At the beginning of 2016, Japanese doctors in Brisbane and Gold Coast gathered together and had launch. Wishing all of us progress forward this year.
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| From left, Dr Yasuda, Dr Kawamata, Dr Kusumoto and myself |
Tuesday, 5 January 2016
Lunch with Japanese doctors in Brisbane and Gold Coast
2016年の最初。ブリスベンとゴールドコーストで奮闘する日本人医師たちでランチをしました。今年もそれぞれが一歩一歩前進していければと思います。
At the beginning of 2016, Japanese doctors in Brisbane and Gold Coast gathered together and had launch. Wishing all of us progress forward this year.
At the beginning of 2016, Japanese doctors in Brisbane and Gold Coast gathered together and had launch. Wishing all of us progress forward this year.
Wednesday, 23 December 2015
A New comer. 新しい仲間
日本からの新しい仲間がブリスベンに来ました。北海道大学消化器外科Ⅰの川俣太先生です。研究活動が目的ですが、将来的にはオーストラリアでの臨床も希望しているそうです。がんばってほしいですね。
A new comer has arrive to Brisbane. Dr Futoshi Kawamata, a general surgeon from Hokkaido University hospital. The purpose is to do research though, he also hoping to do clinical practice in Australia. I wish him well.
A new comer has arrive to Brisbane. Dr Futoshi Kawamata, a general surgeon from Hokkaido University hospital. The purpose is to do research though, he also hoping to do clinical practice in Australia. I wish him well.
Wednesday, 30 September 2015
Work Place Base Assessment (WBA)
注目の情報ですが、AMC Part2 Clinical Examを受けなくてもGeneral Registrationを獲得できる方法があります。Work Place Base Assessment; WBAといわれている方法です。WBAは臨床研修コースです。オーストラリアの中で指定されたいくつかの病院があるのですが、
WBAに関しては下記のwebsiteを参照してください。
http://www.amc.org.au/index.
非常に難しいAMC Part2 Clinical Examに合格しなくてもいいわけですから、WBAは魅力的な選択肢です。ただし、WBAを行うためには、これを実施している病院に雇用されなければなりません。これらの病院で働いている医師のみが、このコースを受講できます。したがって、その病院でポジションを得られるかどうかが、カギになります。
Very interesting information here. There is a way to get the general registration without passing AMC Part2 Clinical Exam. It is called "Work Place Base Assessment (WBA)". WBA is a clinical training course. There are some designated hospitals and you just need to get passing mark in WBA in one of those hospitals. Cost is 5500 dollars. Duration is about 6-8 months. There are 24 assessments (not exams) and you go through them in the period of WBA. Then you will be entitled to apply for the general registration. Passing rate of WBA is more than 90%.
See details in the website.
http://www.amc.org.au/index.
As you don't need to pass the difficult AMC Part2 Clinical Exam, WBA is an attractive option. Nevertheless, you have to secure a position in a hospital where WBA is taken place. Only doctors who are in those hospitals can try WBA. Therefore, the key is whether or nor you are employed by one of those hospitals.
非常に難しいAMC Part2 Clinical Examに合格しなくてもいいわけですから、WBAは魅力的な選択肢です。ただし、WBAを行うためには、これを実施している病院に雇用されなければなりません。これらの病院で働いている医師のみが、このコースを受講できます。したがって、その病院でポジションを得られるかどうかが、カギになります。
Very interesting information here. There is a way to get the general registration without passing AMC Part2 Clinical Exam. It is called "Work Place Base Assessment (WBA)". WBA is a clinical training course. There are some designated hospitals and you just need to get passing mark in WBA in one of those hospitals. Cost is 5500 dollars. Duration is about 6-8 months. There are 24 assessments (not exams) and you go through them in the period of WBA. Then you will be entitled to apply for the general registration. Passing rate of WBA is more than 90%.
See details in the website.
http://www.amc.org.au/index.
