Table 2.
The objectives in the Guidelines for Residency Training - 2020 Edition
| Fundamental Values as Physicians (Professionalism) |
| 1. Residents must be aware of their social mission and accountability while making every effort to provide equitable medical care and improve public health with consideration for the limited resources and changes in society. |
| 2. Residents must place the relief of pain and the concerns of patients and the improvement of patient welfare above all and respect the values of the patients and their rights in self-determination. |
| 3. Residents must appreciate the diverse values, emotions, and knowledge of patients and their families, and have respect and compassion when interacting with them. |
| 4. Residents must reflect upon their own behavior, patient outcomes, and details of medical care provided, striving to enhance competencies and capabilities. |
| Ethics in Medicine and Medical Practice |
| 5. Maintain human dignity and respect the integrity of life. |
| 6. Consider patient privacy and maintain confidentiality. |
| 7. Recognize ethical dilemmas and respond in compliance with management policies. |
| 8. Recognize conflicts of interest and respond to these according to the management policy. |
| 9. Ensure the transparency of medical care, research, and education to prevent malpractice. |
| Medical Knowledge and Problem-solving |
| 10. Provide differential diagnosis and initial response to frequently observed signs and symptoms by means of an appropriate clinical reasoning process. |
| 11. Collect patient information to make clinical determinations based on the latest medical findings, with consideration for patient intentions and quality of life. |
| 12. Establish and implement treatment plans that consider aspects such as health, medical care, and welfare. |
| Procedural Skills and Patient Care |
| 13. Effectively and safely collect information relating to the health conditions of the patients, including the psychological and social aspects. |
| 14. Implement optimal treatment suitable for the patients’ conditions in a safe manner. |
| 15. Prepare medical records and documents relating to treatment details and their rationale in an appropriate and timely manner. |
| Interpersonal and Communication Skills |
| 16. Use appropriate language, a courteous attitude, and be well-groomed when interacting with patients and their families. |
| 17. Organize information required by the patients and their families and explain it in an easy-to-understand manner in order to support the patients’ independent decision making. |
| 18. Consider the needs of the patients and their families from physical, psychological, and social aspects. |
| Practice in Interprofessional Teams |
| 19. Understand the objectives of the organizations and through mutual respect and clear communication teams providing medical care, as well as the roles of each member of the teams. |
| 20. Share information amongst the team members for the purpose of cooperation. |
| Patient Safety and Quality of Medical Care |
| 21. Understand the importance of the quality of medical care and patient safety while making every effort in evaluating and improving these aspects. |
| 22. Practice reporting/notifying/consulting as a part of routine practice. |
| 23. Prevent medical accidents and implement corrective measures if an accident occurs. |
| 24. Understand health management measures to protect healthcare professionals and make efforts in protecting their own health. |
| Medical Practice in the Context of Society |
| 25. Understand the purposes and mechanisms of laws, regulations, and systems related to health and medical care. |
| 26. Utilize health insurance and publicly funded medical care in an appropriate manner with consideration for the burden of medical expense on the patients and society. |
| 27. Grasp the health issues and needs in the local community and propose necessary measures. |
| 28. Encourage preventive medical care, healthcare, and health promotion. |
| 29. Understand the community-based healthcare system and contribute to its promotion. |
| 30. Be prepared for medical risk management in disasters, pandemics and other events affecting large numbers of people. |
| Scientific Exploration |
| 31. Pursue answers to clinical questions that arise during medical practice in a scholarly manner. |
| 32. Understand and utilize the scientific research method. |
| 33. Understand the significance of clinical research and trials and cooperate with these studies. |
| Lifelong Learning |
| 34. Make efforts to absorb the rapidly changing and developing knowledge in all competency and capability domains and technology. |
| 35. Engage in mutual teaching and learning with colleagues, junior personnel, and healthcare professionals other than physicians. |
| 36. Understand the governmental policies in Japan and overseas, as well as the latest trends in medicine and medical care. |