Is there disparity between regions and facilities in surgical resident training in Japan? Insights from a national survey.
Surg Today
; 50(12): 1585-1593, 2020 Dec.
Article
em En
| MEDLINE
| ID: mdl-32488479
ABSTRACT
PURPOSE:
This study sought to assess the disparity between regions and facilities in surgical resident training in Japan via a national level needs-assessment.METHODS:
A survey was sent to all 909 graduating residents of 2016. Residents trained in the six prefectures with a population of 7 million or more were included in the large prefecture (LP) group. Residents trained in the other 41 prefectures were included in the small prefecture (SP) group. Each group was further divided into a university hospital (UH) group and a non-university hospital (NUH) group.RESULTS:
The response rate was 56.3% (n = 512). Excluding nine residents who did not report their prefectures and facilities, surveys from 503 residents were analyzed. The UH group received significantly more years of training. In the SP and UH groups, there were significantly fewer residents who had performed 150 procedures or more under general anesthesia in comparison to the LP and NUH groups, respectively. Self-assessed competencies for several procedures were significantly lower in the SP and UH groups.CONCLUSION:
Disparity in surgical resident training was found between regions and facilities in Japan. The surgical residency curriculum in Japan could be improved to address this problem.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
Problema de saúde:
1_desigualdade_iniquidade
Assunto principal:
Estudantes de Medicina
/
Cirurgia Geral
/
Inquéritos e Questionários
/
Competência Clínica
/
Currículo
/
Educação de Pós-Graduação em Medicina
/
Hospitais Universitários
/
Internato e Residência
Tipo de estudo:
Qualitative_research
Aspecto:
Equity_inequality
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Surg Today
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Japão