Evidence map›Paper›PMID 32488479›Full record

ArticleSurgery today2020

Is there disparity between regions and facilities in surgical resident training in Japan? Insights from a national survey.

Daisuke Hashimoto, Saseem Poudel, Satoshi Hirano, Yo Kurashima, Hirotoshi Akiyama, Susumu Eguchi, Toshihiro Fukui, Masaru Hagiwara, Koya Hida, Tomoko Izaki and 14 more

Abstract read
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Article in Surgery today, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Successful implementation of online educational lectures of the German Society for Radiation Oncology (DEGRO).Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2024
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Daisuke HashimotoDepartment of Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata-city, Osaka, 573-1010, Japan. daisukeh007@gmail.com.ORCID http://orcid.org/0000-0002-7880-889X
Saseem PoudelDepartment of Gastroenterological Surgery II, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Satoshi HiranoDepartment of Gastroenterological Surgery II, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Yo KurashimaDepartment of Gastroenterological Surgery II, Faculty of Medicine, Hokkaido University, Sapporo, Japan.
Hirotoshi AkiyamaDepartment of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Susumu EguchiDepartment of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Toshihiro FukuiDepartment of Cardiovascular Surgery, Kumamoto University Hospital, Kumamoto, Japan.
Masaru HagiwaraDepartment of Surgery, Tokyo Medical University, Tokyo, Japan.
Koya HidaDepartment of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Tomoko IzakiDepartment of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Hirotaka IwaseDepartment of Breast and Endocrine Surgery, Kumamoto University, Kumamoto, Japan.
Shunsuke KawamotoDivision of Cardiovascular Surgery, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
Yasuhiro OtomoTrauma and Acute Critical Care Center, Tokyo Medical and Dental University Hospital of Medicine, Tokyo, Japan.
Eishi NagaiDepartment of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Mitsue SaitoDepartment of Breast Oncology, Juntendo University School of Medicine, Tokyo, Japan.
Hideki TakamiDepartment of Gastroenterological Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Yuko TakedaDivision of Medical Education, Juntendo University School of Medicine, Tokyo, Japan.
Masakazu ToiDepartment of Breast Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Hiroki YamaueSecond Department of Surgery, Wakayama Medical University, Wakayama, Japan.
Motofumi YoshidaDepartment of Medical Education, Graduate School of Medicine, International University of Health and Welfare, Narita, Japan.
Shigetoshi YoshidaDepartment of Thoracic Surgery, International University of Health and Welfare School of Medicine, Narita, Japan.
Takao OhkiDivision of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, Tokyo, Japan.
Yasuhiro KoderaDepartment of Gastroenterological Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Japan Surgical Society Residency Curriculum Review Working Group, Japan Surgical Society Education Committee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study sought to assess the disparity between regions and facilities in surgical resident training in Japan via a national level needs-assessment.

methodsA 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.

resultsThe 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.

conclusionDisparity 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.

Indexed as

Surveys and QuestionnairesAdultAnesthesia, GeneralAnesthesiologyClinical CompetenceCurriculumEducation, Medical, GraduateFemaleGeneral SurgeryHospitals, UniversityHumansInternship and ResidencyJapanMaleMiddle AgedPersonal SatisfactionCurriculumNeeds-assessment surveyRegional disparitySurgical educationSurgical residency training

Identifiers

PMID32488479

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.