Questionnaire Survey on the Current Status and Problem for Surgical Practice in the Japanese Community Medicine

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  • わが国の地域医療における外科診療の現状と問題点に関するアンケート調査
  • ワガクニ ノ チイキ イリョウ ニ オケル ゲカ シンリョウ ノ ゲンジョウ ト モンダイテン ニ カンスル アンケート チョウサ

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Taking the opportunity that a subject entitled “the current status and problem for surgical practice in the community medicine” was included as one of the special programs at the 78th annual congress of Japan Surgical Association (JSA), we conducted a questionnaire survey on the current state and problem of community-based surgical health care in each local branch, targeting managers of 45 local branches of JSA. As a result, we received answers from all branches and comprehended the following points.<BR>Since the current clinical residency training program was enforced in 2004, it has been shown all over Japan with reality that a schema,“decrease in the number of surgeons to belong to the department of surgery in University → shortage and uneven distribution of surgeons in the region → breakdown of emergency medical systems for regional surgical support”, had emerged. Moreover, although the introduction of new board certification system for medical specialists is shortly scheduled, it seems to be difficult to improve the shortage and uneven distribution of surgeons in the region.<BR>Under the above-mentioned condition, all the branches of JSA is now conducting trainings for young and supporting female surgeons, but their attention to “manuscript writing for publication”, “work and family-life balance” and “working environment for female young surgeons” is not yet sufficient.<BR>In addition, many branches tried to utilize the “Branch chief recommended publication system”, “Special seminar for young surgeons” and “Japanese surgical residency system” organized by JSA to inspire the young surgeons' motivation.

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