As you don't need to pass the difficult AMC Part2 Clinical Exam, WBA is an attractive option. Nevertheless, you have to secure a position in a hospital where WBA is taken place. Only doctors who are in those hospitals can try WBA. Therefore, the key is whether or nor you are employed by one of those hospitals.
Friday, 18 September 2015
General Registration: One Year Hospital Rotation
AMCのPart1とPart2に合格すること以外に、General Registration取得に必要な条件として、1年間（ 47週間）の病院ローテーション研修を行うことがあります。内科、外科、 救急の3つの核となる科目を含めた1年間のローテーション研修です。内科と外科の研修期間は最低でも10週間、救急の研修期間は最低でも8週間が必要です。残りの期間は自身の選択科目を研修します。実質的に、Standard PathwayでGeneral Registrationを目指している大概の外国人医師は、オーストラリアの病院で働きながらAMCのPart2を受験したりしてGeneral Registrationを目指していることが多いと思います。Part2を合格した時点で、この1年間の病院ローテーションが終了していたらすぐにGeneral Registrationが取得できますし、まだの場合は一時的にProvisional Registarationという医師登録を行い、病院ローテーションが終了したらすぐにGeneral Registrationが取得できます。病院にポジションがある限り、 1年間の病院研修は簡単にクリアできるでしょう。詳しくはAHPRAのウェブサイトを見てください。
Besides passing AMC Part1 and Part2, in order to get the general registration, you need to complete one year hospital rotation (47 weeks). This includes core departments rotation such as general medicine, surgery and emergency medicine. At lest 10 weeks for general medicine and surgey and 8 weeks for emergency medicine are required. The rest of time is allocated to elective departments. I believe most cases of overseas doctors challenging the standard pathway to get thte general registration proceed the preparation of AMC Part2 exam and this one year hosiptal rotation at the same time. If you have completed one year hospital rotation when you pass Part2, you can get the general registration straightaway. If not, you will be able to get what they call provisional registration and once you pass Part2, you can get the genera registration quickly. As long as you have a position in a hospital, this one year hospital rotation wouldn't be a big problem. Please see AHPRA's website for details.
Besides passing AMC Part1 and Part2, in order to get the general registration, you need to complete one year hospital rotation (47 weeks). This includes core departments rotation such as general medicine, surgery and emergency medicine. At lest 10 weeks for general medicine and surgey and 8 weeks for emergency medicine are required. The rest of time is allocated to elective departments. I believe most cases of overseas doctors challenging the standard pathway to get thte general registration proceed the preparation of AMC Part2 exam and this one year hosiptal rotation at the same time. If you have completed one year hospital rotation when you pass Part2, you can get the general registration straightaway. If not, you will be able to get what they call provisional registration and once you pass Part2, you can get the genera registration quickly. As long as you have a position in a hospital, this one year hospital rotation wouldn't be a big problem. Please see AHPRA's website for details.
