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Medical Education in Japan
Abstract
There are 79 medical schools in Japan--42 national, 8 prefectural (i.e., founded by a local government), and 29 private--representing approximately one school for every 1.6 million people. Undergraduate medical education is six years long, typically consisting of four years of preclinical education and then two years of clinical education. High school graduates are eligible to enter medical school. In 36 schools, college graduates are offered admission, but they account for fewer than 10% of the available positions. There were 46,800 medical students in 2006; 32.8% were women. Since 1990, Japanese medical education has undergone significant changes, with some medical schools implementing integrated curricula, problem-based learning tutorials, and clinical clerkships. A model core curriculum was proposed by the government in 2001 that outlined a core structure for undergraduate medical education, with 1,218 specific behavioral objectives. A nationwide common achievement test was instituted in 2005; students must pass this test to qualify for preclinical medical education. It is similar to the United States Medical Licensing Examination step 1, although the Japanese test is not a licensing examination. The National Examination for Physicians is a 500-item examination that is administered once a year. In 2006, 8,602 applicants took the examination, and 7,742 of them (90.0%) passed. A new law requires postgraduate training for two years after graduation. Residents are paid reasonably, and the work hours are limited to 40 hours a week. In 2004, a matching system was started; the match rate was 95.6% (46.2% for the university hospitals and 49.4% for other teaching hospitals). Sustained and meaningful change in Japanese medical education is continuing.
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“All medical schools in Japan offer a 6-year curriculum to students entering after high school [19] and share a model core curriculum (MCC) as the nationally uniform exit competency for certifying medical degrees.”
From Developing Medical Education Curriculum Reform Strategies to Address the Impact of Generative AI: Qualitative Study (2023) · cites this paper as [19]
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Metadata
- Authors
- Kozu, T.
- Affiliations
- Tokyo Women's Medical University (JP)
- Corresponding author
- Kozu, Tadahiko
- Venue
- Academic Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-12
- Volume
- 81
- Issue
- 12
- Pages
- 1069-1075
- ISSN
- 1040-2446 (ISSN-L)
- OpenAlex
- W2016855233
- Cited by
- 192
- References
- 2
- Citations by year
- 2026: 4 · 2025: 13 · 2024: 22 · 2023: 17 · 2022: 10 · 2021: 14 · 2020: 6 · 2019: 8 · 2018: 7 · 2017: 8 · 2016: 3 · 2015: 12 · 2014: 11 · 2013: 14 · 2012: 7
- FWCI
- 5.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Academic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Occupational and Environmental Health
- Topics
- Social Sciences › Education › Innovations in Medical Education
- Health Sciences › Health Professions › General Health Professions › Health and Medical Education
- Social Sciences › Education › Medical Education and Admissions
- Keywords
- medical education, undergraduate medical curriculum, curriculum integration, problem-based learning, clinical rotations, core curriculum, graduate medical education, residency match, medical school admissions
- MeSH terms
- Clinical Clerkship, Curriculum, Education, Medical, Education, Medical, Graduate, Education, Medical, Undergraduate, Educational Measurement, Female, Humans, Japan, Licensure, Medical, Male, Students, Medical, Problem-Based Learning
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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