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

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

Abstract

Purpose

To evaluate the status of surgical training in Japan through a national-level needs assessment.

Methods

A survey was sent to all 909 graduating residents (GRs) and their 611 program directors (PDs) for the year 2016. A working group of surgical educators from around the country was formed under the education committee of the Japan Surgical Society. The survey items were developed by consensus of this working group. The survey investigated the knowledge and problems of the current curriculum, and the status of the current residency training.

Results

The response rates were 56.3% of the GRs and 76.8% of the PDs. Among the participants, 47.6% of the GRs and 29.4% of the PDs believed that the residency curriculum did not match the clinical experience. Over 80% of the GRs and PDs agreed on the importance of training outside of the OR, whereas only 13% of the GRs had received such training regularly. Trainees also reported a lower satisfaction rate about the opportunity to train outside of the OR.

Conclusion

This national-level needs assessment of surgical training in Japan identified several gaps in the curriculum. These results provide valuable data to assist the ongoing efforts for surgical residency curriculum improvement.

Keywords

Needs assessment survey Surgical residency training Surgical education Curriculum 

Notes

Acknowledgement

We acknowledge the Association of Surgical Education, Surgical Education Research Fellowship (SERF) program for supporting Dr Saseem Poudel during this project. We thank all those who participated in this survey and we also thank Hidetaka Suzuki, Takamichi Sugiyama, Suguru Kuramochi, Azumi Hirano and the staff of the Japan Surgical Society Secretariat for providing logistics support during this study.

Compliance with ethical standards

Conflict of interest

Saseem Poudel and his co-authors have no conflicts of interest to declare.

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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Saseem Poudel
    • 1
  • Satoshi Hirano
    • 1
    Email author
  • Yo Kurashima
    • 1
  • Dimitrios Stefanidis
    • 2
  • Hirotoshi Akiyama
    • 3
  • Susumu Eguchi
    • 4
  • Toshihiro Fukui
    • 5
  • Masaru Hagiwara
    • 6
  • Daisuke Hashimoto
    • 7
  • Koya Hida
    • 8
  • Tomoko Izaki
    • 9
  • Hirotaka Iwase
    • 10
  • Shunsuke Kawamoto
    • 11
  • Yasuhiro Otomo
    • 12
  • Eishi Nagai
    • 13
  • Mitsue Saito
    • 14
  • Hideki Takami
    • 15
  • Yuko Takeda
    • 16
  • Masakazu Toi
    • 17
  • Hiroki Yamaue
    • 18
  • Motofumi Yoshida
    • 19
  • Shigetoshi Yoshida
    • 20
  • Yasuhiro Kodera
    • 15
  1. 1.Department of Gastroenterological Surgery IIHokkaido University Faculty of MedicineSapporoJapan
  2. 2.Department of Surgery, School of MedicineIndiana UniversityIndianapolisUSA
  3. 3.Department of Gastroenterological SurgeryYokohama City University Graduate School of MedicineYokohamaJapan
  4. 4.Department of SurgeryNagasaki University Graduate School of Biomedical SciencesNagasakiJapan
  5. 5.Department of Cardiovascular SurgeryKumamoto University HospitalKumamotoJapan
  6. 6.Department of SurgeryTokyo Medical UniversityTokyoJapan
  7. 7.Department of Gastroenterological Surgery, Graduate School of Medical SciencesKumamoto UniversityKumamotoJapan
  8. 8.Department of Surgery, Graduate School of MedicineKyoto UniversityKyotoJapan
  9. 9.Department of Pediatric Surgery, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
  10. 10.Department of Breast and Endocrine SurgeryKumamoto UniversityKumamotoJapan
  11. 11.Division of Cardiovascular SurgeryTohoku Medical and Pharmaceutical UniversitySendaiJapan
  12. 12.Trauma and Acute Critical Care Medical CenterTokyo Medical and Dental University Hospital of MedicineTokyoJapan
  13. 13.Department of Surgery and Oncology, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
  14. 14.Department of Breast OncologyJuntendo University School of MedicineTokyoJapan
  15. 15.Department of Gastroenterological SurgeryNagoya University Graduate School of MedicineNagoyaJapan
  16. 16.Division of Medical EducationJuntendo University School of MedicineTokyoJapan
  17. 17.Department of Breast Surgery, Graduate School of MedicineKyoto UniversityKyotoJapan
  18. 18.Second Department of SurgeryWakayama Medical UniversityWakayamaJapan
  19. 19.Department of Medical Education, Graduate School of MedicineInternational University of Health and WelfareNaritaJapan
  20. 20.Department of Thoracic SurgeryInternational University of Health and Welfare School of MedicineNaritaJapan

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