[The analysis of national examination for the license of medical practice in Japan (reference to the hematological clinical laboratory data)].
It seems to us an important task to analyze the problems appeared in the national examinations of the license of medical practice in respect of clinical laboratory data. The national examination of medical license in Japan begun from 1946, about 45 years ago. In those days, clinical examination is not so developed, a pastoral era, so clinical pathology was not clearly distinguished from internal medicine. Recently it is widely emphasized that national examination for the practical medical practice should be focused on the primary care medicine, so on, which has evidently influenced the appearance rate and number of miscellaneous kinds of clinical laboratory data in the examination problems. On the other hand, We have studied the tendency and mode of appearance of clinical laboratory data in the question of above mentioned examination for several years, in general, and especially in the areas of hematology. The cardinal questions of hematological field were blood cell count (RBC, hematocrit, hemoglobin, WBC, white cell differential, PLATELET), blood sedimentation rate, coagulation and fibrinolysis factor, bone marrow findings in miscellaneous diseases, classification and staging of malignant lymphomas, so on. In conclusion, the rate of appearance and significance of clinical laboratory data in the examination mentioned is more and more increased. However, comprehensive education of clinical pathology now is improved but not accomplished, which reflects tendency and styles of the problems of the examination. So more efforts will be needed to those who continuously study clinical pathology and educate them to the medical students.
Kurokawa
I
I
Department of Laboratory Diagnosis, Sapporo Medical College Hospital.
D004521:Educational Measurement; D006405:Hematology; D007564:Japan; D008007:Licensure, Medical; D010338:Pathology, Clinical / Q000193:education