Shimada Yasuhiro, Nishiwaki Kimitoshi, Sato Kosei, Sato Eichi, Miyasaka Katsuyuki
Department of Anesthesiology, Nagoya University Graduate School of Medicine, Showaku, Nagoya, Aichi, Japan.
Paediatr Anaesth. 2006 May;16(5):543-7. doi: 10.1111/j.1460-9592.2005.01817.x.
Pediatric anesthesia in Japan is in the developing stage. The aim of this study was to review pediatric anesthesia training in Japan and to discuss the future prospects for this field.
We sent questionnaires to assess current pediatric anesthetic practice and training to all 106 university hospitals [UHs; response rate, 66% (70/106)] and all 17 children's hospitals [CHs; response rate, 87.5% (15/17)] in Japan. We also sent questionnaires to assess attitudes towards pediatric anesthetic training, to all 280 representatives of the Japanese Society of Anesthesiologists [JSA; response rate, 57.9% (162/280)].
The hospital survey revealed the number of pediatric anesthesia cases encountered in 15 CHs (25,009 cases) to be almost equivalent to that in 70 UHs (29,031 cases). In 19 of these UHs, there were no newborn surgical cases. Forty-nine UHs reported that no special training program existed for pediatric anesthesia, and only five UHs mandated training at CHs. Sixty-six percent of the representative JSA members considered it premature for pediatric anesthesia to become a subspecialty, but 87% considered experience in pediatric anesthesia mandatory for anesthesia board qualification.
This survey revealed that although pediatric anesthesia training is considered mandatory, university hospitals lack adequate numbers of pediatric cases and children's hospitals suffer from a shortage of staff positions and anesthesiologists, and hence are unable to satisfy this demand. Most representative members of our society consider it too early to subspecialize pediatric anesthesia in Japan.
日本的儿科麻醉正处于发展阶段。本研究旨在回顾日本的儿科麻醉培训情况，并探讨该领域的未来前景。
我们向日本所有106家大学医院[UHs；回复率为66%（70/106）]和所有17家儿童医院[CHs；回复率为87.5%（15/17）]发送了问卷，以评估当前的儿科麻醉实践和培训情况。我们还向日本麻醉医师协会[JSA]的所有280名代表发送了问卷，以评估他们对儿科麻醉培训的态度；回复率为57.9%（162/280）。
医院调查显示，15家儿童医院（25,009例）遇到的儿科麻醉病例数与70家大学医院（29,031例）几乎相当。在这些大学医院中，有19家没有新生儿外科病例。49家大学医院报告称没有针对儿科麻醉的特殊培训项目，只有5家大学医院要求在儿童医院进行培训。66%的日本麻醉医师协会代表认为儿科麻醉成为一个亚专业还为时过早，但87%的代表认为儿科麻醉经验是麻醉专科资格认证的必要条件。
本次调查显示，尽管儿科麻醉培训被认为是强制性的，但大学医院缺乏足够数量的儿科病例，儿童医院则面临工作人员岗位和麻醉医师短缺的问题，因此无法满足这一需求。我们协会的大多数代表认为，在日本将儿科麻醉亚专业化还为时过早。
