ずついろんな科を担当させ、お客様扱いでユルく研修する」といった内容で、これにより専門科のトレーニング開始が遅れるようになった。制度が変わっても、高齢出産の医学的なリスクは変わらない。35歳までに出産を終えたいならば、この2年間のモラトリアムが、女医のキャリア形成にとって痛いのだ。"

"また、新研修医療制度で、卒業後2年間は「お客様扱い」することになったので、大学病院としては若手医師を病院経営のマンパワーとして使いづらくなってしまった。この結果、医師不足が深刻化し、「女性減点入試」の契機になったのではないかと推察している。8月6日の調査委員会による記者会見でも、得点調整について「2006年頃からの可能性」を指摘している。"
medicine  doctor 
15 hours ago by incep
緊急寄稿:消化器外科医ママ、さーたりさんが考える東京医大問題/外科医ママが漫画でメス! 女性医師の”あるある”事情第13回|joynet(ジョイネット)
”この問題は男女差別だけでなく、背景には「医師不足」とくに「大学病院の医師不足」があり、それらを解決するための手っ取り早い楽な解決方法があの入試方法だったのでしょう。
だから大学側の意見も「理解はできる」・・・理解はできる、かもしれないけど、やっぱりそれに賛同してはいけない。共感しちゃいけない。
本当は理解だってしたくはない。
考えれば考えるほどこの問題は根強く、胸の奥の暗い澱みが晴れません。"

"「現状のシステムじゃ男性医師に負担がかかる、やはり女性医師数は抑制すべき」ならば男女関係なくみんなが適度に働いて適切に評価されるような、新しいシステムを作る時なのかもしれません。もしかしたら最後の。"
medicine 
15 hours ago by incep
Bureaucratic Ritualism in Medicine | Pierian Journal
Having once been a student of cultural anthropology, I still find myself taking the discipline’s participant-observer lens to  everyday social situations. It makes me kind of weird at dinner parties, but I just love the anthropologist’s calling to “make the familiar strange and the strange familiar.” Opportunities abound. Perhaps especially in the modern medical world in which I work.

I’d like to share a prime example of a professional interaction I had last week that I found fascinating (at least in retrospect). In part because of episodes like these, I’ve come to suspect that our world is full of symbolic rituals hidden in plain sight.
anthropology  argument  medicine  graeber 
yesterday by kmt
Evidence based medicine: a movement in crisis? | The BMJ
Trisha Greenhalgh and colleagues argue that, although evidence based medicine has had many benefits, it has also had some negative unintended consequences. They offer a preliminary agenda for the movement’s renaissance, refocusing on providing useable evidence that can be combined with context and professional expertise so that individual patients get optimal treatment
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key point:
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Well intentioned efforts to automate use of evidence through computerised decision support systems, structured templates, and point of care prompts can crowd out the local, individualised, and patient initiated elements of the clinical consultation.8 For example, when a clinician is following a template driven diabetes check-up, serious non-diabetes related symptoms that the patient mentions in passing may not by documented or acted on.32 Inexperienced clinicians may (partly through fear of litigation) engage mechanically and defensively with decision support technologies, stifling the development of a more nuanced clinical expertise that embraces accumulated practical experience, tolerance of uncertainty, and the ability to apply practical and ethical judgment in a unique case.33
medicine  stats  methodology  research  argument 
yesterday by kmt
Ricardo Quarrie, surgeon falsely accused of wrongdoing, tries to recover his name - CNN
> "Employers told me I was very qualified for positions, but patients Google their doctors, and they didn't feel like they could refer patients to me," said the cardiothoracic surgeon, who trained at Yale, the Cleveland Clinic and Ohio State.
"It's been a nightmare," added Quarrie, the father of two young children. "The spread of that information -- or misinformation -- is so rapid, and people really do believe what they read."
medicine  internet  news 
2 days ago by porejide
Surprise Gift: Free Tuition for All N.Y.U. Medical Students
"A plan will cover the $55,000 annual tuition for every current and future New York University School of Medicine student, regardless of financial need."
"... Columbia announced a $250 million gift from Dr. P. Roy Vagelos, an alumnus who is a former chairman of Merck & Co., and his wife, Diana, that would offer students with the greatest financial need full-tuition scholarships, and other students grants, rather than loans. ...
To date, only a handful of institutions have tried to make medical education tuition-free, according to Julie Fresne, senior director of student financial services of the Association of American Medical Colleges, a nonprofit organization that represents medical schools.
At UCLA’s David Geffen School of Medicine, a $100 million fund announced several years ago pays for the entire cost of medical school for all four years, including tuition, fees, books and living expenses for roughly 20 percent of its students. But that program is based on merit, not need.
Meanwhile, a small medical school affiliated with Case Western Reserve University at the Cleveland Clinic covers the tuition and fees for its five-year program focusing on research.
Most of the roughly 20,000 students per year enrolled in American medical schools take out sizable federal loans to support their studies. According to the Association of American Medical Colleges, in 2017, the median debt for graduating medical students was $192,000."
education  medicine 
3 days ago by jimmykduong

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