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Is there disparity between regions and facilities in surgical resident training in Japan? Insights from a national survey.
- Source :
-
Surgery today [Surg Today] 2020 Dec; Vol. 50 (12), pp. 1585-1593. Date of Electronic Publication: 2020 Jun 02. - Publication Year :
- 2020
-
Abstract
- Purpose: This study sought to assess the disparity between regions and facilities in surgical resident training in Japan via a national level needs-assessment.<br />Methods: A survey was sent to all 909 graduating residents of 2016. Residents trained in the six prefectures with a population of 7 million or more were included in the large prefecture (LP) group. Residents trained in the other 41 prefectures were included in the small prefecture (SP) group. Each group was further divided into a university hospital (UH) group and a non-university hospital (NUH) group.<br />Results: The response rate was 56.3% (nā=ā512). Excluding nine residents who did not report their prefectures and facilities, surveys from 503 residents were analyzed. The UH group received significantly more years of training. In the SP and UH groups, there were significantly fewer residents who had performed 150 procedures or more under general anesthesia in comparison to the LP and NUH groups, respectively. Self-assessed competencies for several procedures were significantly lower in the SP and UH groups.<br />Conclusion: Disparity in surgical resident training was found between regions and facilities in Japan. The surgical residency curriculum in Japan could be improved to address this problem.
- Subjects :
- Adult
Anesthesia, General statistics & numerical data
Anesthesiology education
Female
Humans
Japan
Male
Middle Aged
Personal Satisfaction
Self-Assessment
Clinical Competence statistics & numerical data
Curriculum statistics & numerical data
Education, Medical, Graduate statistics & numerical data
General Surgery education
Hospitals, University statistics & numerical data
Internship and Residency statistics & numerical data
Students, Medical psychology
Surveys and Questionnaires
Subjects
Details
- Language :
- English
- ISSN :
- 1436-2813
- Volume :
- 50
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Surgery today
- Publication Type :
- Academic Journal
- Accession number :
- 32488479
- Full Text :
- https://doi.org/10.1007/s00595-020-02037-z