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Pediatric anesthesia practice and training in Japan: a survey
Yasuhiro Shimada1, Kimitoshi Nishiwaki, Kosei Sato
1Department of Anesthesiology, Nagoya University Graduate School of Medicine, Showaku, Nagoya, Aichi, Japan. yshimada@med.nagoya-u.ac.jp
Paediatric Anaesthesia
|May 9, 2006
Summary
Pediatric anesthesia training in Japan faces challenges, with a need for more pediatric cases in university hospitals and staff shortages in children's hospitals. Most experts believe subspecialization is premature.
Area of Science:
- Anesthesiology
- Pediatric Medicine
- Medical Education
Background:
- Pediatric anesthesia in Japan is currently in a developmental phase.
- There is a need to evaluate the current state of pediatric anesthesia training and practice.
Purpose of the Study:
- To review pediatric anesthesia training in Japan.
- To discuss future prospects for pediatric anesthesia in the country.
Main Methods:
- Questionnaires were distributed to 106 Japanese university hospitals (70 responded) and 17 children's hospitals (15 responded).
- Attitudes towards pediatric anesthetic training were surveyed among 280 representatives of the Japanese Society of Anesthesiologists (162 responded).
Main Results:
- University hospitals and children's hospitals handle a similar volume of pediatric anesthesia cases.
- 19 university hospitals reported no newborn surgical cases, and 49 lacked dedicated pediatric anesthesia training programs.
- 66% of surveyed anesthesiologists felt pediatric anesthesia subspecialization was premature, yet 87% deemed pediatric experience mandatory for board qualification.
Conclusions:
- University hospitals face a deficit in pediatric case numbers, while children's hospitals struggle with staffing shortages.
- These limitations hinder the ability to meet the demand for adequate pediatric anesthesia training.
- The majority of Japanese Society of Anesthesiologists representatives believe subspecialization in pediatric anesthesia is not yet feasible in Japan.
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