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| At Brisbane City |
Thursday, 10 September 2015
General Registration: AMC Part 2 Clinical Exam
次に、AMC Part2 Clinical Examについて説明します。このテストは、医師-患者のシュミレーション形式において医師の役割を果たす受験者の臨床能力を評価する試験です。全部で１６のステーションが設けられていて、内科、外科、小児科、産婦人科、精神科の五科目の科目からの出題となります。このうち１２のステーションをパスすれば合格となります。小児科と産婦人科のステーション数はそれぞれ３つずつあるのですが、どちらかの科目の３ステーション全てがFailとなった場合は、その時点で不合格が決まってしまいます（他の全てのステーションをPassしたとしてもです）。一つのステーションでは、診察室の外で問題を読む時間が２分、診察室の中に入ってからの時間は８分で、その８分間に問診、診察、診断、説明のすべてをこなすことが要求されます。診察室の中には模擬の患者さん（実際の患者さんの場合もあります）と試験官がいます。各ステーションで与えられたタスクを、模擬の患者さんを相手に進めていきます。詳しくは AMCのホームページを見て下さい。
私は2013年の 9月にこの試験を初めて受験し、１６ステーション中１５のステーションをパスして合格しました。試験勉強にあてた本格的な期間は約六ヶ月でした。これも主観になりますが、この試験はものすごく難解な試験です。 ８分の間に問診、診察、診断、説明の全てを行わなくてはなりません。時間の余裕は全くありません。コンサルテーションの内容も臨床医として安全で理にかなっている必要があります。これを達成するには、流暢な英語力、適切な言葉選び、系統だった問診能力、広範囲の医学知識、などが必要とされます。私の経験から言うと、タスクを見た瞬間に、「あ、これは初めて見るタスクだな」と感じた場合は、おそらくそのステーションはうまくいかないことが多いでしょう。どんなタスクが来ても、「あ、これは見たことがあるタスクだな」というぐらいでなければ、そのステーションはうまくいかないでしょう。つまり、それだけ多くのケースを経験しておく必要があるのです。それを十分に承知していたので、試験に向けては猛勉強して準備しました。机上の勉強だけではなく、何人かの同僚とシュミレーションの練習を何度も繰り返しました。私のいるクイーンズランド州には、クイーンズランド・ヘルスのもとで働いている外国人医師のための対策コースがあり、CIMGと呼ばれていますが、そこにも通いました。それらがあって合格に至ったのですが、ものすごく難解な試験だと言わざるを得ません。さらに、昨今は合格率が下がっているようで、合格の基準が厳しくなっている風潮があります。この試験の難解度はますます上がっているようです。
これから受験を考えている医師たちには大きく立ちはだかる壁のような試験ですが、周到な準備を重ねれば、合格は見えて来るでしょう。
ところが、なんとこの試験を受けなくても、General Registrationを取得する方法があります。それはまた後ほど紹介します。
Next is about AMC Part2 Clinical Exam. This exam is about assessing an applicant who plays doctor roles in settings of doctor-patient simulation and its clinical consultation proficiency. It consists of 16 stations in which tasks of five fields such as general medicine, surgery, paediatrics, obstetrics/gynecology and psychiatry are posed. Among those 16 stations, passing 12 stations is the passing grade of this exam. Paediatrics and Obstetrics/Gynecology have 3 stations each and if you fail all 3 stations of either department, you are marked as fail of this exam instantly at that point (even if you pass all other stations). In one station, you have 2 minutes to read the task out side the room, then you have 8 minutes to complete the task in the room. Tasks normally require history taking, examination, diagnosis and explanation, all of them in that limited time. In the consultation room, there are a simulation patient (sometimes real patient) and assessor. You proceed the task with that patient in each station. Please see details at the AMC website.
I first tried this exam in September 2013 and passed it with 15 stations' pass. Practical preparation period for this exam was about 6 months. This is also my subjective view though, this exam is basically very very difficult. In the 8 minutes, you have to do history taking, history taking, examination, diagnosis and explanation, everything. There is no one single second you can waste. Furthermore, content of the consultation as a clinical doctor needs to be very safe for patients and rationale. In order to reach this level, you should have fluent English ability, proper choice of words, systematic history taking ability, wide range of medical knowledge, etc. As a rule of thumb, if you felt "Oh, this task seems new to me" when you read the task, that station wouldn't go well. You need to be always "Oh, I know this task", otherwise the station wouldn't go well. I was very much aware of the difficulty of this exam beforehand, therefore, I studied so hard. Not only reading on a table, but also practicing role plays over and over with my colleagues. In Queensland, there is a preparation course, called CIMG, which is designed to teach overseas doctors working under Queensland Health and I commuted to it. By doing those, I managed to pass it. Nevertheless, I have to say again this exam is a difficult one. Moreover, the passing rate of this exam has been apparently lowered nowadays and it seems that the passing standard has been getting more strict than before. The difficulty of this exam is being up and up.
For those who are planning to sit this exam, it is as if a formidable high wall looking down on you. Nevertheless, if you continued to persevere in preparation, passing would be closer to you.
And surprise surprise, there is a way where you don't need to sit this exam to get the general registration. It is to be explained in this blog in due course.
