ArticleBMC medical education2023
Medical resident's pursuing specialty and differences in clinical proficiency among medical residents in Japan: a nationwide cross-sectional study.
Article in BMC medical education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Impact of inpatient volume on residents' In-training examination scores and burnout in Japanese community hospitals: a nationwide cross-sectional study.BMC medical education · 2026Article
- A comparative study of short-term intensive and prolonged low-intensity simulation training on clinical competence among medical students.Frontiers in medicine · 2026Article
- Resident Physician Recognition of Tachypnea in Clinical Simulation Videos in Japan: Cross-Sectional Study.JMIR medical education · 2025Article
- Resident encounters with disruptive workplace behaviours in Japan: findings from a national cross-sectional study.BMJ open quality · 2025Article
- A Questionnaire Study of Leadership in General Medicine: General Physicians in Japan are Facing Challenges in Education and Research [Response to Letter].International journal of general medicine · 2025Article
- A Questionnaire Study of Leadership in General Medicine: General Physicians in Japan are Facing Challenges in Education and Research [Letter].International journal of general medicine · 2025Article
- Five Strategies for Efficient and Effective Training of Japanese Resident Physicians Under the Japanese Work Style Reform.Advances in medical education and practice · 2025Article
- Integrating psychiatry into basic clinical skills: A three-year nationwide quantitative assessment of postgraduate training programs.PCN reports : psychiatry and clinical neurosciences · 2024Article
- Distribution of internal medicine rotations among resident physicians in Japan: a nationwide, multicenter, cross-sectional study.BMC medical education · 2024Article
- Challenges Faced by Medical Trainees in Outpatient Management Education in Acute Care Hospitals: A Thematic Analysis.Cureus · 2024Article
- Performance Comparison of ChatGPT-4 and Japanese Medical Residents in the General Medicine In-Training Examination: Comparison Study.JMIR medical education · 2023Article
- Empathy competence and future specialty among medical residents in Japan: a nationwide cross-sectional study.Scientific reports · 2023Article
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Authors and funding
9 authors.
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Abstract
importanceStandardized examinations assess both learners and training programs within the medical training system in Japan. However, it is unknown if there is an association between clinical proficiency as assessed by the General Medicine In-Training Examination (GM-ITE) and pursuing specialty.
objectiveTo determine the relative achievement of fundamental skills as assessed by the standardized GM-ITE based on pursuing career specialty among residents in the Japanese training system.
designNationwide cross-sectional study.
settingMedical residents in Japan who attempted the GM-ITE in their first or second year were surveyed.
participantsA total of 4,363 postgraduate years 1 and 2 residents who completed the GM-ITE were surveyed between January 18 and March 31, 2021. MAIN MEASURES: GM-ITE total scores and individual scores in each of four domains assessing clinical knowledge: 1) medical interview and professionalism, 2) symptomatology and clinical reasoning, 3) physical examination and treatment, and 4) detailed disease knowledge.
resultsWhen compared to the most pursued specialty, internal medicine, only those residents who chose general medicine achieved higher GM-ITE scores (coefficient 1.38, 95% CI 0.08 to 2.68, p = 0.038). Conversely, the nine specialties and "Other/Not decided" groups scored significantly lower. Higher scores were noted among residents entering general medicine, emergency medicine, and internal medicine and among those who trained in community hospitals with higher numbers of beds, were more advanced in their training, spent more time working and studying, and cared for a moderate but not an extreme number of patients at a time.
conclusionsLevels of basic skill achievement differed depending on respective chosen future specialties among residents in Japan. Scores were higher among those pursuing careers in general medical fields and lower among those pursuing highly specialized careers. Residents in training programs devoid of specialty-specific competition may not possess the same motivations as those in competitive systems.
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