A snapshot of surgical resident training in Japan: results of a national-level needs assessment survey

Poudel, Saseem; Hirano, Satoshi; Kurashima, Yo; Stefanidis, Dimitrios; Akiyama, Hirotoshi; Eguchi, Susumu; Fukui, Toshihiro; Hagiwara, Masaru; Hashimoto, Daisuke; Hida, Koya; Izaki, Tomoko; Iwase, Hirotaka; Kawamoto, Shunsuke; Otomo, Yasuhiro; Nagai, Eishi; Saito, Mitsue; Takami, Hideki; Takeda, Yuko; Toi, Masakazu; Yamaue, Hiroki; Yoshida, Motofumi; Yoshida, Shigetoshi; Kodera, Yasuhiro

doi:10.1007/s00595-019-01819-4

Cited by 14 publications

(7 citation statements)

References 9 publications

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“…This highlights the changing paradigm of general surgical procedures being performed and the hospitals where residents are trained in Japan. As demonstrated by our earlier study, very few of the GRs and PDs identify themselves only as a general surgeon [9]. Most GRs are simultaneously training for a subspecialty and give more preference to the procedures of their subspecialty.…”

Section: Competencymentioning

confidence: 80%

“…This survey was the second part of the survey reported earlier [9]. The research proposal for the parts of the survey was approved by the institutional review board of the JSS (JSS2016-1).…”

Section: Methodsmentioning

confidence: 99%

“…Outside of North America, surveys on GRs' operative competence have rarely been undertaken. We recently published the first national survey on the condition of surgical residency training in Japan [9]. The residency training system in Japan differs vastly from the systems in North America or Europe in terms of access to simulation training and focus on subspecialty training [9].…”

Section: Introductionmentioning

confidence: 99%

“…We recently published the first national survey on the condition of surgical residency training in Japan [9]. The residency training system in Japan differs vastly from the systems in North America or Europe in terms of access to simulation training and focus on subspecialty training [9]. To evaluate the surgical residency training in Japan and to improve it, we need to collect data from surgical residents in Japan.…”

Section: Introductionmentioning

confidence: 99%

“…To evaluate the surgical residency training in Japan and to improve it, we need to collect data from surgical residents in Japan. The first part of the survey focused on the current state of surgical residency training in Japan [9]. The primary objective of the second part of the survey was to determine the self-assessed competence of Japanese GRs in their skills upon graduation from the residency program.…”

Section: Introductionmentioning

confidence: 99%

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Are graduating residents sufficiently competent? Results of a national gap analysis survey of program directors and graduating residents in Japan

et al. 2020

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Purpose: To determine the self-assessed competency of graduating residents (GRs) in Japan upon completion of their residency and to determine the gap between their competency and the competency expected by their program directors (PDs). Method:A list of 31 essential surgical procedures was compiled according to the consensus of surgical educators from around the country. A survey with this list was sent to all 909 GRs and their 611 PDs in 2016. The GRs rated their competency to perform these procedures and the PDs were asked to evaluate the expected competency of their GRs using the Zwisch Scale. Result:The response rate was 56.3% for the GRs and 76.8% for the PDs. For ten (32%) procedures, less than half of the GRs felt confident performing these. For most procedures, GRs self-reported competency was lower than was reported as expected by their PDs. This gap was more than 10% for 13 of the procedures. Conclusion:More than half of the GRs in Japan lacked the confidence in their skills to perform onethird of the procedures selected for this study. The results of this study should be used to update the surgical education curriculum in Japan.

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Section: Competencymentioning

confidence: 80%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Are graduating residents sufficiently competent? Results of a national gap analysis survey of program directors and graduating residents in Japan

et al. 2020

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How many cases do instructor class pediatric surgeons need to experience to be an independent operator in performing advanced endoscopic surgery? A nationwide survey to establish an ideal curriculum for pediatric endoscopic surgery in Japan

Murakami,

Onishi,

Yamada

et al. 2023

Pediatr Surg Int

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Purpose: To ensure the safe spread of pediatric endoscopic surgery, it is essential to build a training curriculum, and a survey of the current situation in Japan is necessary. The present study assessed an e cient training curriculum by clarifying instructor class pediatric surgeons' experiences, including autonomy when performing advanced endoscopic surgeries.Methods: An online nationwide questionnaire survey was conducted among pediatric surgeons who had Endoscopic Surgical Skill Quali cation (ESSQ) and board-certi ed instructors who had skills comparable to ESSQ. We assessed participants' training experience, opinions concerning the ideal training curriculum and the correlation between surgical experience and the level of autonomy. The Zwisch scale was used to assess autonomy.Results: Fifty-two participants responded to the survey (response rate: 86.7%). Only 57.7% of the respondents felt that they had received su cient endoscopic surgery training. Most respondents considered an educational curriculum for endoscopic surgery including off-the-job training essential during the training period. Autonomy had been acquired after experiencing two to three cases for most advanced endoscopic surgeries.Conclusion: This rst nationwide survey in Japan showed that instructor class pediatric surgeons acquired autonomy after experiencing two to three for most advanced endoscopic surgeries. Our ndings suggest that training, especially off-the-job training, has been insu cient.

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Is there disparity between regions and facilities in surgical resident training in Japan? Insights from a national survey

et al. 2020

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A snapshot of surgical resident training in Japan: results of a national-level needs assessment survey

Cited by 14 publications

References 9 publications

Are graduating residents sufficiently competent? Results of a national gap analysis survey of program directors and graduating residents in Japan

Are graduating residents sufficiently competent? Results of a national gap analysis survey of program directors and graduating residents in Japan

How many cases do instructor class pediatric surgeons need to experience to be an independent operator in performing advanced endoscopic surgery? A nationwide survey to establish an ideal curriculum for pediatric endoscopic surgery in Japan

Is there disparity between regions and facilities in surgical resident training in Japan? Insights from a national survey

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