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

IF 1.7 4区医学 Q2 SURGERY

Surgery Today Pub Date : 2024-06-26 DOI:10.1007/s00595-024-02884-0

Yoshiyuki Kiyasu, Saseem Poudel, Daisuke Koike, Jun Watanabe, Ryosuke Kowatari, Masayuki Fukumoto, Yoshiko Yamaoka-Fujikawa, Yuta Kikuchi, Keisuke Arai, Eisuke Booka, Sonoko Ishida, Shinichiro Yokoyama, Mitsue Saito

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引用次数: 0

Abstract

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.

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日本外科培训制度的现状：对即将毕业的外科学员进行的全国性问卷调查结果。

目的：了解在日本接受外科培训的学员所面临的问题：方法：在全国范围内针对新获得资格证书的外科学员进行在线问卷调查：答复率为 53.8%（758/1410）。在这些受访者中，25.6% 为女性，71.4% 已婚或有伴侣，41.3% 有子女，72.7% 在全身麻醉下进行过 200 例以上手术，54.1% 在医学院毕业前选择成为一名外科医生。88.8%的人对学习外科技术感兴趣，但63.8%的人因担心私人生活质量（QOL）受到影响而对成为外科医生犹豫不决。相反，只有 1.4% 的人是根据 QOL 来选择外科培训课程的。总体而言，84.6%的受训者对其培训感到满意，这与手术数量有关。只有 29.9% 的学员接受了非技术技能培训。每月平均夜班次数为 5.6 次，10.6% 的学员每周工作 80 小时以上。41.5%的受访者表示受到过骚扰。此外，33.0%的受访者曾考虑退出，主要原因是他们的 QOL（51.1%）或他们遇到的骚扰（50.4%）：这项调查显示，虽然学员对整个培训系统感到满意，但工作时间长和骚扰等问题普遍存在。努力改善这些问题可以使外科手术对年轻学员更具吸引力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgery Today 医学-外科

CiteScore

4.90

自引率

4.00%

发文量

208

审稿时长

1 months

期刊介绍： Surgery Today is the official journal of the Japan Surgical Society. The main purpose of the journal is to provide a place for the publication of high-quality papers documenting recent advances and new developments in all fields of surgery, both clinical and experimental. The journal welcomes original papers, review articles, and short communications, as well as short technical reports("How to do it"). The "How to do it" section will includes short articles on methods or techniques recommended for practical surgery. Papers submitted to the journal are reviewed by an international editorial board. Field of interest: All fields of surgery.