Nagashima Kohei, Kano Hiroya
Department of Clinical Engineering, Toranomon Hospital, Tokyo, Japan.
Department of Clinical Engineering, Morinomiya University of Medical Sciences, Osaka, Japan.
Perfusion. 2025 May;40(4):955-961. doi: 10.1177/02676591241268703. Epub 2024 Aug 6.
IntroductionThis study aimed to examine the educational challenges faced by perfusionists in Japan. Although Japan has over 400 cardiovascular surgery centers, it performs fewer surgeries than by countries such as Germany and the United States. We focused on challenges related to varying caseloads and working conditions.MethodsWe conducted an online survey containing 24 questions using Google Forms from January to June 2022, targeting perfusionists in Japan. The 24-question survey spanned various educational topics and was approved by the Morinomiya University of Medical Sciences Ethics Committee.ResultsResponses were received from 129 perfusionists across 77 institutions. Approximately 70% of these centers managed less than 200 cardiopulmonary bypass (CPB) cases per year, with a similar proportion of perfusionists handling under 50 CPB cases annually. Challenges in Japanese perfusionist education include enhancing communication and troubleshooting skills and the need for instructors with a broad teaching experience.ConclusionsThis study emphasizes the significant differences in caseload and work environments for perfusionists among Japanese institutions. Perfusionists, who often work in clinical engineering, have various responsibilities. These findings highlight the need for improved communication, problem-solving skills, and the implementation of modern teaching technologies. Additionally, this study highlights the complexities of training Japanese perfusionists and underscores the need for more practical, technology-driven educational methods. Addressing these issues is crucial for improving Japan's healthcare standards and could influence global perfusionist education.
引言
本研究旨在探讨日本灌注师所面临的教育挑战。尽管日本有400多个心血管外科中心,但其手术量低于德国和美国等国家。我们重点关注与病例数量和工作条件差异相关的挑战。
方法
我们于2022年1月至6月使用谷歌表单对日本的灌注师进行了一项包含24个问题的在线调查。这份包含24个问题的调查问卷涵盖了多个教育主题,并得到了守谷医科大学伦理委员会的批准。
结果
共收到来自77个机构的129名灌注师的回复。这些中心中约70%每年处理的体外循环(CPB)病例少于200例,类似比例的灌注师每年处理的CPB病例少于50例。日本灌注师教育面临的挑战包括提高沟通和故障排除技能,以及需要具有广泛教学经验的教员。
结论
本研究强调了日本各机构灌注师在病例数量和工作环境方面的显著差异。经常在临床工程领域工作的灌注师承担着各种职责。这些发现凸显了改善沟通、解决问题的技能以及采用现代教学技术的必要性。此外,本研究突出了培训日本灌注师的复杂性,并强调了需要更实用、技术驱动的教育方法。解决这些问题对于提高日本的医疗保健标准至关重要,并且可能会影响全球灌注师教育。