An update on postgraduate clinical training]

It has been eight years since the postgraduate clinical training system was implemented in Japan. This training system is now being reviewed. Some issues on learning objectives and training programs have been pointed out. Outcome-based clinical training is necessary to assure quality of the postgraduate clinical training system and to achieve accountability to the society. Learning objectives should be redefined as competencies and authentic assessments like a workplace-based assessment of mini-CEX should be implemented to improve this system.