Matsuki Akitomo
Masui. 2015 Jul;64(7):780-3.
A movement occurred at the end of 1940's among members of the Japan Medical Association (JMA) to recognize "specially approved specialty" in the practice of medicine, but their petition was rejected by the Medical Ethics Committee. Thus, the JMA expanded an energetic campaign for the recognition, by the support from four diet members. Consequently, six specialties including neurology and venereology were eventually accredited as "generally approved specialty" in 1950. About 1960, several years after anesthesiology having been recognized as a "specially approved medical specialty", some elder members of the Japan Society of Anesthesiology (JSA) discussed to change the term "specially approved specialty" to "generally approved medical specialty"in the Medical Service Law, but their motion could not gain majority support at the Councils of Elders of the JSA. The council also presented to the Ministry of Health and Welfare (MHW), a written request to alter the eligibility criteria of a registered anesthesiologist; however, the request was declined because of a strong opposition of the MHW which was under the strong influence of the JMA. The JSA did never show interest to these issues since then, and the situation remains unchanged to the present.
20世纪40年代末,日本医学协会(JMA)的成员发起了一项运动,旨在认可医学实践中的“特别批准专科”,但他们的请愿被医学伦理委员会驳回。因此,在四名国会议员的支持下,日本医学协会展开了一场积极的认可运动。结果,包括神经学和性病学在内的六个专科最终在1950年被认定为“一般批准专科”。大约在1960年,麻醉学被认定为“特别批准医学专科”几年后,日本麻醉学会(JSA)的一些年长成员讨论将《医疗服务法》中的“特别批准专科”一词改为“一般批准医学专科”,但他们的提议在日本麻醉学会长老会议上未获得多数支持。该委员会还向厚生省(MHW)提交了一份书面请求,要求改变注册麻醉师的资格标准;然而,由于厚生省在日本医学协会的强烈影响下强烈反对,该请求被拒绝。此后日本麻醉学会从未对这些问题表现出兴趣,这种情况一直持续到现在。