私は2013年の 9月にこの試験を初めて受験し、１６ステーション中１５のステーションをパスして合格しました。試験勉強にあてた本格的な期間は約六ヶ月でした。これも主観になりますが、この試験はものすごく難解な試験です。 ８分の間に問診、診察、診断、説明の全てを行わなくてはなりません。時間の余裕は全くありません。コンサルテーションの内容も臨床医として安全で理にかなっている必要があります。これを達成するには、流暢な英語力、適切な言葉選び、系統だった問診能力、広範囲の医学知識、などが必要とされます。私の経験から言うと、タスクを見た瞬間に、「あ、これは初めて見るタスクだな」と感じた場合は、おそらくそのステーションはうまくいかないことが多いでしょう。どんなタスクが来ても、「あ、これは見たことがあるタスクだな」というぐらいでなければ、そのステーションはうまくいかないでしょう。つまり、それだけ多くのケースを経験しておく必要があるのです。それを十分に承知していたので、試験に向けては猛勉強して準備しました。机上の勉強だけではなく、何人かの同僚とシュミレーションの練習を何度も繰り返しました。私のいるクイーンズランド州には、クイーンズランド・ヘルスのもとで働いている外国人医師のための対策コースがあり、CIMGと呼ばれていますが、そこにも通いました。それらがあって合格に至ったのですが、ものすごく難解な試験だと言わざるを得ません。さらに、昨今は合格率が下がっているようで、合格の基準が厳しくなっている風潮があります。この試験の難解度はますます上がっているようです。
これから受験を考えている医師たちには大きく立ちはだかる壁のような試験ですが、周到な準備を重ねれば、合格は見えて来るでしょう。
ところが、なんとこの試験を受けなくても、General Registrationを取得する方法があります。それはまた後ほど紹介します。
Next is about AMC Part2 Clinical Exam. This exam is about assessing an applicant who plays doctor roles in settings of doctor-patient simulation and its clinical consultation proficiency. It consists of 16 stations in which tasks of five fields such as general medicine, surgery, paediatrics, obstetrics/gynecology and psychiatry are posed. Among those 16 stations, passing 12 stations is the passing grade of this exam. Paediatrics and Obstetrics/Gynecology have 3 stations each and if you fail all 3 stations of either department, you are marked as fail of this exam instantly at that point (even if you pass all other stations). In one station, you have 2 minutes to read the task out side the room, then you have 8 minutes to complete the task in the room. Tasks normally require history taking, examination, diagnosis and explanation, all of them in that limited time. In the consultation room, there are a simulation patient (sometimes real patient) and assessor. You proceed the task with that patient in each station. Please see details at the AMC website.
I first tried this exam in September 2013 and passed it with 15 stations' pass. Practical preparation period for this exam was about 6 months. This is also my subjective view though, this exam is basically very very difficult. In the 8 minutes, you have to do history taking, history taking, examination, diagnosis and explanation, everything. There is no one single second you can waste. Furthermore, content of the consultation as a clinical doctor needs to be very safe for patients and rationale. In order to reach this level, you should have fluent English ability, proper choice of words, systematic history taking ability, wide range of medical knowledge, etc. As a rule of thumb, if you felt "Oh, this task seems new to me" when you read the task, that station wouldn't go well. You need to be always "Oh, I know this task", otherwise the station wouldn't go well. I was very much aware of the difficulty of this exam beforehand, therefore, I studied so hard. Not only reading on a table, but also practicing role plays over and over with my colleagues. In Queensland, there is a preparation course, called CIMG, which is designed to teach overseas doctors working under Queensland Health and I commuted to it. By doing those, I managed to pass it. Nevertheless, I have to say again this exam is a difficult one. Moreover, the passing rate of this exam has been apparently lowered nowadays and it seems that the passing standard has been getting more strict than before. The difficulty of this exam is being up and up.
For those who are planning to sit this exam, it is as if a formidable high wall looking down on you. Nevertheless, if you continued to persevere in preparation, passing would be closer to you.
