From the Department of Pediatrics, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Center for Health Professions Education, Kansai Medical University, Osaka, Japan.
Pediatr Infect Dis J. 2024 Aug 1;43(8):e270-e274. doi: 10.1097/INF.0000000000004388. Epub 2024 May 8.
To cultivate specialists in pediatric infectious diseases (ID) in Japan, the Japanese Society for Pediatric Infectious Diseases initiated board certification for pediatric ID in 2017. Previously, in 2014, we had formed a committee for board certification in pediatric ID and discussed the fundamentals of the board certification system, including the goals, requirements for designated training institutions, provisional certification of pediatric ID specialists and eligibility for and content of the board certification examination. After approval from 31 programs, the pediatric ID programs started in 2017 with 8 fellows in 7 programs. The first 6 graduates received board certification in 2020. To date, 61 pediatricians have been board certified as pediatric ID specialists. In parallel, we introduced board certification for pediatricians who work mainly in primary care settings and have a special interest in pediatric ID. This system has certified 338 pediatricians. During and after the development of the programs, we achieved substantial progress in highlighting the pivotal role of pediatric ID specialists, including the establishment and maintenance of antimicrobial stewardship programs, pediatric ID consultations and introduction of viral diagnosis by polymerase chain reaction at institutions. However, several issues need to be addressed, including the establishment of independent pediatric ID departments in institutions, payment of consultation fees, program site visits, maintenance of certification and cultivation of physician-scientists. These challenges will be the focus of future efforts.
为培养日本儿科传染病（ID）专科医师，日本儿科传染病学会于 2017 年启动儿科 ID 专科医师认证制度。在此之前，我们于 2014 年成立了儿科 ID 专科医师认证委员会，讨论了认证制度的基本原理，包括目标、指定培训机构的要求、儿科 ID 专科医师临时认证以及认证考试的资格和内容。在 31 个项目获得批准后，儿科 ID 项目于 2017 年启动，7 个项目有 8 名研究员。第一批 6 名毕业生于 2020 年获得认证。截至目前，已有 61 名儿科医生获得儿科 ID 专科医师认证。同时，我们还为主要在基层医疗机构工作且对儿科 ID 有特殊兴趣的儿科医生引入了认证制度。该系统已认证了 338 名儿科医生。在项目开展期间和之后，我们在突出儿科 ID 专科医师关键作用方面取得了实质性进展，包括建立和维护抗菌药物管理计划、儿科 ID 咨询以及在医疗机构中引入聚合酶链反应进行病毒诊断。然而，仍有几个问题需要解决，包括在机构中建立独立的儿科 ID 部门、咨询费支付、项目现场访问、认证维护以及培养医师科学家。这些挑战将是未来努力的重点。
