Abstract
In Japan, hospital general medicine has gained attention, yet its professional roles and scope remain unclear. This
study aims to clarify hospitalists’ roles, challenges, and levels of job satisfaction. A nationwide survey of JSHGM
members yielded 450 responses. Regional analysis showed more members in western Japan, with the proportion of
female members significantly correlated with the number of members per population. Findings revealed significant
gender disparities in academic achievements, career progression, and income. Male physicians were more likely to
hold PhDs, study abroad, and attain academic positions, while female physicians faced greater difficulties balancing
research and family duties. Text mining analysis highlighted key concerns, including insufficient research time, heavy
clinical workloads, and limited professional growth opportunities. Both genders expressed a strong desire to engage
more in research and medical education, underscoring the need for institutional support. Enhancing research frameworks,
improving work-life balance, and strengthening training programs are essential for the future of hospital general
medicine in Japan. Addressing these issues is crucial to attracting young physicians and ensuring the field’s
long-term sustainability.