And surprise surprise, there is a way where you don't need to sit this exam to get the general registration. It is to be explained in this blog in due course.
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| Yamanto |
General Registration: AMC Part 1 MCQ Exam
オーストラリアで長期的に臨床活動を行いキャリアアップをするためには、AHPRAが管轄するGeneral Registrationを目指すことになることが大半です（一方、自身の専門領域でだけ臨床活動を行っていくことが許される長期的な医師登録方法もあります）。その取得にはStandard Pathwayで要求されている AMC Part1 MCQ ExamとAMC Part2 Clinical Examの両方に合格し、一年間の病院ローテーションを修了させなくてはなりません。ここではAMC Part1 MCQ Examについて説明します。このテストは五者択一の選択問題からなる試験です。問題数は150問で、そのうち120問が実際にカウントされます。30問はパイロット問題です。内科、外科、小児科、産婦人科、精神科、公衆衛生の六科目からの問題が出題されます。制限時間は３．５時間です。日本でも受験できます。詳しくは AMCのホームページを見て下さい。
私は2011年の 6月にこの試験を初めて受験し合格しました。試験勉強にあてた期間は約二ヶ月でした。Mater Mothers' Hospitalで働いていたこの当時、この試験にすでに合格していたインド人の同僚からは、「AMCの参考書 (Hand Book of Multiple Choice Questions) を二回やれば受かるよ」と言われていたのですが、私は慎重を期してその参考書を二回通して勉強したのに加えて、AMCが以前発行していた古い参考書 (Annotated Multiple Choice Questions) も同じように二回勉強しました。それで合格にいたりました。あくまでも主観になってしまいますが、この程度の勉強で合格したことを考えれば、この試験はさほど難しくはないと言って差し支えないと思います。アメリカで臨床医を目指す医師のための試験であるUSMLEの難解度に比べれば容易だということは確実に言えると思います。しかしながら、外国人医師の必要性が以前に比べて減ってきているオーストラリアの昨今の状況を考えると、現在においてはAMC Part1の難解度も上がっているのだろうと想像が出来ます。どんな試験も油断は禁物です。周到な勉強と対策をもって受験したほうが賢明なことは言うまでもありません。
If you hope to continue clinical medicine for long time and career-up in Australia, you need to obtain the general registration from AHPRA in majority of cases (while there is another specialist registration with which you can only practice in your speciality). To obtain it, you need to complete the standard pathway requirements such as passing AMC part1 and part2 and completing one year hospital rotation. In here, this article explains AMC part1 MCQ Exam. This exam consists of questions with one correct answer from five options. The total number of question is 150 and 120 questions are actually to be counted. The rest of 30 questions are just pilot questions. Time limit is 3.5 hours. Venues of this exam are held worldwide including Japan. Please see details in AMCwebsite.
I sat this exam in June 2011 for the first time and passed it. I had studied for roughly two months. Back then when I was in Mater Mothers' Hospital, I was told from an Indian colleague who already passed it, "You can pass it if you study twice of the AMC text book (Hand Book of Multiple Choice Questions)". However, I was more prudent than what he said and studied twice not only the AMC text book, but also an old AMC text book (Annotated Multiple Choice Questions). Then, I managed to pass it. This is my subjective impression though, it is not too daring to say that this AMC Part1 is not difficult given the fact that I passed it with this little extent of study. You can say with certainty that difficulty of AMC Part1 is much lesser than that of USMLE, a famous American version of exam for doctors hoping to practice clinical medicine in America. Having said that, in considering that need of overseas doctors in Australia nowadays has been getting lower, it is easy to imagine that the difficulty of AMC Part1 is now up and up. So be vigilant for any exam. It is wise to sit an important exam with enough study and well prepared tactics.
