[Graduate education in surgery in Japan]

The Japan Surgical Society started some 40 years ago a certifying system of surgeons who have completed the training program authorized by JSS and passed the certifying examination held by JSS. Similar certifying system of medical specialists has been started by more than 50 specialty societies and these society certified doctors are called as specialist in Japan. However, these certifying systems by medical specialty societies is criticized by other medical organizations such as the Japan Medical Association, and hospital organizations as to the level of training and certifying process. It seems mandatory to start an official organization to establish a new Board Certification System of specialists in Japan such as American Board of Medical Specialties and Accreditation Council for Graduate Medical Education in the US. Graduate medical education is a key to make high quality physicians and surgeons. Financial support of trainees during graduate education should be given by the government.