Koike Daisuke, Takagi Kosei, Arai Keisuke, Kiyasu Yoshiyuki, Kohmura Takashi, Suda Chiaki, Takamori Shinkichi, Takayama Wataru, Nakamura Mai, Fukumoto Masayuki, Yamaoka-Fujikawa Yoshiko, Watanabe Genki, Watanabe Jun, Poudel Saseem, Saito Mitsue
Department of Gastroenterological Surgery, Fujita Health University Bantane Hospital, Nagoya, Japan.
Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-Cho, Kita-Ku, Okayama, 700-8558, Japan.
Surg Today. 2025 Jun 26. doi: 10.1007/s00595-025-03081-3.
To investigate disparities and problems within surgical training programs in Japan based on the type of host facility.
A post hoc analysis of a nationwide questionnaire survey was performed to evaluate program outcomes and working conditions among university hospitals (Group U), a combination of university and community hospitals (Group UC), and community hospitals (Group C).
A total of 758 respondents were analyzed across Groups U (n = 199), UC (n = 299), and C (n = 260). Groups U and UC had lower satisfaction scores and smaller surgical volumes than Group C. Academic activity and nonsurgical training in Group U were not superior to those in the other groups. Although overtime work did not differ significantly among groups, poorer working conditions, including a lower rate of overtime allowance, more frequent night duties, and a lower annual income, were found in Group U than in the other groups.
This study revealed disparities and problems in training programs based on the type of host facility. Further improvements in working conditions and educational contexts are expected to help increase satisfaction levels and recruitment of surgical residents in the future.
根据接收培训的机构类型，调查日本外科培训项目中存在的差异和问题。
对一项全国性问卷调查进行事后分析，以评估大学医院组（U组）、大学医院与社区医院联合组（UC组）和社区医院组（C组）的培训项目成果及工作条件。
共分析了U组（n = 199）、UC组（n = 299）和C组（n = 260）的758名受访者。U组和UC组的满意度得分低于C组，手术量也少于C组。U组的学术活动和非手术培训并不优于其他组。尽管各组之间加班工作情况无显著差异，但U组的工作条件较差，包括加班补贴率较低、夜间值班更频繁以及年收入较低。
本研究揭示了基于接收培训机构类型的培训项目中的差异和问题。预计未来工作条件和教育环境的进一步改善将有助于提高满意度并增加外科住院医师的招募。