私は2011年の 6月にこの試験を初めて受験し合格しました。試験勉強にあてた期間は約二ヶ月でした。Mater Mothers' Hospitalで働いていたこの当時、この試験にすでに合格していたインド人の同僚からは、「AMCの参考書 (Hand Book of Multiple Choice Questions) を二回やれば受かるよ」と言われていたのですが、私は慎重を期してその参考書を二回通して勉強したのに加えて、AMCが以前発行していた古い参考書 (Annotated Multiple Choice Questions) も同じように二回勉強しました。それで合格にいたりました。あくまでも主観になってしまいますが、この程度の勉強で合格したことを考えれば、この試験はさほど難しくはないと言って差し支えないと思います。アメリカで臨床医を目指す医師のための試験であるUSMLEの難解度に比べれば容易だということは確実に言えると思います。しかしながら、外国人医師の必要性が以前に比べて減ってきているオーストラリアの昨今の状況を考えると、現在においてはAMC Part1の難解度も上がっているのだろうと想像が出来ます。どんな試験も油断は禁物です。周到な勉強と対策をもって受験したほうが賢明なことは言うまでもありません。
If you hope to continue clinical medicine for long time and career-up in Australia, you need to obtain the general registration from AHPRA in majority of cases (while there is another specialist registration with which you can only practice in your speciality). To obtain it, you need to complete the standard pathway requirements such as passing AMC part1 and part2 and completing one year hospital rotation. In here, this article explains AMC part1 MCQ Exam. This exam consists of questions with one correct answer from five options. The total number of question is 150 and 120 questions are actually to be counted. The rest of 30 questions are just pilot questions. Time limit is 3.5 hours. Venues of this exam are held worldwide including Japan. Please see details in AMCwebsite.
I sat this exam in June 2011 for the first time and passed it. I had studied for roughly two months. Back then when I was in Mater Mothers' Hospital, I was told from an Indian colleague who already passed it, "You can pass it if you study twice of the AMC text book (Hand Book of Multiple Choice Questions)". However, I was more prudent than what he said and studied twice not only the AMC text book, but also an old AMC text book (Annotated Multiple Choice Questions). Then, I managed to pass it. This is my subjective impression though, it is not too daring to say that this AMC Part1 is not difficult given the fact that I passed it with this little extent of study. You can say with certainty that difficulty of AMC Part1 is much lesser than that of USMLE, a famous American version of exam for doctors hoping to practice clinical medicine in America. Having said that, in considering that need of overseas doctors in Australia nowadays has been getting lower, it is easy to imagine that the difficulty of AMC Part1 is now up and up. So be vigilant for any exam. It is wise to sit an important exam with enough study and well prepared tactics.
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| QPAC |
Wednesday, 9 September 2015
A guest from Japan. 日本からのお客さん
日本からお客さんが来ました。銀行に勤める20代の女性で、将来国際医療ボランティアを行うことを夢見て、医者への転身を目指しています。女性のキャリアアップの支援で名高い某企業からの奨学金を得て、オーストラリアに留学してきました。オーストラリアでの見学活動の一つとして、昨日はブリスベンでの私の医療活動の見学をしました。若い人が夢に向かっている姿を見るのはこちらにも刺激になりますし、私の活動に興味を持ってブリスベンに来てくれることは私にとってもうれしいことです。
I got a guest from Japan. It is a lady banker in her 20s aiming at switching her career to a medical doctor with a dream to contribute to international volunteer activities. With a scholarship from a company well known in supporting women's career-up, she came to Australia. Yesterday, she observed my practice in Brisbane as one of her journeys to touch Australian medicine. To see a young woman heading towards her dream is something inspiring. Also, it is my pleasure to have such a person in Brisbane who got to be interested in my activity.
I got a guest from Japan. It is a lady banker in her 20s aiming at switching her career to a medical doctor with a dream to contribute to international volunteer activities. With a scholarship from a company well known in supporting women's career-up, she came to Australia. Yesterday, she observed my practice in Brisbane as one of her journeys to touch Australian medicine. To see a young woman heading towards her dream is something inspiring. Also, it is my pleasure to have such a person in Brisbane who got to be interested in my activity.
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| Tasmania |
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