Skip to main content
SpringerLink
Log in

Subspecialty Training of Gynecologic Surgery in Japan

  • Chapter
  • First Online:
Surgery for Gynecologic Cancer

Part of the book series: Comprehensive Gynecology and Obstetrics ((CGO))

  • 687 Accesses

Abstract

Gynecologic oncologists are the surgeon and have wide range of knowledge regarding the methods of treating gynecologic cancers. It is critical to foster gynecologic oncologists in the society. The Japan society of gynecologic oncology has the fostering program for gynecologic oncologist as a specialist. As a surgeon, a requirement for specialist qualification is a minimum of 3 years of experience at designated training facilities. The trainees have experienced more than 150 patients with gynecologic cancer including surgery, radiotherapy, and chemotherapy. Gynecologic oncologists should also have knowledge regarding the diagnostic radiology, pathology, palliative care, clinical trials, and so on. In surgery, invasive cancer surgery should be performed in a minimum of 100 patients. It is stipulated that radical hysterectomy should be performed in a minimum of 15 patients. In contrast, the most critical issue that remains to be solved is a training for a laparoscopic surgery for malignancies. The popularity of the laparoscopic surgery in the training hospital in Japan was by far behind compared with the one in the USA. Additionally, there are fewer young physicians aspiring to become gynecologists. In general, the number of the gynecologic cancers will be increasing in an aging society. We are then afraid of the shortage of gynecologic oncologists in the future. In the university hospital, the instructor should find and foster medical students with aptitude in gynecologic oncology.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Yamaguchi K. Overview of cancer control programs in Japan. Jpn J Clin Oncol. 2002;32(Suppl):S22–31.

    Article  Google Scholar 

  2. Fujii T. Changing state of gynecologic oncologist specialty in Japan. J Obstet Gynaecol Res. 2016;42(5):481–8. https://doi.org/10.1111/jog.12970.

    Article  PubMed  Google Scholar 

  3. Japan Society of Obstetrics and Gynecology. Gynecologic tumor committee report-2002. Acta Obstet Gynaecol Jpn. 2005;57(5):990–1046.

    Google Scholar 

  4. Japan Society of Obstetrics and Gynecology. Gynecologic tumor committee report-2008. Acta Obstet Gynaecol Jpn. 2010;62(3):827–910.

    Google Scholar 

  5. Japan Society of Obstetrics and Gynecology. Gynecologic tumor committee report-2012. Acta Obstet Gynaecol Jpn. 2014;66(3):995–1038.

    Google Scholar 

  6. Wallace AH, Havrilesky LJ, Valea FA, Barnett JC, Berchuck A, Myers ER. Projecting the need for gynecologic oncologists for the next 40 years. Obstet Gynecol. 2010;116(6):1366–72. https://doi.org/10.1097/AOG.0b013e3181fc3a22.

    Article  PubMed  Google Scholar 

  7. globocan. 2012. http://globocan.iarc.fr/Pages/online.aspx

  8. Giede KC, Kieser K, Dodge J, Rosen B. Who should operate on patients with ovarian cancer? An evidence-based review. Gynecol Oncol. 2005;99(2):447–61. https://doi.org/10.1016/j.ygyno.2005.07.008.

    Article  PubMed  Google Scholar 

  9. Stewart SL, Rim SH, Richards TB. Gynecologic oncologists and ovarian cancer treatment: avenues for improved survival. J Womens Health (2002). 2011;20(9):1257–60. https://doi.org/10.1089/jwh.2011.3053.

    Article  Google Scholar 

  10. Eskander RN, Bristow RE, Saenz NC, Saenz CC. A retrospective review of the effect of surgeon specialty on the management of 190 benign and malignant pediatric and adolescent adnexal masses. J Pediatr Adolesc Gynecol. 2011;24(5):282–5. https://doi.org/10.1016/j.jpag.2011.03.012.

    Article  CAS  PubMed  Google Scholar 

  11. Aviki EM, Rauh-Hain JA, Clark RM, Hall TR, Berkowitz LR, Boruta DM, et al. Gynecologic oncologist as surgical consultant: intraoperative consultations during general gynecologic surgery as an important focus of gynecologic oncology training. Gynecol Oncol. 2015;137(1):93–7. https://doi.org/10.1016/j.ygyno.2015.01.536.

    Article  PubMed  Google Scholar 

  12. Goff BA, Miller JW, Matthews B, Trivers KF, Andrilla CH, Lishner DM, et al. Involvement of gynecologic oncologists in the treatment of patients with a suspicious ovarian mass. Obstet Gynecol. 2011;118(4):854–62. https://doi.org/10.1097/AOG.0b013e31822dabc6.

    Article  PubMed  Google Scholar 

  13. Committee Opinion No. 477: the role of the obstetrician-gynecologist in the early detection of epithelial ovarian cancer. Obstet Gynecol. 2011;117(3):742–6. https://doi.org/10.1097/AOG.0b013e31821477db.

  14. Shalowitz DI, Vinograd AM, Giuntoli RL, 2nd. Geographic access to gynecologic cancer care in the United States. Gynecol Oncol 2015;138(1):115–120. doi:https://doi.org/10.1016/j.ygyno.2015.04.025.

  15. Hoffman MS, Bodurka DC. Surgical education and training program development for gynecologic oncology: American perspective. Gynecol Oncol. 2009;114(2 Suppl):S47–51. https://doi.org/10.1016/j.ygyno.2008.12.023.

    Article  PubMed  Google Scholar 

  16. Rogers RM. Chapter 6. Training the gynecologic surgeon. In: Rock JA, Jones HW, editors. Te Linde’s operative gynecology. 10th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2011. p. 73–9.

    Google Scholar 

  17. Troxel DB. An insurer’s perspective on error and loss in pathology. Arch Pathol Lab Med. 2005;129(10):1234–6. https://doi.org/10.1043/1543-2165(2005)129[1234:aipoea]2.0.co;2.

    Article  PubMed  Google Scholar 

  18. McGuire WP, Hoskins WJ, Brady MF, Kucera PR, Partridge EE, Look KY, et al. Cyclophosphamide and cisplatin compared with paclitaxel and cisplatin in patients with stage III and stage IV ovarian cancer. N Engl J Med. 1996;334(1):1–6. https://doi.org/10.1056/nejm199601043340101.

    Article  CAS  PubMed  Google Scholar 

  19. Life expectancies at birth in selected countries. In: Cancer statics in Japan '14. Foundation for Promotion of Cancer Research. 2014. http://ganjoho.jp/data/reg_stat/statistics/brochure/2014/cancer_statistics_2014.pdf.

Download references

Acknowledgments

The author would like to thank Ms. Usui, a secretary at the Department of Obstetrics and Gynecology, Fujita Health University, for the expert help in the formatting and the preparation of the manuscript.

Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, School of Medicine, Fujita-Health University, Toyoake, Aichi, Japan

    Takuma Fujii

Authors
  1. Takuma Fujii
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Takuma Fujii .

Editor information

Editors and Affiliations

  1. Department of Obstetrics and Gynecology, School of Medicine, Tokai University, Isehara, Japan

    Mikio Mikami

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Fujii, T. (2019). Subspecialty Training of Gynecologic Surgery in Japan. In: Mikami, M. (eds) Surgery for Gynecologic Cancer. Comprehensive Gynecology and Obstetrics. Springer, Singapore. https://doi.org/10.1007/978-981-13-1519-0_1

Download citation

  • DOI: https://doi.org/10.1007/978-981-13-1519-0_1

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1518-3

  • Online ISBN: 978-981-13-1519-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation