Present Status and Counter Measure in the Core Hospital of a Rural Area for Abdominal Emergency

Abstract

Some serious problems in rural areas have occurred as a result of the introduction of a new clinical training system and a decrease in the number of young surgeons. The circumstance for attendants is also changing considerably although education in abdominal emergencies for young doctors is performed in University hospitals and core high volume centers. Training in abdominal emergency is characterized by the provision of daily working while providing appropriate treatment in the midst of various restrictions. In order to assess the situation regarding abdominal emergencies in rural areas and the validity of training system for young doctors, we evaluated the present status of our hospital. In our hospital, 30,000 emergency patients are treated every year and the number of abdominal emergency is increasing. The distinctive features of our policy are that not only ordinary but also emergency treatments are performed by a combined team of physicians and surgeons in order to have young doctors oversee abdominal emergencies all the way through from diagnosis to treatment. According to a questionnaire survey, our training system for residents was highly evaluated and education and instruction in abdominal emergencies have been successfully performed in this environment. It is important for attendants to enthusiastically train young doctors and the attendants themselves should also be assessed.