＜シンポジウム（1）―3―3＞神経内科領域におけるサブスペシャルティ研修の在り方―
神経内科専門医に求められるコンピテンス
神経内科専門医に求められる実践的神経病理
吉田 眞理
愛知医科大学加齢医科学研究所〔〒480―1195 愛知県長久手市岩作雁又1番地1〕
Neuropathology is essential for neurology since disease concepts of neurological disorders have been based on the neuropathological findings. Amyotrophic lateral sclerosis, Parkinson disease, multiple system atrophy and Alzheimer's disease have been established on the pathological findings. Neuropathology has been still important, even if diagnostic procedure has progressed in neuroimaging and genetic screening. Today neuropathology includes not only morphological findings, but also immunological and molecular biology. Minimum requirements for post-graduate education indicate that autopsy and clinicopathological conference are essential for young doctors for specialists. The practical experience of autopsy procedure promotes further knowledge and understandings of macroscopical findings of central nervous system. CPC provides the training place to compare clinical neurological signs and neuroradiological pictures to pathological findings, and the chance to confirm the clinical diagnosis. These trainings may raise quality of clinical neurology. It is recommended to practice the training courses in specialized neuropathological institutes, or to attend annual and local meetings of Japanese Society of Neuropathology, although the small number of neuropathological educational center and the decreased number of autopsied brains make it difficult for trainee doctors.
Full Text of this Article in Japanese PDF (189K)
(臨床神経, 52：931−932, 2012)
key words：神経病理学，剖検，脳，脊髄，臨床病理検討会
（受付日：2012年5月23日）
