Chihara Koji
Division of Thoracic Surgery, Shizuoka City Shizuoka Hospital, Shizuoka, Japan.
Kyobu Geka. 2017 Jan;70(1):47-53.
The Japanese Board of General Thoracic Surgery (JBGTS) consisted by Japanese Association of Chest Surgery (JACS) and The Japanese Association of Thoracic Surgery (JATS) has been certified Japanese Board Certified Thoracic Surgeon (JBCTS) since 2004. At present, JBCTS is obtained by being of Certified Surgeon by Japan Surgical Society( JSS), completion of minimum requirement of surgical experience, scientific papers, presentation at medical assembly, learning of postgraduate educational programs, and examination approximate 11 years after graduation of medical school. Thirteen hundreds JBCTS throughout Japan are engaged in operation for 77,000 cases/year, including 38,000 lung cancer patients/year. The operative volume has been growing lineally these 30 years, and operative mortality in lung cancer patients has been less than 1% these several years. Japanese Medical Specialty Board (JMSB) published a guideline of the new system of medical specialty certification system in Jury 2014, in which fundamental structure is consisted by basic specialties of 19 medical fields and following subspecialties and program based system rather than curriculum based system. According to this guideline, JBGTS has been collaborated with JSS in order to establish sequential programs of the 2 specialties, and proposed an improved certification system to accomplish the mission that it educates trainees to be thoracic surgical professionals who is able to perform safe and standalized procedures.
由日本胸部外科学会(JACS)和日本胸外科学会(JATS)组成的日本普通胸外科委员会(JBGTS)自2004年起认证日本胸外科专科医师(JBCTS)。目前,要获得JBCTS认证,需成为日本外科学会(JSS)的认证外科医师,完成最低手术经验要求、发表科学论文、在医学大会上发言、参加研究生教育项目学习,并在医学院毕业后约11年参加考试。全日本有1300名JBCTS医师,每年进行77000例手术,其中包括每年38000例肺癌患者手术。在过去30年里,手术量一直呈线性增长,近年来肺癌患者的手术死亡率低于1%。日本医学专业委员会(JMSB)于2014年7月发布了新的医学专业认证系统指南,其基本结构由19个医学领域的基础专业以及后续亚专业和基于项目的系统组成,而非基于课程的系统。根据该指南,JBGTS与JSS合作,以建立这两个专业的连续项目,并提出了改进后的认证系统,以实现培养能够进行安全、标准化手术的胸外科专业学员的使命。