1．小児外科の現状と今後.pdfVIP

4　日本小児放射線学会雑誌 特集 第45回日本小児放射線学会 特別企画Ⅰの講演について 1．小児外科の現状と今後 岩中　督 東京大学大学院医学系研究科　生殖?発達?加齢医学専攻　小児医学講座　小児外科学 The present and future of pediatric surgery in Japan Tadashi Iwanaka Department of Pediatric Surgery, University of Tokyo Graduate School of Medicine Abstract 　　There are 244 board-certi?ed pediatric surgeons and 211 pediatric surgical instructors less than 65 years old in Japan. Board-certi?ed general surgeons wishing to become board-certi?ed pediatric surgeons have to perform an additional 150 pediatric surgical procedure including more than 20 neonatal operations. Board-certi?ed pediatric surgeons also need to keep performing 100 pediatric operations in each 5-year period in order to maintain their board certi?cation. Recently, the number of children is decreasing and the number of pediatric surgical procedures is also decreasing. In this situation, young pediatric surgeons need to share surgical opportunities and board-certified instructors should start to discuss how to teach young pediatric surgeons in university hospitals and children’s medical centers, dispatch them to suburban and rural clinical hospitals, and help them maintain a good quality of life in busy hospitals. The present and future of pediatric surgery in Japan are described. Keywords ： Pediatric surgery，Pediatric radiology，Specialty certification system はじめに 我が国の小児外科医療の現状 　第45 回日本小児放射線学会が，去る平成21 年 　国民皆保険制度の充実を目的に，各都道府県 6 月26 ～27 日に香川県高松市において，大塩猛人 最低1校の医学部 ?医科大学が設置され，医学部 会長のもとで開催された．大塩会長は，小児放射 の定員が7,000 人を超えて久しい．しかしながら 線学と強いつながりを持つ様々な小児医療系学会 OECD 加盟国の医師平均数をいまだ大きく下回り， との連携 ?情報交換を目的に 「間口をより広く， 安全でレベルの高い医療を充分に国民に提供でき 奥行きを更に深く」の主題のもと，特別企画とし ているとは言い難い．厚生労働省 「医師 ?歯科医 てこれら関係学