Current status of the surgical training system in Japan: results of a nationwide questionnaire survey of graduating surgical trainees.

Autor: Kiyasu Y; Department of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan., Poudel S; Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Kita 15 Nishi 7, Kita-ku, Sapporo, Japan. saseem@gmail.com., Koike D; Department of Gastroenterological Surgery, Fujita Health University School of Medicine, BANTANE Hospital, Aichi, Japan., Watanabe J; Department of Surgery, Division of Gastroenterological, General and Transplant Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan., Kowatari R; Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Aomori, Japan., Fukumoto M; Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan., Yamaoka-Fujikawa Y; Department of Enterology, Fukamidai Medical Clinic, Kanagawa, Japan., Kikuchi Y; Department of Surgery, Otakanomori Hospital, Chiba, Japan., Arai K; Department of Surgery, Division of Hepato-Biliary-Pancreatic Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan., Booka E; Department of Surgery, Hamamatsu University School of Medicine, Shizuoka, Japan., Ishida S; Department of Surgery, Kita-Harima Medical Center, Hyogo, Japan., Yokoyama S; Department of Pediatric Surgery, Hokkaido Medical Center for Child Health and Rehabilitation, Sapporo, Japan., Saito M; Department of Breast Oncology, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
Jazyk: angličtina
Zdroj: Surgery today [Surg Today] 2024 Jun 26. Date of Electronic Publication: 2024 Jun 26.
DOI: 10.1007/s00595-024-02884-0
Abstrakt: Purpose: To identify the problems trainees face during surgical training in Japan.
Methods: A nationwide online questionnaire survey was conducted targeting newly certified surgical trainees.
Results: The response rate was 53.8% (758/1410). Among those respondents, 25.6% were women, 71.4% were either married or had a partner, 41.3% had children, 72.7% had performed over 200 surgeries under general anesthesia, and 54.1% had chosen, before graduating from medical school, to become a surgeon. While 88.8% were interested in learning surgical techniques, 63.8% were hesitant to become a surgeon for fear of a compromised quality of private life (QOL). Conversely, only 1.4% chose their surgical training programs based on QOL. Overall, 84.6% of the trainees were satisfied with their training and this correlated with the number of surgeries performed. Only 29.9% received non-technical skill training. The average number of night shifts per month was 5.6, and 10.6% worked over 80 h per week. Harassment was reported by 41.5% of the respondents. Moreover, 33.0% had considered dropping out at some time, primarily because of their QOL (51.1%) or the harassment they had encountered (50.4%).
Conclusion: This survey revealed that while trainees were satisfied with the overall training system, issues such as long working hours and harassment are prevalent. Working to improve these issues could make surgery more attractive for young trainees.
(© 2024. The Author(s).)
Databáze: MEDLINE
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