Investigation of Carrier of Neurointerventionalists after Achieving the Board Certification ─ Consideration of Work Style in Neurointerventionist ─

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Other Title
  • 脳血管内治療医の専門医取得後キャリアの現状調査─脳血管内治療医の働き方を考える─
  • 脳血管内治療医の専門医取得後キャリアの現状調査 : 脳血管内治療医の働き方を考える
  • ノウ ケッカン ナイ チリョウイ ノ センモンイ シュトク ゴ キャリア ノ ゲンジョウ チョウサ : ノウ ケッカン ナイ チリョウイ ノ ハタラキカタ オ カンガエル

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Abstract

<p>Objective: The purpose of this study is to investigate the current status of working situation of board-certified neurointerventionists and to discuss the work style and carrier-path of the neurointerventionists.</p><p>Methods: The authors investigated the current working situation of the members (35 board-certified specialists) of neuroendovascular treatment group of the Nagoya University Neurosurgery Bureau. The years from the time of obtaining specialists to the survey, information on working facilities (hospitals or clinics), the number of neurointerventionists at working facilities, and the number of annual endovascular operations was retrospectively examined.</p><p>Results: The years from the board acquisition was average 9.8 years (1–19 years). The working facilities of neurointerventionists was seven in university hospital (including one former work), 16 in large-sized general hospital, two in neurosurgery-specialized hospital, four in small and medium-sized general hospital, one in rehabilitation hospital, five in clinics (private practitioners). Six neurointerventionists were working at four university hospitals. Several neurointerventionists was worked at all facilities (two and three specialists in each two, average 2.5, including four specialists from other medical bureaus). The annual number of neurointervention at university hospitals averaged 125. Sixteen neurointerventionists were working at 14 large hospitals. There were 11 hospitals with one specialist and three hospitals with two specialists (one of which with specialists from radiology department). There were no hospitals with more than three neurointerventionists. Among the 10 neurointerventionists working in the large hospital and <10 years after the board-acquisition, nine (90%) were working alone at the hospital as neurointerventionist. The annual average number of neurointervention at large hospitals was 85.</p><p>Four neurointerventionist were working alone at four small/medium-sized hospital and the average number of neurointervention was 1.5 (0–4). Total 10 of 35 neurointerventionist (29%) working small/medium-sized hospitals, rehabilitation hospitals and clinics were working in a situation where endovascular intervention was not actively performed. Five of 35 neurointerventionist (14%) were making career-changes to a private practitioner. And the average was 19 years (10–25 years) after doctor's license year, mainly in 40's.</p><p>Conclusion: The current status of the carrier of neurointerventionists was demonstrated. Most of the young neurointerventionists were working alone in the general hospital. Approximately one-third of subjects were working in an inactive situation as a neurointerventionist, including career changes to a private practitioner. For better career-path of neurointerventionist, it is necessary to improve the insufficient working condition of young neurointerventionist due to lack of workforce and to have the effort for career continuation of neurointerventionists after midterm.</p>

Journal

  • No Kekkannai Chiryo

    No Kekkannai Chiryo 5 (2), 73-79, 2020

    The Japanese Society for Neuroendovascular Therapy

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