Clinical training programsfor dentists at Institute of Science Tokyo Hospital Head, Division of Dental Training Education, Department of Professional Development,Institute of Science Tokyo HospitalProfessor Kanako Noritake本院における総合教育研 修センター 歯科教育研 修 部門 部門長 則武 加奈子歯科医師臨床研 修プログラム本院における歯科医師臨床研 修プログラムClinical training programs for dentists at Institute of Science Tokyo Hospital11Under Japanese law, dentists are required to complete at least one year of postgraduate clinical training after passing the national examination for dental practitioners . At our hospital, we offer unique clinical training programs designed not only to further develop the basic clinical competencies (attitudes, skills, and knowledge) acquired during undergraduate education, but also to foster dentists with advanced clinical skills and the ability to provide comprehensive, patient-centered care.Our clinical training programs are founded on a clinical practice and participation in care model and consist of three distinct pathways to accommodate the diverse career goals of dental residents.Program 1: Combines general dentistry training at our hospital with training at a cooperative (I) clinical training facility (each for half a year).Program 2: Involves full-year general dentistry training at our hospital along with home-visit dentistry training at a cooperative (II) clinical training facility.Program 3: Integrates a rotational training system across restorative dentistry, prosthodontics, and oral surgery with home-visit dentistry training.In the general dentistry program, clinical training dental residents are assigned their own patients and provide comprehensive care in General Dentistry II, which is dedicated exclusively to clinical training. Clinical dental teachers from various specialty departments are stationed in the clinic to provide hands-on guidance and serve as role models through direct observation of their clinical practice.At the cooperative (I) clinical training facilities, residents gain valuable experience in community-based dentistry under the supervision of experienced and dedicated general practitioners, learning practical patient communication and staff collaboration skills that are difficult to acquire in a hospital setting.Our hospital also offers a wide range of specialized outpatient clinics, which residents can select for elective training. Furthermore, the integration of our dental and medical departments within the same hospital allows all residents to gain essential experience in perioperative management of hospitalized patients — another unique feature of our program.Each year, the number of applicants to our programs is nearly twice the number of available positions, and since the introduction of mandatory clinical training, we have maintained a ���% fill rate. We believe this reflects the exceptional clinical training environment we provide, which enables newly licensed dentists to build a strong foundation from their very first year.歯科医師は国家試 験合格 後、1年以 上の歯科医師臨 床研 修を受けることが法律で義務付けられています。本院では、卒前教育で培った基本的な診療能力（態度・技能・知識）をさらに深めるとともに、高度な臨床能力と全人的歯科医療を提供できる資質を備えた歯科医師の育成を目指し、独自の研修プログラムを提供しています。本院の臨 床研 修は診療参加型研 修を基盤としており、研 修歯科医の多様なキャリアパスに対応した3つのプログラムを設けています。プログラム1は本院と協力型（I）研修施設での総合診療研修（半期ずつ）、プログラム2は本院での通年の総合診療 研 修と協力型（II）研 修施設での訪問診療 研 修、プログラム3は保存系・補綴系・外科系のローテーション研修と訪問診療研修を組み合わせたものです。総合診療研修では、第2総合診療室にて、研修歯科医が担当患者を一貫して診療します。同室には各専門分野から派遣された指導歯科医が常駐しており、直接の指導に加えて、模範的な診療を間近で学ぶことができます。また、協力型（I）研修施設では、地域で活躍する経験豊富な開業医のもとで、患者対応やスタッフとの関係構築など、地域医療ならではの学びが得られます。さらに、本院には多様な専門外来が設置されており、選択研修として参加することが可能です。加えて、病院全体の一 体化により、入院患者の周術期管理を全員が必修として経験する点も大きな特徴です。本プログラムには毎年定員の2倍近い応募があり、必修 化以来、常に100％の定員充足率を維持しています。これは、研修歯科医が初年度から質の高い臨床経験を積める理想的な環境が整っていることの証であると自負しています。
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