Nihon Geka Gakkai zasshi
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Nihon Geka Gakkai zasshi · May 2009
[Board of cardiovascular surgery in Japan: past, present, and future].
The Japanese Board of Cardiovascular Surgery (JBCVS) was established in 2003. The criteria for board certification were raised compared with those under the previous system. For the past five years, the JBCVS has continuously made efforts to improve the quality of board-certified surgeons. ⋯ Moreover, from 2010, the JBCVS will limit the number of recognized training hospitals by excluding those with small surgical volume. The work environment for cardiovascular surgeons has remained poor in this country, which will likely be worsened by the future decrease in their number. Therefore, every effort should be made to free them from postoperative care and time-consuming administrative tasks by introducing physician's assistant and medical coordinator systems.
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Nihon Geka Gakkai zasshi · May 2009
[Postgraduate surgical training and system for board-certified surgeons in gastroenterology].
The board-certified surgeon in gastroenterology is one of the subspecialties based on the board-certified general surgeon. Certification is given to those who pass the qualifying and certifying examinations administered by the Japanese Society of Gastroenterological Surgery, after achieving specified standards of surgical experience and demonstrating excellence in presentation, publication, and training provided by the curriculum. ⋯ Creating a database of gastroenterological surgeries plays an important role in the evaluation of training facilities and gastroenterological specialists, information disclosure to the public, and analysis of the balance between the supply of and demand for surgeons. It is necessary to correct the gap between the tentative plan proposed by the Association of Social Insurance Committees of Societies for Surgery (Gaihoren) and payment for surgical treatment and to establish a system to evaluate specialist surgeries fairly to provide greater incentive for surgeons to become board certified.
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Nihon Geka Gakkai zasshi · May 2009
[Postgraduate education and the board certification system from the standpoint of thoracic surgery as one of subspecialty fields].
The board certification system for thoracic surgeon has been established as one of subsupecialty fields of the same system of surgery and has been managed by the unique system of joint committee of which member was from both The Japanese Association for Chest Surgery and The Japanese Association for Thoracic Surgery. Since then, 5 years have passed and the first renewal of the license was carried out in 2009. ⋯ The program of postgraduate clinical training system in this country also should be reviewed for efficient training for future surgeons, since it contains too much duty for only 2 years. It must be considered that much time is necessary for growing a dependable experienced surgeon whose active working period is shorter compared to other field of medicine.
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The Japan Surgical Society started some 40 years ago a certifying system of surgeons who have completed the training program authorized by JSS and passed the certifying examination held by JSS. Similar certifying system of medical specialists has been started by more than 50 specialty societies and these society certified doctors are called as specialist in Japan. ⋯ Graduate medical education is a key to make high quality physicians and surgeons. Financial support of trainees during graduate education should be given by the government.
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Nihon Geka Gakkai zasshi · May 2009
[Postgraduate training and specialty certification systems in pediatric surgery in Japan].
Board-certified pediatric surgeons and instructors less than 65 years old in Japan total 244 and 211, respectively. Board-certified general surgeons wishing to become board-certified pediatric surgeons must be able to perform an additional 150 pediatric surgical procedures. In addition, board-certified pediatric surgeons wishing to maintain board certification must perform 100 pediatric surgeries in each 5-year period. ⋯ Because of the low number of pediatric surgeries performed, young pediatric surgeons need to share surgical opportunities. Board-certified instructors should discuss how to teach young pediatric surgeons in university and children's hospitals, dispatch them to suburban and rural clinical hospitals, and help them maintain a good quality of life in busy hospitals. Postgraduate training and specialty certification systems in pediatric surgery for the near future are described.